Friday, June 21, 2013

Gerard Butler on the Tonight Show With Jay Leno


Just because you like pictures of Gerard Butler. Here’s another one.

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Charges Vary Widely From Hospital to Hospital: FAQ

stethoscope and money roll

May 31, 2013 -- Major joint replacement surgery costs $128,000 at a hospital in San Francisco and $59,000 at one in Chicago. Post-heart attack care ranges from $34,000 in a Little Rock facility to $81,000 in a Miami hospital.

The wide variation in pricing among U.S. hospitals became public when the federal government recently released prices charged by more than 3,000 hospitals. The Department of Health and Human Services (HHS) said it released the data to fulfill a mandate of the Affordable Care Act to bring more transparency to hospital pricing practices.

Yet, do these numbers really help people save money and make more informed health care choices?

WebMD went to a health care economist, the American Hospital Association (AHA), and the HHS for answers. 

What does the information on hospital pricing show?

The HHS data shows the prices hospitals in different markets charged in 2011 for the 100 most common inpatient services for Medicare patients. It also shows what the government paid to the hospitals for those services. The numbers are rarely the same.

Medicare sets a fixed payment rate for the overall type of service or treatment, such as joint replacement surgery, as opposed to the number of times a doctor sees a patient or the number of procedures a patient receives during one hospital stay. This is known as paying by episode. The rate it pays varies by hospital. Things affecting that rate include the number of low-income or sicker people the hospital serves and whether the hospital is an educational teaching facility.

Why is there such a big cost difference for the same services?

Hospital rates are based on a number of factors, according to the American Hospital Association, including:

Scope of services providedWhether the hospital serves a large portion of poorer and sicker patientsCommunity reputation of the hospital

The difference in costs between one hospital and another is a "byproduct" of the marketplace, says the AHA.

Caroline Steinberg, the AHA's vice president of trends analysis, believes the focus should shift from pricing to what hospitals actually collect for their services. Medicare and private insurer payments to hospitals are typically far lower than the stated cost. Medicare sets the rate of reimbursement, even though it adjusts the rates according to factors like the number of poorer people the hospital serves, Steinberg says.

But economist William Custer, PhD, director of health services research at the Institute of Health Administration at Georgia State University, says these factors can't explain the cost variations. 

"Hospitals have historically set prices based on their own methodology. One hospital can set prices three times greater than another; there's no real pattern," says Custer. "If we had a healthy health services market, you would expect those prices to be much closer aligned."


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Brain Differences Seen in People With Migraines

MRI study suggests changes occur in areas associated with painIn research involving patients with migraine with

By Amy Norton

HealthDay Reporter

TUESDAY, March 26 (HealthDay News) -- People who suffer migraines may have certain structural differences in pain-related areas of the brain, a new study suggests.

Using MRI scans, researchers found that in specific brain regions related to pain processing, migraine sufferers showed a thinner and smaller cortex compared to headache-free adults. The cortex refers to the outer layer of the brain.

It's not clear what it all means. But the researchers suspect that certain aspects of brain development may make some people more vulnerable to developing migraines -- and that migraine attacks create further changes in the brain.

The surface area of the brain "increases dramatically" during fetal development, while the thickness of the cortex changes throughout life, explained senior researcher Dr. Massimo Filippi.

"We speculate that migraine patients might have a sort of cortical 'signature' -- abnormal cortical surface area -- which could make them more susceptible to pain and abnormal processing of painful stimuli," said Filippi, a professor of neurology at the University Vita-Salute's San Raffaele Scientific Institute in Milan.

Once migraines develop, they may alter the thickness of the brain's cortex, Filippi explained.

A neurologist who was not involved in the study said it "adds to the growing body of knowledge that patients with migraine have brains that not only function differently, but may actually look different structurally as well."

That's important because it helps "legitimize" migraine as a neurological disorder associated with "real structural changes in the brain," said Dr. Matthew Robbins, of the Albert Einstein College of Medicine and Montefiore Headache Center, in New York City.

Worldwide, an estimated 11 percent of people have had a migraine in the past year. Migraines typically cause intense, throbbing pain on one side of the head, along with sensitivity to light and sound, and sometimes nausea and vomiting.

About 30 percent of people with recurrent migraines also have sensory disturbances right before their head pain hits. Those disturbances, known as "aura," are usually visual -- like seeing flashes of light or blind spots.

No one knows precisely what causes migraines, but they do seem to involve abnormal brain activity and -- like the new study suggests -- abnormal brain structure.

The findings, published online March 26 in Radiology, come from MRI scans of 63 adults with migraines, and 18 migraine-free men and women.

Filippi's team found that the migraine brain was complicated. In some areas, the cortex was thicker, but in others -- including pain-processing areas -- the cortex was thinner, versus migraine-free adults.

And there were also differences among migraine sufferers. The exact location of the cortex abnormalities tended to differ between the half of patients who had aura and the half who did not.

According to the researchers, those structural differences might help explain why the two forms of migraine manifest differently.


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Sunless Tanners Still a Tough Sell, Survey Finds

Sunless Tanners Still a Tough Sell, Survey FindsDespite health risks associated with tanning, many young women still prefer the real thinghttp://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/article_thumbnails/news/healthday/2013/05/tanning.jpgWebMD News from HealthDay

By Alan Mozes

HealthDay Reporter

THURSDAY, May 30 (HealthDay News) -- In their pursuit of a golden glow, young American women say that beauty concerns, not health worries, will determine how willing they are to use so-called sunless tanning products, a new survey finds.

The poll of 182 white female college students (just shy of 20 years on average) gets at the heart of a public health quandary: Warnings about the long-term health risks associated with sun-worshipping pale in comparison with the powerful drive to conform to the current norms of beauty.

"It's a question of confidence," said study lead author Jeong-Ju Yoo, an assistant professor of family and consumer sciences at Baylor University in Waco, Texas. "Sunless tanning products like bronzers, tanning creams or lotions are a much safer alternative to accomplish tanned skin than the use of tanning beds or the sun outdoors."

Consumers are reluctant to adopt these products because they're not convinced they'll get the result they want that way, said Yoo. "And because even though actual tanning is not perceived as safe, it has a clearly perceived benefit of being an easier and more familiar way to get the look and color people want," he added.

Excess sun exposure can lead to skin cancer. Rates of melanoma -- the potentially deadly form of skin cancer -- have risen in the United States for three decades, according to the American Cancer Society. Among young adults, melanoma is one of the more common cancers. Basal cell and squamous cell skin cancers, which are usually benign but can be disfiguring, are also increasing.

Alarms about skin cancer risk and premature aging from unprotected ultraviolet (UV) sunlight exposure, indoors or outdoors, fall on deaf ears. Tanning booths are frequented by upwards of 1 million Americans, with the American Academy of Dermatology Association, which opposes their use, estimating nearly 70 percent of such users are women, most between 16 and 29 years of age.

Sunless tanning products -- lotions, gels, creams and pills associated with risk-free bronzing -- are considered a potential solution. Already, Americans account for half of all over-the-counter self-tanning product sales worldwide. But Yoo's survey results suggest that getting the majority of women to make the switch remains an uphill battle.

Yoo, who outlined his findings in a recent issue of the journal Household and Personal Care Today, found that women seem to view sunless tanning as a cosmetic "complement" to UV exposure, rather than a wholesale substitute.

Concerns that fake tanners could result in a streaked or unnatural-looking tan were generally found to trump any health motivations that might drive women to seek out sunless alternatives. Bronzers, often considered a cosmetic rather than a self-tanning product, were regarded more favorably than other types of tanners.

// init webmdArticle pluginrequirejs(['article/1/article'],function(){$('#dyn-art').webmdArticle({pageData: {title: "Sunless Tanners Still a Tough Sell, Survey Finds", imgPath: "http://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/article_thumbnails/news/healthday/2013/05/tanning.jpg", caption: "", description: "Despite health risks associated with tanning, many young women still prefer the real thing", type: "article"}});});Are you happy with your skin?

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Health Tip: Stretch Before and After Exercise

Title: Health Tip: Stretch Before and After Exercise
Category: Health News
Created: 3/25/2013 8:35:00 AM
Last Editorial Review: 3/25/2013 12:00:00 AM

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Cigarette 'Relighting' on Rise in Still-Tight Economy

Title: Cigarette 'Relighting' on Rise in Still-Tight Economy
Category: Health News
Created: 3/22/2013 2:35:00 PM
Last Editorial Review: 3/25/2013 12:00:00 AM

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Is my blood glucose too low?

So my blood was tested and my doctor left a message saying that my blood glucose number was 58 which is abnormal. However, I have no idea what this means or if it is serious or moderate. I have been feeling some of the common signs of low blood sugar for a while since my weight has dropped so much. I'm 79 pounds, 15 years old.


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Simon Cowell to testify against Cheryl Cole in court?


Simon Cowell could be forced to testify against Cheryl Cole if she appears in court to sue producers of the X Factor USA.

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Picky Eating in Youngsters Might Be Largely Caused by Genes

Title: Picky Eating in Youngsters Might Be Largely Caused by Genes
Category: Health News
Created: 3/22/2013 12:36:00 PM
Last Editorial Review: 3/25/2013 12:00:00 AM

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Protein intake & weight loss

Now, I know this question has been asked to death, but I'm wondering if anyone can tell me if I'm taking a good approach to things. I'm a 21 year old female, 5'11", 175ish lbs and a collegiate athlete who's trying to get back into shape after ankle reconstruction last summer. I've been vegan for almost 3 years now and am mostly happy with how I feel with those eating habits, but after tracking my calories I've noticed my protein intake is really very low, especially considering I'm an athlete who needs to maintain, if not add to, my muscle mass. I'm currently trying to lose a bit of extra weight, so not add any muscle at the moment. In the past three or four days, I more than doubled my protein intake (to 90-100g/day) with a combination of whole foods and supplemental (vegan) protein shakes. 
I'm wondering a couple of things. First, as I'm still trying to heal my ankle while simultaneously train for the fall season, will increased protein be beneficial to that healing process? Is it a bad idea to up the intake so suddenly? And finally, will the increased protein really change much at all?


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James Franco arrives at the Late Show With David Letterman in New York


The object of our undying affections, the incontestably babely James Franco, was un-phased by the hordes of crowds who turned up to catch a glimpse of him as he arrived at the Late Show With David Letterman in New York yesterday

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Celebrating cancer survivors

Patrick J. Skerrett
Posted May 31, 2013, 10:45 am National Cancer Survivors Day Logo

This weekend, I’m planning to celebrate something I share with nearly 14 million Americans: we’re cancer survivors.

Sunday, June 2, is National Cancer Survivors Day. It was started 26 years ago as a way to recognize and support people living with cancer. The foundation that organizes the yearly event defines survivor as “anyone living with a history of cancer – from the moment of diagnosis through the remainder of life.”

When it comes to survivorship, I’m very lucky. I was diagnosed with cancer in 1978, and again in 1993. The diagnoses, treatments, and aftermaths are something of a blur, though I vividly recall the fear I felt and the support I received. Not long after my second go-round with cancer, I got married and was soon blessed with children. Today I feel like an average middle-aged guy—though the dark shadow of cancer lurks in the back of my mind, and occasionally generates a flicker of fear that the crab could appear again.

National Cancer Survivors Day offers survivors and their family members and friends a chance to acknowledge the hard work that goes into fighting cancer and to show the world that survivors can live fulfilling lives.

The day is observed in many different ways. Around the U.S. and in 18 other countries, community groups, hospitals, and other organizations hold breakfasts, picnics, walks, fun runs, and other activities.

I’m not much of a joiner. Instead, I’ll take some time to reflect on my past and my present, and how living with cancer has shaped my life. I’ll also pray for all those whose lives have been cut short by cancer, and for the family members and friends who miss them.

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Jennifer Hudson at the Weight Watchers 50th anniversary party


Jennifer Hudson wears a black top and a gold bandage skirt at the Weight Watchers 50th anniversary party - vote on celebrity fashion, style and red carpet looks in GLAMOUR.COM’s Dos and Don’ts

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