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Diabetes: Electronic Tracking System Can Help Patient Care
An electronic system with personalized patient information shared by diabetes patients and their primary care providers improved diabetes care and clinical outcomes, found a new study in CMAJ (Canadian Medical Association Journal) .
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Classification Methods For Identifying The Neural Characterics Of Antidepressant Treatment
Depression is a major public health problem, and one of the most important challenges for psychiatrists is to determine whether an individual with depression should receive cognitive-behavioral therapy or treatment with antidepressant medication. A study by researchers from Emory University, presented at the Annual Meeting of the Organization for Human Brain Mapping in San Francisco, used brain imaging along with sophisticated statistical techniques to examine the differences in brain function that result from these two different kinds of treatment. Forty individuals with depression were scanned with magnetic resonance imaging after undergoing cognitive behavioral therapy or antidepressant therapy. The researchers found that they could distinguish the brain activity of individuals undergoing the two different treatments, and in particular that the two treatments differently affected the communication of the brain areas that are thought to play a role in depression, including the communication between the prefrontal cortex and the nucleus accumbens, and between the subgenual cingulate and the thalamus. The results provide a basis for future research that will try to predict which individuals will benefit from different treatments for depression.
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Kaiser Daily Health Policy Report Feature Highlights Recent Blog Entries
"Blog Watch" offers readers a roundup of health policy-related blog posts.Appropriately, the last of the Senate Finance Committee"s three major public roundtables on health reform issues was on finance. Keith Hennessy lauds economist Kate Baicker"s testimony (.pdf) and says it helps connect reform ideas to a system of third-party payment. Hennessy says the current system leads people to "spend more of other people"s money than they do of their own, and less wisely." Hennessy explores the example of employer-sponsored insurance, which he says makes health insurance appear less expensive to employees than it is.Meanwhile, the New Republic"s Jonathan Cohn, who has been calling attention to potential ways of financing the significant cost of reform, recommends the testimony of Center on Budget and Policy Priorities President Robert Greenstein. Greenstein testified that there are no "painless" ways of raising money for reform, and said, "This leads to my first recommendation, in the form of a plea to the Committee. Please do not take any offset options off the table at this time. I believe you ultimately will need to put together a package that contains an array of spending and revenue offsets." Offsets could include removing or limiting the tax exclusion for employer-sponsored insurance. Bob Lazsewski strenuously disagrees. He illustrates a post titled "Paying for a Big Part of Health Care Reform With New Taxes Would Be a Terrible Mistake!" with a graph of the trends in health insurance premiums over the last 20 years and says, "paying for most of health care reform by raising taxes would be nothing less than cowardly and fiscally irresponsible." He continues, "the Congress is so desperate to find money and so unwilling to anger any powerful health care special interests we better get ready for some interesting rationalizations to promote tax increases in the place of fundamental reforms."After the hearing, ranking member Sen. Mike Enzi (R-Wyo.) gave a presentation at the Heritage Foundation on his preferences for bipartisan reform legislation and the Foundry"s Marguerite Higgins blogged Enzi"s key points. She says the senator wants to increase affordability, use private plans for coverage and ensure a bill is fully paid for.The White House appears to be initiating additional outreach efforts to mobilize support. Jose Antonio Vargas of the Washington Post"s Daily Dose reports that President Obama"s administration chose to send its first WhiteHouse.gov e-mail on health reform Wednesday. Vargas says, "It"s only fitting that Obama"s first official e-mail from the White House is about health care reform. As early as December, the incoming Obama administration began using new media tools to build grassroots support around the issue."Interesting elsewhere:
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House State-Foreign Operations Appropriations Subcommittee Approves FY10 Funding Measure

The House State-Foreign Operations Appropriations Subcommittee "unanimously approved its FY10 funding measure without any amendments" on Wednesday, "deferring expected fights for the full committee markup in a week," CongressDaily reports. The bill provides "increased funding for additional department and USAID employees," according to Congress Daily. After brief discussions about whether the $48.8 billion package represented a decrease or a substantial increase over current funding for foreign operations, the "unnumbered appropriations bill was reported to the full committee on a voice vote," the publication reports. According to Congress Daily, "The bill is $3.2 billion less than President Obama"s budget request for $52.04 billion." The bill would provide tight oversight of foreign affairs funding, including $146.5 million for State Department and USAID inspector generals, according to State and Foreign Operations Appropriations Subcommittee Chairwoman Nita Lowey, (D-NY) and subcommittee ranking member Representative Kay Granger, (R-Texas) (Kreisher, CongressDaily, 6/17). A statement from Lowey"s office said the bill provides "a total of $5.7 billion for global HIV/AIDS activities, which is $100 million above the President"s request, and $200 million above the FY 2009 enacted level." According to Lowey, the amount includes $700 million for the Global Fund. Additionally, the bill includes funding for voluntary family planning services, which Lowey said was a "priority" of the committee, as well as $75 million "to address pandemic preparedness and response" (Congresswoman Nita Lowey release, 6/17). A press release from the organization Health GAP writes that the markup indicates that the U.S. is going to "fall far short of its commitment to fund fully its fair share" of the Global Fund To Fight AIDS, Tuberculosis and Malaria"s re needs (Health GAP/PR Newswire, 6/17). This information was reprinted from globalhealth.kff.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Global Health Policy Report, search the archives and sign up for email delivery at globalhealth.kff.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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