Posted - Feb 25 2011 : 09:02:02 AM
| Volume 11, Issue 8
February 25, 2011
ANSWERS TO THREE READERS' QUESTIONS
Q: It is bad taste to send us to a drug manufacturer's website, so why do you do it? You should be ashamed!
A: Quiet a few people think that most or all of the research we're interested in is both publically funded and conducted by impartial individuals. Much of the information and research useful to us, however, comes from for-profit companies. Indeed, it is not unusual for investors to hear about a company's medical breakthrough before the medical community. Even newspaper articles are often based on a for-profit company's press release or interviews with stakeholders. Unfortunately, with the growth of the Internet, there is an increasingly unrecognizable distinction between "news" and "promotion." It is a problem for all of us. Most of the information on new drugs and devices, for example, comes directly from the drug manufacturers, so without their news releases, available on their websites, there would be little drug development news to report. Further, studies conducted in universities are often funded, in part, by grants from drug or other medical products companies. At times the research is even conducted jointly between private companies and public institutions. To take it a step further, independently funded research that appears in peer-reviewed journals is often conducted by investigators who have "relationships" with drug manufacturers and other medical companies—sometthing openly disclosed in the original research paper, to which a link is provided when possible (although you usually have to pay to read the full study). Similarly, trade association and advocacy groups often discover and report information relevant to us even though they have a vested interest in a particular point of view. For this reason, as well as for transparency, when possible, the original sources of news items are provided so the reader can take the source of the information into consideration when reaching conclusions. Similarly, readers are also given credit for their ability to keep in mind that experts often disagree with each other, and for having the awareness that research can "prove" just about anything if it is designed accordingly.
Q: Why are your articles so technical? I need practical advice!
A: The newsletter summarizes the latest news relevant to the many things that affect those of us with COPD. Within any given week, many of the news items that appear are, admittedly, technical. That's just the nature of the news, and some weeks are, well….challenging at best. Forrtunately, there are many good sources available on the Internet for basic information on living with COPD. On occasion, and for variety, an article will be included that reviews practical and/or basic information, but that is the exception rather than the rule.
Q: Why do you always use "Tiny URLs?" They annoy me and I don't trust not knowing where the link takes me!
A: Over 80% of the links included in the newsletter are longer than 60 or 70 characters and often overflow to the next line if "TinyURLs" aren't used (overflow depends on your settings and the email program you use). More important, some subscribers are unable to receive their email newsletter with the hyperlinks activated, so they have to cut and paste each link into their browser to view a site. Using "TinyURLs" makes it easier for them to do this. As for not being able to recognize a link, con artists have become so adept at creating valid looking links, it is now often difficult to differentiate safe links from the phony ones. Ask any bank. Although there is no guarantee that the editor won't one day be outsmarted, each link is checked multiple times, and newsletter subscribers include family and friends of the editor.
ALSO IN THIS ISSUE
- COPD INCREASES RISK OF SHINGLES
- MEDICARE ADVANTAGE PLANS TOLD TO HOLD PREMIUM HIKES
- VITAMIN E MAY INCREASE OR DECREASE RISK OF PNEUMONIA…BUT IT DEPPENDS
- PATIENT ALARMS OFTEN UNHEARD, UNHEEDED
- INCOME AND LOCATION AFFECT RATE OF HOSPITALIZATION FOR COPD
- NEW INSIGHT INTO HOW PEOPLE HANDLE FEAR AND ANXIETY
- ZINC MAY HELP EASE COMMON COLD
- CIGARETTE SMOKING INCREASES MUCUS IN LUNGS
- ELECTRONIC CIGARETTES MAY HELP SMOKERS QUIT
TEST YOUR HOME FOR RADON
AMERICAN TREASURES OF THE LIBRARY OF CONGRESS
BURMA SHAVE JINGLES
SOURCES: News items summarized in The COPD-NEWS are taken from secondary sources believed to be reliable. However, the COPD Family of Services does not verify their accuracy.
COPD INCREASES RISK OF SHINGLES
Researchers in Taiwan have discovered that people with COPD are at greater risk for Shingles (varicella-zoster virus or herpes-zoster virus) than those without COPD. Their study, published in the Canadian Medical Association Journal, shows that those COPD individuals taking oral steroids are at even greater risk. They found that the rate of people with COPD who develop shingles is 16 out of every 1,000 people, compared to 9 out of every 1,000 people without COPD. Shingles is caused by the same virus responsible for chicken pox. After chicken pox, the virus can hide in the nerve cells and become active later in life, often in people over 50. A shingles vaccine is available. For more information about the study, see the Canadian Medical Society Journal at:
For more information on shingles, see this Mayo Clinic article at:
For information on the vaccine, who should get it, who should not, and Medicare coverage information (it is covered under Medicare Part D Drug plan, but not under Part B), see the Center for Disease Control explanation at:
MEDICARE ADVANTAGE PLANS TOLD TO HOLD PREMIUM HIKES
CMS (the Centers for Medicare and Medicaid Services) is giving a stern warning to insurance companies offering Medicare Advantage (Part C) plans: "If you raise premiums by more than 10% in 2012, you likely won't be allowed to enroll any Medicare beneficiaries." (This can also be interpreted by some as announcing that CMS will allow increases up to 10%). Medicare Advantage plans are Medicare plans managed by private companies. These plans are already scheduled to receive a 1.6% increase next year. The financial consequences of the Affordable Care Act won't hit insurance companies with Advantage plans until 2014. CMS's draft of their proposed new payment policies includes mention of a $10 increase in the Medicare Part D prescription drug plan deductible for 2012. For more information, see this MedPage Today article at:
VITAMIN E MAY INCREASE OR DECREASE RISK OF PNEUMONIA…BUT IT DEPENNDS
Vitamin E has been found to influence the immune system, so University of Helsinki researchers are looking into the effect this vitamin might have on the risk of catching pneumonia. They are finding something unusual, and it has to do with smoking and exercise. Vitamin E decreases the risk of pneumonia by 69% for those who have the least exposure to smoke and who exercise during their leisure time. However, the vitamin actually increases the risk of pneumonia by 79% for those participants who have the highest exposure to smoke and don't exercise. For the study, see the AlphaGalileo web site. It is a not-for-profit news service at:
COMMERCIAL FREE: We do not accept any paid advertising. Any corporations, products, medicines (prescription or over the counter) mentioned in this newsletter are for informational purposes only and not to be construed as an endorsement or condemnation of same.
PATIENT ALARMS OFTEN UNHEARD, UNHEEDED
The title of this article says it all. The Boston Globe describes how deadly mistakes happen because of the din of alarms going off, causing something the writers refer to as "alarm fatigue." As an example, they claim a 15 bed unit at Johns Hopkins in Baltimore averages 942 alarms per day, and a critical alarm goes off every 90 seconds! The Globe based its article, in part, upon the FDA's databank of reported "adverse events," as analyzed by a not-for-profit healthcare research and consulting company. The Boston Globe article can be read on their boston.com website at:
INCOME AND LOCATION AFFECT RATE OF HOSPITALIZATION FOR COPD
If you have low income or reside in rural areas of the South or Midwest in the U.S., you are more likely to be hospitalized for COPD (based on 2008 statistics) than if you live in other areas or have higher income. In fact, COPDers in rural areas are almost twice as likely to be hospitalized for COPD as those living in large urban areas. For more surprising statistics, see this Agency for Healthcare Research and Quality (U.S. Department of Health and Human Services) report at:
NEW INSIGHT INTO HOW PEOPLE HANDLE FEAR AND ANXIETY
Some of us are more anxious than others, and some of us are more biologically prone to experiencing generally higher levels of anxiety. This holds true whether or not we have COPD, but anxiety is certainly a common problem for many of us with impaired breathing. An NIMH (National Institute of Mental Health) funded study looks at two regions of the brain, one area that is involved in fear and another area that is involved in suppressing fear. How we experience and handle anxiety appears to be related to the degree of response in each of these areas, and how they work together when responding to different situations. The researchers find that people who experience a higher level of anxiety react more strongly to "cued" fear situations, which is when a neutral signal is followed by an adverse event. There is a lot more to this study, and it you might want to read the NIMH article which can be found at:
http://tinyurl.com/6y9hlnnThe abstract of the study is available at Neuron (Cell Press) at:
MEDICAL DECISIONS. Your physician should be consulted on all medical decisions. New procedures or drugs should not be started or stopped without such consultation. While we believe that our accumulated experience has value, and a unique perspective, you must accept it for what it is...the work of COPD patients. We vigorously encourage individuals with COPD to take an active part in the management of their disease. They do this through education and by sharing information and thoughts with their primary physician and pulmonologist. However, medical decisions are based on complex medical principles and should be left to the medical practitioner who has been trained to diagnose and advise.
ZINC MAY HELP EASE COMMON COLD
Zinc helps treat the common cold if taken early enough, but the side effects of bad taste and nausea may get you to think twice about using it. Some of the findings of this study, published in the Cochrane Library, include:
-if zinc is taken by otherwise healthy people within the first 24 hours of cold symptoms, it reduces the duration and severity of the cold
-when taken for five months, it decreases an individual's chance of catching a cold
-side effects include a bad taste and nausea
For a complete discussion of zinc taken for colds, see this MedPage Today article at:
The abstract of the study can be found at the Cochrane Library, a not-for-profit international organization, at:
CIGARETTE SMOKING INCREASES MUCUS IN LUNGS
Smoking suppresses a protein that is needed to prevent mucus-producing cells in the lungs from overpopulating. Such findings might help lead to treatments for chronic bronchitis, a type of COPD. The abstract of this study in the American Journal of Respiratory and Critical Care Medicine can be found at:
ELECTRONIC CIGARETTES MAY HELP SMOKERS QUIT
Boston University School of Public Health (BUSPH) researchers find that smokers who quit smoking by using electronic cigarettes attain a higher rate of abstinence from smoking than those who use other methods such as nicotine patches or gum. Using electronic cigarettes nearly double the rate of success compared to those who use other methods. An electronic cigarette is a battery operated device that produces a nicotine vapor. For more information, see this BUSPH summary (or the full study via the link on the bottom of the opening page) at:
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TEST YOUR HOME FOR RADON
February is a great time of the year to test your home for radon, an odorless gas that is emitted through the soil due to the breakdown of uranium. Radon can cause cancer, and the only way to find out if you have high amounts is to conduct a test. Tests, which weigh only a few ounces, cost about $15 each. For more information, see this Medical News Today report at:
AMERICAN TREASURES OF THE LIBRARY OF CONGRESS
No, we're not sarcastically calling some of our congressmen and congresswomen some "real treasures." We're referring to what the Library of Congress describes as, "Documents such as the Declaration of Independence, the Constitution, and the Gettysburg Address." The Library of Congress says these documents, "[D]efine who we are and what we aspire to be as a people. The Library of Congress holds documents associated with George Washington, George Mason, James Madison, Jefferson, Abraham Lincoln, and Christopher Columbus among others -- in trust for the American people." You can see some of these treasures in the Library of Congress's collection at:
BURMA SHAVE JINGLES
Drive-in theatres, drugstores with soda fountains, and Burma Shave signsâ€”all fond memories of the past. Those drugstores and theatres are mostly chains now, but those Burma Shave jingles can still be found at:
Tons of word games to keep your mind free of cobwebs! Go ahead, I dare you…no, double dare you…to solve the cryptoquote!
For comments and questions, or to contact Richard D. Martin, please send your email to: newsletter@COPD-Support.com
Until next Friday,
Richard D. Martin, Editor
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