Archive for February, 2007

hpv – save the cheerleader – save the world – vaccinate your daughters – VOTE IN THE POLL

Wednesday, February 28th, 2007

 Cool   Every family should consider the vaccination program for the prevention of HPV induced cervical cancer and HPV induced genital warts.  All females over age 12 should talk with their doctor about this miraculous preventative program which reduces cervical cancer and genital warts risk.    Bye    

 

  http://www.castmd.com/?p=124

 

VOTE IN THE VACCINATION POLL IN THE RIGHT MARGIN BELOW BLOG CATEGORIES

BIOPHARMACEUTICALS AND GENERIC DRUG POLICY – GENERIC SAFETY EFFICACY PURITY – LEGISLATING WHEN A GENERIC IS A GENERIC?

Wednesday, February 28th, 2007

 

Biopharmaceutical “generics” controversy continues on Capitol Hill.  Manufacturers say that the biopharmaceuticals cannot be guaranteed of safety, potency, and purity in the generic sense, since they are proteins and other biological type medications.  This is quite different from the many generic forms of other drugs, such as aspirin, penicillin, and other chemical drugs. 

Why is this such a big deal? 

Biopharm prices are considerable higher than chemical drugs.  Of the $252 billion dollars spent on prescription medicines in 2005, $33 billion was biotech-biopharm types of medicines. All med sales grow about 5-6 % per year, whereas the biopharm group grows about 3 times that rate. The top three selling biopharm meds were neupogen, epogen, and intron A – with costs at about 15, 20, and 22 thousand dollars per patient per year. Imiglucerase, an enzyme drug, will cost about 200,000 dollars per patient per year.  

Large carriers such as Kaiser and others are seeing astronomical increases in these drug costs.    Medicare estimates for drug plans estimated at 395 billion, now is over 650 billion over the ten years initial estimates. 

 In the generic marketplace, drug costs have been reduced about 50-70 percent in general.  However, this truly sensical process may be difficult to add to generic follow-through biotech group of biopharmaceuticals. How will the abbreviated new drug application be changed to allow “generic” or “follow-through” biotech biopharmaceuticals to progress faster to FDA approval?  Certainly, the savings for guaranteeing the purity, safety, and efficacy of the biopharmaceuticals may not be as great.  The big issue still remains whether the profits from “open season” on the off patent biopharmaceuticals will allow for continued research and development for newer and unique and orphan type biotech drugs that will save patients and save money.   

The baby boomers are passing through the biopharmaceutical turnstile now, and with growing numbers. 

How the 1984 Hatch-Waxman Act (Drug Competition and Patent Term Restoration Act) will change and what effect any change will have is to be determined as of yet.  This law allowed rapid development and approval of chemical drugs for generic distribution after patents expired on known brand name drugs. 

 

(Commentary by castMD with adaptation from:  Fuhr & Blackstone's article in Biotechnology Healthcare)  

 

HPV VACCINE – CERVICAL CANCER PREVENTION – GENITAL WARTS PREVENTION – REVISITED – VACCINATION IS HIGHLY EFFECTIVE WHY WAIT?

Tuesday, February 27th, 2007

CDC’s Advisory Committee Recommends Human Papillomavirus Virus Vaccination                         GARDASIL now available !!!!

CDC’s Advisory Committee Recommends Human Papillomavirus Virus Vaccination Vaccine considered highly effective in preventing infections that are the cause of most cervical cancers.

The Advisory Committee on Immunization Practices (ACIP) voted Thursday to recommend that a newly licensed vaccine designed to protect against human papillomavirus virus (HPV) be routinely given to girls when they are 11-12 years old. The ACIP recommendation also allows for vaccination of girls beginning at nine years old as well as vaccination of girls and women 13-26 years old. HPV is the leading cause of cervical cancer in women.

According to the ACIP’s recommendation, three doses of the new vaccine should be routinely given to girls when they are 11 or 12 years old. The advisory committee, however, noted that the vaccination series can be started as early as nine years old at the discretion of the physician or health care provider. The recommendation also includes girls and women 13-26 years old because they will benefit from getting the vaccine. The vaccine should be administered before onset of sexual activity (i.e., before women are exposed to the viruses), but females who are sexually active should still be vaccinated.

“This vaccine represents an important medical breakthrough,” said Dr. Anne Schuchat, director of CDC’s National Center for Immunization and Respiratory Diseases. “As a result, these vaccine recommendations address a major health problem for women and represent a significant advance in women’s health. It has been tested in thousands of women around the world and has been found to be safe and effective in providing protection against the two types of HPV that cause most cervical cancers.”

Gardasil®, manufactured by Merck, is the first vaccine developed to prevent cervical cancer, precancerous genital lesions and genital warts due to HPV — `HPV causes genital warts in men and women. The vaccine is highly effective against four types of the HPV virus, including two that cause about 70 percent of cervical cancer. Those who have not acquired HPV would get the full benefits of the vaccine. On average, there are 9,710 new cases and 3,700 deaths from cervical cancer in the United States each year.

HPV is the most common sexually transmitted infection in the United States, More than 20 million men and women in the United States are currently infected with HPV and there are 6.2 million new infections each year. HPV is most common in young women and men who are in their late teens and early 20s. By age 50, at least 80 percent of women will have acquired HPV infection.

“Although an effective vaccine is a major advance in the prevention of genital HPV and cervical cancer, it will not replace other prevention strategies, such as cervical cancer screening for women or protective sexual behaviors,” said Dr. Schuchat “Women should continue to get pap tests as a safeguard against cervical cancer.”

The ACIP, consisting of 15 members appointed by the Secretary of the Department of Health and Human Services (HHS), advises the director of CDC and Secretary of HHS on control of vaccine-preventable disease and vaccine usage. Recommendations of the ACIP become CDC policy when they are accepted by the director of CDC and are published in CDC’s Morbidity and Mortality Weekly Report (MMWR). There are no federal laws requiring the immunization of children. All school and daycare entry laws are state laws and vary from state to state. (from: Summer 2006)

For the lastest directly visit:  http://www.cdc.gov/std/hpv/

CASTMD GETS A DIET COKE

Monday, February 19th, 2007

CASTMD needs a short break, and leaves you with a shout out to the sponsors.  Thanks for reading and enjoy !

 

BLURKER ADDICTION AND BLOGGER BEHAVIOR BLURKER ANONYMOUS SCREENING AND CONFIRMATION – NEED A PROFESSIONAL?

Sunday, February 18th, 2007

BLURKER ANONYMOUS SCREENING (CAGE)

  • Have you ever thought you ought to Cut down on your blog entries or blurking?
  • Do you feel Annoyed at criticism of your blog writing or blurking?
  • Do you feel Guilty about your blog writing or blurking?
  • Do you ever take an Early-morning look (eye-opener) at your latest blog favorite or use blogging or blurking upon awakening  (”a little hair of the dog that bit you”) to start the day or to feel better?

IF YOU ANSWERED ONE OR MORE “YES” TO THE  ABOVE SCREENING TEST – CONTINUE TO THIS CONFIRMATORY EVALUATION . 

BLURKER ADDICTION CONFIRMATION SYSTEM ®

Eating meals alone while blurking or blogging

Rereading your blog or your latest entries

Rereading your favorite blogs

Trying to stop reading blogs

Considering group meetings for bloggers

Realizing your world is centered on your favorite blogs

Wondering repeatedly what writing an entry would be like

Time with family and friends are limited

Sneaking away to check your favorite blogs

Do you check your blog stats over once per day

Do you wonder in moments of calm who might be seeing your blog

Not owning up to the problem of the continuous blurker

Family members want to call a “confrontation” meeting

Limited showers and shaving while eating at the computer

Occasional outbursts of solo-laughter discussed by others in your life

Anxiety and panic arrive when you cannot blurk

Anxiety and panic arrive when you cannot hit “submit”

Anxiety and panic heightens when reading the submit “verify code” letters

Computer failure makes you go to the public library to “check out a book”

Computer server failure makes you just sit in disbelief

Now realizing you have blogger-buddies, you want a festive gathering to touch and appreciate them  

Your children ask your spouse or significant other who the stranger is while looking at you

Your complete social circle has changed

And your only means of conversation must be in blog format. 

GRADING SYSTEM 

0 – 2                             LOW RISK

3 – 5                             MOD RISK

6 – 10                           HIGH RISH

11 – 15                         EXTREME RISK

> 15                         COUNSEL/INPATIENT  
         

www.blurkeranonymous.com

castmd readies for hbo-"blogfest 2007"

Saturday, February 17th, 2007

horses fed, defibrillator check, aliquots verified

dr j prepares for medical "standby" at the "HBO BlogFest 2007"

never knowing what lies ahead – yet always prepared

castmd.com turns first anniversary

Tuesday, February 13th, 2007

 

Thanks to all readers, thinkers, blogophiliacs, brainiacs, and compulsory castMD critics.  Just as we remember the days, we remember moments. 


happy valentine's day from www.castMD.com

castMD.com will continue to decipher the elusive probability from the oh so common possibility in the world of risk on the blogosphere…

vote hillary – intowin or INTOSPIN

FIBER — ADDING SOLUBLE FIBER — DIETARY FIBER SAVING YOUR HEALTH AND YOUR MONEY PREVENTATIVE MEDICINE OR DISEASE ALTERNATIVE MEDICINE OR THE ALTERNATIVE

Thursday, February 8th, 2007

Traditional paradigms in health care continue to treat the disease after it is diagnosed.  Many times preventative models are refused payments by health insurance companies.  Meanwhile, the life insurance companies understand the decreased "risk" of preventative modalities, such as reduced smoking, reduced sugar intake, reduced weight, increased exercise, and other health producing activities.  Our system still continues to focus on reacting to the disease, rather than preventing the disease.  Some major players have made a dent, such as Andrew Weil at the University of Arizona.  In other words, should everyone have a full-body CT and 4 body-area ultrasound for screening.

Hippocrates, the Father of Medicine, taught that the highest priority of treating a patient's disease is to "do no harm." By not having the disease in the first place, little or no harm can be done…and it is cheaper.

The costs of treating disease is much greater than the cost of preventing it. Think how much cheaper it is to keep from having a heart problem than from paying the costs of coronary care.

Soluble fiber can help prevention models.  Proven benefits of increasing fiber in your diet follows:

Lipid control and improvement

Diabetes control

Weight management

Hypertension control

Coronary heart disease improvement

Cancer prevention assistance

Gastrointestinal and motility improvements.

Fiber can assist in reducing constipation with better bowel regularity.  Hiatal hernia, food intolerances, and hemorrhoids can also benefit from high soluble fiber supplementation.

Limited but more so, almost no probability of risk exists with soluble fiber.  There are no blood tests to do.  No significant toxicity or bad reactions have been reported with fiber supplements when used properly.  No drug-drug interactions occur with soluble fiber.  However, delay of absorption can occur with fiber if take at the same time as your regular medications.  (Talk with your own doctor always before starting any herbal, supplement, new otc medicine or dietary plan.)  No significant side effects exist with fiber consumption.  No legal considerations are linked to fiber use.  Fiber complements alternative therapies to treating disease.

Fiber, especially soluble fiber, promises a preventative health care approach, shifting the traditional paradigm to proactive from reactive.  This shift is from treating disease to preventing disease – from illness to wellness.

In summary:

Traditional health care treats the disease after it shows up.

Changing treatment of disease to the prevention of disease is a paradigm shift in health care.

Dietary fiber supports the prevention of disease, paradigm shift from traditional health care.

How much soluble fiber and the co-existence of major diseases will be discussed in upcoming  www.castMD.com  blogcasts.  

Now, go and spread the fiber word….