mardi 4 octobre 2011

The King's Fund Response To Libdem NHS Blueprint, UK

Commenting on the paper The NHS: a new liberal blueprint published by Liberal Democrat Shadow Secretary of State for Health Norman Lamb MP, The King's Fund acting chief executive Dr Anna Dixon said:



'This Liberal Democrat paper is further evidence of a growing consensus between the parties on health. We will go into the election with more fundamental agreement on the NHS than ever before. So whatever the outcome on polling day, voters can expect the new government to focus on extending patient choice, providing more personalised care and reforming how hospitals are paid to drive improvements in efficiency and quality.



'The main dividing line between the Liberal Democrats and the other parties is their commitment to replace Primary Care Trusts with locally elected health boards. While this could increase local accountability, there is no evidence that this would result directly in improvements in quality of care. While people have strong views about changes to local services that directly affect them - like the closure of a hospital ward - it is not clear how much appetite the public have to play an active role in deciding how money is spent day to day.



'Plans to reduce the number of quangos and regulators might sound appealing - especially when finances are tight - but regulators play an important role in ensuring safety and improving quality. While there is a clear case for regulators to be better co-ordinated and reduce the burden on providers - by sharing and making better use of data for instance - they are often an easy target for politicians.



'Norman Lamb sets out some interesting ideas about engaging staff, encouraging innovations and the smarter use of technology within healthcare. We look forward to seeing more detail about how the Liberal Democrats would turn these ideas into clear actions that the NHS can implement.'

Source
The King's Fund

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The World Medical Markets Fact Book 2008

Research and Markets has announced the addition of the "The World Medical Markets Fact Book 2008" report to their offering.


The need to understand world medical markets, and be able to answer quickly those questions that arise daily, is essential. Therefore an authoritative, current and comprehensive market intelligence source is an invaluable aid for every executive. And that source is The World Medical Markets Fact Book 2008 (published May 2008).


The 332-page Fact Book 2008 brings together a range of often difficult to source information in one single, convenient publication. Keep it near to you at all times, or consider an electronic version to share with colleagues for the search and retrieval of specific information.


EASY ACCESS TO THE LATEST AVAILABLE DATA ON:


World market:


The worldwide medical device market covering key market areas such as demographics, mortality data, health services/resources and medical market values. International comparisons provide unique rankings and key indicators are forecast to 2013.


Regional analysis:


Major world regions providing regional analysis, rankings and forecasts for Americas, Asia/Pacific, Middle East/Africa, Central and Eastern Europe and Western Europe.


National market data:


Detailed national market profiles of 67 countries worldwide from Argentina and Austria to Venezuela and Vietnam.


Company analysis:


The performance of the world's 80 largest medical device and equipment manufacturers is provided in comparative tables.


ANSWERS KEY BUSINESS QUESTIONS SUCH AS...


-- Which country spends most on medical devices in terms of per capita GDP?

-- Which medical markets are growing the fastest?

-- How does the Brazilian market compare with Mexico and Argentina in terms of total health expenditure?

-- What demographic development is affecting the market in Latvia and Estonia?

-- What will the per capita spend on medical devices be in 2013 in South Korea and Thailand?


For more information click here.


Research and Markets


www.researchandmarkets

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Social Costs Of Achievement Vary By Race/ethnicity, School Features

Doing well in school and feeling accepted by your peers are both important challenges during adolescence. Sometimes these don't fit well together, as when teens are ostracized for being smart. A new study has found that such pressures differ for teens in different racial/ethnic groups, and that characteristics of the teens' schools also play a role.



The study, conducted by researchers at Cornell University, appears in the November/December 2010 issue of the journal Child Development.



"This is the first study to clearly show that for adolescents, there are measurable differences in the social costs of academic success across racial and ethnic groups," notes Thomas E. Fuller-Rowell, postdoctoral research fellow in the Institute for Social Research at the University of Michigan; Fuller-Rowell led the study when he was at Cornell. "By doing so, it points to the significance of race and ethnicity in understanding the achievement gap, and can be helpful to those developing programs and policies to address this gap."



The researchers carried out their work using a nationally representative sample of almost 14,000 7th through 12th graders, the National Longitudinal Study of Adolescent Health (also called Add Health). Add Health was designed and funded under the auspices of the Eunice Kennedy Shriver National Institute of Child Health and Human Development and 17 other federal agencies, and is the largest, most comprehensive survey of adolescents ever undertaken.



The students were interviewed once in their homes, then interviewed again a year later. In the interviews, students gave their grade point averages (GPAs) and reported on how much they felt socially accepted. Researchers learned about characteristics of each school from a related Add Health survey completed by almost all students in each school, and from information provided by school administrators.



The researchers found that for African American and Native American teenagers, the higher their GPAs at the start of the study, the more their feelings of social acceptance decreased over the one-year period. In contrast, for White teens and teens of other races and ethnicities, the higher their GPAs at the start of the research, the more their feelings of being socially accepted increased over the year. These differences across groups remained, even after the researchers took into consideration various background characteristics such as the level of education of the teens' parents, whether they lived in single-parent families, the size and type of the school they attended, and the affluence of the school.



The researchers also looked at how specific characteristics of the schools the teens attended affected the social costs of doing well. They found that for African American teens, the social costs of achieving were greatest in higher achieving competitive schools, but only when there weren't a substantial number of same-race peers at the schools. The same happened to students of Mexican descent. Gender was not a factor for high-achieving teens who didn't feel socially accepted.



"Previous research indicates that teachers and school administrators can work to create an environment of 'identity safety' in which students of different racial and ethnic backgrounds feel accepted and respected," according to Fuller-Rowell. "Such approaches are important to achievement. Our study suggests that these kinds of approaches, while valuable in all schools, may be especially important to the achievement of minority students when they are in small numbers within high achieving schools."



Summarized from Child Development, Vol. 81, Issue 6, The Social Costs of Academic Success Across Ethnic Groups by Fuller-Rowell, TE (University of Michigan, formerly at Cornell University) and Doan, SN (Boston University, formerly at Cornell University). Copyright 2010 The Society for Research in Child Development, Inc. All rights reserved.



Source:

Sarah Hutcheon


Society for Research in Child Development


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Suspected Food Poisoning Case Under Investigation

The Centre for Health Protection (CHP) of the Department of Health is investigating a suspected food poisoning case involving 16 people who felt sick after taking lunch in a hotel in Mong Kok.


-- The affected, comprising four men and 12 women aged between 32 and 61, developed diarrhea, abdominal pain, vomiting and fever about six to 34 hours after having lunch buffet in the hotel on July 22.


-- Their symptoms were generally mild. Ten of them sought medical treatment from private doctors or public hospitals. One was admitted to Yan Chai Hospital. They are in stable condition.


-- CHP's initial investigations showed that bacteria could be the likely cause for the outbreak. Further investigation is in progress.


-- CHP reminded members of the public, especially food handlers, to observe good personal and environmental hygiene to prevent food-borne diseases. They are advised to take the following measures:


-- Clean and cook food thoroughly before consumption, particularly crustacean and bivalve seafood such as shrimp, crab, oysters and clams;


-- Wash hands before eating and after going to toilet;


-- Handle raw and cooked food with separate utensils to prevent cross contamination;


-- Keep raw and cooked food separately;


-- Store food in refrigerator (at 4 degree Celsius or below) and adequately reheat leftover food before consumption; and


-- Keep the environment clean.


Hong Kong Department of Health

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SFE 2011: Selling Value With Customer-Centric Strategies

eyeforpharma's SFE 2011, April 27-29, Barcelona was an undisputed success. With over 560 attendees and more than 50 industry leaders including Jane Griffiths (IVP, Janssen Cilag), Charlotte Sibley (SVP, Shire) Javed Alam (VP Sales, Novartis) offering keen insights on all of the latest trends and challenges, it's no wonder 92% of this year's delegates said they would recommend the conference to a friend.



Hot topics, top speakers


Francesco Frattini, Business Development Director, Roche told attendees about his company's initiatives around CSO & outsourcing. He analysed the impact of their sales results and management time - and shared the lessons learned. Francesco explained that with the changing commercial model Roche Italy knew it must focus on differentiation and personalisation to create greater value form stakeholders.



Another hot topic was in the training & development track. Kevin Crowe Head of Sales Effectiveness, Merck Serono demonstrated how to implement a coaching culture to enhance your people's negotiation skills, selling technique and product knowledge and how to perpetuate this with continual reinforcement. His take away however was the importance of evaluating the return on investment of your training projects.




Continuing momentum



Kate Eversole, VP Europe of eyeforpharma says research for a bigger and even better SFE event next year is already underway. Based on the key take home messages from this year's conference, she predicts SFE 2011 will include a greater focus on business excellence and ecomminications in addition to more traditional SFE topics.



If you missed the event you can catch a keynote- Tyrone Edwards, SVP, Merck (ret.) 'Boost your sales productivity in today's challenging pharmaceutical market' talk for free here.



The real value in the discussions started at events like SFE Europe 2010 comes in carrying them on beyond the conference. To that end, speakers and chairman including Eric Rambeaux VP Strategy, Abbott will be posting articles and blogging on eyeforpharma's dedicated linked in group: linkedin Group Search: Sales Force Effectiveness



"I learnt a lot - Tyrone's presentation is a great place to start"

Pieter Jan Brouwer, VP, Intervet Schering - Plough



For more information visit eyeforpharma/sales






Source:



Nick Best

VP Marketing

eyeforpharma

T: +44 (0) 207 375 7594 ext 296

E: nbesteyeforpharma

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The Mechanisms Of Self-Control In The Brain Pinpointed By Caltech Researchers

When you're on a diet, deciding to skip your favorite calorie-laden foods and eat something healthier takes a whole lot of self-control - an ability that seems to come easier to some of us than others. Now, scientists from the California Institute of Technology (Caltech) have uncovered differences in the brains of people who are able to exercise self-control versus those who find it almost impossible.



The key? While everyone uses the same single area of the brain to make these sorts of value-laden decisions, a second brain region modulates the activity of the first region in people with good self-control, allowing them to weigh more abstract factors - healthiness, for example - in addition to basic desires such as taste to make a better overall choice.



These findings, which are being published in the May 1 issue of the journal Science, not only provide insight into the interplay between self-control and decisionmaking in dieters, but may explain how we make any number of decisions that require some degree of willpower.



"A very basic question in economics, psychology, and even religion, is why some people can exercise self-control but others cannot," notes Antonio Rangel, a Caltech associate professor of economics and the paper's principal investigator. "From the perspective of modern neuroscience, the question becomes, 'What is special about the circuitry of brains that can exercise good behavioral self-control?' This paper studies this question in the context of dieting decisions and provides an important insight."



That insight was the result of an innovative experiment: A group of volunteers - all self-reported dieters - were shown photos of 50 foods, including everything from Snickers bars to Jello to cauliflower. The participants were asked to rate each of the foods based on how good they thought that food would taste. Afterwards, they were shown the same slides again and asked to rate each of the foods based on its supposed health benefits.



From those ratings, the researchers selected an "index food" for each volunteer - food that fell about in the middle of the pack in terms of tastiness and supposed health benefits.



The participant was then shown the 50 items one final time and was asked to choose between it and the index item. (To keep the choosers "honest" without forcing them to eat 50 different foods in one sitting, the researchers would randomly select a number corresponding to one of the slides, and the participant would have to eat whichever food had been chosen at that point.)



All three viewings of the slides were done with the participant inside an MRI scanner, so that the blood-oxygen level dependent signal (a proxy for neuronal activity) in specific areas of the brain could be measured.



After all the choices had been made, the researchers were able to pick out 19 volunteers who showed a significant amount of dietary self-control in their choices, picking mostly healthy foods, regardless of taste. They were also able to identify 18 additional volunteers who showed very little self-control, picking what they believed to be the tastier food most of the time, regardless of its nutritional value.



When they looked at the brain scans of the participants, they found significant differences in the brain activity of the self-control group as compared to the non-self-controllers.



Previous studies have shown that value-based decisions - like what kind of food to eat - are reflected in the activity of a region in the brain called the ventromedial prefrontal cortex, or vmPFC. If activity in the vmPFC goes down, explains Todd Hare, a postdoctoral scholar in neuroeconomics and the first author on the Science paper, "it means the person is probably going to say no to that item; if it goes up, they're likely to choose that item."



In the non-self-controllers, Rangel notes, the vmPFC seemed to only take the taste of the food into consideration in making a decision. "In the case of good self-controllers, however, another area of the brain--called the dorsolateral prefrontal cortex [DLPFC]--becomes active, and modulates the basic value signals so that the self-controllers can also incorporate health considerations into their decisions," he explains. In other words, the DLPFC allows the vmPFC to weigh both taste and health benefits at the same time.



"The vmPFC works during every decision," says Hare. "The DLPFC, on the other hand, is more active when you're employing self-control."



"This, ultimately, is one reason why self-controllers can make better choices," Rangel adds.



Still, the DLPFC can only do so much. For instance, it can't override a truly negative reaction to a food, notes Hare. "We rarely got people to say they'd eat cauliflower if they didn't like cauliflower," he says. "But they would choose not to eat ice cream or candy bars, knowing they could eat the healthier index food instead."



"After centuries of debate in social sciences we are finally making big strides in understanding self-control from watching the brain resist temptation directly," says Colin Camerer, the Robert Kirby Professor of Behavioral Economics in Caltech's Division of Humanities and Social Sciences and another of the paper's coauthors. "This study, and many more to come, will eventually lead to much better theories about how self-control develops and how it works for different kinds of temptations."



The next step, the researchers say, is to come up with ways to engage the DLPFC in the decisions made by people with poor self-control under normal conditions. For instance, Hare says, it might be possible to kick the DLPFC into gear by making the health qualities of foods more salient for people, rather than asking them to make the effort to judge a food's health benefits on their own. "If we highlight the fact that ice cream is unhealthy just before we offer it," he notes, "maybe we can reduce its value in advance, give the person a head start to making a better decision."



Whether this is indeed feasible remains to be tested. But clearly, the possibilities are tantalizing, since these same sorts of value-based choices are at the root of everything from addictions like smoking to risky financial decisions.



"Imagine how much better life could be if we knew how to flex the willpower muscles in the brain and strengthen them with exercises," says Camerer.



The work described in the Science paper, "Self-Control in Decision-Making Involves Modulation of the vmPFC Valuation System," was funded by the Moore Foundation and the Economic Research Service of the U.S. Department of Agriculture on Behavioral Health Economics Research on Dietary Choice and Obesity.



Source:
Lori Oliwenstein


California Institute of Technology

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The Pancreatic Cancer Action Network And AACR To Award Nearly $3 Million In Pancreatic Cancer Research Grants

The American Association for Cancer Research in partnership with the Pancreatic Cancer Action Network is now accepting applications for the 2011 research grants program. The program is administered using the AACR's rigorous peer-review system to ensure that the highest quality science is supported.


Numerous grants will be awarded in 2011, with a total funding level of nearly $3 million. This represents the largest annual dollar amount disbursed since the Pancreatic Cancer Action Network introduced the program in 2003, and is an almost 30 percent increase in funding over last year.


The grants program is designed to help incubate innovative research projects, grow the number of researchers directly working on pancreatic cancer, nurture collaborations across disciplines and institutions, and expedite scientific progress for patient benefit. In addition to receiving financial support for their research, grantees participate in a mentorship program that connects them with leading scientists in the field. Ongoing career support activities offer opportunities for education and professional development.


"This year's grants program marks a significant milestone as we will have surpassed $10 million in research funding since the program's inception in 2003," stated Julie Fleshman, president and CEO of the Pancreatic Cancer Action Network. "During this time, we have begun to form a community of researchers dedicated to making progress in the fight against pancreatic cancer. For so many years, the pancreatic cancer research community was sparse and underfunded. We are beginning to see a transformation, due in part, to our research and advocacy efforts."


"All cancers are in great need of further investigation and increased funding, but because of its low survival rate, pancreatic cancer is particularly challenging and provides us with an urgent call to action," said Margaret Foti, Ph.D., M.D. (h.c.), CEO of the American Association for Cancer Research. "We are very proud of our strong and ongoing partnership with the Pancreatic Cancer Action Network. Together, through cutting edge scientific research, we feel strongly that we will increase our understanding of this deadly form of cancer and, ultimately, conquer it."


The following grants are open for application:


Pathway to Leadership Grant


The Pathway to Leadership Grant is designed to build future leaders in the pancreatic cancer research community by supporting promising early-career scientists in their postdoctoral positions through the transition to independence. Applicants must have started postdoctoral or clinical research fellowships on or after July 2, 2006 (i.e., must be in the first five years of a fellowship at the start of the grant term). The Pathway to Leadership Grant provides up to five years of support, totaling $600,000.


Fellowship


The Fellowship supports early-career scientists during the mentored research phase. Applicants must have started postdoctoral or clinical research fellowships on or after July 2, 2008 (i.e., must be in the first three years of a fellowship at the start of the grant term). The Fellowship is a one-year grant, totaling $45,000.


Career Development Award


The Career Development Award supports newly independent investigators to develop or strengthen their research programs in pancreatic cancer. Applicants must have completed postdoctoral or clinical research fellowships on or after July 2, 2007 (i.e., must be in the first four years of a full-time faculty appointment at the start of the grant term). This is a two-year grant, totaling $200,000.


Innovative Grant


The Innovative Grant supports creative and cutting edge ideas and approaches, including those successful in other areas of cancer that have justifiable promise for pancreatic cancer. The two-year grant totals $200,000 and is available to independent junior or senior investigators.


The deadline for Letters of Intent for the Innovative Grant is October 4, 2010. Applications for the Pathway to Leadership Grant, Fellowship and Career Development Award are due October 27, 2010. Submissions must be completed online using the proposalCENTRAL website here. Funding decisions will available in March 2011. The grant term begins July 1, 2011.


Since the partnership began with the AACR in 2003, the Pancreatic Cancer Action Network has awarded 56 grants, totaling over $7 million. To learn more about the 2011 grants program, visit here.


Source:

American Association for Cancer Research

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