Editor, Karl Oestreich; Assistant Editor, Carmen Zwicker
Mayo Clinic in the News is a weekly highlights summary of major media coverage. If you would like to be added to the weekly distribution list, send a note to Laura Wuotila with this subject line: SUBSCRIBE to Mayo Clinic in the News.
Best memory advice? Exercise, stimulating hobbies
…A study by researchers at the Mayo Clinic published this month in Neurology found that adults who engaged in activities such as arts and crafts, book clubs and travel were half as likely to develop mild cognitive impairment in their 80s as those who did not pursue brain-stimulating hobbies.
Reach: USA TODAY has the highest daily circulation of any U.S. newspaper with a daily average circulation of 4.1 million, which includes print, various digital editions and other papers that use their branded content.
Additional coverage: Boston Globe
Previous Coverage in April 9, 2015 Mayo Clinic in the News Weekly Highlights
Context: People who participate in arts and craft activities and who socialize in middle and old age may delay the development in very old age of the thinking and memory problems that often lead to dementia, according to a new study published in the April 8, 2015, online issue of Neurology®, the medical journal of the American Academy of Neurology. “As millions of older US adults are reaching the age where they may experience these memory and thinking problem called Mild Cognitive Impairment (MCI), it is important we look to find lifestyle changes that may stave off the condition,” said study author Rosebud Roberts, MB, ChB, MS, of Mayo Clinic in Rochester, Minn. and a member of the American Academy of Neurology. “Our study supports the idea that engaging the mind may protect neurons, or the building blocks of the brain, from dying, stimulate growth of new neurons, or may help recruit new neurons to maintain cognitive activities in old age.” More information about the study can be found here.
Public Affairs Contact: Duska Anastasijevic
Mayo Clinic CEO Dr. John Noseworthy talks about Medicare payment reform with Almanac hosts Cathy Wurzer and Eric Eskola.
Reach: Twin Cities Public Television's "Almanac" program is a Minnesota institution. It has occupied the 7 o'clock time slot on Friday nights for more than a quarter of a century. It is the longest-running prime time TV program ever in the region. "Almanac" is a time capsule, a program of record that details our region's history and culture during the past twenty five years. The hour-long mix of news, politics and culture is seen live statewide on the six stations of the Minnesota Public Television Association. Almanac was the first Minnesota TV show that virtually everyone in the state could watch together. The program's unusual format has been copied by numerous PBS stations around the country and it has led to Almanac being honored with the Corporation for Public Broadcasting's award for Best Public Affairs Program. Almanac has also earned six regional Emmy awards.
Context: John Noseworthy, M.D. is Mayo Clinic President and CEO. Mayo Clinic has been a strong advocate of modernizing Medicare and repealing the Sustainable Growth Rate (SGR) and replacing it with a reimbursement system that truly rewards quality and efficiency not simply volume. The Medicare Access and CHIP Reauthorization Act strengthens Medicare, extends the Children’s Health Insurance Program (CHIP), and makes numerous other improvements to the health care system.
Contacts: Sharon Theimer, Karl Oestreich
Dangers of e-cigarette use
Dr. Vandana Bhide, an internal medicine doctor with the Mayo Clinic, discusses the dangers of e-cigarette use and rising number of teen users.
Reach: WJXT is an independent television station serving Florida’s First Coast that is licensed to Jacksonville.
Context: Vanda Bhide, M.D. is a Mayo Clinic physician in Hospital Internal Medicine in Florida.
Contact: Kevin Punsky
Migraines Often Undiagnosed, Doctor Says
If you don't know whether or not your headache is just a headache, or if it's actually a migraine, you may be missing out on effective treatments, suggests an expert at the American Migraine Foundation. "Migraine is not just a headache, but a neurological disorder that has a wide variety of symptoms and specific treatments," foundation chair Dr. David Dodick, who's also a professor of medicine at the Mayo Clinic College of Medicine in Scottsdale, Ariz., said in a foundation news release.
Reach: HealthDay distributes its health news to media outlets several times each day and also posts its news on its website, which receives more than 39,000 unique visitors each month.
Additional coverage: FOX10Phoenix, ABC FOX Montana
Context: David Dodick, M.D. is a neurologist at Mayo Clinic in Arizona and an expert in concussion care and director of the Mayo Clinic Concussion Program.
Contact: Jim McVeigh
Washington Post, Irwin Schatz, the first, lonely voice against infamous Tuskegee study, dies at 83 by Sarah Kaplan — It was 1964, and Irwin Schatz, a young Detroit doctor with a penchant for flipping through medical journals, had come across a headline that stunned him. He re-read it several times, convinced that he could not be interpreting it correctly…And in 2009, Schatz’s role as the Tuskegee study’s first opponent was formally recognized when he was named a “medical hero”by the Mayo Clinic. Additional coverage: NY Times
Huffington Post, Pick a Body Part You Love Between Your Neck and Knees…But there's something we can do: We can soak in the fact that what we model for our girls matters even more than what they see in media. Says Dr. Leslie Sim, clinical director of Mayo Clinic's eating disorders program and a child psychologist, "Moms are probably the most important influence on a daughter's body image."
Huffington Post, Is Non-Celiac Gluten Sensitivity A Real Thing? by Cameron Scott — For most people, there’s absolutely no reason to avoid gluten, according to Dr. Joseph Murray, a prominent gastroenterologist who wrote the book Mayo Clinic Going Gluten Free. But why has Murray written a book teaching people how to avoid gluten -- a protein found in wheat, barley, and rye -- if it’s safe and nutritious?
Huffington Post Canada, Five Steps to Better Digestive Health…Stay Hydrated — The Mayo Clinic suggests one way to make sure you are properly hydrated is to check your urine. If it's clear, pale or straw-coloured, it's okay. If it's darker than that, keep hydrating. Try adding lemon or cucumber slices to water for a refreshing twist. Decaffeinated herbal teas are also a great way to hydrate.
Forbes, Measles Aerosol Vaccine Works -- But Not Quite Well Enough — Spraying a measles vaccine up children’s noses gave them some protection against measles but fell short of the immunity conferred by an individual measles vaccine injection in a study recently published in New England Journal of Medicine...Still, the findings were encouraging, said Dr. Gregory Poland, founder and head of the Vaccine Research Group at Mayo Clinic in Rochester, Minn. Poland, who specializes in researching measles vaccines, explained the number of advantages aerosol vaccines offer.
Forbes, MMR Vaccine and Autism: Yet Again, No Link Exists -- Even For Children At Risk For Autism by Tara Haelle — You might have thought scientists were done studying the MMR (measles mumps rubella) vaccine and autism. After all, numerous studies show no link between the two. But the anti-vaccine advocates frequently move the goalposts with their arguments, and one of those arguments is that the vaccine might “trigger” a developmental disability only in certain children who are already susceptible to it… As the Mayo Clinic’s Gregory Poland has said before, researchers can always work to make a better measles vaccine. Developing a better aerosol vaccine like the one described here yesterday might be an effective use of funds as well.
HealthDay, Diabetes Drug May Not Guard Against Pancreatic Cancer — Despite evidence that has suggested the diabetes drug metformin might have potential as a cancer fighter, a new study finds the medication didn't help patients with a type of pancreatic cancer… Why look at the drug in the first place? "The diabetes drug metformin is being used in some cancer treatment trials based on epidemiologic studies that have reported that use of metformin reduces the risk of death from cancer," said study author Dr. Roongruedee Chaiteerakij in a news release from the American Association for Cancer Research. She is from the division of gastroenterology and hepatology at the Mayo Clinic Cancer Center in Rochester, Minn. Additional coverage: Medical Xpress, US News & World Report
Chicago Tribune, From the community: 5K to Raise Money for Research of Uncommon Cause of Heart Attack — The common goal continues to be answers, a diagnosis, a hope that in the future the uncommon heart condition known simply as SCAD does not end another life…Last year SCAD Research donated $100,000 to the SCAD Research Program at Mayo Clinic. The 5K is our biggest fundraiser," said Saillard. The weekend includes a Friday night reunion of SCAD survivors, and an annual post-5K Saturday research update from Dr. Sharonne Hayes, the SCAD research team leader and Dr. Patricia Bess, co-investigator, from the Mayo Clinic in Rochester, Minnesota.
Jacksonville Business Journal, Two of four cancer facilities to receive first-ever state award are in Jacksonville by Colleen Jones — Two of the four facilities designated Florida Cancer Centers of Excellence by the State Surgeon General are in Jacksonville. Mayo Clinic Florida and the UF Health Proton Therapy Institute were both presented with the first-ever award earlier today in a visit by Florida Surgeon General and Secretary of Health Dr. John Armstrong. Additional coverage: Orlando Business Journal, News4Jax
Parents magazine, Pregnancy – healing hints by Laura Daisley…The frequent bathroom breaks won't be over yet. You might feel like you're peeing as often as you did while you were expecting. Pregnancy causes swelling in your body and an increase in your blood volume, and all of that excess fluid has to be eliminated, explains Myra Wick, M.D., a specialist in the department of obstetrics and gynecology at the Mayo Clinic and co-medical editor of the Mayo Clinic Guide to a Healthy Pregnancy.
CNN Money, Five-star hospitals? Government unveils new ratings — Looking to make it easier to compare hospitals, the federal government has started awarding star ratings to medical centers based on patients' appraisals…A few five-star hospitals are part of well-respected systems, such as the Mayo Clinic's hospitals in Phoenix, Jacksonville, Fla. and New Prague, Minn. Mayo's flagship hospital in Rochester, Minn., received four stars. Additional coverage: Philadelphia Inquirer, Pittsburgh Tribune, Arizona Daily Star, Charlotte Observer, Kaiser Health News
Yahoo! Health, Can A Vitamin IV Drip Boost Health and Energy? by Molly Shea — If you’ve been scrolling through your Instagram feed and spotted your favorite celebs hooked up to an IV, don’t freak—they’re probably not sick. They may just be getting a megadose of nutrients through an intravenous vitamin drip.… Some experts chalk this up to the fact that the nutrients enter the bloodstream directly. “When nutrients are taken intravenously, they bypass the normal absorptive process, which means the nutrients are received in a more concentrated form than taken orally,” Grace Fjeldberg, a registered dietitian and nutritionist at the Mayo Clinic tells Yahoo Health.
WEAU Eau Claire, Prom drunk driving simulator hits message home to students — Reality hit students hard at Altoona High School this morning during a prom trauma simulator. Students sat and watched as a mock drunk driving crash unfolded before their eyes, showing the teens what could happen if they choose to drink and drive…"The message is intended to raise awareness of the reality of what happens. A lot of times, kids at this age think that things like this will never happen to them, and this is an attempt to demonstrate that it does happen," said Aimee Wollman Neeseth Chaplain at Mayo Clinic Health System. Additional coverage: WQOW Eau Claire
Healthline News, Is Non-Celiac Gluten Sensitivity a Real Thing? by Cameron Scott…For most people, there’s absolutely no reason to avoid gluten, according to Dr. Joseph Murray, a prominent gastroenterologist who wrote the book Mayo Clinic Going Gluten Free. But why has Murray written a book teaching people how to avoid gluten — a protein found in wheat, barley, and rye — if it’s safe and nutritious?
KTAR Arizona, ASU researchers find potential clues to detecting ovarian cancer — Doctors generally don't diagnose the cancer until it's in the advanced stages, and only 15 percent of ovarian cancer patients are diagnosed early, according to the alliance. In the U.S., ovarian cancer is the most lethal gynecological cancer "with over 15,000 deaths per year," said Dr. Kristina Butler, a gynecological oncology specialist at the Mayo Clinic in Scottsdale.
Northland News, Duluth woman celebrates 15 years of life after heart transplant by Michelle Lee — A Duluth woman is celebrating her 15th year of life after a heart transplant at the Mayo Clinic. Heidi Ash is a chocolatier who creates hand-painted truffles and chocolates. Ash donates a portion of the proceeds from her business called "185 Chocolat" to the Charity Transplant fund.
Military.com, Military Spouse Seeks Kidney Donor for Transplant — Looking at Tawanna Clapp you wouldn't guess that she spends 21 hours a week on dialysis. Tawanna was diagnosed with focal glomerulosclerosis, FSGS, in 1996…Fast-forward nineteen years and she is now happily married to Staff Sgt. LaRon Clapp,..LaRon is currently researching the Army's policy on kidney donation and service after the procedure. After the news of her kidney's failing the couple researched different hospitals and finally decided on Mayo Clinic in Phoenix for the procedure. Along with being placed on the donor list for a deceased donor's kidney, the clinic has also told the couple they can begin actively searching for a live donor.
Argus Leader, Running the Boston Marathon for brain cancer awareness by Matt Zimmer — When Jessica Brovold applied for a spot in the Boston Marathon as a charity runner, she didn't worry too much about the fact that she'd never run more than a mile in her life…Kallie was diagnosed with a grade III brain tumor called Anaplastic Astocytoma in 2013, when she was four years old. Two years and two surgeries later, she's on the road to recovery. The Brovold family spent three months in Boston, where Kallie received proton beam radiation treatment at Mass General hospital, following a month at the Mayo Clinic in Minnesota.
Post-Chronicle, EVERYDAY WELLNESS: Is complementary medicine for you? — The Mayo Clinic Staff reports that Complementary and Alternative medicine has never been more popular. Nearly 40 percent of adults report using complementary and alternative medicine, also called CAM for short. Doctors are embracing CAM therapies, too, often combining them with mainstream medical therapies — spawning the term “integrative medicine.”
WXII N.C., Mayo Clinic News Network: Profiles can identify patients at-risk for pancreatic cancer…“The factors we found that increase risk of pancreatic cancer now allow us to separate patients as either low or high risk,” says the study’s senior author, Michael B. Wallace, M.D., MPH, a gastroenterologistat Mayo Clinic. “High-risk patients can then be scanned and biopsied more frequently or can opt for surgery, but low-risk patients don’t need such surveillance. They can be watched much less intensively.”
CNN, Unbroken: Couple with rare cancers determined to 'never give up'… Ben, now 34, and Shelby, a newly minted 30-year-old, were married and raising little Maeve, 3, and baby Hazel, 3 months, in Caledonia, Michigan, when life suddenly turns upside down. "I thought it was sciatica," Shelby says of the back pain and the "odd" feeling that prompted her to go to the hospital…"It" turned out to be an intramedullary glioblastoma, a highly aggressive form of brain cancer. Shelby's version was extremely rare because it was lodged in her spine instead of her brain."We're going to get all of our information and would like to go to Harvard or Mayo (Clinic) or places where maybe they do have more experience, and act in a shorter time frame," Shelby says.
Healthcare Finance, Mayo Clinic picks Optum360 for revenue cycle management by Susan Morse — The Mayo Clinic said it has tapped Optum360 to run elements of its revenue cycle in a move the organization hopes will improve patient experience for the famed health system while reducing administrative costs. Additional coverage: FierceHealthcare, FierceHealthPayer
KSTP, As Twin Cities Pollen Levels Increase, so Does the Sneezing by Cassie Hart — It’s that time again for sneezing, watery eyes and runny noses. The warm, windy weather is making one allergy particularly bad right now. Tree pollen levels in the Twin Cities metro have jumped into the “very high” range. …According to the Mayo Clinic, allergies happen when your immune system reacts to a foreign substance - such as pollen, bee venom or pet dander - that doesn't cause a reaction in most people.
KMSP, Home Depot co-workers build ailing German Shepherd a wheelchair ramp — At first, the signs weren't noticeable, but 8-year-old Diamond's hip dysplasia set in fast about 8 or 9 months ago. Bryan Coleman struggles to describe caring for his 100-pound German Shepherd, who has hardly any function left in her hind legs. Paul Kajer, a coworker, built the doggie wheelchair ramp within two hours. He says he's simply paying it forward after co-workers helped him while his son was going through a kidney transplant at the Mayo Clinic.
Post-Bulletin (MPR), Mayo Clinic hiring means nursing shortage for other facilities — For 30 years, Bobbi Jo Funke has worked some form of nursing job. From working as a nurse aid in high school to her current job as a licensed practical nurse at the St. Isidore Health Center in Plainview, Funke has showed a willingness to work long hours…But after five years in her current job, Funke, 46, is leaving the senior living community on April 28. In May, she'll begin a new position as an LPN in Mayo Clinic's renal studies unit, a job that comes with a pay increase -- and better hours. Additional coverage: Prairie Business, Brainerd Dispatch, Minneapolis / St. Paul Business Journal, Pioneer Press
Des Moines Register, Peterson: Surgery may have major impact on Hoiberg's career — This is Fred Hoiberg's watershed moment, Friday's open heart surgery that substitutes a faulty valve with a mechanical valve. Sometime around then, the Iowa State basketball coach, in my opinion, will have that defining deep talk with those closest to him, primarily his wife and kids…Hoiberg won't consider this a successful finished product until he wins a national championship, and assuming all goes well at the Mayo Clinic in Rochester, Minn., on Friday, that will continue to be his coaching motivation.
The Gazette, VIDEO: ISU coach Fred Hoiberg talks overwhelming support on road to recovery — Fred Hoiberg is on his way to recovery after he underwent open heart surgery to replace his aortic valve April 17. The Iowa State University head men’s basketball coach talked with the Mayo Clinic News Bureau about the overwhelming support he’s received and his persistence to raise awareness about heart disease. Full recovery for Hoiberg is expected within four to six weeks. Additional coverage: Ames Tribune, WCCO, KTTC (AP), Des Moines Register
Chicago Tribune (AP), Iowa State basketball coach Fred Hoiberg has heart surgery — Iowa State says coach Fred Hoiberg has undergone open-heart surgery to replace aortic valve. Hoiberg had surgery Friday at the Mayo Clinic in Rochester, Minnesota. Doctor Rakesh Suri says the operation was a success, adding that "Hoiberg is in recovery and doing very well himself." Additional coverage: USA Today, Washington Post, Star Tribune, Radio Iowa, Des Moines Register, KCCI Iowa, Cyclone Sports Report, Daily Journal, Ames Tribune, NBC Sports, ESPN, Kansas City Star, University Herald
Des Moines Register, Iowa State's Hoiberg tweets photo of recovery at Mayo by Randy Peterson — Iowa State basketball coach Fred Hoiberg is a few months from going one-on-one against anyone – even player Naz Long, who recently had hip surgery. But at least he's out of bed. Hoiberg, who underwent open heart surgery at the Mayo Clinic in Rochester, Minnesota on Friday afternoon, tweeted a video of himself Monday strolling a hospital hall. Additional coverage: KWWL Iowa, KCCI Iowa
Post-Bulletin, Opinion: Rochester can, and will, become high yield regional airport by Steven McNeill, president of the Rochester Airport Co. — Rochester International Airport, like all regional non-hub airports in the U.S., is facing difficult challenges in the face of changing air service dynamics and related economic and market trends. Most recently, pilot shortages are becoming a very real phenomenon. Between now and 2022, experts estimate American Airlines, Delta Air Lines, United Airlines and Southwest Airlines will retire more than 16,000 pilots, and the pipeline to refill that shortage is grossly insufficient.
KJZZ Arizona, The Valley's Largest Outdoor Basketball Festival Brings Together Athletes Of All Ages And Abilities by Steve Goldstein — This weekend, a lot of people are going to be in downtown Phoenix playing 3-on-3 basketball as part of the Valley’s largest outdoor hoops festival. Participants are going to be all sorts of ages, shapes and sizes…We talked with sports psychologist Dr. Charlie Brown and Dr. Denise Millstine of the Mayo Clinic.
Mankato Free Press, STD rate at record level locally, in state by Tim Krohn — The number of sexually transmitted diseases rose to a record level statewide and locally, increasing 6 percent in 2014. Blue Earth County continued to have one of the highest chlamydia rates in the state…Dr. Amy Brien, an OB-GYN with Mayo Clinic Health System in Mankato, said cities with high rates of college-aged people means higher rates of STDs. She hopes some of the increase in reported STDs is because of more testing.
KAAL, Ceremony Remembers Organ Donors Who Gave the Gift of Life — April is National Donate Life Month and, Friday a walk of remembrance was held to honor organ, tissue and eye donors. The Gift of Life House is marking "Donate Life Day" by paying tribute to organ donors and their families. A retired Mayo doctor led the walk from Saint Marys to the Gift of Life House, which was followed by a flag raising ceremony. Both organ donors and transplant recipients were on hand. Additional coverage: KTTC
Fairmont Sentinel, Bell rings up wins over cancer by Judy Bryan — If you hear the sound of a bell at Mayo Clinic Health System-Fairmont, take a moment to smile. The chime indicates a cancer patient has completed his or her chemotherapy. The bell used by infusion therapy patients at Mayo Fairmont has a special story. It originally was presented to Joanne Becker after her retirement from more than 30 years of teaching in Fairmont. She died Aug. 1, 2014.
Mankato Free Press, Health care rated on cost, quality by Nate Gotlieb — Mankato-area medical groups are above-average in treating diabetes, vascular care and colorectal cancer screening, according to a report by a nonprofit group that measures health care providers. The area's two largest groups, Mayo Clinic Health System and the Mankato Clinic, vary in measures such as treating asthma and depression, however. Mayo ranks average and below average in those areas, while Mankato Clinic is above average in asthma care and among the top 15 groups in the state in many depression-care aspects. Additional coverage: Insurance News Net
KARE11, Walter Mondale on his recent illness, life without Joan by Boyd Huppert — No funeral flowers arrived, but it wasn't far from it. A month after being hospitalized, former Vice President Walter Mondale is still chuckling about media reports that had him close to death. Mondale had been scheduled to introduce former President Jimmy Carter last month during an appearance in the Twin Cities, but some nagging respiratory problems him to the Mayo Clinic. "He announced that I was sick and that story went all over the world," Mondale said Friday in an interview with KARE 11.
TIME, You Can Now Use a Yelp-Like Star System to Check Out a Hospital…In an effort to make comparing hospitals more like shopping for refrigerators and restaurants, the federal government has awarded its first star ratings to hospitals based on patients’ appraisals…A few five-star hospitals are part of well-respected systems, such as the Mayo Clinic’s hospitals in Phoenix, Jacksonville, Fla., and New Prague, Minn. Mayo’s flagship hospital in Rochester, Minn., received four stars.
The Times (Ottawa, Ill.), CHRISTENSEN: Sharing a story, and offering thanks…On April 24, I will be celebrating my one-year anniversary of receiving a kidney transplant at Loyola Hospital in Maywood. I had a kidney disease called glomerulonephritis (gloe-mer-u-low-nuh-FRY-tis), which is inflammation of the tiny filters in your kidneys (glomeruli). …I was diagnosed at OSF St. Francis in Peoria, through a biopsy. I immediately went to Mayo Clinic in Rochester, Minn., for a second opinion. The doctors at Mayo confirmed the diagnosis. We were hoping that I'd be able to live my life with my own kidneys.
Eau Claire Leader-Telegram, Lower medical costs eyed: Health care systems target Eau Claire for new hospital, Marshfield Clinic, Aspirus hospital for Eau Claire planned in next few years… Mayo Clinic Health System President and CEO Dr. Randall Linton said that changes in the health care industry have led to this type of exploration of potential relationships. “Strategically navigating through times of change is what Mayo Clinic successfully accomplished when creating Mayo Clinic Health System more than 20 years ago,” Linton said. “In 1992, Luther Hospital and Midelfort Clinic came together with Mayo Clinic to create an integrated health care system in Eau Claire that has now grown to support patients and communities throughout northwest Wisconsin.” Additional coverage: Post-Bulletin, WQOW Eau Claire, WEAU Eau Claire
Crain’s Cleveland Business, Cleveland Clinic's alliances are as hearty as ever — Ever-growing health system is being more proactive in adding to its substantial list of affiliations...The Clinic model — Other health systems, too, have launched affiliation arrangements — most notably the Mayo Clinic, one of the Clinic's chief rivals on the national stage. Health care observers say Mayo's program, though, has tended to work as a subscription-model, whereas its partners have access to Mayo's docs for second opinions and their research.
Rutgers, News of Bionic Eye Implant by Mayo Clinic Surgeon, a Rutgers Alumnus, Goes Viral — When surgeon Raymond Iezzi implanted a bionic eye in his blind patient at the Mayo Clinic in Rochester, Minnesota, earlier this year, he expected local media to notice. What the two-time Rutgers graduate didn’t expect was that the story would go viral. But since a touching video of 68-year old Allen Zderad beholding his wife of 45 years for the first time in a decade hit the Internet in February, more than 200 newspapers, magazines and TV stations around the country have run the story.
Discover U of M, Statement from U of M president following April 17, 2015, New York Times story — The following is a statement from University of Minnesota President Eric Kaler following the Friday, April 17, 2015, New York Times story:…While we dispute some important claims that have been made by the media and others, we fully and unequivocally acknowledge that on some key issues, we can do better. And I am committed to leading that change…We are a few weeks into the process and here’s where we are in terms of progress: An implementation committee chaired by Mayo Clinic’s Dr. William Tremaine has been created and is working on a plan of action.
Yuma News Now, The Mayo Clinic Diet: A weight-loss program for life — The Mayo Clinic Diet is a weight loss and lifestyle program designed by Mayo Clinic health experts. The Mayo Clinic Diet is a lifelong approach to help you improve your health and maintain a healthy weight. The Mayo Clinic Diet uses the Mayo Clinic Healthy Weight Pyramid as a guide to making smart-eating choices and encouraging daily activity.
Post-Bulletin (Star Tribune), Mayo Clinic unravels a mystery disease for Minnesota lawyer — Greg Widseth didn't know what hit him… Now Widseth, who once had a photographic memory, is struggling to reconstruct the events that put him in the hospital and led his wife, a former emergency room nurse, to seek help from the Mayo Clinic…When it became clear that her husband wasn't getting better, she called her sister in Rochester, whose neighbor happened to be Dr. Jeffrey Britton, a Mayo neurologist specializing in autoimmune encephalitis. Britton and his colleague, Dr. Andrew McKeon, a neuroimmunologist, agreed to see Widseth within a few days.
KAAL, Mayo Volunteers Donate 140,000 Hours of Service, Monday — Mayo Clinic volunteers presented a symbolic check for more than $3 million, representing more than 140,000 hours contributed by volunteers in 2014. More than 500 of the nearly 1,600 Mayo volunteers attended a luncheon at the Rochester International Event Center held to say thank you. The event brought in groups from downtown Mayo Clinic Methodist and Saint Marys campus volunteers. Sometimes, it's the simplest things that make a big difference. "If it's not asking directions, sometimes people just need someone to talk to and a friendly helpful smile," Sue Mattson said. Additional coverage: KIMT
Portland Business Journal, Forget narcotics — beat your pain with the 'scrambler' instead by Elizebeth Hayes…The scrambler is designed to help that process. It uses artificial intelligence that mimics healthy pain signaling to replace the chronic pain message to the brain with a "no pain" message. Dr. Charles Loprinzi, a medical oncologist at the Mayo Clinic in Rochester, Minnesota, published a paper on the therapy's use in patients with chemotherapy-induced pain. In an interview this week, Loprinzi said the therapy has yet to be proven in a large, placebo-controlled clinical trial.
AFRO, Mayo Clinic: A Commitment to Diversity and Focus on the Black Community by Natascha Saunders — The Mayo Clinic possesses a strong commitment to providing resources to patients within the African American community—a group that suffers from a vast array of healthcare disparities and a higher mortality rate for many diseases. Mayo Clinic has many partnerships at the national level focused around promoting health education and encouraging more African Americans to participate in research studies. Among Mayo Clinic’s various partnerships is one with The Links Inc., one of the oldest and largest volunteer services organizations in the Black community.
Good Housekeeping, Many Women Are Having Kids Too Close Together by Caroline Picard — While a year and a half may seem like a long time, doctors recommend mothers take at least 18 months before giving birth again to let their bodies fully recover. Not only does it increase the chances that the next children are full-term and healthy, but it also helps reduce risks of abnormal development of the placenta, low birth weight, small size for gestational age, and preterm birth, according to the Mayo Clinic.
Post-Bulletin, Heard on the Street: Mayo Clinic is 26th largest Arizona employer — Mayo Clinic's operations in Arizona have grown quickly. Mayo Foundation was rated the 26th largest employer in Arizona, with 5,727 employees, according to the Arizona Republic 100, a list of that state's largest employers. That's up from 5,600 in 2014, when it also was ranked 26th.
Faribault Daily News, Mayo Clinic Health System in Faribault welcomes two Express Care providers by Brittney Neset — Mayo Clinic Health System in Faribault welcomes Michelle Blankenship, nurse practitioner, and Jacob Kruger, physician assistant, to the Express Care practice at Crossroads Professional Building.
The Gazette (Iowa), Luke's, PCI team up for advanced cardiac care — Specialists from two of Cedar Rapids’ major health care providers are partnering to provide better cardiac care, officials said Monday.…But the team of providers — 16 cardiologists and four cardiac surgeons — will work together to treat complicated heart conditions and keep patients in town rather than traveling to the Mayo Clinic in Rochester, Minn., or even to the University of Iowa Hospital and Clinics, he said.
Cardiovascular Business, Heart failure incidence dips 37.5% over 10 years by Candace Stuart — The incidence rate for heart failure dropped steeply over a decade in a population-based study, and while hospitalization rates remained steady over time, causes shifted from cardiovascular to noncardiovascular. Researchers at the Mayo Clinic in Rochester, Minn., frequently use Olmsted County in their state for epidemiological studies because medical care for the most part is provided through the Mayo system.
Star Tribune, Five years in, advocates for spinal cord injury research frustrated by House committee inaction… Matthew Rodreick, executive director of the Get Up Stand Up 2 Cure Paralysis Foundation, said the grant would capitalize on Minnesota’s legacy as a home for medical innovation. Not only would it improve lives, he said, but it could cut back on the millions in healthcare costs for paralyzed Minnesotans. They’re putting their hopes in epidural stimulation, used in part with a device created by Medtronic that would be implanted in patients. It’s currently undergoing some trials at Mayo Clinic and in Louisville, Ky.
KSPR Mo., Do smartphone apps for allergies really work? — Allergy season is in full swing and that means many of you may be experiencing itchy eyes, a runny nose and scratchy throat… If you do plan to use an online resource to diagnose symptoms, Dr. Lux says to avoid sponsored by drug companies. Instead try resources like the National Institute of Health, the Mayo Clinic's website or even Web MD.
KSTP, U of M Board Plans Public Forum on Human Research Changes by Jennie Olson — The University of Minnesota’s Board of Regents is hosting a public forum to talk about a plan to improve human subjects research practices at the university. The action plan is being created by an implementation team made up of internal and external university members and follows a legislative audit that was critical of how the university recruited a man who committed suicide while enrolled in a schizophrenia drug trial in 2004… A Mayo Clinic doctor, William Tremaine, will lead the implementation team in examining how the school can strengthen human research practices. They will deliver the plan to Kaler next month.
KTTC, Two "Park and Ride" locations to end service in June — Hundreds of Mayo Clinic employees all across Rochester will soon have to find a new Park and Ride location as two major locations will be closing. According to an intranet posting, Park and Ride locations will close at Wal-Mart North and South in Rochester on June 26th.
nj.com, Why doesn't New Jersey have any 5-star hospitals? by Kathleen O’Brien — The federal government recently debuted an online tool that lets consumers compare the patient experience at hospitals around the country through its "star" ratings. A quick stroll through the spreadsheet shows that New Jersey has not a single five-star hospital…By contrast, the good people of Iowa are blessed with 11 five-star hospitals. And the world-renowned Mayo Clinic gets only four stars.
Prevention magazine, 12 Weird Sounds You Don't Want Your Body To Make by Lila Battis, Clicking and popping jawbone — If the noise is loud and sharp, your temporomandibular joint—the hinge and/or cartilage of your upper and lower jaw—may be out of alignment. But this is not necessarily a problem, says James Van Ess, MD, DDS, an assistant professor of oral and maxillofacial surgery at the Mayo Clinic.
Florida Times-Union, Health Notes: Mayo study identifies which people with pancreatic lesions have highest risk of cancer — Lesions in the pancreas are not unusual. In rare cases, those lesions can develop into pancreatic cancer. A team of international physicians, led by researchers at Mayo Clinic’s campus in Jacksonville, has developed a profile of the patient who would be most at risk having lesions develop into cancer. Their analysis was published last week in the journal Digestive and Liver Diseases. “The factors we found that increase risk of pancreatic cancer now allow us to separate patients as either low or high risk,” said the study’s senior author, Michael B. Wallace, a gastroenterologist at Mayo Clinic.
Post-Bulletin, Mayo Clinic gets 4 of 5 stars in new hospital ranking by Heather Carlson — Despite Mayo Clinic being ranked the top hospital in the nation by U.S. News and World Report, a new federal ranking system gives the clinic's flagship campus in Rochester four out of five stars… While the new star rating provides some valuable information, it's important for patients not to base their decisions about where to seek care solely on this information, said Dr. Sandhya Pruthi, Mayo Clinic director of patient experience. Pruthi said the clinic takes the patient experience surveys seriously and works to improve care based on the results. But she said questions remain about Medicare's very complex methodology for analyzing the data and translating it into star ratings. Extremely small differences in scores can make the difference between a hospital getting three stars or four stars. Additional coverage: The Health Care Blog, Minneapolis/St. Paul Business Journal
KAAL, Health Kiosks Get Results For Austin Schools by John Doetkott… Late last year ABC 6 told you the Mayo Clinic would be installing a HealthSpot kiosk at Ellis Middle Schools that would allow people to conduct a routine medical examination via web cam. The kiosk went live at the beginning of March and officials said it's been a big success in its first two months. "We're excited with this partnership to be able to bring healthcare to the community in a way that our employees and their dependents can easily get in and see a provider for basic care needs," said Elaine Hansen, benefits specialist for the Austin Public Schools.
Healio Cardiology Today, Sports participation appears safer today for children with long QT syndrome — A single-center review of children and adolescents with long QT syndrome yielded no deaths or cardiac events during sports participation… In a related editorial, Michael J. Ackerman, MD, PhD, from Windland Smith Rice Cardiovascular Genomics Research Laboratory at Mayo Clinic, wrote that “aerobic activity is a potential risk-taking behavior for patients with [long QT syndrome] in general, type 1 [long QT syndrome] in particular. … The question is whether that increased risk can be circumvented, neutralized or minimized in other ways besides elimination of that specific risk-taking behavior by its removal (ie, sports disqualification). Additional coverage: FOX News, Medical News Today,
Endocrinology Advisor, Prescribing Attitudes May Reflect Personal Distress — Medical students in personal distress may be more likely to have suboptimal attitudes about self-prescribing and personal responsibility for reporting impaired colleagues, according to a study published in Academic Medicine. In a cross-sectional study, Liselotte N. Dyrbye, MD, from the Mayo Clinic in Rochester, Minnesota, and colleagues examined medical students' attitudes about appropriate prescribing behaviors and their personal responsibility to report impaired colleagues. A total of 4,402 U.S. medical students completed surveys.
WXOW La Crosse, April is National Donate Life Month — 2015 marks the fifth anniversary of the Wisconsin Online Donor Registry, with nearly 60% of eligible residents registered as organ donors. More than 120,000 people in the United States are currently waiting for an organ transplant, with 2,000 of those people on waiting lists in Wisconsin. Jodie Gonia, registered nurse at Mayo Clinic Health System, said 19 people die every day because they don't receive the organ they need to survive.
Star Tribune, Two orthopedic medicine groups in the Twin Cities merging by Christopher Snowbeck — Two orthopedic medicine groups in the Twin Cities are merging to create one large physician practice with more than 100 orthopedic surgeons. Twin Cities Orthopedics, which is based in Golden Valley, plans to integrate its practice this summer with St. Croix Orthopaedics, which treats patients in the St. Croix River valley. The announcement was the latest of several developments in the local market for orthopedic medicine, which includes hip and knee replacements, as well as spine surgery…In December, Twin Cities Orthopedics announced plans for a new sports medicine clinic in Eden Prairie. Last fall, Mayo Clinic opened a new sports medicine clinic in downtown Minneapolis.
Saint Louis Post-Dispatch, Momentum vanishes as Blues are blanked — They played the game at the Xcel Energy Center, but it might as well have been the Mayo Clinic about 80 miles away, because the Minnesota Wild performed surgery on the Blues on Monday night. The Blues lost their ninth straight road playoff game, yes, but they lost more than that in their 3-0 defeat to Minnesota in Game 3 of their best-of-seven Western Conference playoff series, which the Wild now lead two games to one… The crowd at the Mayo Clinic, uh, Xcel erupted as the Wild picked up the first goal of the game for the second time in this series.
Huffington Post, Roseanne Barr Reveals She Is Slowly Going Blind — Roseanne Barr revealed she is losing her vision in a candid interview with the Daily Beast. She made the revelation while discussing her love of marijuana. The 62-year-old comedian said she has macular degeneration and glaucoma, and is dealing with pressure in her eyes. Weed, she said, is " a good medicine."… Macular degeneration leads to haziness of the vision and can result in a blind spot in the center of the vision field, according to Mayo Clinic.
Post-Bulletin, Mayo Clinic auxiliary members donated 143,000 hours in 2014 by Jeff Kiger — There's a long history of volunteering at Mayo Clinic, which was obvious as hundreds of local residents gathered Monday for the Mayo Clinic Volunteer Programs luncheon…Jeff Bolton, Mayo Clinic's chief administrative officer, thanked the more than 500 volunteers at the luncheon on their service. "What you do for Mayo Clinic is priceless," he told the volunteers filling the Rochester International Event Center on Monday.
Medical News Today, 3-T MRI advancing on ultrasound for imaging fetal abnormalities, Does higher field strength increase risk?...As 3-T MRI scanners become more common due to their improved image signal-to-noise ratio and anatomical detail, the benefits of 3-T MRI must be weighed against potential risks to the fetus that may result from the higher field strength. "MRI is playing an increasingly important role in the assessment of complex prenatal disease," said Kathleen E. Carey, MD, Mayo Clinic, Jacksonville, FL. "The use of stronger 3-T field strengths may allow for improved visualization of subcutaneous fat and osseous structures, including the hands and feet of the developing fetus."
Yahoo! Health, The Inspiring Man Who Finished Last In The Boston Marathon — Every year, there’s much fanfare around the winners of the Boston Marathon. But this year, the person who finished last is inspiring millions. A Venezuelan man crossed the finish line — 20 hours after he started. Maickel Melamed broke the ribbon at about 5 a.m. Tuesday, after enduring torrential downpours and thunderstorms for the last few miles. The 39-year-old Melamed has a form of muscular dystrophy that severely impairs his mobility… Muscular dystrophy is a group of genetic diseases that cause progressive weakness and loss of muscle mass, according to the Mayo Clinic.
The Atlantic, Joint Pain, From the Gut by David Kohn… Over the past several years, scientists have compiled a growing collection of evidence that many of these bugs may have a major effect on our well-being, with some triggering chronic, non-infectious ailments such as rheumatoid arthritis, and others protecting against such diseases. “It’s become more and more clear that these microbes can affect the immune system, even in diseases that are not in the gut,” says Veena Taneja, an immunologist at the Mayo Clinic in Rochester, Minnesota, who has found clear differences in the bacterial populations of mice bred to be genetically prone to rheumatoid arthritis.
MedPage Today, Increasing Tysabri Dosing Interval May Cut PML Risk by John Gever — Freedom from relapse was maintained in multiple sclerosis patients on natalizumab (Tysabri) who received the infusion drug less frequently than the recommended 4-week interval, with lower risk of progressive multifocal leukoencephalopathy (PML), preliminary results from an ongoing analysis indicated.…Brian Weinshenker, MD, of the Mayo Clinic, who was not involved with the study, told MedPage Today that the approach deserves more study but urged caution in adopting it clinically. He noted that if just one patient in the extended dosing group developed PML, "it would have completely negated any trend to reduced risk."
KEYC Mankato, National Infant Immunization Week Raising Awareness — National Infant Immunization Week is here as medical agencies work to raise awareness on the benefits of immunization…Mayo Clinic Health System Certified Nurse Practicioner Vickie Parsons says, "We are giving them a boost of an immune system to help prevent them against some of the diseases that definitely are deadly and definitely can cause serious damage if they get the natural disease."
Medscape, Ultrasound First, Not CT, for Women's Pelvic Pain by Marcia Fellick…CTs are often done first in emergency settings, acknowledged Maitray Patel, MD, from the Mayo Clinic in Scottsdale, Arizona. However, that might be less about best practices and more about available resources, he explained. Most hospitals are set up so that CTs are easier to order than ultrasounds, he told Medscape Medical News. Some hospitals, including the Mayo in Arizona, don't have 24/7 availability for ultrasounds. Someone can be called in to do one, but that adds to the wait time, especially in the middle of the night.
Phoenix Magazine, Heart Beat by Alejandra Armstrong — With an assist from a motivated widower, Mayo Clinic uncovers a genetic link to a little-known heart condition called SCAD….A former teacher and consultant for an investment company, Alico’s mission started in the home office he’d shared with his wife, with a phone call to Dr. Sharonne Hayes at the Mayo Clinic in Minnesota, who was already researching the condition. “Dr. Hayes said I was the first guy in the world to ask to fund SCAD research,” Alico says. “I saw my wife’s empty chair and said, ‘I’ll do it.’”
Science Magazine, An unexpected microbe is killing organ transplant patients… Now, a new study implicates bacteria that normally live in the urinary tract as the cause of the man’s fatal illness and the deaths of other lung transplant patients. The work suggests a way to treat a rare but deadly complication of organ transplantation and cancer treatment. Although our bodies normally produce small amounts of ammonia when we break down proteins, liver enzymes transform it into a safer compound, urea, which is excreted in our urine. In some organ transplant recipients and cancer patients, however, the amount of ammonia in the blood explodes. Although this condition, known as hyperammonemia, is unusual, “when it has occurred, it’s been disastrous,” says pulmonologist Mark Wylam of the Mayo Clinic in Rochester, Minnesota. The brain swells, and patients fall into a coma. “The end of the ordeal is that they die,” he says.
LiveScience, Listeria Infection: Symptoms & Treatment…Listeria is particularly dangerous for those with a weakened immune system, older adults or women who are pregnant, according to the Mayo Clinic.
Wired UK, Probable asthma cause and 'cheap' treatment discovered by Liat Clark — A team of UK and US biologists believes it has found the underlying cause of asthma, and a cheap way to treat every sufferer… In a paper published in the Science Translational Medicine journal, Riccardi and colleagues at King's College London and the Mayo Clinic wrote: "There remains a significant minority of patients whose symptoms fail to be controlled with these approaches and who face chronically impaired quality of life with increased risk of hospital admission and even death, although in a minority such patients account for the major share of asthma health care costs."
KIMT, Covering Your Health Special Report: The Pet Prescription by DeeDee Stiepan…Mayo Clinic uses canine assisted therapy, where a dog and their handler go into a hospital room and visit with a patient for 10-15 minutes. Doctors have found that interacting with animals can increase our levels of oxytocin, a hormone that makes us feel happy and trusting.
Vernon County Broadcaster, La Farge clinic tailored to revoluntionize treatments for Amish — A new medical clinic rising on the north side of the village of La Farge will include a genetic testing program to generate medical breakthroughs for treating the Amish and Mennonite communities concentrated in Vernon County. The program is rooted in Dr. James DeLine’s dedication to serving the unique needs of those populations.…After one of DeLine’s patients was treated surgically at Mayo Clinic in Rochester, Minn., 10 years ago, he said clinicians advised echocardiograms for all siblings because they would have a 50/50 chance of having the disease, repeating the tests every five years.
Pocono Record, Health news: Migraine diagnosis key to finding treatment — If you don't know whether or not your headache is just a headache, or if it's actually a migraine, you may be missing out on effective treatments, suggests an expert at the American Migraine Foundation. "Migraine is not just a headache, but a neurological disorder that has a wide variety of symptoms and specific treatments," foundation chair Dr. David Dodick, who's also a professor of medicine at the Mayo Clinic College of Medicine in Scottsdale, Ariz., said.
1to1 Media, Create Emotionally-Engaging Customer Experiences… Ray Wang, chief executive officer and principal analyst at Constellation Research, agrees that brand promises are a key business differentiator. "It's not enough to just sell products or services anymore; customers require businesses to deliver authentic experiences and outcomes," Wang says. "We're moving from selling products to keeping brand promises." Wang pointed to Disney, Fox News, the Mayo Clinic, and Virgin America as examples of companies whose brand messages resonate with consumers.
Cronkite News, Arizona hospitals get middling scores in national patient survey by Miranda Leo…The four top-ranked Arizona hospitals were Banner Goldfield Medical Center in Apache Junction, Arizona Orthopedic and Surgical Specialty Hospital in Chandler, Arizona Spine and Joint Hospital in Mesa and the Mayo Clinic in Phoenix.
Post-Bulletin, Heard on the Street: Saint Marys power plant to expand by Jeff Kiger — As part of Mayo Clinic's ongoing growth in Rochester, work has started on a project to expand the Saint Marys Campus' power plant. "The project will include a 5,000-square-foot addition onto the south side of the power plant at the Saint Marys Campus to increase plant cooling capacity," according to Kelley Luckstein, of Mayo Clinic.
ABC News, Woman Denied Bank Transaction Because Chemo Erased Her Fingerprints by Sydney Lupkin — After a rare side effect of chemotherapy left a woman without fingerprints, she was denied a bank transaction, according to a case study published in the New England Journal of Medicine…. she developed hand-foot syndrome, a rare side-effect of certain chemotherapy drugs, like capecitabine, that causes swelling on the hands and feet… Hand-foot syndrome can range from mild swelling and tingling to painful blisters, sores and cracked skin, according to the Mayo Clinic.
KAAL, Care Centers Hoping for Reform by Ben Henry — There are currently more than 2,500 nursing and nursing assistant positions open in care centers alone in the state of Minnesota… Willows & Waters is a senior living facility in Rochester, and is reimbursed differently than Field Crest Care Center, but is facing similar concerns, including competing with Mayo Clinic. “Being a small business owner, it is very difficult to match the wages that the Mayo Clinic does offer, as well as the health care opportunity they do offer,” said owner of Willows & Waters, Jackie Seifert.
Chicago Tribune, Palos Hospital partners with Loyola for more specialized care by Lauren Zumbach…The two organizations this month signed an affiliation agreement that officials at both hospitals said will make it easier for Palos-area patients to access more specialized care…"It would be a fallacy to think that everybody can do everything all the time. There's no system like that, whether you're Mayo Clinic or a hospital in a small town. All have their expertise," said Dr. Terrence Moisan, president and chief executive of Palos Community Hospital in Palos Heights.
Diario IMagen, Presbicia: cuando ya no se puede leer con facilidad by Elsa Rodriguez, El Dr. Michael Mahr, oftalmólogo de Mayo Clinic, en Rochester, Minnesota, señala que es común que las personas mayores de 40 años experimenten cambios visuales. A medida que se envejece, los ojos gradualmente pierden la capacidad de enfocar los objetos cercanos.
Sin Mordaza Argentina, El futuro de Juan Martín del Potro… Aquella de marzo fue apenas la primera operación en la mano izquierda. En enero de este año, de manera sorpresiva y tras bajarse del Australian Open, se sometió a "una pequeña cirugía" en la Clínica Mayo de Rochester, Minnesota, "para resolver el problema del dolor que le causaba al impactar el revés a dos manos", según el comunicado oficial. Additional coverage: Tandil Diario, Yahoo! Deportes
Bitácora Médica “La enfermedad renal impacta de muchas maneras” ¿Cuáles son los factores de riesgo de enfermedad renal? ¿Cuál es su relación con la presión arterial alta? ¿Qué es la diálisis y para qué sirve? Peter Fitzpatrick, nefrólogo, director médico de los Servicios de Diálisis de la Clínica Mayo, aclara dudas claves en esta entrevista.
CNN Indonesia, Yang Terjadi di Otak Saat Anda Mengalami Migrain by Merry Wahyuningsih, "Ini adalah sistem yang kita semua miliki," kata Michael Cutrer, MD, seorang ahli saraf di Mayo Clinic di Rochester, Minnesota. "Tapi pada orang yang menderita migrain, sistem rentan diaktifkan berulang kali. Seperti alarm mobil yang terlalu sering berbunyi, sistem mulai mengganggu kemampuan Anda untuk berfungsi secara normal dalam hidup Anda."
Vision Global Mexico, Vacunación Infantil: Clave Para Proteger La Salud De Tus Hijos, El Dr. Robert M. Jacobson, Pediatría y Medicina del Adolescente, Mayo Clinic de Rochester, Minnesota, señala que el calendario de vacunación infantil actual ha sido estudiado de manera extensa, y no sólo es seguro, sino muy eficaz para prevenir varias enfermedades graves.
Noticias Mexicanas, Moleculares mamarias, alternativa para la detección de cáncer, La Doctora Deborah Rhodes, de Clínica de Diagnóstico Mamario de Mayo Clinic de Rochester, Minnesota, menciona que las imágenes moleculares de las mamas son una tecnología nueva, capaz de revelar tumores en el tejido mamario denso que la mamografía no detectaría.
Noticias Mexicanos, La viudez podría retrasar la Enfermedad de Alzheimer, Un nuevo estudio de Mayo Clinic plantea que el cuidado y apoyo brindados por los familiares a los ancianos viudos después del fallecimiento del cónyuge, podría influir en la aparición tardía de la demencia… El Dr. Bryan Woodruff, neurólogo de Mayo Clinic e investigador principal del estudio, explica que “Creemos que este descubrimiento podría señalar un asunto importante: en las parejas de ancianos, los cónyuges que son las personas principales que cuidan al que sufre deterioro cognitivo leve podrían no recibir suficiente apoyo para desempeñar esa función…”
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