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IOM Panel's Comparative Effectiveness Report Includes Pregnancy Prevention Measures
The U.S. should conduct research to compare the effectiveness of innovative programs aimed at preventing unintended pregnancy, according to a report issued Tuesday by a congressionally convened Institute of Medicine panel, the New York Times reports (Meier, New York Times, 7/1). The recommendations state that these strategies should include "over-the-counter access to oral contraceptives or other hormonal methods, expanding access to long-acting methods for young women, [and] providing free contraceptive methods at public clinics, pharmacies or other locations" (List of Priorities, IOM, 6/26). The report lists 100 health topics that should be prioritized as the Obama administration seeks to increase cost-effectiveness in medicine. The federal stimulus package passed earlier this year allotted $1.1 billion for comparative effectiveness research into different ways of treating certain conditions and addressing various health care issues. According to the Times, the report is a first step in an expansive effort by the administration and health experts to direct medical practice toward scientifically proven treatments, rather than a provider"s personal opinion or a medical product company"s promotional claims. Harold Sox, co-chair of the IOM panel that wrote the report and the editor of the Annals of Internal Medicine, said that based on public comments, the panel decided it was important to include pregnancy prevention and other public health issues in its recommendations (Meier, New York Times, 7/1). The report also recommends that researchers compare different comprehensive care coordination programs, such as the medical home model and chronic disease management, especially in communities known to have health disparities (Simmons, HealthLeaders Media, 6/30).
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Neck Surgery For Cervical Spine Disorders Found To Alleviate Associated Headaches
A new study published in the August 2009 issue of The Journal of Bone and Joint Surgery (JBJS) finds that two years after anterior cervical neck operations, patients who have arthroplasty (disc replacement) or arthodesis (spine fusion) can be expected to have significant improvement in their headache symptoms.
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Mercury In Mackenzie River Delta Dramatically Higher Than Previously Believed
University of Alberta researchers conducting a water study in the Mackenzie River Delta have found a dramatically higher delivery of mercury from the Mackenzie River to the Arctic Ocean than determined in previous studies.
Nutrition

TB Testing Time And Motion Study

BVA and Animal Health have agreed to undertake a survey/time and motion study of the time taken for on-farm TB testing. This is being undertaken in order to provide an up-to-date assessment of how long each element of an on-farm test takes. The survey is being carried out as part of the ongoing discussion and negotiation to review the current official veterinary fee structure and will cover two phases, the first between June and July and the second between November and December. The survey has been designed to minimise impact on those completing it and much of the background information will be gathered from the TB52 form. Veterinary surgeons in the front line in the detection of bovine tuberculosis must be paid a fee appropriate for the time taken to perform the task properly and according to the required standard operating procedures. The question of rates of remuneration for TB testing has long been a matter of dissatisfaction to many of our members and we have been provided here with an opportunity to redress it. We can only take our case forward if we get the wholehearted support of practitioners in collecting for us the data and for that we ask. British Veterinary Association


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