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You've a Better Chance of Not Dying With a Female Doctor, Study Finds

You've a Better Chance of Not Dying With a Female Doctor, Study Finds | Global Health, Fitness and Medical Issues | Scoop.it
An international team of researchers also found that patients treated by women physicians are less likely to be readmitted to hospital.
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Nature is good for kids | UNC-Chapel Hill

Nature is good for kids | UNC-Chapel Hill | Global Health, Fitness and Medical Issues | Scoop.it
A new study from FPG researchers suggests preschoolers living near green space have better mental health.
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Associations Between Screen-Based Media Use and Brain White Matter Integrity in Preschool-Aged Children // Hutton, Dudley, & Horowitz-Kraus (2019) // Neurology, JAMA Pediatrics

Associations Between Screen-Based Media Use and Brain White Matter Integrity in Preschool-Aged Children // Hutton, Dudley, & Horowitz-Kraus (2019) // Neurology, JAMA Pediatrics | Global Health, Fitness and Medical Issues | Scoop.it
Abstract

Importance The American Academy of Pediatrics (AAP) recommends limits on screen-based media use, citing its cognitive-behavioral risks. Screen use by young children is prevalent and increasing, although its implications for brain development are unknown.

Objective  To explore the associations between screen-based media use and integrity of brain white matter tracts supporting language and literacy skills in preschool-aged children.


Design, Setting, and Participants  This cross-sectional study of healthy children aged 3 to 5 years (n = 47) was conducted from August 2017 to November 2018. Participants were recruited at a US children’s hospital and community primary care clinics.


Exposures  Children completed cognitive testing followed by diffusion tensor imaging (DTI), and their parent completed a ScreenQ survey.


Main Outcomes and Measures  ScreenQ is a 15-item measure of screen-based media use reflecting the domains in the AAP recommendations: access to screens, frequency of use, content viewed, and coviewing. Higher scores reflect greater use. ScreenQ scores were applied as the independent variable in 3 multiple linear regression models, with scores in 3 standardized assessments as the dependent variable, controlling for child age and household income: Comprehensive Test of Phonological Processing, Second Edition (CTOPP-2; Rapid Object Naming subtest); Expressive Vocabulary Test, Second Edition (EVT-2; expressive language); and Get Ready to Read! (GRTR; emergent literacy skills). The DTI measures included fractional anisotropy (FA) and radial diffusivity (RD), which estimated microstructural organization and myelination of white matter tracts. ScreenQ was applied as a factor associated with FA and RD in whole-brain regression analyses, which were then narrowed to 3 left-sided tracts supporting language and emergent literacy abilities.

Results  Of the 69 children recruited, 47 (among whom 27 [57%] were girls, and the mean [SD] age was 54.3 [7.5] months) completed DTI. Mean (SD; range) ScreenQ score was 8.6 (4.8; 1-19) points. Mean (SD; range) CTOPP-2 score was 9.4 (3.3; 2-15) points, EVT-2 score was 113.1 (16.6; 88-144) points, and GRTR score was 19.0 (5.9; 5-25) points. ScreenQ scores were negatively correlated with EVT-2 (F2,43 = 5.14; R2 = 0.19; P < .01), CTOPP-2 (F2,35 = 6.64; R2 = 0.28; P < .01), and GRTR (F2,44 = 17.08; R2 = 0.44; P < .01) scores, controlling for child age. Higher ScreenQ scores were correlated with lower FA and higher RD in tracts involved with language, executive function, and emergent literacy abilities (P < .05, familywise error–corrected), controlling for child age and household income.

Conclusions and Relevance  This study found an association between increased screen-based media use, compared with the AAP guidelines, and lower microstructural integrity of brain white matter tracts supporting language and emergent literacy skills in prekindergarten children. The findings suggest further study is needed, particularly during the rapid early stages of brain development.

 

For access to full text, please visit:

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2754101


Via Roxana Marachi, PhD
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Why compassion should be at the forefront of our thoughts on healthcare

Why compassion should be at the forefront of our thoughts on healthcare | Global Health, Fitness and Medical Issues | Scoop.it
Our leading health economist says that when it comes to healthcare funding, we should think about compassion and social justice, as well as being efficient.

Via Peter Mellow
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Study indicates possible link between chronic stress and Alzheimer's disease

Study indicates possible link between chronic stress and Alzheimer's disease | Global Health, Fitness and Medical Issues | Scoop.it
Researchers from Karolinska Institutet have published a study in Alzheimer's Research & Therapy that addresses possible associations between chronic stress, mild cognitive impairment and Alzheimer's disease. The study shows how people aged between 18 and 65 with a previous diagnosis of chronic stress and depression were more likely than other people to be diagnosed with mild cognitive impairment or Alzheimer's disease.

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13 Healthcare Technology Trends to Watch in 2023

13 Healthcare Technology Trends to Watch in 2023 | Global Health, Fitness and Medical Issues | Scoop.it

So top healthcare digital transformation trends in 2023 are as follows:

 

Internet of Medical Things (IoMT) Cybersecurity and Data Privacy Remote Patient Monitoring (RPM) Improved Big Data & Analytics Cloud Migration Robotic Process Automation (RPA) Cognitive Automation (CA) FinTech Integration Interoperability and Connectivity Telehealth Data Breach Prevention Network Strategies Tailored Patient Experience 1. Internet of Medical Things (IoMT)

According to Precedence Research, the global internet of things (IoT) in healthcare market size was valued at $180.5 billion in 2021 and it is expected to reach around $960.2 billion by 2030 with a compound annual growth rate (CAGR) of 20.41% during the forecast period 2022 to 2030.

Wearables and trackers are a huge part of healthcare information technology development. Their key benefit is providing real-time and detailed data on the patients’ health states, which is precious for doctors’ observation.

2. Cybersecurity and Data Privacy

Data security is still a key industrial concern, and cybersecurity will appear relevant among trends in the health information technology industry for a long time. All future technological enhancements will stick to the requirement to possess a significant security layer. The ultimate goal is to protect sensitive patient data delivered online.

At the end of 2021, the number of weekly attacks on healthcare reached an average of 626 per organization and is constantly growing. The US Federal Bureau of Investigation stated that over 40 million patients’ healthcare records were compromised in 2021, as half of the internet-connected hospital devices are vulnerable to cyberattacks.

3. Remote Patient Monitoring (RPM)

Of the latest trends in the healthcare industry, RPM occupies a special place. COVID-19 also contributed to turning remote patient monitoring into the current tendency in the medical field. The rise of virtual healthcare takes many forms, including online appointments, remote care, and video conferencing. And the wide range of IoMT devices empowers RPM with even more opportunities.

According to Research and Markets, the global RPM systems market is projected to be worth over $175.2 billion by 2027, compared to $53.6 billion in 2022.

4. Improved Big Data & Analytics

According to Frost & Sullivan’s forecast, introducing AI technology in healthcare data analytics can save the industry at least $150 million by 2025. Such an achievement is possible thanks to real-time and long-distance analysis and measurement of patient data. Given such striking cost-effectiveness, the AI trend will hit its stride in the next few years.

For medical providers and researchers, the COVID-19 pandemic spotlighted data analytics, along with the immense challenge of real-time decision-making under rapidly changing conditions. Healthcare providers can get lost in dozens of spreadsheets and meetings if processed manually. That’s why the digital future inevitably includes technology capable of processing Big Data instead of humans and providing real-time analytics for decision-makers.

5. Cloud Migration

Cloud migration in healthcare is now in full swing and will see significant growth in the future. MarketsandMarkets states that the global healthcare cloud computing market is projected to reach $89.4 billion by 2027, from an estimated $39.4 billion in 2022 at a CAGR of 17.8% during the forecast period.

It solves many major challenges in service delivery, including record management, remote care, and reaching low-income patients. Providers worldwide use the cloud to efficiently manage emails and electronic medical records (EMRs) and make real-time data available to healthcare professionals.

6. Robotic Process Automation (RPA)

The World Healthcare Organization (WHO) predicted that the global healthcare worker shortage could reach 12.9 million professionals by 2035, making in-person medical appointments a luxury few patients can afford. And the COVID-19 pandemic has only aggravated things. Wide-scale adoption of robotic process automation (RPA) solutions in healthcare may cure medical system inefficiencies.

RPA-empowered bots are a significant milestone in healthcare information technology development. Health providers can experience accurate automation, cost reduction, staff optimization, and even introduce transformational changes with the know-how. On the patient side, AI algorithms can guide people to the needed doctor by scanning their symptoms more accurately than traditional search engines.

7. Cognitive Automation (CA)

Among the emerging healthcare technology trends, it is worth highlighting CA. Cognitive Automation is the next-level tendency for true digital transformation. These days, it’s among emerging IT market trends in healthcare, but the tech package and applicability are about to change the state of managing an industry to the core. It takes the achievements of RPA but applies the mimicking of human behavior beyond the repetitive tasks. In short, it serves as the digital brain of the healthcare organization.

In essence, CA takes the automation capabilities of current software providers and applies ML algorithms to introduce decision velocity in the industry. It becomes possible to process zettabytes of data within seconds and provide decision-makers with ready-to-accept recommendations backed up by real-time data. The ultimate goal is to establish a self-driving enterprise where all the operational processes are automated.

8. FinTech Integration

Healthcare spending is likely to reach $6 trillion by 2027. Until recently, the healthcare system tended to be an old-school bureaucratic system. But now, many hospitals and medical institutions have turned to the tech industry to improve their filing and billing processes, and tech has begun delivering.

The financial technology covers insurance, management services, digital payments, settlement services, capital-raising, deposits, and credit services. Thus it facilitates and streamlines healthcare processes by lowering the cost of financial services. Through robotic investment advice, P2P lending, mobile payments, artificial intelligence, machine learning, and blockchain technologies, fintech boosts the healthcare sector by mitigating inefficiencies in its payment plans.

9. Interoperability and Connectivity

It is another healthcare tech trend that popped up during the global pandemic due to the lack of data interoperability. It has slowed caregivers down for years and impacted their ability to provide the best possible care.

The interoperability and connectivity of medical devices are widely recognized as important factors in helping hospitals achieve better patient data flow, synchronization, quicker and more accurate identification of high-risk patients, and improving the overall outcome.

10. Telehealth

Throughout the COVID-19 pandemic, telemedicine has seen the wildest growth and has become one of the hottest trends in the healthcare industry. 82% of customers experienced telemedicine for the first time since the start of COVID-19.

According to Precedence Research, the telemedicine market is poised to grow from about $60.8 billion in 2022 to $225 billion in 2030. It has become an integral part of the whole healthcare industry.

11. Data Breach Prevention

Over the years, the data breach issue has become more critical. According to the HIPAA Journal, today, the number of healthcare data breaches exceeds two times daily, which was a concern only once a day in 2017.

12. Network Strategies

The healthcare digital transformation market is growing at over 14% annually. In conditions where doctors actively use telemedicine and patients track their progress through wearables and mHealth apps, a network strategy is necessary.

Therefore, the implementation of network solutions for effective communication and data exchange between doctors, patients, and healthcare organizations is another trend in the medical field.

13. Tailored Patient Experience

Another prominent trend in healthcare is the provision of a tailored patient experience. It’s especially noticeable considering the global precision medicine market growth, which will reach $146.6 billion by 2028, in contrast to $65.9 billion in 2021.

In the coming years, implementing any new technology in the medical field will be carried out by putting the patient at the center of this process. Studying the specifics of each patient’s condition will help draw up more effective treatment plans and get better treatment outcomes.


Via Dr. Russ Conrath
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Mark Bittman: What's wrong with what we eat | TED Talk

In this fiery and funny talk, New York Times food writer Mark Bittman weighs in on what's wrong with the way we eat now (too much meat, too few plants; too much fast food, too little home cooking), and why it's putting the entire planet at risk.

Via Michael Miller
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COVID-19, Info Blocking Provisions: Time for HIPAA Compliance Checkup

COVID-19, Info Blocking Provisions: Time for HIPAA Compliance Checkup | Global Health, Fitness and Medical Issues | Scoop.it

The information blocking provisions of the 21st Century Cures Act officially went into effect this week, putting into focus the Department of Health and Human Services’ regulatory and compliance effort around HIPAA-required data sharing between applicable healthcare entities. 

 

Enacted by the 21st Century Cures Act in 2017 and implemented by a final rule in 2020, Congress defined information blocking and established penalties for providers that engage in practices that interfere with the access, exchange, and use of electronic health information.

 

The long-awaited info blocking provision established rules and penalties for non-compliance. The law carves out exclusions for providers if they meet an exception established by the HHS Secretary, or for other applicable reasons.

 

Starting April 5, relevant covered entities and business associates must comply. The Office for the National Coordinator recently released insights on just what the law’s enactment means for those relevant providers, as well as the areas HHS will focus on in the next 18 months.

 

For now, a smaller subset of electronic health data is in scope.

“Specifically, the electronic health information that cannot be blocked is limited to the data elements represented in the US Core Data for Interoperability,” ONC officials explained.

 

“This initial 18-month period and limited scope gives the regulated community time to grow more experienced with the information blocking regulation, including when and how to meet an exception, before the full scope of the regulation’s EHI definition comes into effect.” 

 

“Of course, those who are able to share more EHI than is represented by the USCDI need not wait to begin doing so,” they added. “Similarly, as a way to prepare for October 2022, we strongly encourage the regulated community to make all EHI available as if the scope of EHI were not currently limited.”

As the US surpasses its one-year milestone of the COVID-19 national emergency and subsequent Department of Health and Human Services’ HIPAA liability waivers, it’s the ideal time for providers to assess the health of their privacy governance and compliance programs.

INFORMATION BLOCKING PROVISIONS

To Sean Sullivan, a senior associate attorney with the Health Care Group of Alston & Bird, the industry should consider this period as breathing room: the enforcement arm of the rule hasn’t been fully enacted and the HHS liability waivers put into place for COVID-19 remain intact -- for now.

 

The info blocking provisions signal a sea of change for the industry, he explained. Providers had the last year to prepare for these drastic changes, and now ONC has stressed it will be focusing on this compliance area moving forward.

 

While the rules won’t immediately change things, it does provide new rights to accessing data between providers and other covered entities through authorized requests.

 

Sullivan stressed that it overlays HIPAA’s information sharing requirements that merely suggested providers may share data with other covered entities.

 

The new provisions make data sharing a requirement, or those efforts could be considered info blocking and a direct violation of the provisions. 

 

The timeline for data sharing has also changed from the previous 30-day requirement to “on a timely basis and without necessary delay.” There’s no strict deadline, rather an expectation that the data be immediately available, he explained.

 

The idea is to allow other healthcare providers to use their EHR or the platform of the connected covered entity to download the needed information.

 

“The expectation is that now data should be instantaneously available as long as it’s electronic,” Sullivan said. “And a lot of providers who miss those new timeframes are going to continue to fall back on that 30-day timeline. It’s a mistake.”

 

Instead, providers need to review their policies and procedures for all electronic data within their possession and determine whether the tech in place is capable of adhering to the provisions. They will also need to assess how to provide electronic data on a timely basis, via the EHR or even a patient portal.

 

“Frankly, the government has been struggling with [data sharing and info blocking] for some time,” Sullivan said. “But the financial services industry figured it out years ago.”

 

Sullivan also mused that providers, insurers, and specialists are operating within similar environments, but still the data sharing process has remained stagnant -- with the healthcare industry, as a whole, reluctant to change.

 

Previous arguments have stressed the sensitive nature of the data, while others have pointed to a lack of resources to invest in needed tech. There’s also an anti-competitive factor, where some providers worry that its patients may shop around at a competitor’s care site.

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Which blood pressure number matters most?

Which blood pressure number matters most? | Global Health, Fitness and Medical Issues | Scoop.it

Both the first and second numbers in a person's blood pressure reading are important for predicting the risk of cardiovascular disease.


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HIPAA Compliance Checklist 2021

HIPAA Compliance Checklist 2021 | Global Health, Fitness and Medical Issues | Scoop.it

As of now, your HIPAA checklist for 2021 looks much the same as years prior. Although there are no confirmed changes to HIPAA, there are several proposed changes that may come into effect soon.

What is the 2021 HIPAA Checklist?

The 2021 HIPAA checklist consists of several questions in which an organization working in healthcare can use to assess their overall HIPAA compliance. 

Have you completed all of your annual self-audits? Have you identified gaps in your compliance based on findings from your self-audits? Have you created remediation plans to address these gaps? Have all employees received their annual HIPAA training? Do you have policies and procedures in accordance with HIPAA requirements? Do you have signed business associate agreements with all of your business associates? Do you have a process for identifying, tracking, and reporting breaches?  How to Use the Checklist to Help with Your Compliance

By utilizing the HIPAA compliance checklist 2021, you can assess your current HIPAA practices against HIPAA standards. The purpose of the 2021 HIPAA checklist is to give you a basic understanding of whether or not you are meeting HIPAA requirements. However, the checklist is not meant to confirm or verify your compliance program.

 

To do so, you should speak with a HIPAA expert, such as Compliancy Group. We will walk you through the checklist to help you understand where your compliance program is lacking, and help you implement an effective HIPAA compliance program in accordance with the law. When working with us, you will never have to go at it alone, we will be there every step of the way to make sure that you have HIPAA compliance covered!

Proposed HIPAA Changes

Although there are no current changes to the HIPAA compliance checklist 2021, it is highly likely that it will change in the near future. This is because there are several proposed changes to the HIPAA Privacy Rule that may come into effect soon. 

These changes may include:

Reducing identity verification burdens Improving information sharing Expansion of permitted PHI disclosures Reducing administrative burdens Updating Notice of Privacy Practices requirements

For more information on proposed Privacy Rule changes, please click here.

Cybersecurity as a Priority

In addition to potential changes to the Privacy Rule, there has also been a push to update HIPAA cybersecurity requirements.

 

As of January 2021, a bill known as HR 7898, requires the Department of Health and Human Services (HHS) to incentivize healthcare organizations to implement cybersecurity practices.

 

In essence, if an organization is subject to a HIPAA audit, and they can prove that they had implemented a recognized cybersecurity framework, instead of being fined, they would be given technical assistance from the HHS.

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Is running outside better for you?

Is running outside better for you? | Global Health, Fitness and Medical Issues | Scoop.it
Even the body works harder when running outdoors compared to on a treadmill, running outside feels easier and you’re more likely to feel more motivated to keep going.

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How Much Weight Did We Gain During Lockdowns? 2 Pounds a Month, Study Hints

How Much Weight Did We Gain During Lockdowns? 2 Pounds a Month, Study Hints | Global Health, Fitness and Medical Issues | Scoop.it
Many Americans know they’ve put on weight during the pandemic, but it’s been difficult for experts to detail the scope of the problem.

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How should medical schools teach race?

How should medical schools teach race? | Global Health, Fitness and Medical Issues | Scoop.it

Some doctors contend that medical schools should take a closer look at race, not just in terms of whom they admit, but what they teach.


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Embracing neurodiversity in the translation community

Embracing neurodiversity in the translation community | Global Health, Fitness and Medical Issues | Scoop.it
To mark Neurodiversity Celebration Week 2024, we discuss the issues and challenges faced by the Institute’s neurodivergent community.
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Rescooped by Dennis Swender from Screen Time, Tech Safety & Harm Prevention Research
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American Academy of Pediatrics Issues New Recommendations On #ScreenTime and Exposure to Cell Phones // EduResearcher

American Academy of Pediatrics Issues New Recommendations On #ScreenTime and Exposure to Cell Phones // EduResearcher | Global Health, Fitness and Medical Issues | Scoop.it

"The American Academy of Pediatrics has recently issued two new sets of recommendations on media use for children.  At first glance, popular news headlines suggest elimination of the previous “no screens before age two” recommendations (see NPR’s American Academy of Pediatrics Lifts ‘No Screens Under 2’ Rule and KQED’s American Academy of Pediatrics Says Some Screen Time is Okay for Kids Under Two). However, close examination of the new guidelines reveal nuanced suggestions that maintain a primary focus on limiting tech usage. What appear to be obscured in public discussions are the same AAP organization’s recommendations issued just months earlier, specifically encouraging parents to reduce children’s exposures to cell phone radiation.

For ease of access, both sets of recommendations are provided in this post.
 
American Academy of Pediatrics Issues New Recommendations for Children’s Media Use

“Healthy Digital Media Use Habits for Babies, Toddlers & Preschoolers
Media in all forms, including TV, computers, and smartphones can affect how children feel, learn, think, and behave. However, parents (you) are still the most important influence.

The American Academy of Pediatrics (AAP) encourages you to help your children develop healthy media use habits early on. Read on to learn more.”…


“What About Apps and Digital Books?
Most apps advertised as “educational” aren’t proven to be effective and they don’t encourage co-viewing or co-play that help young children learn. Also, most educational apps target rote skills, such as ABCs and shapes. These skills are only one part of school readiness. The skills young children need to learn for success in school (and life) such as impulse control, managing emotions, and creative, flexible thinking, are best learned through unstructured and social play with family and friends in the real world.

Digital books (“eBooks”) that have lots of sound and visual effects can sometimes distract children, who then “miss the story” and don’t learn as well as they would from a print book.

If you plan to read e-books to your children:

Choose e-books that don’t have too many “bells and whistles.”Read e-books with your children (parent-child interaction around books is one of the most important factors to a child’s success at reading and literacy).

Why Limit Media Use?
Overuse of digital media may place your child at risk of:

Not enough sleep. Young children with more media exposure or who have a TV,computer, or mobile device in their bedrooms sleep less and fall asleep later at night. Even babies can be overstimulated by screens and miss the sleep they need to grow.Delays in learning and social skills. Children who watch too much TV in infancy and preschool years can show delays in attention, thinking, language, and social skills. One of the reasons for the delays could be because they interact less with parents and family. Parents who keep the TV on or focus on their own digital media miss precious opportunities to interact with their children and help them learn. See Parents of Young Children: Put Down Your Smartphones.Obesity. Heavy media use during preschool years is linked to weight gain and risk of childhood obesity. Food advertising and snacking while watching TV can promote obesity. Also, children who overuse media are less apt to be active with healthy, physical play.Behavior problems. Violent content on TV and screens can contribute to behavior problems in children, either because they are scared and confused by what they see, or they try to mimic on-screen characters.

Other Tips for Parents, Families, and Caregivers

Do not feel pressured to introduce technology early. Media interfaces are intuitive and children can learn quickly.Monitor children’s media. For example, know what apps are used or downloaded.Test apps before your child uses them, play together, and ask your child what he or she thinks about the app.Turn off TVs and other devices when not in use. Background media can distract from parent-child interaction and child play, which are both very important in child language and social-emotional development.Keep bedrooms, mealtimes, and parent-child playtimes screen free and unplugged for children and parents. Turn off phones or set to “do not disturb”during these times.Avoid exposure to devices or screens 1 hour before bedtime. Remove devices from bedrooms before bed.Avoid using media as the only way to calm your children. Although media maybe used to soothe children, such as during a medical procedure or airplane flight,using media as a strategy to calm could lead to problems with a child’s own ability with limit setting and managing emotions. Ask your child’s doctor for help if needed.Develop a Family Media Use plan for you and your family.Remember that your opinion counts. TV, video-game, and other media producers, and sponsors pay attention to the views of the public. Let a TV station know if you like a program, or contact video game companies if the content is too violent. For more information, visit the Federal Communications Commission(FCC) website.Encourage your school and community to advocate for better media programs and for healthier habits. For example, organize a “Screen-Free Week” in your town with other parents, teachers, and neighbors.

Additional Information from HealthyChildren.org (American Academy of Pediatrics)

How to Make a Family Media Use PlanHealthy Sleep Habits: How Many Hours Does Your Child Need?How Virtual Violence Impacts Children’s Behavior: Steps for Parents10 No-Cost, Screen-Free Activities to Play with Your PreschoolerObesity Prevention: AAP Policy Explained“

The related recommendations below on cell phone use were issued by the same American Academy of Pediatrics, yet appear to be receiving much less media attention.  American Academy of Pediatrics Issues New Recommendations to “Reduce Exposure to Cell Phones”: Nation’s largest group of children’s doctors responds to new government study linking cell phone radiation to cancer.

“In response to the U.S. National Toxicology Program study results finding exposure to wireless radiation significantly increased the prevalence of highly malignant heart and brain cancers in rodents, the American Academy of Pediatrics (AAP) has issued specific recommendations to reduce wireless cell phone exposure and updated their online resources for parents concerning cell phones and wireless devices.

“They’re not toys. They have radiation that is emitted from them and the more we can keep it off the body and use (the phone) in other ways, it will be safer,” said Jennifer A. Lowry, M.D., FAACT, FAAP, chair of the AAP Council on Environmental Health Executive Committee in the AAPs press release on the NTP Study Results.

“The findings of brain tumors (gliomas) and malignant schwann cell tumors of the heart in the NTP study, as well as DNA damage in brain cells, present a major public health concern because these occurred in the same types of cells that have been reported to develop into tumors in epidemiological studies of adult cell phone users,” stated Ronald L. Melnick, PhD, the National Institutes of Health toxicologist who lead the NTP study design and senior advisor to the Environmental Health Trust. “For children the cancer risks may be greater than that for adults because of greater penetration and absorption of cell phone radiation in the brains of children and because the developing nervous system of children is more susceptible to tissue-damaging agents. Based on this new information, regulatory agencies need to make strong recommendations for consumers to take precautionary measures and avoid close contact with their cell phones, and especially limit or avoid use of cell phones by children.”

The AAP has updated their Healthy Children Webpage on Cell Phones entitled Cell Phone Radiation & Children’s Health: What Parents Need to Know. The webpage reiterated children’s unique vulnerability to cell phone radiation stating, “Another problem is that the cell phone radiation test used by the FCC is based on the devices’ possible effect on large adults—not children. Children’s skulls are thinner and can absorb more radiation.”

The AAP issued the following cell phone safety tips specifically to reduce exposure to wireless radiation:

“Use text messaging when possible, and use cell phones in speaker mode or with the use of hands-free kits.When talking on the cell phone, try holding it an inch or more away from your head.Make only short or essential calls on cell phones.Avoid carrying your phone against the body like in a pocket, sock, or bra. Cell phone manufacturers can’t guarantee that the amount of radiation you’re absorbing will be at a safe level.Do not talk on the phone or text while driving. This increases the risk of automobile crashes.Exercise caution when using a phone or texting while walking or performing other activities. “Distracted walking” injuries are also on the rise.If you plan to watch a movie on your device, download it first, then switch to airplane mode while you watch in order to avoid unnecessary radiation exposure.Keep an eye on your signal strength (i.e. how many bars you have). The weaker your cell signal, the harder your phone has to work and the more radiation it gives off. It’s better to wait until you have a stronger signal before using your device.Avoid making calls in cars, elevators, trains, and buses. The cell phone works harder to get a signal through metal, so the power level increases.Remember that cell phones are not toys or teething items.

Even though the cell phone manual contains specific instructions that say do not carry the phone next to the body, the US government does not publicize this information nor mandate companies inform the public, leaving most people unaware of potential hazards, unwittingly allowing their young children to play with them like toys,” stated Devra Davis MPH, PhD, president of the Environmental Health Trust pointing to the Berkeley Cell Phone Right To Know Ordinance being challenged in court this month.

In 2012, the AAP published Pediatric Environmental Health, 3rd Edition recommending, “exposures can be reduced by encouraging children to use text messaging when possible, make only short and essential calls on cellular phones, use hands free kits and wired headsets and maintain the cellular phone an inch or more away from the head.”

Since 2012, the AAP has supported the Federal Cell Phone Right to Know Legislation and has written letters to the FCC calling on the federal government to review and strengthen radiation standards for wireless devices in an effort to protect children’s health.

Links
AAP Healthy Children.org Cell Phone Radiation & Children’s Health: What Parents Need to Know

AAP responds to study showing link between cell phone radiation, tumors in rats May 27, 2016

2012 AAP Letter in Support of the Cell Phone Right to Know Act

2013 AAP Letter to the FCC calling for a review of RF guidelines”

From: http://www.releasewire.com/press-releases/american-academy-of-pediatrics-issues-new-recommendations-to-reduce-exposure-to-cell-phones-726805.htm ;

_____________________

##

 

For main post on EduResearcher, see: https://eduresearcher.com/2016/10/25/media/ ;

For readers interested in additional updates and research on screen time, development, learning, and health, see here.

 

 


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Social Media Use and Mental Health: A Review

Social Media Use and Mental Health: A Review

 

An ongoing open-source  literature review posted and curated by Jonathan Haidt (NYU-Stern) and Jean Twenge (San Diego State U). You can cite this document as:

 

Haidt, J., & Twenge, J. (2019). Social media use and mental health: A review. Unpublished manuscript, New York University.

 

The review contains comments added by other researchers: Chris Ferguson (Stetson U), Sarah Rose Cavanagh (Assumption College), Tom Hollenstein (Queens U., Canada), Kai Lukoff (U. Washington), Ian Goddard, Ray Aldred (??), Sonia Livingstone (??). You can find this doc linked from www.thecoddling.com/better-mental-health, or from tinyurl.com/MediaMentalHealth

 

Also see our companion review: Is there an increase in adolescent mood disorders, self-harm, and suicide since 2010 in the USA and UK? A review

 

See also additional Google docs laying out evidence for trends in mental health and social media use in Australia, Canada, and New Zealand.

 

First posted: Feb 7, 2019. Last updated: August 22, 2019.

 

This Google doc is a working document that contains the citations and abstracts of the published articles we have found that shed light on a question that is currently being debated in the USA and UK: Does social media use contribute to the recent rise of adolescent  mood disorders (depression and anxiety) and related behaviors (especially self-harm and suicide)?  [See companion review for studies documenting this recent rise.]

 

This Google Doc is a work in progress. We (Haidt & Twenge) have not done an exhaustive search of citation databases. A Google Scholar search for [“social media” depression] yields 72,000 hits. We begin instead with articles published in or after 2014 that are being cited by scholars on either side of the debate. (We pick 2014 because the increase in adolescent depression and anxiety is not clearly visible until around 2013, and it takes a while for papers to be published.) We invite fellow scholars to point us to studies we have missed, or to note ways in which we are misinterpreting the studies we cite below.

 

We are not unbiased. Haidt came to the tentative conclusion that there is a causal link, and said so in his book (The Coddling of the American Mind, with Greg Lukianoff.) Twenge said the same thing in her book (iGen). Haidt’s own research (presented in The Righteous Mind) says that we likely to be motivated to find evidence to support the positions we took publicly. Like all people, we suffer from confirmation bias. But we take J.S. Mill seriously, and we know that we need help from critics to improve our thinking and get closer to the truth. If you are a researcher and would like to notify us about other studies, or add comments or counterpoints to this document, please request access to the Google Doc, or contact Haidt directly, and he will set your permissions to add comments to the Google doc. This document is evolving based on feedback. A copy of the original document, as posted on Feb 7, is here. 

 

====================================================

 

 

Clickable Table of Contents:

 

INTRODUCTION        3

CAUTIONS AND CAVEATS        4

QUESTION 1: IS THERE AN ASSOCIATION BETWEEN SOCIAL MEDIA USE AND BAD MENTAL HEALTH OUTCOMES?        6

1.1 STUDIES INDICATING AN ASSOCIATION        6

1.2: STUDIES INDICATING LITTLE OR NO ASSOCIATION        22

QUESTION 2: DOES SOCIAL MEDIA USE AT TIME 1 PREDICT ANYTHING ABOUT MENTAL HEALTH OUTCOMES AT TIME 2?        27

2.1: STUDIES INDICATING EFFECTS AT T2        27

2.2: STUDIES INDICATING LITTLE OR NO EFFECT AT T2        32

QUESTION 3: DO EXPERIMENTS USING RANDOM ASSIGNMENT SHOW A CAUSAL EFFECT OF SOCIAL MEDIA USE ON MENTAL HEALTH OUTCOMES?        35

3.1: STUDIES INDICATING A CAUSAL EFFECT ON MENTAL HEALTH OUTCOMES        36

3.2: STUDIES INDICATING NO CAUSAL EFFECT        41

4.0: MAJOR REVIEW ARTICLES AND DATABASES        41

5. STUDIES SUGGESTED BY COMMENTERS THAT ARE RELEVANT BUT NOT FOCUSED ON THE CENTRAL QUESTION OF SOCIAL MEDIA AND TEENAGERS [e.g., those that focus on screen time and young children]        43

6. DISCUSSION        44

 

 INTRODUCTION 

Two studies published in January 2019 suggest that there is little or no association between social media use and harmful mental health outcomes: Orben & Przybylski (2019) and Heffer, Good, et al. (2019). A third study published in January suggested that there is a more substantial link: Kelly, Zilanawala, Booker, & Sacker (2019). These three studies, all published in reputable journals in the same month, are now getting attention from journalists, leaving many parents and policymakers confused about what to believe. We therefore thought it would be useful to gather together in one place the abstracts of the studies that are often referred to in these debates.

 

We divide the studies into three categories, based on which method they use: 1) cross-sectional correlational studies, 2) time lag or longitudinal studies, and 3) true experiments. Each method answers a different question. Finding answers to the three questions will allow us to address the question everyone cares about: is social media contributing to the recent rise in anxiety, depression, self-harm, and suicide among American and British teenagers? The answers may be too tentative to form the basis of legislation in 2019, but not to form the basis for advice to parents, millions of whom are asking questions like: Should I let my 11-year old child have an Instagram or Snapchat account? If not now, then when? If yes, then should I impose any time limits? These questions are important and in the forefront of many parents’ minds. We’ll offer some suggestions for parents at the end of the document.

 

We structure this list of abstracts around three questions, each one addressed by a different kind of study. Within each question we present the studies that DO find a relationship in subsection 1, and the studies that DON’T find a relationship in subsection 2. For each study we offer a link to the original publication and we reprint the full abstract with no edits, other than bold-facing some parts. We offer brief comments and show figures from some of the studies."...

 

For full document, please visit:

https://docs.google.com/document/d/1w-HOfseF2wF9YIpXwUUtP65-olnkPyWcgF5BiAtBEy0/mobilebasic#h.xi8mrj7rpf37


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Researchers Discover Unexpected Factor Contributing To Obesity Spike 

Researchers Discover Unexpected Factor Contributing To Obesity Spike  | Global Health, Fitness and Medical Issues | Scoop.it
Provided by The Cool Down New research suggests that exposure to plastic could be contributing to obesity, with thousands of chemicals in items made from the material unknown.  A study published in the journal Environmental Science & Technology found over 55,000 types of chemicals present in common plastic products, and only 11 of those compounds were able to…

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Martinus Evans, of Slow AF Run Club, Wants to Make Running Everyone’s Sport.

Martinus Evans, of Slow AF Run Club, Wants to Make Running Everyone’s Sport. | Global Health, Fitness and Medical Issues | Scoop.it
Martinus Evans wants to make running more inclusive. His new book beckons back-of-the-packers to lace up.

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Loading Docs: Shred - Teenage bodybuilder pushes himself to the limit, but at what cost?

Loading Docs: Shred - Teenage bodybuilder pushes himself to the limit, but at what cost? | Global Health, Fitness and Medical Issues | Scoop.it
Hayden Kendrick is an amateur bodybuilder who’s focused on getting big and getting cut.

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Mental health in academia: The challenges faculty face predate the pandemic and require systemic solutions

Mental health in academia: The challenges faculty face predate the pandemic and require systemic solutions | Global Health, Fitness and Medical Issues | Scoop.it

"The pandemic has intensified many stress points for faculty and academic librarians while highlighting existing issues with how academic work is structured ..."


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10 exercise myths

10 exercise myths | Global Health, Fitness and Medical Issues | Scoop.it
We all believe we should exercise more. So why is it so hard to keep it up? Daniel E Lieberman, Harvard professor of evolutionary biology, explodes the most common and unhelpful workout myths

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How Mobile Channels Improve Patient Engagement and Outcomes

How Mobile Channels Improve Patient Engagement and Outcomes | Global Health, Fitness and Medical Issues | Scoop.it

It’s time for healthcare organizations to make bigger investments in mobile patient engagement.

 

The past year’s pandemic struck a painful blow to health organizations’ pre-COVID patient engagement efforts. There are now fewer patient visits amidst coronavirus fears and stay-at-home orders.

 

People are simply not going into clinics to address non-COVID medical needs. The result is more serious health issues developing, such as cancers being found at later stages and chronic conditions advancing beyond easy treatment options.

 

As patient engagement strategies ramp up, mobile communication channels are becoming more attractive for reaching those living in geographically isolated areas, far from their medical providers.

 

While video visits have replaced many non-urgent in-person visits, those in rural areas struggle to use even telemedicine options due to lack of access or unreliable broadband connectivity. The travel is too far and the technology is not part of their daily lives making healthcare completely out of reach. 

 

Because most people own a cell phone, mobile is an ideal way to communicate and elicit collaboration for health.

 

Healthcare systems that leverage mobile channels are finding this platform a powerful way to serve patients.

 

Text (SMS) is an ideal channel for reaching underserved communities, as one does not need a smartphone or broadband to send or receive SMS messages.

 

SMS also provides a quick and easy way for patients to send information back to their doctors about side effects related to the vaccines. Moving beyond one-way communication with SMS gives patients a way to ask questions or relay information on their current health status.

 

To take things beyond basic SMS, healthcare providers can consider fleshing out a full mobile communications strategy to deliver tailored analytics. With real-time data and services, staff work-flow can be improved and resources can be allocated more efficiently, also lowering costs. It’s the next step up from SMS but patients with chronic conditions who have mobile access to medical portals showed improved self-management and an increase in regular contact with their care team. 

 

read the entire piece at https://hitconsultant.net/2021/04/29/mobile-channels-improve-patient-engagement-outcomes/#.YIt7UOvhUf0

 


Via nrip
nrip's curator insight, April 29, 2021 11:51 PM

Its high time every physician, clinic and hospital, looks at incorporating mobile apps in their way of practicing medicine. Most have already started using it as a means of communication owing to the pandemic. Use that as a stepping stone into exploring the world of mobile touch points between patients and care providers, enhance your websites to be mobile friendly, or personalized mobile apps.

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HIPAA Compliance Checklist for Dental Providers

HIPAA Compliance Checklist for Dental Providers | Global Health, Fitness and Medical Issues | Scoop.it

Similar to other healthcare or medical facilities, the majority of dental offices are run digitally these days. While technology makes the entire process for patients and staff easier, advanced tech also creates a more complex legal situation.

 

Dental providers run a heightened risk of potentially violating HIPAA rules. HIPAA stands for the Health Insurance Portability and Accountability Act.

 

HIPAA is legislation that ensures both the privacy and security of a patient’s personal and protected health information. Complying with HIPAA means safeguarding patient’s information and reducing the overall chance of a data breach in your system. As security is a top priority within a facility, here is a HIPAA compliance checklist for dental providers to follow.

Know and Observe the HIPAA Security Rule

There are three parts to the HIPAA security rule, which includes three different aspects of security requirements. These requirements are technical requirements, physical requirements, and administrative requirements.

 

Technical requirements for security include the technicality of communication—how information is transmitted and communicated electronically. There should be a controlled system with standard transmittance processes set in place in order to protect patients’ information.

 

The physical requirements under the security rule rely on the computer systems in place at a dental facility. These computer systems and their surrounding environment should be inaccessible to those who are not responsible for information imputation, meaning there should be procedures set in place to validate a person’s physical access to private information. Administrative requirements under the security rule ties into this procedure.

 

Administrators are appointed to select a communications system that is compliant with HIPAA and are responsible as well to develop policies and protocols for compliance.

Be Secure Against Cybersecurity Threats

As mentioned above, healthcare and dental facilities have gone digital with recordkeeping and patient files. At the top of this HIPAA compliance checklist for dental providers lies an important task—knowing how to act under the HIPAA security rule.

 

To best way to protect patient’s private information is to have a system of secure messaging as well as data encryption. Encryption of patient data is a requirement to appropriately protect sensitive information like SSNs, birthdates, addresses, or phone numbers. It’s also best to use passwords on computers in the office, and have secured and not open or public Wi-Fi network.

Ensure Proper Staff Education and Training

Having clear compliance protocols set in place is the very best way to protect patient information. Examples of such protocols would be not public broadcasting private information in the office and safely and quietly inputting private information in the computer.

 

Employee error is a major cause of data breaches, so train staff under HIPAA’s privacy, security, and breach notification rules.

love story's curator insight, October 14, 2021 6:47 AM

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Medical School Needs a Dose of the Humanities

Medical School Needs a Dose of the Humanities | Global Health, Fitness and Medical Issues | Scoop.it
The horrors of Covid-19 may give proponents of the liberal arts an unexpected opening.

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Digital health technologies involve the use of information and communication technologies (ICT) to address health problems faced by patients. Health apps are making it easier than ever to collect, manage and monitor health information These apps can help patients contact their doctors in case of an

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