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Association Between Subjective Symptoms Of Sleep Quality, Daytime Sleepiness And Declining Quality Of Life
A study, "Longitudinal Evaluation of Sleep-Disordered Breathing and Sleep Symptoms with Change in Quality of Life: The Sleep Heart Health Study (SHHS)," in the Aug. 1 issue of the journal Sleep indicates that self-reported worsening in initiating and maintaining sleep over a five-year period was significantly associated with poorer mental quality of life, and increasing daytime sleepiness symptoms were associated with both poorer physical and mental quality of life.
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Sleep Apnea Occurring During REM Sleep Is Significantly Associated With Type 2 Diabetes
A multi-ethnic study in the June 15 issue of the Journal of Clinical Sleep Medicine reports that there is a statistically significant relationship between obstructive sleep apnea (OSA) episodes occurring during rapid eye movement (REM) sleep and type 2 diabetes.
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Advocates Call Attention To Rising Teen Pregnancies In Foster Care Programs
Advocates are stepping up efforts to address the high pregnancy rate among teens in foster care programs, Time reports. Although teen pregnancy rates are rising nationwide after years of declines, the numbers in the foster care system are "truly epidemic," according to Time. A University of Chicago study showed that almost half of girls who have spent time in the foster system had been pregnant at least once before age 19, and almost one-fourth had multiple pregnancies in their teens. However, the problem has traditionally received scant attention from children"s health advocates. Last week, the Planned Parenthood Federation of America and the National Campaign To Prevent Teen and Unplanned Pregnancy announced a new campaign to address pregnancy prevention for foster care teens. The groups plan to push the Obama administration to consider the issue as it develops strategies to prevent unintended pregnancies. Planned Parenthood is recruiting and training thousands of peer educators -- including many who are in foster care themselves -- to engage teens in medically accurate discussions about sex. A report released this week by the National Campaign shows that nearly half of the 500,000 children in foster care had sex for the first time before age 16, compared with 30% of all teens. Teens in foster care also were more likely to have had forced sex and less likely to have used contraception.National Campaign Senior Policy Director Andrea Kane said, "Foster parents already go through trainings -- the delivery system exists." She added, "[W]e have people who can teach them how to do this. We just need to put the two together." According to Time, foster parents might assume that children were taught about reproductive health while living with another family. Social workers might also be reluctant to discuss sex with foster children. Advocates say that intended pregnancy also should be addressed as part of prevention efforts. University of Chicago researcher Amy Dworsky said, "For some foster youth, having a child is a way to create a family that they don"t have, or to fill an emotional void" (Sullivan, Time, 7/22).
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St. Elizabeth Healthcare Drives Kentucky's Largest Electronic Medical Records Initiative With IBM

IBM (NYSE: IBM) announced that St. Elizabeth Healthcare is connecting hospitals, clinics and physicians offices in Northern Kentucky in the state"s largest roll-out of electronic medical records to improve patient care and lower costs. Today, only 1.5 percent of U.S. hospital systems have a comprehensive electronic records system putting St. Elizabeth Healthcare at the leading edge of nationwide efforts to modernize health care and meet the nation"s goal of providing every patient an electronic medical record by 2014. The system is expected to replace a warehouse full of paper-based records on more than 50,000 patients in the St. Elizabeth Healthcare system. "This represents an important step and a unified foundation to deliver better care to our patients," said Alex Rodriguez, chief information officer, St. Elizabeth Healthcare. "Today, only about one-sixth( )of the population in the US is covered by an electronic health record. This major initiative will mean that more than 12 percent of the population of Northern Kentucky and the greater Cincinnati area will have an electronic medical record. Regardless if a patient is seen at their physician"s office, an acute care hospital or the emergency room, caregivers will have deep insight into patient history and care can be better coordinated." The new system is expected to help improve the quality of care each patient receives by providing better access to patient information, a complete view of patient history, medication and treatment plans, and even faster access to lab results to make better, more informed decisions. It will make it easier for patients to obtain prescriptions electronically to reduce medical errors, cut drug costs and save doctors and patients" time and money. Patients will also be able to access their medical records, get lab results, schedule appointments and get referrals online. With the click of a mouse, doctors and nurses will be able to see real-time patient information, lab results, EKGs, x-rays, scans and even prescriptions, making it faster and easier to make a more effective diagnosis and treatment plan. Plans for this new integrated system were underway before the federal government turned its focus to electronic medical records as part of economic stimulus efforts. However, the new EMR system at St. Elizabeth Healthcare meets the requirements for hospitals and doctor"s offices and is well-positioned to meet all criteria for stimulus funds. The Congressional Budget Office estimates that mass adoption of systems such as this one could result in savings of $12 billion over 10 years. The roll out of the new system is focused first on doctor"s offices which will begin in September, and then clinics and ambulatory care sites within St. Elizabeth Healthcare. The entire system including all six hospitals, nearly 1,000 physicians, 31 primary care doctor"s offices and four imaging centers and clinics is expected to be fully connected in one unified system by fall 2010. This system uses Epic"s software and is powered by IBM Power 570 and 550 servers running AIX, IBM"s UNIX operating system. The medical records and clinical information system includes EpicCare Ambulatory, Resolute Hospital Billing, EpicCare Inpatient, Prelude Registration and Cadence Scheduling. IBM Power Systems servers with virtualization technology provide the advanced computing power to support the system, and offer the flexibility to expand as the hospital system"s needs grow. IBM Power Systems servers provide St. Elizabeth Healthcare with increased scalability and improved performance over other server technologies that were considered. IBM is creating a smarter, more connected healthcare system that delivers better care with fewer mistakes, predicts and prevents diseases, and empowers people to make better choices. This includes integrating data so doctors, patients and insurers can share information seamlessly and efficiently. IBM also helps clients apply advanced analytics to improve medical research, diagnosis and treatment in order to improve patient care and help reduce healthcare costs. IBM


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