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Digest/29November2004

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Digest/29November2004

Monday, November 29, 2004

Digest for 29 November-5 December 2004

< 22-29 November 2004 • Index • 6-13 December 2004 >

Articles dated 29 November to 5 December 2004 are included in the compilation below. Their status in the current proposed review policy at time of compilation is noted next to each date of articles of some length, with articles only in development being listed at bottom.

Excessive surgeries swell Medicare costs in United States

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Excessive surgeries swell Medicare costs in United States

Wednesday, October 15, 2008

At least 10% of the increase in Medicare expenditures since the mid-1990s is due to increased rates of one type of elective surgery, according to a recent study, and many of the patients may not need it. University of California, San Francisco found that only 44% of patients who undergo an elective cardiac surgery called angioplasty get the recommended test to determine whether the procedure is appropriate.

As a result, patients may be receiving a procedure that they either do not need or for which the risk outweighs the benefit. The operation opens partially clogged arteries in patients with heart disease and the annual rate of elective angioplasties has tripled in the United States during the last decade.

Angioplasties are currently being performed at a rate of over 800,000 per year in the U.S. The average cost was $44,110 per procedure in 2004. Since the operation tends to be performed on older Americans, Medicare covers most patients and compensates US$10,000 to $15,000 for each case.

Reuters reporter Julie Steenhuysen writes that angioplasty is “big business for medical device makers including Boston Scientific Corp, Medtronic Inc, Abbott Laboratories Inc and Johnson & Johnson”. Dr. Raymond Gibbons, a professor of medicine who specializes in cardiology at the Mayo Clinic in Rochester, Minnesota, criticizes the current U.S. health care system for compensating doctors based upon procedures performed rather than for following recommended practices.

We didn’t expect to find 100 percent, but we expected a much higher percentage than 44

A stress test in which the patient walks on a treadmill is recommended to determine whether a partial obstruction impairs heart function. Although not all patients who need angioplasty are strong enough to undergo the stress test, UC San Francisco researchers were surprised that testing preceded so few of the surgeries.

Professor of medicine Dr. Rita F. Redberg told U.S. News and World Report, “We didn’t expect to find 100 percent, but we expected a much higher percentage than 44”. Dr. Redberg co-authored a report on the findings for the Journal of the American Medical Association this month.

Dr. Grace Lin, another co-author of the study, noted: “What really matters is whether or not that blockage is affecting blood flow to the heart. That is why the stress test is important.” Their research analyzed over 23,000 Medicare cases and over 1,600 commercial insurance cases.

American Heart Association president Timothy Gardner called the study “a good wake-up call” to remind medical doctors to make sure they do not perform unnecessary procedures. Dr. Gardner regards the study as evidence that many unnecessary angioplasties are being performed.

You can do a stress test every year to be sure things are normal. That is an important baseline that is being ignored all too frequently.

The study found great variation in the rate of stress testing. Geographic areas ranged from 22% to 76% with the highest rate of testing in the Northeastern and Midwestern states. Testing rates also varied by gender, with men more likely to receive a stress test than women, and by other factors including the age of the physician. Dr. Gibbons points to some of these variances as indications that some physicians may be performing angioplasties indiscriminately.

Not all physicians agree. Although the various types of stress testing usually cost a few hundred dollars instead of tens of thousands, the chief cardiologist at University of Wisconsin Hospital and Clinics Dr. Matthew Wolff notes that stress tests yield false negative results in about 10% of cases. In his opinion, doctors who rely on stress tests “are going to be missing people with severe disease.” Although he agrees that some angioplasties are unnecessary, he contends that the new study does not offer a solution to the dilemma.

The American College of Cardiology plans to release new guidelines soon to help doctors determine when a stress test is appropriate, yet the payment system lacks a financial incentive to abide by testing guidelines. Dr. Eric Topol of Scripps Translational Science Institute in La Jolla, California noted the underuse of stress tests in a study of private insurance records 14 years ago. Dr. Topol agrees that testing guidelines “should be much more clear-cut”, and adds that stress tests ought to be performed annually. “You can do a stress test every year to be sure things are normal. That is an important baseline that is being ignored all too frequently.”

Cardiologist, Dr. Anthony DeFranco of Aurora St. Luke’s Medical Center, considers stress testing to be appropriate in at most 65% of cases, since a substantial minority of patients have other health problems that prevent them from undergoing the test.

Suspects in slaying of pregnant North Dakota woman enter not guilty pleas

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Suspects in slaying of pregnant North Dakota woman enter not guilty pleas

Sunday, October 1, 2017

Both suspects in the death of Savanna Greywind have entered not guilty pleas in court in Fargo, North Dakota, United States. On Tuesday, William Hoehn, acting through his lawyer, pled not guilty to counts of conspiracy to commit murder, kidnapping, and giving false information to the police. On Thursday, his girlfriend Brooke Crews did the same, procedurally. Hoehn’s next hearing is scheduled for December and Crews’ for January.

“At this point, Ms. Crews chose on my advice not to specifically enter a plea. The judge entered a not guilty plea, procedurally to move the case forward,” Crews’ lawyer, Steven Mottinger, told the press.

Savanna Greywind, 22, whose body was found wrapped in plastic by kayakers in the Red River on August 27, was eight months pregnant when her relatives called the police to report her missing. According to court documents, the police first responded to a call at 2825 9th St. N. #2 in Fargo on August 19, and spoke to the man and woman who lived at #5, Brooke Crews and William Hoehn, but did not execute a search warrant until August 24, at which time they found Brooke with a baby girl. Hoehn would later tell police he had discovered Crews in their bathroom wiping up blood, and she showed him the infant and told him, “This is our baby. This is our family.” Crews would tell the police Greywind had given her the baby. Both told police the girl is Greywind’s daughter, and a DNA test was performed to confirm the child’s identity.

Greywind worked as a nursing assistant at the Eventide Fargo senior center in West Fargo, the Minneapolis Star Tribune reported. According to her boyfriend, Ashton Matheny, they had planned to name their daughter Haisley Jo, and had recently leased an apartment where they planned to live with their child. Now, Matheny says, he plans to move to the Spirit Lake Reservation northwest of Fargo to raise his daughter near family. He and Greywind both belong to the Spirit Lake Tribe. Ashton and Greywind’s parents were permitted to visit the child in the hospital pending confirmation of her identity, and Matheny has since been awarded full custody.

Matheny, in remarks to the Minneapolis Star Tribune, said “I’ve been waiting to be a father for a while[…] She’s the only good thing that came out of this. She looks like Savanna.”

Earlier in September, tribal leaders sent an open letter to North Dakota’s US congressional delegation with several demands regarding Greywind’s case and the violence faced by Native Americans nationwide. Among other things, they asked that the United States Department of Justice establish a cross-jurisdictional task force to establish a clear system for investigating the deaths and disappearances of Native American women.

The tribal leaders’ letter reads in part: “During the gatherings and prayers for Savanna, we heard story after story from families who also have women in their families missing or with unsolved murders[…] The murder of Savanna illustrates a much larger problem of epic proportions.”

categories Uncategorized | August 4, 2019 | comments Comments (0)

Australia’s Old Parliament House becomes heritage listed

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Australia’s Old Parliament House becomes heritage listed

Wednesday, June 21, 2006

Australian Prime Minister John Howard announced on Tuesday that Old Parliament House in Canberra has been heritage listed. It is the 31st entry on the National Heritage List.

The listing acknowledges the role the building has in shaping Australia’s culture and protects it from being modified in any way which could affect its historic value.

Old Parliament House served as the home of Australia’s parliament from 1927 until 1988, when it was relocated to the present parliament house. From 1901-1927, parliament met in Melbourne in the Victorian Parliament House (the state parliament was relocated for 26 years). Before being known as Old Parliament House, the building was known as Provisional Parliament House – as it was intended to be used for 50 years before a permanent building could be built.

In the 61 years the building was used as the seat of parliament, the government changed only seven times, and several new political parties were formed (the Liberals, Anti-Communist Labor Party, and the Australian Democrats).

Mr Howard said the building played an important part in Australia’s political history. “Old Parliament House will always be an important part of our political history with its rich collection of original furniture, art and memorabilia helping to illustrate the story of Australia’s political customs and functions,” he said.

According to Mr Howard, the National Heritage List lists sites which have helped shape the country. “The National Heritage List contains places that have played an important role in the development of our nation, such as Captain Cook’s landing place in New South Wales, Port Arthur in Tasmania and the Australian War Memorial in Canberra,” said the Prime Minister.

The building currently houses Australia’s National Portrait Gallery, and serves as a venue for receptions and exhbitions.

categories Uncategorized | August 3, 2019 | comments Comments (0)

If You Use Commercial Refrigeration In Red Oak Tx You Want To Keep It Well Maintained

Get More Information Here:

byAlma Abell

You will make use of commercial refrigeration Red Oak, TX if you own or operate a grocery store or a restaurant. There are a variety of types that you can pick from and which ever kind you use will need professional installation for it to operate properly. Once it is installed, the unit will also need to be maintained so that you are sure not to lose the inventory you keep in there. If your refrigeration goes out, you will have a very hard time and you can not only lose inventory you will lose business.

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You will want a company that specializes in commercial refrigeration Red Oak, TX to help you keep your system operating at peak efficiency. You will want a company that is able to work on walk-in freezers, walk-in coolers, all sorts of refrigeration and can set you up on a coil repair and maintenance schedule. By having your commercial refrigeration system inspected regularly, you will know that you have the proper amount of coolant and that all the parts of your system are working. Any wear will be reported to you so that you can establish a time for repairs or replacement parts to be installed.

Whether you are about to have a new commercial refrigeration unit installed or just need a company to provide preventative maintenance or are in need a unit repaired, you will need to do some research so that you know you are getting a company that has all of the needed skills. You will also want to make sure they charge a fair price and aren’t trying to inflate their rates. You will be best served if you find a company that has factory trained techs and a good rating with your local Better Business Bureau.

No company will operate completely complaint free but you want a company that makes sure that complaints are resolved quickly and professionally. This is something that the BBB keeps records of. You can also find information about local companies on the Internet these days. You can find reviews by those that make use of a company’s services. Doing your due diligence can save you headaches and money in the long run. Visit website for more information.

categories Equipment | July 12, 2019 | comments Comments (0)

Category:Featured article

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Category:Featured article
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Featured articles are selected by the community to represent the best of Wikinews. See the Featured Article Candidates page for nominations and discussions of candidate articles for this page. Or, subscribe to the RSS feed!

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News briefs:June 18, 2006

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News briefs:June 18, 2006

The time is 22:00 (UTC) on June 18th, 2006, and this is Audio Wikinews News Briefs.

Contents

  • 1 Headlines
    • 1.1 Author claims Al Qaeda planned to gas New York’s subway system
    • 1.2 Legality of NSW traffic and parking fines to be tested in court
    • 1.3 Croatia and Japan share point in Group F
    • 1.4 Brazil beat Australia with two second half goals in Group F
    • 1.5 Romania lose 62-14 to France in rugby
    • 1.6 Argentina defeat Wales 45-27 in rugby
    • 1.7 South Africa defeat Scotland in second rugby test
  • 2 Closing statements

categories Uncategorized | July 5, 2019 | comments Comments (0)

China strikes first gold in 2012 Summer Olympics

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China strikes first gold in 2012 Summer Olympics

Monday, July 30, 2012

File:2012 Olympic Medals.jpg

Yi Siling, a Chinese shooting competitor nicknamed the “Shooting Beauty” in China, won the first gold medal awarded at the 2012 Summer Olympic Games held in London. Teammate Yu Dan received the bronze medal, and Poland’s Sylwia Bogacka earned the silver in Saturday’s women’s 10 metre air rifle final competition.

Bogacka was the leader midway through the final, but shot a 9.7 in the eighth round. Yi shot 10.7 in that round, then fired solid 10.3 and 10.5 shots afterwards, and finished with a total of 502.9 points. Bogaka shot an almost perfect 10.8 in her final attempt, finishing second with 502.2 and besting Yu, third with 501.5.

Yi, also the Asian Games champion, earned her quota spot by winning the 2010 Munich world women’s 10-metre air rifle championship. The 23-year-old left-handed shooter from Guangdong province has been competing for China since 2009.

China’s gold and bronze mark the first time in 24 years a team has won two medals in the event.

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Jawbone found in Aruba is not Natalee Holloway’s

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Jawbone found in Aruba is not Natalee Holloway’s

Thursday, November 25, 2010

A jawbone found in Aruba is not that of missing American Natalee Holloway, who was a recent high school-graduate at the time of her disappearance. Officials confirmed the news after Dutch scientists completed tests on the bone. The jawbone, which also had a wisdom tooth with it, was found by an American tourist close to the Phoenix Hotel. A second bone had also been found by another tourist earlier this month.

The bone was sent to the Netherlands Forensic Institute where scientists completed tests. They compared the bone to dental records given to them by Natalee’s father, from which they confirmed the the bone was not that of Natalee, although it was human. It was said to be unlikely that the bone was Holloway’s as there is no physical evidence that she was murdered.

Beth accepts the forensic conclusions, is emotionally exhausted from the inexplicably long wait, and deeply disappointed in the time and manner in which she learned of the results.

Taco Stein, the Aruban Solicitor General, released a statement after the announcement was made. He commented on the speed of the identification; he said that they had quickly ruled out Holloway because her records had shown that she had her wisdom teeth previously removed.

Tim Miller, the Director of the Texas EquuSearch, released a statement after talking to Natalee’s father. He said “Dave [Natalee’s father] has been in contact with Aruban authorities and spoke with FBI this morning, the agent working the case. Dave believes it is Natalee.”

An attorney for Natalee’s mother, Beth Twitty, released a statement saying “Beth accepts the forensic conclusions, is emotionally exhausted from the inexplicably long wait, and deeply disappointed in the time and manner in which she learned of the results.” He commented on the Aruban authorities saying that “Apparently Aruban prosecutors were more sensitive to media concerns than the painful vigil of a mother.”

Natalee Holloway disappeared on the island in 2005 while on a school trip. She was last seen leaving a nightclub with three men, one of which was later identified as Joran van der Sloot. Van der Sloot was detained twice by police but has never been charged with Holloway’s disappearance. He is currently in Peru facing a different murder charge. Aruban authorities have said that they are checking neighboring islands to find a match for other missing persons.

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Viktor Schreckengost dies at 101

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Viktor Schreckengost dies at 101

Sunday, January 27, 2008

Viktor Schreckengost, the father of industrial design and creator of the Jazz Bowl, an iconic piece of Jazz Age art designed for Eleanor Roosevelt during his association with Cowan Pottery died yesterday. He was 101.

Schreckengost was born on June 26, 1906 in Sebring, Ohio, United States.

Schreckengost’s peers included the far more famous designers Raymond Loewy and Norman Bel Geddes.

In 2000, the Cleveland Museum of Art curated the first ever retrospective of Schreckengost’s work. Stunning in scope, the exhibition included sculpture, pottery, dinnerware, drawings, and paintings.

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