Saturday, January 23, 2010

Cost-effectiveness of Anticipatory and Preventive multidisciplinary Team Care for complex patients

This study analyzed data from a randomized controlled trial of multidisciplinary team care to see if
the intervention studied was cost-effective.
• Analyses showed that the intervention was not costeffective. However, efficiency of the newly implemented intervention was not reflective of what could be realized in an established program. Further, some costs (eg, hospitalization and emergency services) were collected based on patients’ selfreports, which can clearly cause reporting errors. The sample of patients used in the study was also fairly small, and the indirect costs are distributed over relatively few patients. Finally, the short duration of the study might not have been sufficient to detect some differences in outcomes, and some benefits might have been underestimated (eg, prevention of amputation for patients with diabetes).
• While there are doubtless benefits to primary care reform involving collaborative team care, including improvement in quality of care as this study found, this particular intervention does not meet any reasonable cost-effectiveness criteria.
This article has been peer reviewed. sonable cost-effectiveness criteria.

Migraines: Escaping the Light

...Many of those who suffer from migraines often turn to darkness for relief. While it's been known that light worsens the condition, it hasn't been known why until now.

More than 30 million Americans suffer from one-sided, throbbing headaches that are often accompanied by symptoms of nausea, vomiting and fatigue. Migraines are believed to develop when the meninges, or membranes covering the brain, become irritated. Eighty-five percent of migraine patients also report photophobia, or extreme sensitivity to light....

Omega-3 Fatty Acids Slow Aging

...Patients with coronary heart disease who had higher omega-3 fatty acid blood levels had less shortening of telomere length, a chromosome marker of biological aging, raising the possibility that these fatty acids may protect against cellular aging....

Long-Term Results of Early Contact Lens Use in Pediatric Unilateral Aphakia

...Approximately 50% of our unilateral nontraumatic pediatric aphakic patients aged older than 5 years achieved excellent Snellen visual acuity in the aphakic eye. The amount of surgical or ocular complications seems to have an inverse relationship with Snellen visual acuity in PFV. Patching compliance, without implying cause-effect direction, also had a direct relationship with final Snellen visual acuity for patients. Early cataract extraction, good to moderate patching compliance, and aggressive early contact lens management can lead to moderate to excellent Snellen visual results in several unilateral pediatric aphakic patients....

Blueberry juice could provide alternative therapy for memory loss

...A new study shows that drinking blueberry juice improved memory in older adults, and might be an alternative treatment for cognitive decline associated with aging, shown in a preliminary study. Seniors in their 70’s drank blueberry juice for two months and were compared to a group who drank a berry placebo beverage. The results showed that antioxidants in blueberries might improve memory by boosting neuronal signaling. ...

AER International Conference 2010

The Association for Education and Rehabilitation of the Blind and Visually Impaired cordially invites you to join us for an exciting education and networking event – the AER International Conference 2010 Featuring the Orientation & Mobility Division Conference Within a Conference – set for July 21-25 in Little Rock, Arkansas.

With an outstanding lineup of educational sessions and the opportunity to collaborate with friends old and new, this conference is a not-to-be missed event to add to your summer schedule!

What you can expect:
* More than 200 hours of educational programming
* Pre-Conference MacFarland Seminar on Traumatic Brain Injury
* Post-Conference Workshop: Obstacle Avoidance
* All-important networking with colleagues
* AER Exhibit Hall showcasing the latest products and services
* Southern Hospitality at its best in beautiful Little Rock, Arkansas

General and Breakout Sessions will feature experts in the vision field addressing:
* Administration
* Aging
* Education Curriculum
* Infant and Preschool
* Information and Technology
* Itinerant Personnel
* Low Vision Rehabilitation
* Multiple Disabilities and Deafblind
* Orientation & Mobility
* Personnel Preparation
* Psychosocial Services
* Rehab Counseling, Employment & BEP Services
* Vision Rehabilitation Therapy

Accommodations
The Peabody Little Rock is offering an attractive nightly rate of $149 single, double, triple or quad plus city and state tax. RESERVATIONS: Online at www.peabodylittlerock.com; Telephone 1-800-PEABODY (800-732-2639) or 501-906-4000. Use group code 290157 when making reservations.

Register online today at www.aerbvi.org/2010conference.

More Information: www.aerbvi.org/2010conference. Questions? conference@aerbvi.org.

See you in Little Rock!

AER International Conference 2010 Program Committee
Sandy Ruconich, Chair, Utah Schools for the Deaf & the Blind
Don Golembiewski, Hadley School for the Blind
Debbie Sitar, Provincial Resource Center for the Visually Impaired
Karen Wolffe, American Foundation for the Blind
Marjie Wood, Austin Independent School District

Mobile MedLine Plus

.......The National Library of Medicine's Mobile Medline Plus builds on the NLM'sMedlinePlus Internet service, which provides authoritative consumer health information to over 10 million visitors per month. These visitors access MedlinePlus (http://medlineplus.gov) from throughout the United States as well many other countries, and use desktop computers, laptops and even mobiledevices to get there.

Wednesday, January 20, 2010

AVATAR makes SunTimes Columnist Ill

MainoMemos Blogger Quoted in Chicago Sun Times

Chicago Sun Times columnist Mark Brown’s January 20th’s column title was: “Don't be startled if 'Avatar' makes you nauseated- 3-D effects could leave you feeling like you ate a bad oyster” . ICO faculty Drs. Kelly Frantz and Dominick Maino and SUNY faculty member, Dr. Ken Ciuffreda talked to Mr. Brown about how problems with the eyes and the vestibular system may combine to make you feel sick after watching the 3D version of AVATAR. Brown noted that, “Dr. Dominick Maino, professor of pediatric/binocular vision at the Illinois College of Optometry, told me it only follows that individuals with an extreme sensitivity to motion would face the same difficulties when the big screen so closely approximates the real world. "It has to do with your peripheral vision and your system that controls your balance," Maino said. He suggested some of the people experiencing problems might be candidates for vision therapy.”
To read the full column go to http://www.suntimes.com/news/brown/2000542,CST-NWS-brown20.article or just click on the title above.