Is There a Consumer Pay-off for Investing in Health IT?
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One internet user may collect information to send to multiple friends and relatives, hoping to jump-start an interest in that person’s health. As an e-patient wrote, "Both my brother and sister are diabetics. Neither is very concerned or tries hard to avoid foods that are bad for them. I send them reprints and copy anything I find. I am a pest but they need it. I also have a 58-year-old friend who is afraid to know his [A1C] numbers.8 I also bombard him. Not knowing is no longer an excuse."
A federal judge's decision Monday to strike down several patents on human genes could ultimately be a boon for genetic research and a benefit for public health, medical experts said.
The ruling adds legal weight to the argument by some geneticists and others that companies and institutions shouldn't be allowed to patent basic genetic information that makes people human.
Photo Researchers, Inc.
A human chromosome bears genetic information.
The ruling by U.S. District Judge Robert Sweet invalidated seven patents covering the BRCA1 and 2 genes linked to hereditary forms of cancer that were licensed exclusively to Myriad Genetics Inc., Salt Lake City, by the University of Utah Research Foundation. Myriad says it plans to appeal.
The decision's near-term impact on companies that develop and market gene-based tests and treatments is likely to be limited, in part because most rely on patents that protect their drugs, not specific gene sequences.
And Peter Meldrum, Myriad's chief executive, said the litigation involves only seven of the company's 23 patents related to BRCA genes.
Patents for human genes, or DNA sequences found in the body, have been controversial since they were first issued. According to U.S. law, products of nature cannot be patented because they are pre-existing substances found in the wild.
"The idea that our ability to look at them, to analyze them, to utilize them would be constrained by the issue of a patent strikes many people viscerally," said James Evans, chairman of a federal task force on the effect of gene patents on diagnostics and patient care. "Genes represent something we see as quite fundamental to who we are."
When companies hold exclusive licenses for human genes, competition to develop gene-based applications can be restricted, prices inflated and innovation slowed, some geneticists say.
Academic research has also been impeded, though to a lesser extent, by companies who want to protect their intellectual property, they add.
"If this decision is upheld, it in the end is a win for patients and providers," said Dr. Evans, also a medical geneticist at the University of North Carolina, Chapel Hill.
...
Lawyers say the ruling could give rise to challenges over patents that cover the links between genetic sequences and various medical conditions, such as hearing loss and Alzheimer's disease.
Judge Sweet's ruling, lawyers say, reflects a broader trend of judges taking a more skeptical view about whether certain subject matters can be patented.
Last year, in a pending U.S. Supreme Court case, many of the justices on the court expressed skepticism about whether there should be broad patent protection for financial strategies and other methods of doing business.
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pCubee: A Perspective-Corrected Handheld Cubic Display. Image credit: University of British Columbia
After a wave of 3D movies such as Alice in Wonderland and Avatar, and a number of television manufacturers producing 3D TVs this year, there is growing interest in a three-dimensional viewing experience. The usual 3D technology uses a stereoscopic principle in which a slightly different image is presented to each eye, thanks to the special glasses the viewer has to wear. Now a device named pCubee gives you the experience of 3D without the need for the glasses.
The pCubee consists of five LCD screens arranged as a cubic “fish tank” box that viewers can pick up, tilt, shake or turn to watch the 3D content or play games with virtual objects that seem to be within the box. Instead of stereoscopy, the device uses a principle called motion parallax, which is one of the means by which we usually perceive depth in a three dimensional scene. Motion parallax is a cue the brain is able to use to sense depth, because the movements of objects across our field of view depends on their relative distance from us. Having the box move means viewers do not need to move their heads to see the effect.
pCubee: a Perspective-Corrected Handheld Cubic Display
The five flat-panel LCD screens on the sides of the box are driven by three graphics pipelines. The perspective rendered on the screens is kept synchronized with the user’s view by a motion tracker that monitors both the user’s head and the pCubee box. That, and the real-time physics simulation engine, make the display look like a tank containing real objects. The box allows you to view a static 3D scene, or you can manipulate the box to navigate through the scene or play with objects colliding in the scene. You can also manipulate virtual objects using a stylus.pCubee was developed at the Human Communication Technologies Laboratory at the University of British Columbia in Canada. Leader of the engineering team, Sidney Fels, said the group wanted to offer “a fish-tank-like experience” in a handheld device. Fels hopes the pCubee will be commercially available soon, but the researchers are continuing to refine the design, and may replace the current LCD panels with OLED screens. They are also building pCubees in different sizes for different applications.
The pCubee will have many more applications than 3D games, since it also has the potential to become a CAD-CAM platform, and could be used in museum displays. It was awarded Best Demonstration at the 2009 ACM International Conference on Multimedia in Beijing.

I was honored to have a wide ranging conversation with Dr. David Blumenthal today. The primary topics centered around transparency at the ONC, HITREC and communities of shared learning, Personal Health Records and how they fit within the strategic vision of the ONC, and finally overcoming challenges to adoption of electronic health records for rural providers, critical access hospitals and small practices. Some of the material that is helpful as you listen along:
ONC Blog - http://healthit.hhs.gov/blog/onc/
Institute for Health Improvement - http://www.ihi.org/ihi
Electronic Health Records in Ambulatory Care — A National Survey of Physicians by Catherine M. DesRoches, Dr.P.H., Eric G. Campbell, Ph.D., Sowmya R. Rao, Ph.D., Karen Donelan, Sc.D., Timothy G. Ferris, M.D., M.P.H., Ashish Jha, M.D., M.P.H., Rainu Kaushal, M.D., M.P.H., Douglas E. Levy, Ph.D., Sara Rosenbaum, J.D., Alexandra E. Shields, Ph.D., and David Blumenthal, M.D., M.P.P. - http://content.nejm.org/cgi/content/full/359/1/50
"Information Technology Comes to Medicine" by David Blumenthal, M.D., M.P.P., and John P. Glaser, Ph.D. - http://www.ipalc.org/EMR/Information%20Technology%20Comes%20to%20Medicine%20(NEJM%206-14-2007).pdf
PRESIDENT MAKES EXCELLENT CHOICE SELECTING DON BERWICK TO RUN
MEDICARE AND MEDICAID
It appears that President Obama will select Dr. Don Berwick to become the Administrator of the Center for Medicare and Medicaid Services (CMS) – the agency that will take lead responsibility for implementing the health reform measures recently enacted into law. The following is the statement of Ron Pollack, Executive Director of the consumer health group Families USA, about this apparent appointment:
“Dr. Berwick’s selection is an excellent choice to administer Medicare and Medicaid. His internationally renowned work promoting quality of health care will enable him to bring unparalleled expertise and experience in implementing the new health reform legislation.
“Dr. Berwick has been a pioneer in the field of health care quality. As a result, he is in an excellent position to strengthen Medicare and Medicaid in the years ahead.
“I had the opportunity to work with Dr. Berwick and Health and Human Services Secretary Kathleen Sebelius when we were appointed by President Clinton to an advisory group that drafted the patients’ bill of rights.
“Their work was extraordinarily thoughtful, and they will no doubt be an effective team for the Obama Administration as it implements the historic law designed to provide high-quality, affordable health care for all Americans.”
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Families USA is the national organization for health care consumers. It is nonprofit and nonpartisan, and its
mission is to achieve high-quality, affordable health coverage and care for all Americans.
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Families USA | 1201 New York Ave., NW, Suite 1100, Washington, DC 20005
www.familiesusa.org | info@familiesusa.org
But while this tool is helping some people lose weight in a healthy manner, doctors are worried that in the wrong hands, it can be dangerous.
Lara Pence, a clinical psychologist and clinical supervisor at the Renfrew Center, an eating disorder treatment center in Dallas, is seeing increased use, and abuse of these applications.
"I think that it's tying into the eating disorder mentality of making sure that you know everything that's going into your body, having those obsessive thoughts of calorie counting, keeping track of your weight, keeping track of what goes in and what goes out through exercise," Pence said.
Growing up with two brothers didn't help Hannah Kula's relationship with food.
"Food was always clean your plate, finish it all up. There wasn't really another option," Kula said. "Looking at myself when I came to high school I felt like I was a little bit chubby. You start to notice maybe the girls don't eat as much as boys."
It wasn't until Kula, now 20, went away to college that her eating disorder fully developed.
"It was obsessive calorie counting," Kula said. "I pushed away friends I could have had and pushed away friends I still had and ended those relationships. My eating disorder just took over."
When she discovered an application that could help her keep track of her calories, she soon became hooked.
"Just having that technology right there at my fingertips, I could get everything that my eating disorder needed," Kula said. "I could cut down on my weight and control what my body looked like, and that's what I wanted."
via abcnews.go.com
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Violinist Robert Gupta joined the LA Philharmonic iat the age of 19 -- and maintains a passionate parallel interest in neurobiology and mental health issues. He's a 2010 TED Fellow. He made his solo debut, at age 11, with the Israel Philharmonic under Zubin Mehta. He's got a master's in music from Yale. But his undergraduate degree? Pre-med. As an undergrad, Gupta was part of several research projects in neuro- and neurodegenerative biology. He held Research Assistant positions at CUNY Hunter College in New York City, where he worked on spinal cord neuronal regeneration, and at the Harvard Institutes of Medicine Center for Neurologic Diseases, where he studied the biochemical pathology of Parkinson's disease. Gupta is passionate about education and outreach, both as a musician and as an activist for mental health issues. He has the privilege of working with Nathaniel Ayers, the brilliant, schizophrenic musician featured in "The Soloist," as his violin teacher.