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. Thank you.
Note: This edition of Mayo Clinic in the News will be the last issue of 2015. We will see you again in early 2016.
Wall Street Journal
Is Lab Testing the ‘Wild West’ of Medicine?
by Thomas Burton
Descending in darkness, a FedEx cargo jet touched down on a runway at 5:44 a.m., filled with hundreds of identical, raspberry-colored boxes. A truck painted the same color soon sped the boxes, all human blood and cell samples, to more than 40 laboratories at the nearby Mayo Clinic, based here…Dr. Michael O’Sullivan, creator of Mayo Medical Laboratories, the operation that tests outside samples, also was its original delivery network. He drove around southern Minnesota to pick up vials and slides. Before long, the business grew large enough to support a fleet of vans. A sales force was added by 1986 and now has more than 100 employees.
Becker’s Hospital Review — FDA wants to crack down on lab-developed tests: 3 things to know by Emily Rappleye…2. Cost
Context: Mayo Medical Laboratories is a global reference laboratory operating within Mayo Clinic's Department of Laboratory Medicine and Pathology. Mayo Medical Laboratories staff collaborates with clinicians to provide knowledge of, and access to, the latest testing and treatment guidance. We provide clinical laboratory testing to support health care systems, hospitals, specialty clinics, and other clinical laboratories all working toward expert, whole-person care to everyone who needs healing.
Contact: Sharon Theimer
Study suggests link between flavor in e-cigarettes and lung disease
by Mary Bowerman
…Researchers at the Harvard University T.H. Chan School of Public Health
tested 51 types of flavored e-cigarettes and flavor canisters for diacetyl, acetoin, and 2,3-pentanedione; three chemicals known to cause respiratory problems in factory workers…With around 7,000 e-cigarette flavors on the market, consumers are essentially at the mercy of the manufacturers, with little hope of knowing what chemicals are used in the products, according to Taylor Hays, director of Mayo Clinic Nicotine Dependence Center. “There are no FDA regulations on these products. It’s the Wild West of e-cigarettes,” Hays told USA TODAY Network.
Context: Dr. Taylor Hays is director of the Mayo Clinic Nicotine Dependence Center. The Mayo Clinic Nicotine Dependence Center (NDC) was one of the first centers in the country to focus exclusively on treatments for tobacco dependence. The NDC's model of care has now become the standard in many medical centers around the United States. The treatment team at the center offers you support and works with you to help develop the motivation and skills needed to stop using tobacco.
Contact: Kelley Luckstein
Wisconsin Public Radio
Physician Burnout Is Bad For Patients
A new study by the Mayo Clinic shows that burnout among physicians is bad, and getting worse. We find out how that affects patients, and what needs to change. Host: Veronica Rueckert Guest(s): Tait Shanafelt Producer(s): Judith Siers-Poisson.
Reach: Wisconsin Public Radio consists of 34 radio stations programmed by seven regional studios and carrying programming on three content networks: the Ideas Network, the NPR News and Classical Network and the All Classical Network.
Additional coverage: Healthcare Dive
Context: Burnout among U.S. physicians is getting worse. An update from a three-year study evaluating burnout and work-life balance shows that American physicians are worse off today than they were three years earlier. These dimensions remained largely unchanged among U.S. workers in general, resulting in a widening gap between physicians and U.S. workers in other fields. The study conducted by Mayo Clinic researchers in partnership with the American Medical Association compared data from 2014 to metrics they collected in 2011 and found that now more than half of U.S. physicians are experiencing professional burnout. The findings appear in Mayo Clinic Proceedings. “Burnout manifests as emotional exhaustion, loss of meaning in work, and feelings of ineffectiveness,” says Tait Shanafelt, M.D., “What we found is that more physicians in almost every specialty are feeling this way and that’s not good for them, their families, the medical profession, or patients.” More information can be found on Mayo Clinic News Network.
Contact: Bob Nellis
Don’t forget about vaccinations, even if you think you’re too old for them
by Emily Sohn
R.D. Zimmerman had been to northern Africa and the Caribbean, spent lots of time in Russia, and visited Mexico multiple times. But a couple of weeks after returning home to Minneapolis in April from a visit to Cabo, on the southern tip of Baja California, he developed a persistent cough that landed him in the emergency room with an unexpected diagnosis: hepatitis A…But anecdotal evidence suggests that Zimmerman’s experience is common, says Greg Poland, director of the Mayo Clinic’s Vaccine Research Group in Rochester, Minn. He sees patients every week who come home from trips with illnesses they could have avoided, including hep A, which often comes from consuming contaminated food or water.
Reach: Weekday circulation of The Washington Post averages 518,700, and Sunday circulation averages 736,800.
Context: Gregory Poland, M.D. is director of Mayo Clinic's Vaccine Research Group. The Vaccine Research Group works to improve the health of individuals across the world by pursuing challenges posed by infectious diseases and bioterrorism through clinical, laboratory and epidemiologic vaccine research.
Contact: Bob Nellis
Proposed budget for Alzheimer’s research may rise by over 50 percent
by Tara Bahrampour
The spending deal Congress reached Tuesday night includes an unprecedented increase in funding for Alzheimer’s research: $350 million in fiscal 2016. If approved by the White House, it will increase government spending on the disease by over 50 percent… “It’s perhaps some of the most encouraging news we’ve had on Alzheimer’s disease in several years,” said Ronald Petersen, director of the Mayo Clinic Study of Aging and the Mayo Alzheimer’s Research Center. “This is truly very, very exciting in the field.”
Reach: Weekday circulation of The Washington Post averages 518,700, and Sunday circulation averages 736,800.
Context: Under the federal spending bill, released this week, the National Institutes of Health (NIH) would receive $200 million for President Obama’s Precision Medicine initiative and a $350 million increase for Alzheimer’s research funding in 2016. “We applaud the agreement for the first increase in research funding for the NIH in over a decade. This significant act recognizes the importance of funding research and innovation in our nation,” says Gregory Gores, M.D., executive dean for Research at Mayo Clinic. “The increase in funding and commitment to research in areas such as precision medicine and Alzheimer’s disease would support discovery and translation to bring forward new treatments for our patients.” More information can be found on Mayo Clinic News Network.
Flu deaths reported; Doctors urge people get shot
by Ashley Mitchem
Doctors are encouraging people to get the flu shot as new details emerge about some of the first flu deaths of the season… Vandana Bhide with Mayo Clinic believes the flu is just beginning to spread this season. “I think it's early in the season, so we're going to see more activity in January and February,” said Bhide.
Reach: WJXT is an independent television station serving Florida’s First Coast that is licensed to Jacksonville.
Contact: Kevin Punsky
Mayo Clinic Cardiologist talks about blood pressure
Todd Hurst, M.D., Mayo Clinic Cardiologist, joined the hosts of Sonoran Living Live to discuss the prevalence of high blood pressure is in the U.S., simple life style changes that can help lower blood pressure and how you can easily monitor your blood pressure at home.
Reach: KNXV-TV, ABC 15, is the ABC television station affiliate in Phoenix, Arizona.
Additional coverage on ABC15:
ABC15 Arizona — Rally for Red: You've seen the commercials, but what is A-fib?
ABC15 Arizona — Mayo Clinic News Network: Reduce your blood pressure with these 10 tips from the Mayo Clinic
Context: R. Todd Hurst, M.D. is a Mayo Clinic cardiologist. Mayo Clinic's Division of Cardiovascular Diseases is one of the largest and most integrated in the United States, with locations in Arizona, Florida, Minnesota and several communities throughout Mayo Clinic Health System. Mayo Clinic's campuses in Arizona, Florida and Minnesota include more than 200 cardiologists and 1,100 allied health staff trained in caring for heart patients.
Contact: Jim McVeigh
Forbes — Is Your Customer Experience Designed For Today's Multi-Generational Customer Trends? by Micah Solomon … In healthcare: the patient experience and patient satisfaction the Mayo Clinic way — Here’s one of my favorite examples of someone in healthcare who is taking pains to accommodate the generations and their desire to come together. Mayo Clinic, the world-renowned hospital and health care organization, provides “destination medicine”—the collaboration of experts from a range of specialties to provide diagnosis and treatment, or a treatment plan, for what are often very serious cases. Because coming to Rochester, Minnesota, (or to another of Mayo’s locations) can be a family affair and because the definition of family has been changing so quickly, Mayo, as Berry and Seltman write, builds out its exam rooms to accommodate large, fluid groups of families and friends, including commissioning specially shaped sofas that work as chairs for one or two visitors or for half a dozen, if needed, depending on the number of loved ones visiting.
Forbes — The Texas Medical Center: Houston's Medical Mini-City by Scott Beyer — If random Americans were surveyed about what they thought was the nation’s–and world’s–largest medical center, they might have predictable answers. Among the guesses would be the Cleveland Clinic or the Mayo Clinic, or something out of America’s most culturally-notable cities, like New York-Presbyterian Hospital. But they would be wrong. The answer lies in a lesser-known center that sits within a city of underrated economic importance: the Texas Medical Center.
Yahoo! News (AP) — Who's too old for major treatment? Age not always a barrier by Lindsey Tanner…In many cases, the nation's most senior citizens are getting the same treatments given to people their grandchildren's age — but with different goals…Dr. Joseph Dearani, chairman of cardiac surgery at the Mayo Clinic in Rochester, Minnesota, said a good gauge is whether treatment would likely help patients live well for at least another two years. He said costs to the patient, their family and society also should be weighed, so that treatment is given to right patients, and "for the most part, that happens."
Yahoo! Travel — Christmas Vacation Activities That Actually Make You Happier by Leah Ginsberg…1. Watch a funny holiday movie… Laughing helps disrupt that. It ups your oxygen intake, which in turn stimulates the heart, lungs, and muscles, and lowers your blood pressure, according to the Mayo Clinic. “Laughter can also stimulate circulation and aid muscle relaxation, both of which help reduce some of the physical symptoms of stress,” says the Mayo Clinic.
Twin Cities Business magazine — The TCB 100: People To Know In 2016, John Noseworthy, CEO — Mayo Clinic Mayo Clinic CEO John Noseworthy says the giant health care provider has made it through the troubled waters of health care reform in good shape and is now “ready to play offense” as it aggressively seeks to stay competitive on the highest national level.
NBC TODAY — Should your pets sleep in the bed with you? A new study's surprising answers by Meghan Holohan…"I'm not sure that there's a hard and fast rule about pets [in bed]. My community of colleagues do think that it is just always a risk," says Dr. Lois Krahn, a sleep medicine specialist at Mayo Clinic Center for Sleep Medicine in Arizona, and one of the paper's authors. The study's findings are good news for many. Half of American households own pets and half of those pets sleep either right in the bed with us or somewhere in the bedroom. Additional coverage: KLFY D.C., El Run Run, NY Daily News, WFLA Fla.
HealthDay — Many Pet Owners Happy to Have Fido, Fluffy Share the Bed — When your bedtime approaches, does a four-legged friend hop onto the blankets, too? A new study finds that for many American pet owners, that's not a bad thing. According to a Mayo Clinic study surveying 150 people, "more respondents perceived their pets to not affect or even benefit rather than hinder their sleep," while "some respondents described feeling secure, content and relaxed when their pet slept nearby." The study is published in the December issue of Mayo Clinic Proceedings. The research was led by Dr. Lois Krahn of the Center for Sleep Medicine at the Mayo Clinic in Scottsdale, Ariz. Additional coverage: : MSN.com, Philadelphia Inquirer, US News & World Report, Health.com
Bloomberg — Joe Biden: I Made ‘the Right Decision’ by Margaret Talev…More than six months after his eldest son, Beau, died of brain cancer and six weeks after effectively setting a date for the end of his political career, Vice President Joe Biden is mostly at peace… "What I'm doing now, I'm meeting with every center of power within the cancer world. I'm meeting with billionaires who have set up foundations. I'm meeting with everyone from the Mayo Clinic to one of the largest outfits that took care of Beau," he said, as well as "all the researchers." Additional coverage: Chicago Tribune, CBS News, People Magazine
The Lancet — USA grapples with high drug costs…The cost burden is even more evident in the treatment of advanced cancers, said S Vincent Rajkumar, a professor of medicine and cancer researcher who studies multiple myeloma at the Mayo Clinic, MN. “Most of the advanced cancers are not curable”, he said, but there are several drugs that are used to slow the progress of the disease. Patients will try one drug until it is no longer effective, and then another, and another. Manufacturers can charge any price for their drugs regardless of whether it works for a few weeks or a few months because they have no competition, he said. “Drug companies know full well that no one is going to die without trying all the drugs”, he said. For a curable disease like pneumonia, there is a competitive marketplace for a number of drugs and when one drug works, there is no need for others, he said.
Chicago Tribune — Beleaguered by electronic record mandates, some doctors burning out by John Russell … Family physicians, who normally worked into their late 60s if not 70s, are closing up their practices, several medical societies say. Others are just refusing to participate in the program, and are watching their practice revenues drop. A recent study by Mayo Clinic researchers, working with the American Medical Association, found that more than half of physicians felt emotionally exhausted. Among the reasons: heavier workloads and "increased clerical responsibilities."
Reuters — Minnesota Medical Technologies enters into an Agreement with Mayo Clinic — Under the agreement, Minnesota Medical and Mayo Clinic will collaborate to refine, clinically test, and bring to market the Company's new Advanced Device Technology designed to control and help manage fecal incontinence.
HealthDay — Common Heart Failure Drugs May Harm More Than Help by Steven Reinberg — Nitrates are commonly prescribed for heart failure patients, but a new study finds they don't improve quality of life or everyday activity levels as intended. The drugs are prescribed to relieve chest pain so patients whose hearts still contract normally might feel comfortable enough to increase their daily activities. Now, new research suggests the opposite is true. "Nitrates tended to reduce daily activity and significantly reduce active hours per day," said lead researcher Dr. Margaret Redfield, a professor of medicine at the Mayo Clinic in Rochester, Minn. Additional coverage: WebMD
Good Housekeeping — 7 Common Scalp Issues — And How to Treat Them! by Mona Gohara, M.D…Ringworm Also called tinea capitis, it usually happens in little kids (thank goodness!). But occasionally, adults get them, too. According to the Mayo Clinic, there a few ways of contracting this fungus: Human to human, animal to human (cats are a common source), and object to human (clothing, towels, bedding/ linens, combs, and brushes).
MedPage Today — FDA Panel Urges Stronger Regulation of Codeine by Shannon Firth…Always a Better Choice — Randy Flick, MD, MPH,associate professor of anesthesiology and pediatrics at the Mayo Clinic in Rochester, Minn, supported the strongest possible restrictions, as well as removal of codeine from the agency's monograph. He said those practicing pediatric pain medicine haven't used it for 20 years. "It's a settled issue." Flick continued, "For every indication that we are talking about here there is a better alternative...When we balance the risk and benefit of codeine in the setting of available alternatives it simply doesn't make sense."
NPR — Medicare Penalizes 758 Hospitals For Safety Incidents by Jordan Rau — The federal government is penalizing 758 hospitals with higher rates of patient safety incidents, and more than half of those places had also been fined last year, Medicare records released late Wednesday show. Among the hospitals getting punished for the first time are some well-known institutions, including Stanford Health Care in Northern California, Denver Health Medical Center and two satellite hospitals run by the Mayo Clinic Health System in Minnesota, according to the federal data. Additional coverage: Kaiser Health News, MPR
WQOW Eau Claire — Local legislators help form Alzheimer's and Dementia Task Force by Emma Wheeler — As a generation of baby boomers grows older there comes a booming need for better Alzheimer's and dementia care, and some local legislators are looking for ways to help. Mayo Clinic Health System hosted a public hearing Wednesday, organized by a Wisconsin Assembly task force. It's a panel of state representatives who are working towards finding ways to improve Alzheimer's and dementia programs throughout the state. Additional coverage: Eau Claire Leader-Telegram
WKBT La Crosse — Study: Local hospitals among top in state for out-of-state patients by Kyle Dimke — Hospitals in Wisconsin generate $26 billion a year in economic activity and the two hospitals here in La Crosse are major contributors to that according to a new report from the Wisconsin Hospital Association and University of Wisconsin Extension office…“Well I think the things that set us apart here is we do provide a higher level of care here. Things like the cancer care or the cardiac catheterizations and other heart special services that are provided and a higher level of overall specialties,” said Tom Tiggelaar, VP chief finance officer for Mayo Clinic Health System.
WEAU Eau Claire — Mayo Clinic Health System sites will see rate increase — Mayo Clinic Health System sites in northwest Wisconsin will see a rate increase. Starting Jan. 1, there will be a 3.5 percent rate increase. The rate increase will offset the over $500 million of uncompensated care which increased from $420 million in 2014.
Targeted Oncology — Ovarian Cancer Outcomes May Be Improved by Prior Oral Contraceptive Use by Christina Loguidice… Numerous previous studies have shown oral contraceptive use to be associated with a reduced risk of ovarian cancer, but few have explored the connection between oral contraceptives and outcomes in patients who ultimately develop ovarian cancer, noted Aminah Jatoi, MD, an oncologist with the Mayo Clinic in Rochester, MN, and co-lead author of the study, in a Mayo Clinic press release.
EMPR — Overtesting HbA1c in Diabetes Patients is Adding Burden, Study Finds — A report from the Mayo Clinic shows a nationwide trend toward overtesting HbA1c levels in adults with type 2 diabetes. Findings from the study are published in The BMJ… Rozalina McCoy, MD, the study's lead investigator, and her colleagues examined 31,545 non-pregnant adults with controlled type 2 diabetes that were not being treated with insulin. The study data was from the OptumLabs Data Warehouse encapsulated the time period of 2001–2011. Additional coverage: Journal Watch
Men’s Fitness — Should You Take A 2-Week Break From Gluten? by Caitlin Carlson…More research is needed but NPR reports that a trial testing whether it’s possible to temporarily shut down zonulin production will soon be underway. That in turn, may lead to a medication to help both celiac disease sufferers and those who are gluten sensitive to manage their symptoms. Until then, if you suffer any of those afformentioned signs, it wouldn’t hurt to go on a temporary gluten-free trial. “If you are having unexplained gastrointestinal symptoms or suspect intolerance to gluten you may consider a 2-6-week elimination trial,” says Katherine Zeratsky, R.D., a registered dietitian at the Mayo Clinic.
MedPage Today — Diabetes a 'Game Changer' for CV Risk in Women by Jeff Minard…"Because the review shows that there are important sex differences in cardiovascular consequences of diabetes, doctors might consider being more aggressive about screening and following women with PCOS and GDM to prevent the development of diabetes," Regensteiner and co-author Alice Chang, MD, of the Mayo Clinic in Rochester, Minn., said via email.
Post-Bulletin — Brain researcher doesn't discard contact sports by Donny Henn — Kevin Bieniek has seen what a human brain looks like on contact sports. As a predoctoral student in Mayo Clinic Graduate School's Neurobiology of Disease program in Jacksonville, Fla., the 26-year-old Rochester native recently led a research team that found an alarming prevalence of CTE (chronic traumatic encephalopathy) in the brains of people who participated in amateur sports while they lived.
KTTC — Mayo Clinic neurologist discusses recent CTE study and amateur sports by Chris Yu…We talked with Dr. Brad Boeve, chair of Behavioral Neurology at Mayo Clinic, about that study, in which researchers examined 4,700 brains in the Mayo Clinic Brain Bank. Of those 4,700 donors, they identified 66 men who had played contact sports during their youth. And of those 66 men, 21 of them (or about one-third), had signs of CTE in their brains.
Medscape — Idelalisib Trial Stopped Because of 'Overwhelming Efficacy'…The Missing Third Arm — Approached for comment, Tait Shanafelt, MD, professor of medicine at the Mayo Clinic, Rochester, Minnesota, wondered whether the three-drug combination was really more effective than idelalisib and rituximab alone. Bendamustine and rituximab are frequently used in the relapsed setting, but with new agents being approved, one question is how best to use them. "Are they best applied individually or, in idelalisib's case, with rituximab? Or are they best combined with standard chemotherapy to maximize or enhance the benefit?" he questioned.
Medscape — Biofeedback Reduces Seizures in Intractable Epilepsy by Pauline Anderson — This new study quantified how functional neural connectivity is altered following the EDA biofeedback treatment. It included eight patients with treatment-resistant temporal lobe epilepsy, mean age 44.9 years, who had at least four seizures per month…Dr Nagai's project is "terrific," said Joseph I. Sirven, MD, professor, neurology, Mayo Clinic, Phoenix, Arizona, said when asked to comment. "It demonstrates that indeed biofeedback, a tool that has been at our disposal for some time, can have benefit."
KTTC — Mayo Clinic chefs make Mayowood Mansion gingerbread house by Alanna Martella — A historic landmark has been made into quite the unique replica, which is made out of gingerbread! In the spirit of the holidays, Mayo Clinic's executive chef Jonathan Klinger, along with chef Jennifer Driscoll, turned the Mayowood Mansion into the quintessential holiday treat.
KTTC — Caring Hands provides massages, healing to Mayo Clinic patients by Alanna Martella…Now in its sixth year at Mayo Clinic, Caring Hands has given about 6,000 massages to patients this year, alone…"I think that the human touch, somebody touching somebody else. And we are the only volunteer service area that actually touches patients,” said Eileen Pross, the Caring Hands Team Leader at Mayo Clinic.
St.Paul magazine — The Best of the Year 2015, Best Redo of a Perennially Horrible Development — Mayo Clinic Sports Medicine Center at Block E, The artist formerly known as Block E is now called Mayo Clinic Square, and not only is it 10 times cooler looking than its useful. Replete with state-of-the-art technology and full-on sports and weight training facilities, the Mayo Clinic’s first official Twin Cities outpost is a branch of its industry-leading sports medicine group and focuses on everything from injury prevention to comprehensive sports science-based performance training.
Star Tribune — In second term, Minnesota Gov. Dayton tries to keep health issues from slowing stride by Patrick Condon — A cane usually at his side, Gov. Mark Dayton moves more slowly these days as he keeps up the hectic schedule that comes with his title. He's now recovering from his second spinal surgery in three years aimed at correcting that…The governor's surgeon is optimistic this latest procedure will bring more comfort. "Long term, maybe he won't need a cane," said Dr. Jeremy Fogelson, the Mayo Clinic surgeon who performed both of Dayton's back operations. "And even if he does, maybe he'll be able to stand for longer periods of time."
NEJM Journal Watch — Podcast 192: Are we too sweet on HbA1c testing? — Over half the patients with Type 2 diabetes have their HbA1c measured too frequently — i.e., at least three times a year. Why is that a bad thing? Dr. Rozalina McCoy, the lead author of a paper in The BMJ explains. Using claims data, her group followed over 30,000 patients with stable HbA1c levels and found that only 40% had measurements taken within guideline-suggested limits — twice a year.
Uncommon Wisdom Daily — New treatment a ‘huge milestone’ in curing cancer by Bradd Hoppmann…But last week the Food and Drug Administration (FDA) for the first time approved a single treatment that can intelligently target cancer cells while leaving healthy ones alone, and simultaneously stimulate the immune system to fight the cancer itself…Stephen Russell, a researcher at the Mayo Clinic, specializes in oncolytic virotherapy — as these treatments are known. Dr. Russell said the FDA’s clearance of Imlygic represents "a huge milestone" in cancer treatment development.
MedPage Today — 10 Years On, Herceptin Still Rides High by Michael Smith — Final results of a groundbreaking trial show a lasting benefit for a year of treatment with trastuzumab (Herceptin) in women with HER2-positive early stage breast cancer, a researcher said here…The original trial was a "landmark trial -- one of our key adjuvant trastuzumab studies that helped to firmly implant trastuzumab in the care of our HER2-positive patients," commented Minetta Liu, MD, of the Mayo Clinic in Minneapolis, who was not involved in the study.
Health News Florida — Alzheimer's Trial Struggles To Find Participants by Carol Gentry…The trial involves the drug solanezumab by Eli Lilly & Co., one of several drugs aimed at beta amyloid, the pieces of protein that clump together and destroy nerve cells in the brain in Alzheimer’s Disease…The Mayo Clinic had nine patients receiving either treatment or placebo as of early December, said trial coordinator Dana Haley. “We had been collecting names of interested participants since we first heard about the study in late 2013, so we had a large pool to recruit from,” Haley said.
KTTC — Health officials warn parents of whooping cough outbreak in Rochester by Noel Sederstrom — Public health officials in Rochester are on alert for an outbreak of whooping cough after a number of youngsters came down with the highly contagious disease at John Adams Middle School. Whooping cough, or pertussis, is considered contagious for up to three weeks. A spokesperson for the Olmsted County Public Health Department said Friday afternoon that officials are aware of a number of cases in metro Rochester.
WXOW La Crosse — La Crosse Area Family Collaborative adds social workers to neighborhoods by Caroline Hecker — The La Crosse Area Family Collaborative officially launched back in September as a program part of the county's Health and Human Services Department and now it's putting a plan into action. The collaborative was originally formed to combat an increase in the number of referrals for child protective services and juvenile justice on the city's northside as well as in the Washburn neighborhood…Sara Rugg was hired as the social worker for the Washburn neighborhood. Mayo Clinic Health System donated an office space for her to work with residents in the community.
HealthAim — Proteins May Indicate Reasons Behind Bipolar Disorder, Study by James Ryan Morales … A group of researchers from Mayo Clinic discovered proteins that can be used as diagnostic markers for bipolar I disorder. All they have to do now is to replicate the study to validate its use as markers for psychiatrists in diagnosing mood disorders. Dr. Mark Frye, head psychiatry and psychology at Mayo Clinic and first author of the study said: “The potential of having a biological test to help accurately diagnose bipolar disorder would make a huge difference to medical practice. It would whelp clinicians to choose the appropriate treatment for hard-to-diagnose individuals.”
Star Pulse — Vicki Gunvalson’s Daughter Briana Will Be Alright After Test Results? by Mary Jane — Vicki Gunvalson traveled to Arizona earlier this week to see if the Mayo Clinic there could give her daughter Briana Culberson some answers. Briana has struggled for years with lumps in her neck and throat, and she has previously undergone surgery. She even had a biopsy done to rule out any cancer. But now, it sounds like Vicki and Briana may have an answer they can work with.
Rockford Register Star — My View: OSF Saint Anthony Medical Center proud of higher power of commitment by Paula Carynski — OSF Saint Anthony Medical Center has been committed to the Rockford region for more than 115 years. As the needs of the community grow and change, so, too, have the services OSF provides to the region. We are proud that our patients can receive world-class health care right here at home … In addition, as part of the OSF Surgical Group — Rockford, the surgeons have access to Mayo Clinic resources as part of OSF Healthcare System's participation in the Mayo Clinic Care Network.
New York Times — Sunday Book Review: ‘The Death of Cancer,’ by Vincent T. DeVita Jr. and Elizabeth DeVita-Raeburn by Sandeep Jauhar — I thought of this story at various points while reading “The Death of Cancer,” Vincent DeVita Jr.’s fascinating if hubristically titled new book, co-authored with his daughter, Elizabeth DeVita-Raeburn, a science writer…DeVita presents a telling story in the first chapter. His friend Lee receives a diagnosis of an aggressive form of prostate cancer. Doctors at the Mayo Clinic refuse to operate because the cancer is too advanced. So DeVita finds a surgeon for Lee at the National Cancer Institute. After surgery and radiation treatment, Lee’s cancer appears to be gone, but five years later, he has a “biochemical relapse”: abnormal blood tests without any evidence of tumor.
WKBT La Crosse — Walker signs law speeding up licensing for out-of-state doctors by Eric Jacobson… Gov. Scott Walker signed a bill into law today at Mayo Clinic Health System in Sparta that enters Wisconsin into what's called the Interstate Medical Licensure Compact. Speeding up the licensing process for out-of-state doctors looking to practice in the state. With new technology always evolving, doctors can now communicate with patients across state lines with a simple push of a button. "The doctor doesn't have to travel back and forth, so doctors can see a lot more patients, from a lot broader geographic area from the convenience of their own clinic, their own office,” said Dr. Tim Johnson, CEO of the southwest Wisconsin region of the Mayo Health System. Additional coverage: La Crosse Tribune, WXOW La Crosse, WEAU Eau Claire, WKOW Wis.
Mankato Times — Mayo Clinic Health System in Lake Crystal recognized for improving care and patient outcomes by Joe Steck — The Minnesota Health Action Group (The Action Group) announced that Mayo Clinic Health System in Lake Crystal is among 437 Minnesota and border state clinics that were recently recognized for delivering optimal care and achieving optimal care measures as part of the 2015 Minnesota Bridges to Excellence program and the Minnesota Quality Incentive Payment System…“This award is a tangible way to recognize the great work happening every day in our Lake Crystal clinic,” says Jenni Rorick, Mayo Clinic Health System in Lake Crystal operations manager. “The staff works as a team to provide services and care that meet the individual needs of each patient. They ensure patients are cared for to the best of their ability, and quality improvement is a result of that good work.”
ScienceNews — Year in review: Cancer genetics grows up by Rachel Ehrenberg — Personalized genomics has been heralded as the next big weapon in the war on cancer. But researchers analyzing various tissue types this year, looking for mutations linked to the disease, have found that not all genetic alterations should be targeted equally. “Genetics is changing oncology for the good,” says Benjamin Kipp, an expert in clinical genetics at the Mayo Clinic in Rochester, Minn. “But overinterpretation can harm the patient.”
Dark Daily — When It Comes to Mining Healthcare Big Data, Including Medical Laboratory Test Results, Optum Labs Is the Company to Watch — Mayo Clinic has tapped Optum Labs’ huge data set to fuel research suggesting diabetes management can be too aggressive among those diabetics who don’t have problems controlling their glucose level. Optum Labs’ data is also being mined to investigate dozens of research initiatives, including a major fight against Alzheimer’s disease. These projects provide a glimpse into the growing role of big data in healthcare.
Mirror UK — If you're on statins and they're not working, DON'T give up right away by Miriam Stoppard… Then there are the well-known but comparatively rare side effects. About one in 20 people have upsetting muscle aches and pains and some get a rise in blood sugar. Furthermore, Dr Stephen L Kopecky, a preventive cardiologist at the Mayo Clinic, US, says about 15-20% of people don’t respond to statins and their cholesterol may even go up. Sometimes doctors have to try a few different ones to get the desired effect. “Statins are the most studied drugs in the world,” Dr Kopecky said. “We know from studies of thousands of people what one statin will do in numerous patients, but we don’t know what numerous statins do in one patient.”
Government Executive — Getting the Best Health Plan Deal: An Experiment by Tammy Flanagan…I received an email from a retiree who lives in Arizona and uses a Mayo Clinic facility located in the area. Although this facility provides medical services to Medicare patients, it doesn't accept assignment from Medicare for professional and physician services. It follows an established fee schedule based on the federal guidelines for Medicare patients, which allows health care organizations to charge up to 15 percent above the Medicare allowable fee.
Safety + Health Magazine — Practice proper workplace ergonomics — Do you sit at a desk for hours at a time for work? Do you ever feel sore, experience back or neck pain, or have pain in your fingers? If so, you may not be practicing proper ergonomics. Mayo Clinic recommends following these tips to help make your workstation more ergonomically correct.
Star Tribune — Health care in Minnesota not always a bargain, study finds by Christopher Snowbeck — New research is calling into question the long-held belief that Minnesota is a model for low-cost health care. While many studies have shown that the government’s Medicare program gets a good deal in Rochester, Duluth and Minneapolis, new work from four economists suggests that private insurers in those cities pay noticeably more for care…At the Mayo Clinic, Dr. Robert Nesse said the report put too much focus on the list prices that insurers pay for particular services, rather than long-term quality of care. “I tend to look at costs over times, versus fee schedules,” Nesse said. “If I was a patient, that’s the way I’d look at it — what’s it cost me to get my care with a good outcome for a year, not what’s the fee for this test.” Additional coverage: Minneapolis News, Bloomberg, NVS24, Newstral, Yale News, HealthNewsDigest
HemOnc Today — ESR1 mutations linked to poorer OS in ER-positive breast cancer, Perspective by Matthew Goetz, M.D., Mayo Clinic — The first report of ESR1 mutations was published more than 20 years ago. However, most of the subsequent early studies seeking to determine the clinical relevance of these alterations evaluated non-metastatic, surgically resected ER-positive tumors, and the frequency of ESR1 mutations in this setting was reported to be very low, and thus thought not to be clinically relevant.
HemOnc Today — VIDEO: Long-term costs, patient satisfaction key when comparing surgical options for early breast cancer — Amy C. Degnim, MD, reacts to study results that showed mastectomy with breast reconstruction led to a nearly twofold increased risk for complications, as well as higher costs, compared with other surgical options for women with early breast cancer. “We need to understand what the costs of treatment are,” Degnim told HemOnc Today. “Those include financial costs, as well as the costs of suffering or complications. We need to focus not only on the short term, but how these play out over the long term.
Endocrine Today — Safety, efficacy profiles vary among once-weekly GLP-1 receptor agonists by Amber Cox…In an accompanying editorial, Victor M. Montori, MD, MSc, and Rene Rodriguez-Gutierrez, MD, both of the department of medicine at the Mayo Clinic in Rochester, Minnesota, wrote that the top priority may be to address the individual’s situation to find the best antihyperglycemic drug class. “The next priority should be selecting the best drug within that class, but this can be obfuscated by poor-quality evidence, even when summarized, and by marketing claims that hype trivial differences or mechanistic features of unclear value,” they wrote. “In contrast, drug benefit companies and formulary designers, in their efforts to optimize business outcomes, narrow the options by promoting one product while making competing products unaffordable or unavailable. Clinicians and patients must select the most tolerable and least expensive agent that patients can implement.”
KJZZ Arizona, — Joseph Sirven: Honesty Is The Best Policy — My patient says, “I have a confession to make and please don’t get mad. I haven’t taken the medicines you’ve prescribed. Will you still help me?” “Of course I’ll help,” I gently respond. “But why didn’t you take the medication?” My patient tears up and provides me a list of concerns. “Let’s get to figuring out how I can help.” I say. Ironically, a few weeks after that encounter during my yearly checkup, I found myself admitting to my own doctor to not following his advice either.
KAAL — Rochester Father Asking Mayo Clinic to Cover Autism Treatment by Karsen Forsman…ABC 6 News reached out to Mayo Clinic and they provided us with this statement: “We understand and sympathize with the challenges faced by parents of autistic children. We strongly support the medical and clinical needs of these patients and their families through our health plan benefits. Mayo Employee Benefits Plans cover medical testing and care for patients with autism, including diagnosis, occupational, speech and physical therapy. Mayo Clinic providers recommend a variety of non-medical interventions for patients that may or may not be covered by the Mayo Employee Benefit Plan...”
Le Center Leader — OUR OPINION: Mental health screening for youths needs to be priority by Dana Melius…The integrated screening concept is also taking root within the Mayo Clinic Health System locations, which include Le Sueur, Waseca, Janesville and St. Peter. While the state study showed all scoring below state averages, Mayo is moving quickly in integrating such health screening. Dr. Stephen Campbell, chief quality officer of the Southwest Minnesota Region of Mayo Clinic Health System, acknowledged a past disconnect in mental health screening for adolescents, but says the study provides Mayo with both a challenge and an opportunity.
Star Tribune — Inspire Medical Systems making progress with its sleep-apnea treatment by Joe Carlson — Slowly but steadily, more doctors and hospitals are offering patients a medical device made by a Maple Grove company that uses electrical stimulation to stop them from waking up dozens of times per hour. The Mayo Clinic recently signed contracts so it can buy the sleep-apnea device from its maker, Inspire Medical Systems. A University of Minnesota otolaryngologist is now trained to implant it at Fairview Medical Center in Minneapolis and Regions Hospital in St. Paul. Hospitals in St. Cloud and Robbinsdale offer it, and another in Duluth will start soon, Inspire Chief Executive Tim Herbert said.
STAT — Concussion, Inc.: The big business of treating brain injuries by Usha Lee McFarling — entrepreneurs looking to cash in on public anxiety over concussions are flooding the market with pricey products that have no scientific merit — and opening concussion clinics staffed by “specialists” with no expertise in brain trauma … A number of companies, including the educational publishing giant Pearson, market similar tests directly to schools, teams, and parents. ImPACT’s tests are the most common, however, and are used by many of the most prestigious concussion centers in the nation, including the Mayo Clinic and Boston Children’s Hospital.
Post-Bulletin — Could DMC money fund a tunnel? by Andrew Setterholm — Could a tunnel be built under Second Street Southwest to connect a planned hotel with Mayo Clinic Hospital-Saint Marys Campus? That's the idea of a developer with plans for a Holiday Inn on Second Street Southwest. He wants to use enhanced tax-increment financing allowed by Destination Medical Center legislation, with the partnership of the city of Rochester and the DMC Corp.
Becker’s Hospital Review — Wisconsin joins 11 states in Interstate Medical Licensure Compact by Emily Rappleye — Wisconsin Gov. Scott Walker Monday signed the Interstate Medical Licensure Compact — legislation that expedites the licensing process across multiple states and jurisdictions — into law, making Wisconsin the 12th state to implement the law…The bill passed 95-1 in the Wisconsin Assembly and 31-1 in the Wisconsin Senate, with support from La Crosse, Wis.-based Gundersen Health System, Rochester, Minn.-based Mayo Clinic Health System, Wisconsin Medical Society and the Wisconsin Hospital Association. Additional coverage: Post-Bulletin
Front Line Genomics — How Mayo Clinic’s Center for Individualized Medicine is Impacting Patient Care —Paldeep Atwal tells us how Mayo Clinic are already rolling out genomic medicine, and what should happen next. Link to the magazine for the full article: Front Line Genomics
WKBT La Crosse — Area partnership creates "vermigold" with vermicomposting — An area partnership is turning local food waste into high value soil. Mayo Clinic Health System is joining forces with Hillview Urban Agriculture Center and UW-La Crosse to create what's called "Vermigold." It will be done through Vermicomposting. Any food collected by the hospital or university will be composted using worms. The soil made will then be used for community gardens in area neighborhoods and schools. "I think, you know, it's just a another unique collaboration in our community that's bringing the importance of healthy food and gardening and sustainability to the forefront," said Teri Wildt from Mayo Clinic Health System.
HealthData Management — New Platform Fosters Collaboration to Succeed Under Accountable Care by Joseph Goedert… The platform, from the NEJM Group that includes the New England Journal of Medicine, is called NEJM Catalyst. It features live web seminars, daily blogs, white papers, case studies, video presentations, a digital newsletter and the exchange of ideas. Advisors for live seminars will be editors of a NEJM sub journal and will facilitate dialogue to get the pulse of the community and then deliver pertinent information… “Each theme has an external advisor who is an authority within the healthcare industry and has successfully implemented change in his or her own organization,” according to an explanation from NEJM. Theme leaders include:… Stephen Swensen, MD, Medical Director for Leadership and Organization Development, Mayo Clinic College of Medicine.
Buffalo News NY — Bills' Henderson battling Crohn's disease by Vic Carucci — Buffalo Bills offensive tackle Seantrel Henderson is being treated for Crohn's disease and could miss the final three games of the season, The News has learned. The Bills recently began listing Henderson with an "illness" on their injury report, and that was the reason the team cited for why he did not participate in Wednesday's practice…According to an NFL source, Henderson, 23, has been diagnosed with Crohn's, defined on the Mayo Clinic website as "an inflammatory bowel disease." He has experienced severe stomach pain and has lost nearly 20 pounds, according to the source. Additional coverage: Star Tribune
Cancer Therapy Advisor — Risk Factors for Fatigue in Patients With Myeloproliferative Neoplasms Assessed by Stephen Cho — Management of fatigue in patients treated for myeloproliferative neoplasms (MPNs) should include a comprehensive assessment and treatment plan in order to address modifiable etiologies, according to a recent study published online ahead of print in Cancer.1 Robyn Scherber MD, MPH, of the Mayo Clinic in Scottsdale, AZ, developed a 70-item, Internet-based survey regarding fatigue that was hosted by the Mayo Clinic Survey Research Center.
Modern Healthcare — CMS keeps restricted coverage for PET scans by Virgil Dickson — The CMS will continue to limit coverage for PET scans used to find metastasized cancer cells in bones, which most commonly happens in metastatic breast and prostate cancer … Donald Hertel, manager of the Medicare Strategy Unit at the Mayo Clinic, agreed in his comment letter. Many physicians say PET scans help identify cancer earlier on and help track their speed in hard to see places better than regular CT or MRI scans.
WKBT La Crosse — Deadline for marketplace health care insurance extended by Brittany Schmidt…Hundreds of thousands of people have already selected their health insurance plans. However, government officials say about one million people are still trying to figure out which plan is best for them so they've decided to extend the deadline for those who want insurance by the first of the year. Mayo Clinic Health System said they have noticed a pinch because so many people wait until the last minute to sign up… Carmel Gribben, a certified application counselor with Mayo Clinic Health System, said she is thankful for the extension because it's been nonstop for the past couple of weeks.
HCP Live — Cognitive Deficits Among Two Culturally Different Diabetes Populations by Rachel Lutz — American and Chinese type 2 diabetes populations are at similar risk for memory impairment and dementia, according to researchers from the Mayo Clinic in Rochester, MN… “We wanted to study diabetes and cognitive impairment in these two completely different ethnic groups to see whether there are any differences,” study co author and Mayo Clinic epidemiologist Rosebud Roberts, MB, ChB, explained in a press release.
United Healthcare — Tips: Avoid a holiday heart attack by Ben Grove… Overindulging can increase the risk of heart rhythm disturbances, including atrial fibrillation, and in certain people, even cardiomyopathy (congestive heart failure) and heart attack, doctors say. But it might be easier than you think to take better care of your heart this season. A few tips: – The No. 1 thing you can do is get prompt help if you experience heart attack symptoms like chest pain and shortness of breath, Dr. Kevin Barrett, a vascular neurologist at Mayo Clinic in Florida, says. Some people avoid going to the doctor, not wanting to kill the party buzz. Bad idea – see a doctor right away.
Becker’s Health IT & CIO Review — 6 EHR vendor switches in 2015 by Akanksha Jayanthi… Mayo Clinic: From Cerner and GE to Epic. In January, Rochester, Minn.-based Mayo Clinic announced plans to adopt Epic's EHR and revenue cycle management platform and drop its contracts with Cerner and GE. Mayo Clinic CIO Cris Ross told Healthcare IT News the system sought request for proposals from Cerner, GE and Epic and ultimately decided Epic would best meet its needs around revenue cycle and patient engagement.
MHealth Intelligence — Doctors Add an App to the Concussion Protocol by Eric Wicklund… A New York health system is launching a ResearchKit-based study to determine if an app can help concussion patients during the critical six weeks after a diagnosis. The study by NYU Langone Medical Center focuses on charting patient-entered data to detect changes in mood and activity following a diagnosis. NYU Langone clinicians developed the Concussion Tracker app, which requires users to complete three daily tasks: a five-question survey on balance, vision and drowsiness, a six-minute walk test and a concentration test… Back in 2011, the Mayo Clinic’s Phoenix, Ariz. Hospital demonstrated a “teleconcussion” evaluation of a 15-year-old soccer player who’d sustained a concussion during a game. The real-time audio-video consult was thought to be the first in the nation.
Bustle — How To Deal With Winter Blues When The Season Has Got You Down by Lindsey Black… Mayo Clinic shared that SAD symptoms often include "irritability, tiredness or low energy, problems getting along with other people, hypersensitivity to rejection, heavy, leaden' feeling in the arms or legs, oversleeping, appetite changes (especially a craving for foods high in carbohydrates), and weight gain."
KSTP — Twins to Travel Across Midwest for 56th Caravan — The caravan will stop in more than 40 communities across Minnesota, as well as Wisconsin, North Dakota and South Dakota, from Jan. 18 to Jan 28 and is sponsored by Mayo Clinic. “The Minnesota Twins are proud to have Mayo Clinic as the presenting sponsor of Winter Caravan,” Laura Day, the Twins’ Executive Vice President of Business Development, said. “Twins Caravan offers both organizations a chance to connect with communities throughout the Midwest.”
Baltimore Sun — Dancer directs company's first holiday production in spite of lifelong battle with cystic fibrosis by Carolyn Kelemen — Onstage, Rebecca Friedman glows with warmth and joy, tinged with elegance. Whatever that quality is that makes one performer stand out above the others, "Becca" has it, and audiences tend to sense it…Cystic fibrosis is a genetic disorder that afflicts 30,000 Americans. According to the Mayo Clinic, it affects production of mucus, sweat and digestive juices, causing fluids that are normally thin and slippery to become thick and sticky. This clogs tubes, ducts and passageways, and damages the lungs and digestive system.
Eau Claire Leader-Telegram — Mayo Clinic News Network: Evidence suggests amateur contact sports increase risk for degenerative disorder… Now, researchers on Mayo Clinic’s Florida campus have discovered a significant and surprising amount of CTE in males who had participated in amateur contact sports in their youth… “The 32 percent of CTE we found in our brain bank is surprisingly high for the frequency of neurodegenerative pathology within the general population,” says the study’s lead author, Kevin Bieniek, a predoctoral student in Mayo Graduate School’s Neurobiology of Disease program.
Lexington Herald Leader Ky. — What the new screening guidelines for children's checkups mean — The American Academy of Pediatrics recently released its updated list of recommended health care screenings for children, which includes checking for depression, high cholesterol and HIV. Mayo Clinic Children's Center pediatrician Dr. Angela Mattke says the revised recommendations are a "firm affirmative to pediatricians that doing these screenings or testing will be beneficial to the child's health."
Investing News — Titan Medical Signs License Agreement With Mayo Clinic by Morag McGreevey — Titan Medical Inc. (CVE:TMD) and the Mayo Clinic have signed an agreement to license know-how and certain technology to improve the use of the Sport surgical system in colorectal surgical procedures. According to the press release: Under the terms of the agreement, Mayo Clinic will transfer know-how and technology developed by Dr. David Larson, MD, chair, colorectal surgery, at Mayo Clinic, including that developed through his participation in cadaver studies with Titan’s Sport surgical system.
Informador Mexico — 'Sofá y tele' por tres horas diarias dañan capacidad intellectual…Pasar muchas horas viendo televisión provoca casi los mismos efectos en el cuerpo que el tabaquismo, el colesterol alto o la hipertensión. Stephen Kopecky, médico cardiólogo y profesor de medicina en la Clínica Mayo de Rochester dice que mirar televisión fomenta el sedentarismo lo cual produce altos costos para la salud.
Infobae Venezuela — Una droga podría prevenir la migraña Por: Gabriela Esquivada…"Esto cambia completamente el paradigma actual del tratamiento de la migraña", dijo el neurólogo David Dodick, profesor y director del departamento de Neurología de la Clínica Mayo, y además de titular de la Fundación Estadounidense para el Dolor de Cabeza, uno de los investigadores del anticuerpo monoclonal.
Milliyet Turkey — Mayo’lu Mandarin! Mandarin Oriental Bodrum, dünyanın en saygın sağlık kuruluşlarından Mayo Clinic ile bir ilke imza atarak Mayo Clinic Sağlıklı Yaşam Programı’nı hayata geçiriyor. Klinik, bu özel programı dünyada ilk kez Mandarin Oriental Bodrum ile gerçekleştiriyor. Additional coverage: Travel Weekly, Gazete Vatan Turkey
Vida y Salud — Guía del médico para los padres opuestos a la vacunación, Un experto en vacunación y un pediatra de la Mayo Clinic impugnan tres mitos comunes sobre las vacunas…“Se han presentado brotes de enfermedades muy contagiosas, y miles de niños corren más riesgo de contraerlas por no contar con la vacunación suficiente”, dice el autor principal, Dr. Gregory Poland, experto en vacunas de la Mayo Clinic.
Vanguardia Mexico — No para todo hay límites por Marcos Duran FLores… Lo que es cierto, es que no todas las regiones del cerebro trabajan al mismo tiempo. Un grupo de investigadores de las Neurociencias de la Clínica Mayo en Rochester, Minnesota, utilizó tecnología de imagen para demostrar que la mayoría está continuamente activo.
Tribuna avila — Los frutos secos son compañeros muy saludables en una dieta equilibrada… Según señalan desde la web dirigida a la población de la estadounidense Clínica Mayo, el tipo de frutos secos que elijamos para complemetar la dieta no es lo importante,aunque algunos de ellos tienen más nutrientes adecuados para la salud cardiaca y grasas con otras propiedades. Nueces, almendras, avellanas, etc. poseen muchos nutrientes agrupados en unas dimensiones reducidas.
Los frutos secos son compañeros muy saludables en una dieta equilibrada… Según señalan desde la web dirigida a la población de la estadounidense Clínica Mayo, el tipo de frutos secos que elijamos para complemetar la dieta no es lo importante — aunque algunos de ellos tienen más nutrientes adecuados para la salud cardiaca y grasas con otras propiedades. Nueces, almendras, avellanas, etc. poseen muchos nutrientes agrupados en unas dimensiones reducidas.
Clarín — Trasplantes: descubren una fórmula para salvar más vidas…De acuerdo con Richard Freeman, vicedecano de asuntos clínicos de la Universidad de Texas, en EE.UU., la fórmula impulsada por los médicos argentinos “aportará eficacia para identificar a los pacientes con mayor riesgo de fallecer en lista de espera. Aumentará la confianza y credibilidad de la sociedad en el sistema de trasplante”. Además, Russell Wiesner, de la Clínica Mayo, opinó que “la nueva fórmula contribuirá a salvar más vidas, especialmente de mujeres, que eran subvaloradas en el índice anterior”.
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