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Scooped by
Giuseppe Fattori
April 29, 2015 4:14 AM
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Nonostante le campagne che invitano a stare lontani dai siti che commerciano medicinali e nonostante i pericoli siano ormai segnalati da anni da più parti sono oltre 5 milioni gli italiani che fanno uso di farmaci "tarocchi" acquista...
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Scooped by
Giuseppe Fattori
April 23, 2015 3:29 PM
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- Some advisory groups now recommend against the use of the PSA test to screen for prostate cancer because the benefits, if any, are small and the harms can be substantial. None recommend its use without a detailed discussion of the pros and cons of using the test.
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Scooped by
Giuseppe Fattori
April 19, 2015 2:53 AM
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The law requires them to be the same as brand-name drugs in all ways that matter. But what science considers important is a moving target. An Object Lesson.
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Rescooped by
Giuseppe Fattori
from Démocratie sanitaire
April 15, 2015 3:17 PM
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Les inégalités entre individus se manifestent dans plusieurs dimensions : outre les conditions matérielles que procurent revenu et patrimoine, l’éducation...
Via Giovanna Marsico
Un an après l'appel de la revue Prescrire à retirer du marché les médicaments contenant de la dompéridone, une nouvelle étude accuse cette substance d'être à l'origine de plus de 200 morts chaque année en France.
Via Stéphanie Chevrel
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Scooped by
Giuseppe Fattori
April 7, 2015 10:35 AM
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Populationwide mammography screening has been associated with a substantial rise in false-positive mammography findings and breast cancer overdiagnosis. However, there is a lack of current data on the associated costs in the United States. We present costs due to false-positive mammograms and breast cancer overdiagnoses among women ages 40–59, based on expenditure data from a major US health care insurance plan for 702,154 women in the years 2011–13. The average expenditures for each false-positive mammogram, invasive breast cancer, and ductal carcinoma in situ in the twelve months following diagnosis were $852, $51,837 and $12,369, respectively. This translates to a national cost of $4 billion each year. The costs associated with false-positive mammograms and breast cancer overdiagnoses appear to be much higher than previously documented. Screening has the potential to save lives. However, the economic impact of false-positive mammography results and breast cancer overdiagnoses must be considered in the debate about the appropriate populations for screening.
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Scooped by
Giuseppe Fattori
April 7, 2015 10:12 AM
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Il suo chirurgo (che opera negli Usa) contesta le scelte emiliane: “Linee guide obsolete“
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Scooped by
Giuseppe Fattori
March 21, 2015 12:57 PM
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Ad Expo Mc Donald’s e Coca Cola. E la Rete si scatena. Mc Donald’s e Coca Cola sono sponsor ufficiali di Expo con un bel Padiglione sul sito espositivo. .......
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Scooped by
Giuseppe Fattori
March 20, 2015 4:30 PM
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Overdiagnosis means different things to different people. Stacy Carter, associate professor at the Centre for Values, Ethics and the Law in Medicine at the University of Sydney argues that we should u
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Scooped by
Giuseppe Fattori
March 28, 2015 8:24 PM
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Dans un petit cinéma parisien, l’ONG Médecins du Monde projetait ce mois-ci un documentaire sur le combat mené il y a quinze ans dans les pays pauvres pour l’accès aux traitements du sida.
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Scooped by
Giuseppe Fattori
March 20, 2015 3:46 PM
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ABSTRACT Overdiagnosis occurs when a true abnormality is discovered, but detection of that abnormality does not benefit the patient. It should be distinguished from misdiagnosis, in which the diagnosis is inaccurate, and it is not synonymous with overtreatment or overuse, in which excess medication or procedures are provided to patients for both correct and incorrect diagnoses. Overdiagnosis for adult conditions has gained a great deal of recognition over the last few years, led by realizations that certain screening initiatives, such as those for breast and prostate cancer, may be harming the very people they were designed to protect. In the fall of 2014, the second international Preventing Overdiagnosis Conference will be held, and the British Medical Journal will produce an overdiagnosis-themed journal issue. However, overdiagnosis in children has been less well described. This special article seeks to raise awareness of the possibility of overdiagnosis in pediatrics, suggesting that overdiagnosis may affect commonly diagnosed conditions such as attention-deficit/hyperactivity disorder, bacteremia, food allergy, hyperbilirubinemia, obstructive sleep apnea, and urinary tract infection. Through these and other examples, we discuss why overdiagnosis occurs and how it may be harming children. Additionally, we consider research and education strategies, with the goal to better elucidate pediatric overdiagnosis and mitigate its influence.
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Rescooped by
Giuseppe Fattori
from Démocratie sanitaire
March 24, 2015 10:43 AM
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La mise sur le marché de médicaments et leur remboursement sont soumis à des commissions supposées indépendantes. Or, plusieurs mois d'enquête ont permis à Mediapart de découvrir que, pendant des années, des membres éminents de ces commissions (dont un président) ont conseillé secrètement les laboratoires pharmaceutiques. L'affaire, au-delà des questions déontologiques et de conflits d'intérêts, interroge la probité du système sanitaire français.
Via Giovanna Marsico
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Scooped by
Giuseppe Fattori
March 21, 2015 1:22 PM
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1. EXPO: FARINETTI, STUPIDAGGINE CONTRARI A COCA COLA-MACDONALD'S RENZI FARINETTI (ANSA) - "Essere contrari alla presenza di Mc Donald's e Coca Cola è una stupidaggine enorme. Il tema di Expo è nutrire il pianeta, è universale. Semmai dobbiamo parlare del perché nel mondo c'è ancora un 20% di malnutriti. Non so cosa faranno Coca Cola e Mc Donald's, che è presente come main sponsor. La presenza non è così forte. Saranno chiamati ovunque nel mondo, io sono amico dell'Ad di Coca Cola e gli rompo le scatole ogni giorno affinchè tolga i coloranti dalla bevanda. Con Mc Donald's li ho incontrati e abbiamo parlato di prodotto sano e pulito. Intanto danno lavoro a tante persone".
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Scooped by
Giuseppe Fattori
April 25, 2015 5:54 PM
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Doctors, it turns out, often don't follow evidence-based guidelines. One result? Unnecessary tests. Scientists who study this contrariness think they know why.
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Scooped by
Giuseppe Fattori
April 23, 2015 3:16 PM
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On 11 March, the UK’s House of Commons took a bold and exemplary step, voting into law legislation that will introduce plain packaging for cigarettes in England by May 2016. Following Australia and, by just a few weeks, Ireland, England becomes only the third country to open up this latest front in the battle against tobacco harm. The decision was exemplary, says the global tobacco control campaigner Judith Mackay, because it will encourage other countries with fewer resources to follow suit. But it was bold because inevitably the UK will now be engulfed in a storm of legal challenges from an industry determined to fight for every inch of ground, even as its products continue to kill millions around the world (fig 1⇓).
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Scooped by
Giuseppe Fattori
April 18, 2015 3:49 PM
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Rescooped by
Giuseppe Fattori
from Pharma & Medical Devices
April 12, 2015 8:12 AM
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We know that wasteful spending is a huge problem in health care. Every year, the United States spends $765 billion annually (about one third of our overall health care dollars) on things that do not make Americans any healthier. This is both a huge problem, and opportunity. If we could make a dent in unnecessary wasteful spending, cut it in half or even a quarter, it would be a huge reduction in health care costs. And that could happen without harming Americans: we'd be eliminating the care that, by definition, isn't needed. But if we're ever going to make a dent in unnecessary spending, such on unneeded MRIs or too much medication we need to understand why there's all this wasteful spending happening in the first place. A new paper in JAMA Oncology tries to clear that up: The study, which examined 5,050 patient-physician encounters, found that -- despite doctors' perceptions -- patients aren't demanding medicine they don't need.
Via Richard Meyer
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Scooped by
Giuseppe Fattori
April 7, 2015 11:38 AM
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BACKGROUND: The US Food and Drug Administration recommends against feeding infants human abstract milk from unscreened donors, but sharing milk via the Internet is growing in popularity. Recipient infants risk the possibility of consuming contaminated or adulterated milk. Our objective was to test milk advertised for sale online as human milk to verify its human origin and to rule out contamination with cow’s milk. METHODS: We anonymously purchased 102 samples advertised as human milk online. DNA was extracted from 200 µL of each sample. The presence of human or bovine mitochondrial DNA was assessed with a species-specific real-time polymerase chain reaction assay targeting the nicotinamide adenine dinucleotide (NADH) dehydrogenase subunit 5 gene. Four laboratorycreated mixtures representing various dilutions of human milk with fluid cow’s milk or reconstituted infant formula were compared with the Internet samples to semiquantitate the extent of contamination with cow’s milk. RESULTS: All Internet samples amplified human DNA. After 2 rounds of testing, 11 samples also contained bovine DNA. Ten of these samples had a level of bovine DNA consistent with human milk mixed with at least 10% fluid cow’s milk. CONCLUSIONS: Ten Internet samples had bovine DNA concentrations high enough to rule out minor contamination, suggesting a cow’s milk product was added. Cow’s milk can be problematic for infants with allergy or intolerance. Because buyers cannot verify the composition of milk they purchase, all should be aware that it might be adulterated with cow’s milk. Pediatricians should be aware of the online market for human milk and the potential risks.
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Scooped by
Giuseppe Fattori
April 7, 2015 10:17 AM
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È un bollettino di guerra. Oltre 42,5 milioni di dosi consumate tra antibiotici e altri farmaci. Ben 900 mila malati, il doppio del 2014. Quindicimila richieste d?aiuto in più al Pronto soccorso solo a gennaio, quando sono stati visitati 341 mila malati. L?influenza presenta il conto. Salato. In Lombardia non sono mai stati usati così tanti farmaci specifici come nei mesi di gennaio e febbraio di quest?anno. È un numero da primato: complessivamente sono state consumate dieci milioni di dosi in più rispetto al 2010 e quasi 4 milioni in più rispetto al 2011, l?anno dell?allarme per l?arrivo dell?influenza suina, l?H1N1.Negli ultimi giorni all?assessorato della Sanità sono stati fatti i calcoli dell?impatto economico dell?epidemia. Solo per il consumo di antibiotici e di farmaci per il sistema respiratorio sono stati spesi 5,6 milioni di euro in più nel giro di due mesi, con un aumento della spesa farmaceutica territoriale superiore al 10% rispetto allo stesso periodo dell?anno precedente. Il mese più terribile, gennaio: in soli 30 giorni c?è stata una crescita del 60% di antibiotici rispetto al gennaio 2010, l?anno preso come paragone dall?assessorato alla Sanità (15 milioni e 798 mila dosi contro 10 milioni e 872 mila).Tutta colpa di un virus più aggressivo che mai. Questo è l?anno del ritorno della suina. In una forma particolarmente cattiva. Nel momento clou si trovano a letto fino a 9 lombardi su mille. È il doppio rispetto all?apice della scorsa stagione influenzale.Alla virulenza dell?influenza si aggiunge lo scandalo del vaccino Fluad, che comporta una battuta d?arresto delle vaccinazioni.
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Scooped by
Giuseppe Fattori
April 4, 2015 3:17 AM
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Nestlé is draining California aquifers, from Sacramento alone taking 80 million gallons annually. Nestlé then sells the people's water back to them at great profit under many dozen brand names.
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Scooped by
Giuseppe Fattori
March 31, 2015 3:59 PM
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Survey shows one in five teenagers in north west England have bought or tried e-cigarettes and found a strong link to to binge drinking
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Scooped by
Giuseppe Fattori
March 29, 2015 4:31 PM
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È pagato dalla Regione. La consigliera: confonde i giovani e va rivista. .... Il progetto della Regione è stato preso di mira due giorni fa da "Corrispondenza Romana", l’agenzia di informazione diretta dallo storico Roberto De Mattei, che giusto un anno fa si è visto sospendere la sua trasmissione mensile su Radio Maria per sue le posizioni critiche verso Papa Francesco. Secondo questa agenzia, «W l’Amore» altro non è « che l’ennesima subdola aggressione» che «con il pretesto di educare i ragazzi alla sessualità, li si inizia alla contraccezione, all’aborto e all’omosessualità, violando irrimediabilmente la loro adolescenza».
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Scooped by
Giuseppe Fattori
March 20, 2015 5:44 PM
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From 2016, pharma will have to make public its payments to doctors and healthcare organisations in Europe: it will be not just a huge technical challenge, but also a major cultural shift. Just how transparent and 'above board' are the...
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Rescooped by
Giuseppe Fattori
from Health and Wellness Tips
March 26, 2015 6:15 PM
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MARYLAND HEIGHTS, MO. (KTVI) - March is National Nutrition Month and this year's theme is 'Bite into a healthy lifestyle' and we all know how much kids love biting into their snacks. Snacking is an...
Via RobKellerMD
The new labeling of the world's most-popular weed killer as a likely cause of cancer is raising more questions for an aerial spraying program in Colombia that is the cornerstone of the...
Via Heather Swift
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