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Tattoo: Without Struggle there is No Progress

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Quotes Tattoo Without Strugle there is No Progress

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How Managerialists Turned Housestaff Training into a Zero-Sum Game: the Continuing Saga of the FIRST and iCompare Studies

A ongoing controversy about two controlled trials (FIRST and iCompare) meant to test the bizarre hypothesis that sleep depriving medical housestaff (that is, physicians in training) would improve health care provided new evidence that academic medicine has been captured by managerialists . Background: the Controversy about the FIRST and iCompare Housestaff Sleep Deprivation Trials In early December, 2015 we posted about two clinical trials, FIRST and iCompare, designed to test the hypothesis that increasing housestaff sleep deprivation would improve care continuity, and thus somehow improve housestaff their performance and their patients' outcomes. Not only did the studies' hypothesis seem strange, but the studies seemed to violate fundamental rules of research ethics. Study investigators proceeded without obtaining formal informed consent from their house staff or patient research subjects, and did not allow any research subjects to opt out without penalty (e...

DaVita Settles Another Lawsuit Amidst Accusations of "Managing Witnesses to Provide False Testimony," After Justice Department Lost Interest in Participating

The Latest Case Less than a year since its last big settlement (look here ), DaVita HealthCare Partners, the big for-profit dialysis provider, has to settle again. The basics, according to the Denver Post , were: DaVita HealthCare Partners said Monday it will pay up to $495 million to settle a whistle-blower lawsuit accusing the Denver company of defrauding the federal Medicare program of millions of dollars. The company, which said it does not admit any wrongdoing, has now settled its third whistle-blower lawsuit since 2012, with payouts totaling nearly $1 billion. The civil suit, filed in Atlanta in 2011, revolves around a claim by Dr. Alon J. Vainer and nurse Daniel D. Barbir, who both worked for DaVita. They noticed that DaVita was throwing out good medicine that it then billed Medicare and Medicaid for, according to the lawsuit . The details of the allegations about how the government was defrauded were: The lawsuit cited DaVita's inefficient use and cos...

Tips for healthy eating

1. Eat a variety of nutrient-rich foods. You need more than 40 different nutrients for good health, and no single food supplies them all. 2. Enjoy plenty of whole grains, fruits and vegetables. 3. Maintain a healthy weight – not too fat, not too thin. The weight that’s right for you depends on your sex, height, age and heredity. 4. Eat moderate portions. (The recommended cooked meat portion is 3 ounces, about the size of a deck of cards.) 5. Eat regular meals. Skipping can lead to out-of-control hunger, and overeating. 6. Reduce, but don’t necessarily eliminate certain foods. The key is moderation. 7. Know your diet pitfalls. To improve your eating habits you need to know what’s wrong with them. 8. Make changes gradually. Remedy excesses or deficiencies in your diet with modest changes that can add up to positive, lifelong eating habits. Source http://www.bluemountaineagle.com/news/local_news/tips-for-healthy-eating/article_c736a81e-5af9-11e0-8b0c-001cc4c03286.html

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