How to create a laboratory outreach program?

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laboratoryIn what is a positive sign for modern healthcare facilities surely, recent studies show that approximately 80% of hospitals both big and small already are performing some extent of laboratory outreach of their communities or beyond. While the ones that are not doing this have their reasons, those good reasons tend to be similar. Recently, Mayo Healthcare Laboratories carried out an external research where we contacted both customers and non-customers and asked services running outreach applications what the keys are usually to their success. Though several styles up came, the most basic and universal idea was that a healthcare facility vision should be directed toward the exterior. In case a facility's mandate would be to solely concentrate on inpatient treatment and does not see the outpatient or external arena as vital that you their medical practice, outreach does not have any recognized role for the reason that hospital really. Considering healthcare reform and the inception of accountable treatment organizations, it really is more essential than ever to consider opportunities beyond your hospital walls, which includes laboratory outreach.
Lab services connect to practically all functioning organizations over the health care continuum, from outpatient pre-admission through the inpatient, acute treatment setting, and to post-admission, whether that's rehabilitation, the medical house, or perhaps a long-term care service. Why is a hospital an excellent candidate for a lab outreach system is having a preexisting, large-scale knowing that the lab includes a wide reaching role.
Vital Components to Outreach Success
Much like any significant healthcare expansion effort, achieving the support of medical center administration is vital; however, this support should be active. Administration may concur that outreach is really a positive step, but if they usually do not support it by detatching institutional hurdles and offering necessary resources actively, the lab shall be setup to fail, or they'll be therefore constrained that further development will undoubtedly be impossible beyond a particular level. It is very important keep in mind, when forming a strategic strategy particularly, that while suitable supporting resources are important incredibly, this will not automatically necessitate a short investment of an incredible number of budget bucks up front-a prospect that a lot of administrators find terrifying. Instead, an incremental growth strategy ought to be established and managed in perpetuity. Such growth can include hiring yet another FTE outreach coordinator, phlebotomist, or courier from the onset. Even though subject of fresh hires could be anathema to administration, the governing concept is that while obtaining technology such as a fresh automated robotic processing collection might seem a logical stage to expanding services, getting the proper staff set up to represent your procedure in the grouped community is vital. An unwillingness to allocate or employ adequate staff is a substantial barrier to a fledgling outreach system.
Another source that must definitely be tapped into may be the information technology (IT) division. Given the myriad digital systems the lab is dependent upon, hospitals with limited IT resources will constrain efforts at outreach certainly. Similar to the manner in which a narrow scope of eyesight for expanding hospital services can be an obstacle to outreach development, a restricted scope of IT capabilities will restrict the number of services which can be provided invariably, if they could be offered at all. Getting this idea a step additional, sustained success is dependent largely on a lab’s capability to maximize its convenience of providing services, however this maximization could be diminished by bad IT infrastructure, instrumentation, or automation technology, or even by insufficient staffing and procedures. Can the lab generate a new, big workload without sacrificing high quality or getting the procedure to its knees?
Therefore, it is very important keep within mind the principal reason for a hospital lab, that is to serve the testing needs of the emergency and inpatient departments. When external specimens are usually put into the workload, minimal desirable scenario is because of this to become this type of hindrance that personnel cannot go back to their primary competencies. Remember that effective lab outreach applications may generate 1000-2000 requisition requests each day. That constitutes up to 2000 bags containing bloodstream tubes and attendant documents hitting the lab along with a normal workload. Not merely will this beg the relevant question of area and logistical constraints at a simple level, but if the facility are not able to manage and coordinate this ongoing function in a productive method, such growth shall cripple laboratory services overall.
Set Reasonable Establish and Objectives Priorities
Plainly stated, when seeking to the near future, those hospitals and heath care systems that aren't looking outside their very own walls are really more likely to become extinct. However, it is very important identify and prioritize the reason why for committing to an application such as for example laboratory outreach. Clearly, financial benefits will always be a substantial driver for implementing this type of program-and will surely be one element that will attract the eye of senior leadership-nonetheless, when thinking about an organization philosophically, there are many other benefits which can be recognized, and which might take priority. Ultimately, the main goal ought to be improved patient care.
Consider a person that receives testing being an outpatient, is receives and admitted continued testing, and is discharged then, but comes back set for follow-up testing. The service may find yourself performing three, or six, or nine iterations of exactly the same check on a patient utilizing the exact same instrumentation and scientific methodology within exactly the same bodily laboratory, throughout. Like continuity provides thorough, extensive, and consistent data outcomes, housed in one location-the individual’s EHR-that could be powerfully used to raised treat that patient.
A Farmer’s Market Mentality
When reviewing hospital labs lacking any outreach program, it isn't uncommon to encounter larger incidences of repeat screening significantly, often because of lack in continuity-of-treatment in a decentralized screening environment. In case a hospital has open up usage of the results of most tests performed by industrial labs that also eventually operate on harmonious analytic techniques, repetitive testing could be avoided, therefore allowing a healthcare facility to recoup substantial expenditures in offering inpatient care. Unfortunately, that is rarely the situation among hospital and industrial lab relationships. Furthermore, the individual, government and personal payers, and a healthcare facility itself share the monetary burden of redundant screening. When seeing in this lighting outreach, along with bolstering a facility’s integration, quality, and patient security initiatives, extended lab solutions increase doctor and nursing fulfillment, as physicians can rely on and talk to the laboratory personnel they use everyday, instead of a third-party lab employed in another area as well as in another continuing state. Likewise, outreach solutions augment patient satisfaction, in communities which have a solid grass-roots sensibility particularly, as many communities try to retain healthcare services inside a central location. Review this to the part of a farmer’s marketplace in a residential area wherein a person retrieves new produce from the person developing it. This intimate reference to one’s source of wellbeing can provide significant satisfaction.
Like localized community benefits notwithstanding, the facility should be sure it really is providing services which are affordable and appropriate. Just providing something locally will not permit a medical center lab to cost for services for a price geometrically greater than market worth. When creating a strategic arrange for outreach, many hospitals shall establish and embrace a couple of foundational and operational pillars. These pillars represent a concentrate on finances typically, safety and quality, people (employees), support, growth and community sometimes. The beauty of lab outreach is that it spans most of these concepts invariably.
Elevating Organizational Reputation
Laboratory outreach applications have the unique capability to increase a hospital’s reputation both locally and on a specialist level, because the service has moved beyond its inpatient part and could even expand to some other patient-care places such as for example diagnostic imaging, rehab solutions, wound care, or some other ancillary services that aren't necessarily fixed, inpatient-based services. Furthermore, companies reap the benefits of having an one-stop look for all their required actions. So, by allowing laboratory outreach to strengthen a facility’s relationship using its community, the lab isn't just selling lab services, but additionally the complete hospital to local companies.
Financial Benefits Remain a Driver
When considering the financial impact of lab outreach, maintain foremost in your thoughts that the laboratory is essential to hospital operations 24-hours-a-day, 365-days-a-year within caring for patients of their wall space. In this context, look at a laboratory scientist working a bit of equipment that will be with the capacity of processing 1000 assessments per shift, however the inpatient requirements of a healthcare facility only require 250 like assessments to be carried out per shift, in place leaving the laboratory with 750 tests well worth of excess capacity that's not being utilized. The price to obtain and run these devices will remain fairly the same-concepts such as for example energy consumption and bodily space-regardless of just how many times it is utilized, notwithstanding incidental source costs. In this easy example, laboratory outreach allows a healthcare facility to increase its capacity by attracting those other 750 assessments from the outside. The employee is already covered and so may be the equipment, therefore the cost of a supplementary portion of reagent, or a supplementary cup or slide will likely be negligible in the picture as a whole. When searching at the entire cost per process, spreading fixed expenses, such as for example staff salary, laboratory area, and instrument acquisition expenses, across 1000 tests rather than 250 drives straight down the cost-per-unit of support significantly. This helps both lab and a healthcare facility deliver patient care better.
This maximization of capacity becomes a lot more essential when viewed in light of capitated environments wherein hospitals looking after Medicare diagnosis-related group (DRG) patients aren't going receive any longer money whatever the amount of procedures provided for that bout of care. Once more, outreach might help lower the entire costs of providing treatment to these patients.
Other expansion opportunities exist within ordered tests. An outreach program which has established a partnership with numerous outside companies who all periodically want the same test could make a compelling argument for getting the mechanisms for that check in-house. The facility is able to provide expedited now, local turn-around experience and occasions to those providers, thereby elevating the specialized abilities of the laboratory wherein they could perform screening that strictly inpatient requirements wouldn't normally support. The advantages of this cause-and-effect partnership include greater employee fulfillment, more interesting job features, and allowing the laboratory to cultivate in an area that could otherwise be take off from them.
Imagine a 50-mattress hospital in a new remote location that, because of its successful outreach system, is performing DNA screening because outside companies required it, when the inpatient needs didn't justify it even. Now, the hospital has the capacity to perform those assessments for inpatients, of that area’s need regardless, at a lesser overall cost.
Conclusion
Although quality individual care should always remain the main focus of an outreach program, financial gains can't be overlooked. After all, a healthcare facility is selling their laboratory services, and based on the check, can reap significant monetary gains due to it. When considering the collected income of confirmed hospital’s outreach system, after eliminating their incremental charges for doing the assessments, and also their cost to do business (ie, sales, advertising, couriers, customer support, and all of the infrastructure areas of supporting this program), this program can still make up to a 40% contribution margin to underneath line of a healthcare facility. You can find no other service ranges with the capacity of providing that degree of contribution margin.
Ultimately, starting out harkens back again to the theory that the lab currently gets the physical plant and the majority of any necessary gear to successfully initiate an outreach program. In this lighting, adding incremental costs for supplies and adding lower-wage personnel become nonissues possibly. Lab outreach programs may bring an organization nearer to their objective of providing comprehensive healthcare and the benefits could be realized considerably faster than expected.
Pillars of Excellence
When creating a strategic arrange for outreach, many hospitals will establish and embrace a couple of foundational and operational pillars. These pillars usually represent the next:
Quality The way the facility performs inside improving and/or even exceeding the standard of care and solutions provided
Service The way the facility shows dedication in providing a fantastic experience operating to its customers
People The service is focused on providing a supportive, encouraging environment where to work, increasing employee satisfaction and loyalty thereby.
Financial The facility demonstrates fiscal responsibility and accountability continually.
Growth The service is focused on continued advancement and organizational enhancement.
Community The service is focused on meeting the requirements of its local community by actively partnering with community, regional, and national businesses.

Healthy Tips: Rush Immunotherapy

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allergy_Immunotherapy, or allergy photos, supplies the only potential remedy for allergic rhinitis, allergic conjunctivitis, allergic asthma and venom allergy. Unlike medicines that hide allergic symptoms simply, allergy shots will be the only therapy to improve what sort of person’s body handles allergies. You'll think, therefore, that everyone would like to do shots allergy. Unfortunately, allergy shots could be inconvenient for many individuals because they include a substantial time commitment (typically likely to the allergist’s workplace once to twice weekly initially), and could take weeks before they begin working.
Rapid build-upward schedules for allergy shots are employed by some allergists to experience an increased dose of allergy shots faster, which results inside good thing about the shots sooner.
These schedules create a person addressing a “maintenance dosage” faster also, as well as having the ability to enter into the allergist’s workplace less often for allergy photos once this maintenance dosage is achieved. You can find two forms of rapid build-up schedules -- hurry immunotherapy and cluster immunotherapy.
Rush immunotherapy involves offering an individual multiple allergy shots more than a period of several hours to times, achieving a maintenance dosage (or near-maintenance dosage) in an exceedingly short timeframe. After the initial amount of rush immunotherapy, one is able to enter into the allergist’s workplace typically only one time a week for another many weeks, even less often then. People undergoing hurry immunotherapy also achieve reap the benefits of allergy shots considerably faster, within a couple of weeks usually.
Unfortunately, rush immunotherapy outcomes in allergies in a lot of people, so numerous medications (such as for example antihistamines and corticosteroids) tend to be given to be able to avoid or minimize these responses.
An individual undergoing rush immunotherapy ought to be ready to spend at the very least a few days in the allergist’s office, receiving many allergy photos over this time.
Rush immunotherapy offers an option to traditional schedules for allergy photos, allowing a person to accomplish higher dosages of allergy shots more speedily, and get benefit sooner therefore.
However, rush immunotherapy most likely result in an elevated rate of allergies.  Rush is even more of a right time commitment up front, going for a full day or even more typically.
Rush immunotherapy are generally used for people who have venom allergy. This enables for quicker safety against allergies to long term insect stings, and could actually be considered a safer solution to treat people who have venom allergies who've had problem with allergies with their allergy shots.
Frequently, allergists have typical means of giving allergy photos with their patients, and they have a tendency to offer you this typical build-upward style to all or any of their patients. Most allergists don’t give their patients the decision of build-up schedule just. If you are thinking about going after one of these brilliant rapid build-up schedules, get in touch with many allergists in your town to find person who is encountered in these procedures.

Motivational Interviewing May Reduce COPD Readmissions:

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Newswise imageMotivational interviewing, a goal-oriented, client-centered counseling style for eliciting behavior change used in health coaching, is a feasible intervention that may reduce short-term readmissions for COPD patients. The study, which was presented at the ATS 2016 International Conference, is the first available randomized study to demonstrate the feasibility and effectiveness of the intervention.

Broader Definition of "Severe Maternal Morbidity" Could Identify Women at Risk for Pregnancy Complications Earlier, Penn Study Finds

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a new study suggests that widespread adoption of an expanded definition of SMM could identify more at-risk patients, leading to improved care and lives saved. The study is one of two on the topic of SMM being presented by researchers from the Perelman School of Medicine at University of Pennsylvania. The second study examined the relationship between SMM and maternal level-of-care designations (MLOCD) at hospitals and uncovered a need for better data.

Penn Study Reveals Effectiveness of Text Message-Based Remote Monitoring for Postpartum Hypertension

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Text messaging could hold the key to identifying postpartum women at-risk for developing potentially life-threatening complications resulting from preeclampsia, according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania. The results are presented on Monday, May 16 at the American College of Obstetrics & Gynecology's (ACOG) Annual Clinical and Scientific Meeting in Washington, DC (poster #30-O).

Inadequate Financial Savings Tied to Increased Childhood Health Risks

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Newswise imageThe connection between a family's income and childhood health has been well-established, with lower income linked to poorer health and a greater likelihood of more chronic conditions. Now a new study by UCLA researchers shows that the size of the paycheck is not all that matters when it comes to children's health risks. So does the amount that a family has tucked away in savings.

'Machine Learning' May Contribute to New Advances in Plastic Surgery

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With an ever-increasing volume of electronic data being collected by the healthcare system, researchers are exploring the use of machine learning--a subfield of artificial intelligence--to improve medical care and patient outcomes. An overview of machine learning and some of the ways it could contribute to advancements in plastic surgery are presented in a special topic article in the May issue of Plastic and Reconstructive Surgery(r), the official medical journal of the American Society of Plastic Surgeons (ASPS).

Fred Hutch Hires Steve Stadum as Executive Vice President and Chief Operating Officer

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Newswise imageFred Hutchinson Cancer Research Center today announced the hiring of Steve Stadum as executive vice president and chief operating officer. Stadum, currently the COO of Oregon Health & Science University's Knight Cancer Institute, in July will join Fred Hutch as a key member of President and Director Dr. Gary Gilliland's staff.

Mount Sinai Health System Experts Share Skin Cancer Tips and Patient Stories for Skin Cancer Awareness Month and Melanoma Monday

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Skin cancer is the most common form of cancer in the United States, with one in five Americans developing it over the course of their lives. It's also one of the most preventable types of cancers. In recognition of May's Skin Cancer Awareness Month and Melanoma Monday on May 2nd, Mount Sinai Health System experts are arming the public with vital tips on prevention and offering FREE skin cancer screenings.

Mutations in RERE Gene Result in Features That Coincide with Those Associated with 1p36 Deletion Syndrome

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One in 5,000 babies is born missing a small amount of genetic material from the tip of chromosome 1, a region called 1p36. Missing genes in the 1p36 region is a relatively common cause of intellectual disability. These children may also have delayed development, seizures, heart and kidney defects, and problems with vision and hearing. The number and severity of these medical conditions varies greatly among children with 1p36 deletions. Scientists think that one reason for this variability is that the genes that are missing from the 1p36 region are not the same in each individual. Knowing which genes are actually involved in the development of this syndrome would help physicians predict the type of medical conditions a child with a 1p36 deletion might encounter and would make it easier to create individualized care plans for these patients. In a paper published today in the American Journal of Human Genetics, a multidisciplinary team including Baylor College of Medicine researchers has

Three Times More Canadian Teens Gambling Online

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Three times more Canadian teenagers are gambling online than previously thought, according research from the University of Waterloo and the Centre for Addiction and Mental Health (CAMH).

Going Tobacco-Free, Tall Order for Health-Care Facilities

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Newswise imageHealth-care facilities being tobacco-free seems like a natural fit, but enforcing a tobacco-free policy that prohibits all people from using tobacco in buildings and on campus grounds it owns and leases can be a tall order. A state-wide survey showed that hospital, clinics and cancer treatment were among the health-care facilities in South Dakota with the more comprehensive policies. Use of an electronic health record system was key to assessing patients' tobacco use.

The Future of Precision Medicine

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Newswise imageAs medical professionals search for new ways to personalize diagnosis and treatment of disease, RPB-supported researchers at the University of Iowa have already put into practice what may be the next big step in precision medicine: personalized proteomics.

Transgender Veterans Have High Rates of Mental Health Problems

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Among military veterans identifying as transgender, 90 percent have at least one mental health diagnosis, such as posttraumatic stress disorder (PTSD) or depression, and nearly 50 percent had a hospitalization after a suicide attempt or suicidal thoughts. These study findings, from a single veterans' hospital, will be presented Friday at The Endocrine Society's 98th annual meeting in Boston.

Older Overweight and Obese Adults with Diabetes Benefit From Better Diet and Exercise

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Lifestyle changes that include healthier diet and routine physical exercise help older overweight and obese adults with Type 2 diabetes improve glucose control, body composition, physical function and bone quality, according to preliminary findings of an ongoing clinical trial. The six-month results of the one-year study will be presented Friday, April 1, at ENDO 2016, the annual meeting of the Endocrine Society, in Boston.

Global Study Finds Neighborhood Design Helps Put Best Foot Forward for Health

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More walkable neighborhoods, parks and public transit could all reduce your chance of becoming one of the 600 million adults who battle obesity worldwide, according to researchers at University of California, San Diego School of Medicine. The study, recently published online in The Lancet, found a neighborhood's design plays a critical role in physical activity and could help reduce non-communicable diseases, such as obesity, diabetes and cardiovascular disease.

Statins Cut Tuberculosis Treatment Time in Mice

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In a study using mice, the Johns Hopkins University School of Medicine infectious disease experts have added to evidence that statin drugs -- known primarily for their cholesterol-lowering effects -- can significantly reduce the time it takes to clear tuberculosis infection.

Tackling Cardiovascular Health Risks In College Football Players

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Newswise imageEnsuring the health and safety of student athletes is a priority at Texas A&M, especially in the Department of Health and Kinesiology and the Health Science Center College of Medicine. Recent research sheds light on the healthy cardiac parameters and blood pressure levels of collegiate athletes.

New Program Could Improve Hearing Aid Use for Older Adults

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Newswise imageHearing loss is the third most common chronic illness for older adults. It can impact everyday life and can significantly affect a person's health and safety if gone untreated. Hearing aids are the most common treatment for hearing loss. However, in 2005 more than 325,000 hearing aids, less than four years old were unused according to a previous study in the Hearing Journal. Now, a new hearing aid adjustment program created by Kari Lane, assistant professor at the Sinclair School of Nursing at the University of Missouri, may help increase hearing aid use for those who need them.

Using Generic Cancer Drug Could Save Many Millions of Dollars

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With the expiration in January of the patent on Gleevec, the drug that 15 years ago changed chronic myeloid leukemia (CML) from a death sentence to a treatable illness, insurance companies and patients have the opportunity to realize huge cost savings, new Johns Hopkins Bloomberg School of Public Health research suggests.

AAOHN Becomes a NIOSH Total Worker Health(r) Affiliate

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The American Association of Occupational Health Nurses, Inc. (AAOHN) announced today it has signed a collaborative agreement to become a National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), US Department of Health and Human Services, Total Worker Health(r) Affiliate.

Report: More Than 200,000 in Massachusetts Still Without Health Insurance

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The cost of health insurance, limits in eligibility and difficulties with the application process are among the major reasons more than 200,000 individuals across Massachusetts are still uninsured, according to a report co-authored by UMass Medical School and commissioned by the Blue Cross Blue Shield of Massachusetts (BCBSMA) Foundation.

Link Between Sleep and Social Participation May Be Key to Healthy Aging

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Newswise imageSleep may be one of the most important factors for well-being; yet, according to the CDC, one in three adults does not get enough. Lack of sleep can lead to potential cognitive declines, chronic diseases and death. Now, research from the University of Missouri finds that older adults who have trouble sleeping, could benefit from participating in social activities, in particular attending religious events.

Low Vitamin D Predicts Aggressive Prostate Cancer

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A new study provides a major link between low levels of vitamin D and aggressive prostate cancer. Northwestern Medicine research showed deficient vitamin D blood levels in men can predict aggressive prostate cancer identified at the time of surgery.

They Work for Stores & Airlines - Could Customer Loyalty Programs Work in Healthcare Too?

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When you buy a cup of coffee, an airline ticket or a tank of gas these days, you probably pull out a customer loyalty card without even thinking about it. You may be thinking mostly about perks. But the place you're buying from is focused on keeping your business. Now, a team proposes that healthcare providers should offer the same kinds of programs - for reasons that go far beyond why businesses use them.

Ultra-Low Dose CT Scans Successfully Detect Fractures

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Newswise imageResearchers at NYU Langone Medical Center are reporting they successfully performed CT scans for joint fractures with one-fourteenth the amount of normal radiation without compromising image quality or a surgeon's ability to effectively diagnose an injury. Study could have significant implications from a public health and safety standpoint for patients with orthopaedic trauma who require CT scans.

Moffitt Cancer Center's Dr. Said Sebti Receives National Cancer Institute Outstanding Investigator Award

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TAMPA, Fla. - Said M. Sebti, Ph.D., chair of the Drug Discovery Department and co-leader of the Chemical Biology and Molecular Medicine Program at Moffitt Cancer Center, has been awarded an Outstanding Investigator Award from the National Cancer Institute (NCI). The prestigious award, which provides grant funding over a seven year term, is given to well-established cancer researchers with proven track records to encourage long-term projects of unusual potential in cancer research.

Moments of Acute Stress Can Cause Molecular Alterations in Immune Response

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Newswise imageChronic psychosocial and emotional stress has well-documented negative effects upon the human immune system but less is known about the health effects of acute but transitory episodes of stress. Do panic-inducing moments also raise the risk of stress-related conditions? A team of researchers at University of California, San Diego School of Medicine, Stony Brook University in New York and elsewhere addressed that question by taking blood samples from skydivers to measure key immune response indicators.

New Living Donor Option for Liver Transplantation at UC San Diego Health

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Newswise imageNationally, more than 15,000 patients are waiting for a liver transplant. Approximately 6,300 persons each year will receive a new liver; 1,400 die waiting. In California, one in four listed for liver transplant will die before an organ becomes available. Fortunately, living donation is now a lifesaving option at UC San Diego Health.

To Encourage Physical Activity, Potential to Lose a Financial Reward is More Effective than Gaining One

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Financial incentives aimed at increasing physical activity were most effective when the rewards were put at risk of being lost, according to new research from the Perelman School of Medicine at the University of Pennsylvania. The study, which tested the effectiveness of three methods of financial incentives to increase physical activity among overweight and obese adults, shows that depending on how they are framed, incentives of equal amounts can have significantly different effects on outcomes. Results are published today in the Annals of Internal Medicine.

See How Vanderbilt Is Using a Microchip to Build a First-Ever Artificial Kidney

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Newswise imageVanderbilt University Medical Center nephrologist and associate professor of medicine Dr. William H. Fissell IV, is making major progress on a first-of-its kind device to free kidney patients from dialysis. He is building an implantable artificial kidney with microchip filters and living kidney cells that will be powered by a patient's own heart.