Calories Still Matter

The Centers for Disease Control's NHANES surveys documented a massive increase in obesity in the United States between the 1960-62 and 2007-2008 survey periods (1).  In 1960, 13 percent of US adults were obese, while in 2008 that number had risen to 34 percent.  The prevalence of extreme obesity increased from 0.9 to 6.0 percent over the same time period!Something has changed, but what?  Well, the most parsimonious explanation is that...

Cart Before the Horse, Part 3: AHRQ's "Health IT Hazard Manager"

In a July 2010 post "Meaningful Use Final Rule: Have the Administration and ONC Put the Cart Before the Horse on Health IT?" and an Oct . 2010 post "Cart before the horse, again: IOM to study HIT patient safety for ONC; should HITECH be repealed?" I wrote about the postmodern "ready, fire, aim" approach to health IT:In the first post, I wrote:... These "usability" problems require long term solutions....

The Insulin Paradox II ~ Lessons from Body Builders

In The Insulin Paradox, I laid out the following:THE INSULIN PARADOXWhen insulin levels are elevated, the uptake/esterification of fatty acids in fat tissue is enhanced while lipolysis/release of fatty acids stored as triglycerides is suppressed,  thus favoring fatty acid accumulation in adipose tissue.YETThe low insulin state favors partitioning of fuel (mass) to fat tissue stores vs. lean tissue.Read more...

More Electronic Medical Record Breaches: You Could Not Do This With Paper

I have written repeatedly on the dangers posed by poorly managed health IT regarding information breaches.  See "2011 Closes on a Note of Electronic Medical Record Privacy Breach Shame" and other posts at this query link:   http://hcrenewal.blogspot.com/search/label/medical%20record%20confidentialityNow this, from Kaiser Health News and The Washington Post:As Patients' Records Go Digital, Theft And Hacking Problems Grow By David SchultzJun...

 i'm off enjoying turning 33 and having a little vacay w/ my family....hope y'all have an awesome week...*all images found h...

Aye-Aye, Binatang Pengerat Penembus Jantung Manusia

Unik Informatika - Meskipun beratnya hanya 4 pon di alam liar, binatang kecil ini dipandang sebagai pertanda kematian oleh masyarakat lokal di Madagaskar. Binatang ini bisa menembus jantung manusia saat tidur.Madagaskar adalah satu-satunya tempat di bumi di mana binatang ini bisa ditemukan di alam bebas. Menurut legenda, aye-aye yang memiliki mata gelap, jari-jari yang panjang dan penampilan menjijikkan,...