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Health

President Obama Launches $100 Million Initiative To Map The Human Brain

According to a White House press release, President Obama will follow through on his State of the Union call for a comprehensive map of the human brain by announcing $100 million in federal investments for the project on Tuesday morning. Funds for the project — dubbed the Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative — will be appropriated through the National Institutes of Health (NIH), the Defense Advanced Research Projects Agency (DARPA), and the National Science Foundation (NSF), and will be included in the FY 2014 budget that the president is set to release next week.

The project’s central component will be the Brain Activity Map, which seeks to “accelerate the development and application of new technologies that will enable researchers to produce dynamic pictures of the brain that show how individual brain cells and complex neural circuits interact at the speed of thought” in an effort to “explore how the brain records, processes, uses, stores, and retrieves vast quantities of information, and shed light on the complex links between brain function and behavior.” As President Obama explained during the State of the Union, such advancements could herald the key to unlocking pressing public health mysteries, including effective methods of curing brain injuries and degenerative diseases like Alzheimer’s.

That’s particularly significant in a time of rising dementia rates among Americans. A recent pair of studies released by the Centers for Disease Control (CDC) concluded that a combination of factors — including an aging population, more targeted early diagnosis efforts, and the failure to discover a viable cure — led to a staggering 68 percent increase in Alzheimer’s mortality rates between 2000 and 2010. The associated health care costs of that rise in the disease were $200 billion in 2012 alone, including $140 billion to government insurance programs such as Medicare and Medicaid. If the current trend holds, those costs could balloon to over $1 trillion by the year 2050.

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Health

Three Reasons Why Robot Doctors Aren’t Improving U.S. Health Care — Even Though They Should Be

On Monday, the New York Times reported on the controversy surrounding Intuitive Surgical Inc.’s “daVinci” robotic surgery system — a product that allows doctors to “conduct” surgeries remotely on a console while robotic arms scale and translate their movements onto the actual patient. While high-tech systems like this are supposed to make procedures safer and more efficient, the daVinci lawsuit — which centers on a patient who eventually died from complications arising from the system’s use — reveals that a combination of factors, such as inadequate product testing and aggressive marketing strategies driven by profits, often undermine that goal.

That’s a frustrating reality for health care reform advocates on the lookout for effective methods of cutting national health expenditures while improving patient care. Although innovation in health care technology had undoubtedly improved lives and made care more efficient in the aggregate, as demonstrated through breakthroughs like vaccines and birth control, it has also accounted for at least half of the increase in health care spending in the last 70 years. While that may sound counter-intuitive at first, a quick dive into America’s health care culture shows why it’s not — and why innovations like “robot doctors” aren’t actually lowering health care costs:

1. It’s almost impossible to tell how much various health care technologies actually cost.

One of the most persistent problems in the American medical industry is rampant health care price opacity. Time Magazine’s recent investigative look into Americans’ sky-high medical bills revealed what many already suspected — that the prices of various medical products and services are essentially arbitrary, fluctuating wildly from one hospital chain to another and even more wildly between different geographic regions.

Since there isn’t an easily-accessible national database of medical devices and their prices, manufacturers can pitch their products at varying rates to hospitals and jack up prices with relative impunity. Those inflated costs are then passed on to consumers by providers looking to recoup their money — and since patients tend to trust their doctors and not know much about the intricacies of health care device markets, they don’t ask too many questions when they’re left to pick up an enormous, generally non-itemized tab at the end of a hospital stay that gives them no information about why they’re being charged what they are. Thus, price gouging and a general lack of perfect information in health care allows expensive consumption to continue unchecked.

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Alyssa

What Motivated Samsung’s Bizarre Use Of Sexist Stereotypes In Its New Phone Launch?

At CNet, executive editor Molly Wood chronicles the bizarre use of stereotypes of women in the Samsung GS4 launch:

The Brazilian woman was hot (duh). A bride-to-be arrives on stage with a chirpy, “check out the ring!” The Air Gestures that let you control the phone without touching it are presented as a boon to giggly women with annoying voices whose nails are wet and who don’t want to put down their drinks. The comically alcoholic one, DeeDee, then proceeds to demo how eye tracking can pause a video when you look away from the screen… as she looks away at a hunky gardener type who proceeds to take off his shirt.
“While the women are cooling down,” says the emcee, “why don’t you tell us about S Health?” By then, it’s almost too easy to have there be a joke about marrying a doctor and then the one about eating too much cheesecake ohyeahthatoneIshouldhaveseenthatcoming. Of course those jokes are in there. Why would those jokes not be in there? We already had a tap-dancing tow-headed kid and a hot Brazilian girl.

What I’m really curious about is whether this latest example of corporate stupidity when it comes to going to the laziest bits of the gender humor well was developed in-house by Samsung or by an outside advertising agency? If the latter, which ad agency? And on what basis did they recommend the use of stereotypes as hooks? I’d be really curious about the market research on which those decisions are based, given how many ads seem to be doing well by defying gender stereotypes. From Super Bowl ads featuring princesses who lead armies and laundry-doing ladies who are passionate and sneaky sports fans to the Kindle ad that treats gay married couple as if they’re a totally normal part of the mix, a lot of companies seem to want to treat women as actual people, or gay couples and the people who are friends with them as actual consumers. My bet is that tech companies in particular want to seem forward-looking in their gender politics as part of projecting a general sense that if you buy their products, you will be part of the future. But that just makes Samsung’s presentation more bizarre.

Health

Could IBM’s ‘Watson’ Supercomputer Be The Future Of U.S. Health Care Information Technology?

The quest to improve patient care, maximize medical efficiency, and curb wasteful spending by digitizing Americans’ patient records, insurers’ claims, and providers’ treatment requests just gained a powerful new ally: “Watson,” IBM’s revolutionary data-mining supercomputer that made national waves when it defeated reigning Jeopardy! champion Ken Jennings at his own game.

American Medical News reports that health insurance giant WellPoint has struck up a deal with IBM and Memorial Sloan-Kettering Cancer Center in New York to use the supercomputer — which has spent its post-Jeopardy days amassing and “learning” massive amounts of data about the American health care, insurance, and public health industries — for two pioneer programs to automatically process, review, and pre-authorize medical claims and treatment requests, as well as a third program dubbed “Interactive Care Insights for Oncology” that will “identify individualized treatment options for cancer patients, starting with lung cancer” in order to advise oncologists on the latest and most effective treatment regimens by incorporating up-to-the minute longitudinal medical studies and cancer data into its suggestions.

In an email to ThinkProgress, Cindy Wakefield, a Regional Director for Public Relations at WellPoint, pointed out that the new technology has the potential to have a big impact on the health care industry. “We believe the IBM Watson technology can improve the efficiency and quality of treatment, potentially eliminating unnecessary testing, enhancing the consistency of actions, and accelerating the time to treatment via expedited decision-making processing,” Wakefield explained. “We are continuing to train Watson, and we are teaching Watson by ‘feeding’ it information such as our medical policies and clinical guidelines.”

Using Watson’s technology to automate claims processes could be a potent catalyst for a more efficient American health care industry — which is often bogged down by poor inter-provider communication, incomplete and non-centralized data, and archaic paper records. The supercomputer could also advise providers on the most efficient and appropriate use of treatments based on each individual medical claim, patients’ specific insurance benefits, and patients’ medical histories by analyzing health care data from across the country.

Interestingly, if Watson concludes that a physician or provider’s treatment request is not the most effective one based on a patient’s history and medical benefits, the computer can register its disagreement — but as Wakefield explained to ThinkProgress, it cannot override the provider’s decision or deny treatment requests. Instead, a human nurse would have to review Watson’s alternative suggestion, and then make a judgment call along with the provider on whether or not to comply with it.

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Health

What One Doctor’s Approach To Treating A Jehovah’s Witness Says About Religious Liberty In Medicine

69-year-old Rebecca S. Tomczak suffers sarcoidosis, a condition that leads to lung scarring and can devolce into a terminal disease if left untreated. The doctors told her that without a full lung transplant, her prognosis would be dire — and while Tomczak could have qualified for transplant lists at several hospitals, she had to scour through several providers before finding one that would take up her case, since she’s a practicing Jehovah’s Witness. Her adherence to her faith prevents her from receiving blood transfusions, which are typically necessary for transplant surgeries.

As the New York Times reports, Tomczak was finally able to track down Dr. Scott A. Scheinin of the Houston-based Methodist Hospital, who agreed to treat her on her own terms. The hospital had conducted several successful bloodless lung transplants before — specifically tailored towards Jehovah’s Witnesses — and had developed an innovative, seemingly safe medical approach to treating these patients while also respecting their closely-held tenets. As Dr. Scheinin put it, “At the end of the day, if you agree to take care of these patients, you agree to do it on their terms.”

Critics might balk that tailoring medical procedures towards a patient’s religious beliefs is impractical and costly. But the new system that the doctors at Methodist developed was more cost-effective than regular transplant procedures — and arguably more safe, as there has been some evidence that blood transfusions may actually be risky in certain cases:

The economy is also helping the blood management movement. Processing and transfusing a single unit of blood can cost as much as $1,200, and many hospitals are trying to cut back. Administrators at Methodist said their bloodless lung transplants typically cost 30 percent less than other lung transplants, partly because careful management of hemoglobin levels before surgery has resulted in fewer complications and shorter stays.

Experts say they are beginning to see a measurable impact on blood usage, although the data to support it are not yet available. Dr. Richard J. Benjamin, the chief medical officer of the American Red Cross, predicted that the numbers would show the first decline in use since the AIDS scare began in the 1980s, perhaps by one million units.

“We’re changing this culture, this knee-jerk transfusion reaction,” Dr. Scheinin said. “And I think that’s been a good thing for all our patients.”

While Tomczak’s story is intriguing for its implications on medical innovation and reducing health care costs, it also highlights a positive way to reconcile the tensions between modern medical technology and religious dogma. Rather than being a case in which a doctor imposes his or her conscientious biases on a patient — such as the Irish medical team that incited global outrage after denying a life-saving abortion to a woman who later passed away — Tomczak’s experiences are an example of a doctor keeping his patient’s health at the forefront while also respecting that patient’s ethical choices through creativity and innovation. That may not be achievable in every single case — but this particular story shows that it certainly is possible.

Health

Five Facts To Remember As Anti-Choice Activists Launch Attacks Against ‘Webcam Abortions’

Abortion opponents have rushed to introduce a slew of new abortion restrictions in the 2013 legislative session, attacking reproductive rights from all angles. But it’s not just about restricting access to existing medical procedures. Anti-choice activists are also looking ahead to the future, attempting to prevent medical technology from advancing to better accommodate women’s reproductive care.

Even though telemedical abortion services — which allow doctors to consult with their patients over a video conference and prescribe the RU-486 abortion pill remotely — can help expand reproductive care to women who wouldn’t be able to access it otherwise, abortion opponents are scaling a coordinated attack against the new technology. Decrying “webcam abortions” as an unsafe medical practice, despite the significant evidence to the contrary, anti-abortion lawmakers are increasingly advocating legislation to outlaw it. Here are five facts to keep in mind as the anti-choice community gears up for this fight:

1. Telemedicine is increasingly becoming a routine medical practice, and abortion is the only type of telehealth procedure that is tightly restricted. Telehealth, which first began being used in the 1960s to treat astronauts in space, has advanced over the past few decades to become a standard medical practice. In the past five years, telemedicine’s reach has quadrupled to treat 10 million Americans. The federal government has adopted the practice to treat chronically ill veterans. According to the chief executive officer of the American Telemedicine Association, abortion is the only area where lawmakers have restricted telemedicine. As Jordan Goldberg, the state advocacy counsel at the Center for Reproductive Rights, explained to Bloomberg, “There is a very clear division: Women are different, women who are attempting to access medication abortion are different.”

2. Nearly 95 percent of women who have telemedical abortions feel “very satisfied” with the procedure. Several studies have proven that telemedical abortion consultations are safe and effective. Despite anti-choice activists’ insistence that women must be face-to-face with their doctors, there is no difference between the women who visit a doctor’s office for a follow-up appointment after an abortion and the women who simply call to follow up instead. And 94 percent of women who terminate a pregnancy with the help of video technology report they feel “very satisfied” with their procedure.

3. Restricting telemedical abortion services disproportionately hurts low-income women in rural areas. Women who live in rural areas typically lack access to nearby abortion providers, and low-income women in particular often can’t afford the transportation to the closest health clinic. That problem is exacerbated by the mounting number of restrictions imposed on abortion providers, which narrows the pool of available abortion doctors even further. But after Iowa piloted the nation’s first telemedical abortion program, rural women’s abortion access significantly increased.

4. Allowing health clinics to practice telemedicine decreases the number of second-trimester abortions. If women in rural areas have more readily available options to access the reproductive care they need, they won’t have to put off having an abortion until they can travel to a surgical abortion clinic. The case study in Iowa proved that expanding access to the abortion pill through telemedical services can help lower second-trimester abortions. While abortion is still a very safe procedure when it is performed in the second trimester, earlier abortions do have a slightly lower chance of complications — and, of course, women who decide to terminate a pregnancy should not be forced to wait months to have the voluntary medical procedure.

5. Most of the states that are restricting telemedical abortion consultations don’t offer those services in the first place. At least ten states have banned the use of telehealth services to provide abortion care over the past several years, and another five are considering passing legislation to do so this year. But Bloomberg points out that telemedical abortions weren’t even being offered in the majority of those states the first place; Iowa is the sole state where lawmakers are considering a ban that would restrict a medical practice that is already in place. The anti-choice community — led by Americans United for Life, the anti-abortion group that drafted the language for the telemedicine bans — is working proactively to prevent the expansion of telemedical abortion services, particularly through indirect abortion restrictions that would require doctors to show women an ultrasound in person.

Health

The Stem Cell Breakthrough That Could Help Solve America’s Organ Transplant Shortfall

In a technological breakthrough that holds special promise for the future of stem cell research, researchers at Heriot Watt University have successfully used a 3D printer to create viable human stem cells of a predetermined shape and size, CNET News reports.

The development — which constitutes a novel and unprecedented application of an already-nascent technology — has researchers considering its implications for the future, including the possibility of full scale organ and tissue printing that would make organ donations and transplants less vital for public health:

The printer creates 3D spheroids using delicate embryonic cell cultures floating in a “bio ink” medium. They end up looking like little bubbles. Each droplet can contain as few as five stem cells. Basically, this comes down to the printer “ink” being stem cells rather than plastic or another material.

Dr. Will Shu is part of the research team working on the project. “In the longer term, we envisage the technology being further developed to create viable 3D organs for medical implantation from a patient’s own cells, eliminating the need for organ donation, immune suppression, and the problem of transplant rejection,” Shu said in a release from Heriot-Watt.

Perhaps most importantly, the stem cells survived the printing process and remained viable. Shu says this is the first time human embryonic stem cells have been 3D printed. Printing out organs may be far down the line, but it’s just one potential application. The method could also be used to print out human tissue for drug testing.

Research into the use of embryonic stem cells has long been considered by scientists to have life-saving — even revolutionary — potential. While some public figures have used stem cells as a platform for political demagoguery, the Heriot Watt researchers’ achievement highlights the gulf between the overheated rhetoric and the promising reality of stem cell research.

The eventual goal of using the technology for organ and tissue printing — including the direct printing of organs into the human body — is particularly significant given America’s shortfall of organs available for transplants. There are approximately 113,000 Americans on waiting for an organ donor at any given time, but only 30,000 transplants are performed every year.

Health

Minnesota Launches Online Flu Shot ‘Bulletin Board’ To Help Clinics Replenish Their Dwindling Supply

Providing a glimpse into the future of medical tech innovation, Minnesota’s Department of Health has launched a new online portal aiming to help flu vaccine-strapped health clinics across the state find the closest available immunizations to restock their shelves, the Minneapolis Star Tribune reports.

Although the 2013 flu epidemic has been plateauing in recent weeks, the U.S. still finds itself in the midst of the worst influenza outbreak in years. Minnesota has been hit particularly hard in recent weeks, prompting clinics across the state, as well as the Department of Health, to seek out available shots to meet with growing demand — with the help of a little technology:

The Health Department has worked with health care providers experiencing vaccine shortages before, but the exchange marks the first time it has launched an online tool to direct distribution of supplies. The department doesn’t actually redistribute vaccines, which are privately purchased, but instead allows clinics statewide to coordinate among themselves to meet patient demand.

But the publicly viewable online site allows health care providers to shift vaccine supplies where they’re most needed, whether they happen to be buyers or sellers… The exchange is essentially a Web bulletin board: Representatives of health care providers can log in without an account, post their needs, share their contact information and reply to other topic threads. [...]

“I think it is a great tool, but currently is being underutilized,” said Michelle Hanrahan, a wellness coordinator at Wellness Partners, which had already received a response seeking to purchase its extra vaccine.

Minnesota’s web-based solution to the dearth of vaccinations embodies what health care reform advocates hope that Obamacare will force health care providers across the country to do — make information easily accessible and simple to use in an effort to improve patient care and lower health costs.

Other institutions have begun to take similar tech-based approaches to public health problems. For instance, pharmacy giant Walgreens recently announced that it would try to coordinate more with physician groups and health care providers — largely assisted by electronic databases that make it easier to share medical information — in order to provide Americans with an easily-accessible and up-to-date health center. The National Football Association (NFL) also included improved electronic monitoring and sharing of players’ medical inormation as an integral part of its most recent collective bargaining deal with employees.

Climate Progress

How Electricity, Water And Food Could Be Produced In Desert Areas With Minimal Ecological Footprint

1) Concentrated Solar Power 2) Saltwater greenhouses 3) Outside vegetation and evaporative hedges 4) Photovoltaic Solar Power 5) Salt production 6) Halophytes 7) Algae production

The first pilot plant in a program of installations that can sustainably produce crops, electricity, biofuels, and even plants for re-vegetation efforts in a desert environment is now up and running in the Middle Eastern nation of Qatar.

The Sahara Forest Project, which brings outfits from both Qatar and Norway together, uses desert air, sunlight, and saltwater as inputs for a system that aims to be environmentally sustainable, beneficial for local human development, and financially viable over the long term. As the project’s CEO, Joakim Hauge, puts it: “The Sahara Forest Project is all about taking what we have enough of, like saltwater, CO2, sunlight, and deserts, to produce what we need more of: sustainably produced food, water, and energy.” The hope is that the pilot project can be scaled up to installations in drier and desert climates around the world.

Essentially, the plant takes multiple sustainable technologies and integrates their inputs and outputs into a single multistage system, thus minimizing both waste and ecological footprint:

  • Standard solar power and concentrated solar power: Arrays of mirrors create concentrated solar power by aiming sunlight to superheat seawater into steam. That steam can then drive turbines to create electricity, and the heated seawater is then used throughout the greenhouse system. Additional sustainable electricity is generated from arrays of standard solar photovoltaic panels.
  • Saltwater for fresh water and cool air for greenhouses: Hot desert air is pulled through a flow of seawater as it enters the greenhouses. This both cools and humidifies the air, creating optimal growing conditions for the agricultural crops within. At the far end of the greenhouse, the air is heated by flows of sun-heated seawater and then encounters pipes of cooled seawater, which causes the humidity to condense into fresh water that is then used for crop irrigation.
  • Outdoor vegetation: Outside the greenhouses, the seawater passes through further evaporators to create humidity for vegetation sheltered outdoors. These include trees for desert reforestation, local vegetation, various forms of crops and livestock feed, and specific forms of plants naturally adapted to salt water which serve as feedstocks for bioenergy production and other uses. At the end, remaining seawater is collected into evaporation pools for the production of salt.
  • Algae biofuel production: Lab-grown algae, which have been shown to generate up to 30 times more biofuel per acre than other plants, are grown in saltwater pools to create biofuels without taking up agricultural land or crops that double as food for humans.

The basic advantage of the Sahara Forest Project is that it doesn’t use any fundamentally new or experimental technology — it merely recombines established technologies in creative ways.

At the same time, at least one of its goals — growing plants for reforestation — may be overly ambitious. “Trying to grow trees in the Sahara desert is not the most appropriate approach,” Patrick Gonzalez, a forest ecologist at the University of California, Berkeley, told National Geographic back in 2010. “I can imagine that this scheme and type of technology in limited cases might work in certain areas like Dubai, where they’re used to making palm-shaped islands and 160-story-tall buildings.”

But for the more modest goal of returning a desert to its natural former ecosystem, “it would be more effective, but less flashy, to work with local people on community-based natural-resource management.”

Climate Progress

A Safer And More Efficient Lithium Battery Could Boost Low-Carbon Transportation

A rechargeable lithium-ion battery, in BMW’s Mini E electric car. (Photo: Reuters)

Lithium-ion batteries are an extremely common form of rechargeable battery often found in consumer electronics such as laptops and cell-phones. At those smaller scales the batteries’ technology is reliable and well-understood, but at larger sizes there have been challenges.

The electrolyte component in the batteries is typically liquid and quite flammable, and the batteries as a whole are prone to shorts, overheating and catching fire. Boeing’s new Dreamliner 787 fleet was recently grounded worldwide after two separate incidents in which the on-board lithium-ion battery, which supplies the planes with auxiliary and back-up power, caught fire.

Improvements in larger lithium-ion batteries would be a big step forward for technologies such as electric cars or electrical grids, and thus for sustainable transportation and energy. To that end, a group of researchers at Oak Ridge National Laboratory have just published preliminary work on a new form of battery that relies on a solid electrolyte. According to a piece in today’s Climate Wire, as well as a recent report in Technology Review, the new batteries promise to be lighter, safer, and able to store five to ten times more energy than the batteries on Boeing’s 787:

The ORNL researchers, in work published in the current issue of the Journal of the American Chemistry Society, have an easy method for making a nanostructured form of one solid electrolyte. The nanostructure improves the material’s conductivity 1,000 times, enough to make it useful in lithium-ion batteries. The researchers also showed that the new material is compatible with high-energy electrodes.

The solid electrolyte isn’t as conductive as liquid electrolytes, but the researchers say they can compensate for this by making the electrolyte very thin, among other measures. Even then, the batteries might not charge as quickly or provide the same boost of power possible with liquid electrolytes, but this would be okay in many applications, such as in electric cars, where the sheer number of battery cells makes it easy to deliver adequate bursts of power.

The solid electrolyte not only makes batteries safer, it could also enable the use of higher energy electrode materials. As a result, while the rate at which these batteries deliver power may be less than today’s lithium-ion batteries, the total amount of energy they can store would be far higher. A much smaller battery could then be used—saving space and weight on airplanes and greatly reducing the cost of electric vehicles.

The team restructured the solid electrolyte to be porous at the nanoscale, which yielded the far higher level of conductivity. The solid electrolyte also helps prevent shorts, and unlike the liquid counterparts won’t degrade electrodes. That’s particularly important for building better lithium-sulfur batteries, which can store tremendous amounts of energy but have safety problems and o far haven’t been able to recharge enough times to make them useful for something like an electric car.

The ORNL team’s work is still in the embryonic stage: The tests have only been carried out with cells about the size of a coin, and the research into compatibility with lithium-sulfur batteries specifically remains unpublished.

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