Catherine DeAngelis resign or not?

there is a investigates,should Catherine DeAngelis resign?
The water engulfing JAMA’s editor-in-chief Catherine DeAngelis is getting hotter.
A recap is here, but the Jonathan Leo flap, and subsequent response, is not going away as JAMA hoped it would.The WSJ reports that AMA, which normally does not interfere in the editorial decisions of the journal, has asked its Journal Oversight Committee to look into the matter.
Over at Respectful Insulance, academic surgeon-blogger Orac has a pretty harsh critique on the proceedings. He writes that, “thuggish behavior such as that demonstrated by Catherine DeAngelis. coupled with her hypocrisy in bragging about how well JAMA polices its COI [conflict of interest] policy while leaning on an investigator who expressed legitimate concern about it is unacceptable. Worse, this appears to be a pattern of abusive behavior that risks completely undermining all the good she’s done in terms of pushing for more openness in reporting COIs.”
As I wrote before, an apology from both JAMA and Dr. DeAngelis would have stemmed the tide, and that, “like how hospitals have dealt with medical errors, they could have used this event to improve their conflict of interest policies, and make their reviews more transparent.”
Instead, their response was wholly inadequate, and only reinforced the misguided notion that JAMA was immune to criticism, and worse, sought to preempt any future dissent.Is it too late for an apology? Maybe, but the longer this drags on, the stronger the calls will be for Dr. DeAngelis to resign.
but how do you to call it?

Jerked Chicken and Plantain Kebabs

I’ll talk you something about Jerked Chicken,keep our health as falling away bad food,they haven’t any nutrition,like a cap of cheaper coffee.
1. Prepare charcoal or gas grill, or preheat broiler.
2. To make salsa, stir together all salsa ingredients, plus minced red onion. Set aside.
3. On 8 long skewers, thread chicken, plantains and chunks of red onion. Rub with jerk seasoning and cumin. Place on grill or under broiler and cook, turning once, about 6 minutes per side or until chicken is firm and cooked throughout and plantains and onions are tender.
4. Serve skewers with salsa and rice.
8 boneless chicken thighs, cut into 2-inch chunks
2 ripe plantains, sliced into 1-inch pieces
1 red onion, cut into 2-inch chunks; 1 chunk minced
2 tablespoons jerk seasoning
1 teaspoon cumin
Hot cooked rice for accompaniment
Papaya-Avocado Salsa:
2 ripe avocados, diced
1 cup diced papaya
2 tablespoons lime juice
1 teaspoon orange zest
2 tablespoon orange juice
1 teaspoon jerk seasoning
1/4 teaspoon salt
there is a article about make pineapple chicken teriyaki by youself

the way of making Royal Icing

it is important that Be prepared for a sticky mess if your bag leaks, or if you get this on your hands.
Here’s a recipe for that glue-like icing that is used to hold pieces of gingerbread houses together. It can also be used to hold any kind of food craft together, like an edible faerie house. It will dry rock-hard and provide a very good adhesion between the porous cookie surfaces.
Sift the sugar into a bowl. You “can” skip this step, but you risk getting lumpy icing if you do.Separate your egg whites into a bowl.Add the egg white(s) and stir until your desired consistency is reached. The consistency of peanut butter works well for gingerbread houses and similar edible construction projects.
Place the icing in an icing tube for easiest application. You can use two zip lock freezer bags if you have no icing tube handy. Simply put the icing in a bag, seal it, then place the bag inside the second freezer bag, and seal it as well. Snip the corner(s) to allow the icing to ooze out, and treat it as if it were an icing tube.
Remove any extra drips or bits while the icing is still pliable, as it is very difficult to remove once it has dried and hardened.

are you tortured by Bursitis?

Are you tortured by Bursitis?and  you should find out them,and kill them.
When the bursae are working right, you’d never know they were there! But when something’s not right with even one little sac of fluid, you’ll know it. Pain is the number one symptom of bursitis — and it’s a pain that comes and goes.
Bursae are little sacs of fluid throughout the body. There are eight bursae around each shoulder and eleven around each knee. Each side of the body has dozens of bursae that help your joints work without friction and pain.
Here are two ways that can help ease the pain of bursitis:
If the problem joint is an elbow or shoulder, try swinging your arm for a few minutes. This will help you maintain range of motion. Swing back and forth, side to side, and in circles; repeat throughout the day.
If the joint is hot to the touch, apply ice. Try ten minutes with the ice on, then ten minutes with the ice off the joint. Alternate for as long as the area is hot to the touch.
I hope everyone can escape from the Bursitis and other disease.

take care you foot,please!

In general, children who have not reached puberty are not likely to develop athlete’s foot. So if your wee one is suffering, athlete’s foot is probably not the cause.
Athlete’s foot is caused by a fungus that likes warm, moist territory — like the conditions found in a lot of shoes. But not all itchy, red, rashy feet are suffering from athlete’s foot. There are other conditions that may look or feel like the real thing… but aren’t.
If your feet are red, swollen, sore, and blistered, you may have an allergic reaction on your hands — not athlete’s foot. (Athlete’s foot generally doesn’t leave you with blisters, though there is a rare variant that does come with blisters on the instep.)
Eczema can cause an identical rash on both feet. If your case of athlete’s foot looks exactly the same on your left and right feet, it may be eczema instead.
No matter what your foot problem is, it’s not a bad idea to dry your shoes carefully between outings. Moist shoes encourage fungal growth! Swap shoes so you aren’t wearing the same pair every day. Use a blow dryer to air out the insides of your shoes. You can also use a spray disinfectant on your shoes (especially the insides) to kill off any bacteria or fungus spores.
if you have any Trouble，you cango to medical school or  visit a docter.

Health Proposal Reflects Consensus

  The proposal is consistent with plans outlined by President Obama and key congressional Democrats, said three people familiar with the report, who spoke on condition of anonymity because the report isn’t yet public. That reflects a broad consensus on the big picture approach to the problem and could give the legislation some extra juice.
  Still, the effort shows just how difficult it will be to overhaul the health care system. It sidesteps the most controversial questions in the debate, people familiar with the report said. Those tough issues include whether a government-run public program should compete with private health insurance companies to offer coverage, and whether employers should face consequences if they do not offer insurance to their workers.
  One person said the recommendations are largely items that enjoy widespread support, such as efforts to improve quality and support wellness–”lowest common denominator stuff.”
  The Healthcare Reform Dialogue includes representatives from a broad coalition, including insurance companies, consumer groups and business associations. Two labor unions pulled out of the discussions, leaving 18 participating groups.
  The idea was for organizations with sometimes opposing interests to discuss the underlying issues and come up with consensus recommendations. According to two people familiar with the final report, the result is somewhat vague, with mostly general statements about how to solve health care problems.
  Part of the problem, one person said, is that nobody wanted to give on any issues because this was not a real negotiation with people actually writing legislation. Another person said there was some effort to adopt a longer, more-detailed report, but there was not sufficient consensus for that move.

what is bougth by cheaper coffee?

A cup of flavorful brew in the morning helps me get going and stay active throughout my day at the office, and a cup at night relaxes me when I spend time with friends or just watch television with my girlfriend Kate. For the past few years, I’ve become hooked on the rich roasted flavor of espresso. I simply must have a latte every morning, and I like to drink an espresso after work before spending a relaxing evening at home. I initially decided to just curtail my trips to the cafe. That just didn’t seem to work, however. I even tried some of the cheaper coffee, but it just wasn’t tasty enough. So one day I went into Giovanni’s and, laden with guilt, purchased a latte. As I sat there and watched the barista, a bored-looking student form NYU, standing around waiting for another shot of espresso to finish brewing, I realized that I could do what he was doing just as easily in my own home. I’d probably enjoy it more, as well. Then I remembered that Bill, a friend of mine from the office, had an espresso machine in his kitchen, which he used constantly. Well, right then and there, I decided that was what I need. I was going to invest in an espresso machine of my own. Now I drink espresso whenever I want. I no longer am forced to deal with the lines, crowds, and salesmanship of the major coffee retailers. And instead of spending lots of money meeting people at expensive restaurants, I have a few friends over almost every night because I’m able to provide a relaxed and sophisticated atmosphere. And my parties have become huge hits due to the cafe quality espresso drinks which I serve after dinner and throughout the evening. People come over so often that I’ve become an excellent host, and a better chef to boot!

we should taste the high-quality coffee considering our body health.

Object the Drug,please!

everyone know that Drug id bad for our health,so,we shoule be far away it.Object the Drug,please!

In one possible sign of some common sense, the sentencing of a man convicted of running a state-approved medical marijuana dispensary—one opened in plain sight with the full approval of state and local officials and valid under state law—was delayed. The new attorney-general Eric Holder has started baby steps towards reducing the insane behavior of the Ashcroft & Gonzalez led justice department by at least suspending raids on medical marijuana dispensaries.

Next month the Supreme Court will be given the chance to redress one minor the lunacy of the last thirty years of the so-called “war on drugs”. It will get to decide whether in the name of “zero tolerance” a thirteen year old girl can be strip searched in the quest to find some OTC ibuprofen. Oh, and she was an honor student falsely accused by a former “friend”. Given the current make-up of the Supreme Court—yes Clarence Thomas still gets a vote—we can probably expect nothing sensible.

On the other hand nothing sensible, and much worse, is going on south of the border. My former colleague Paul Saffo points out that Mexico is on the verge of collapse. He notes a major signal—the cops are wearing masks while a major drug dealer stands proud.

There’s been a minor civil war going in Mexico for years, but now it may have gone beyond the point of no return. The cause? Prohibition and the huge amount of money available to criminal gangs satisfying America’s need for prohibited drugs. This is all insanely compounded by the ease with which Americans are able to legally sell those criminals arsenals which make African war-lords envious. The obvious answer—to legalize, tax and regulate drugs, is just unspeakable in Washington DC. So we continue the insanity of pumping more and more money into the problem, and expecting a different result.
read the The Budget of The President

The Budget of The President

I suppose if we are going to spend money that isn’t there, we may as well spend insane amounts of it….

President Obama’s budget reinforces the message. His ten-year $634-billion plan for funding healthcare reform depends on “asking the wealthy to pitch in a bit more” (budget director Peter Orszag’s happy phrase), wringing some of the waste out of Medicare and Medicaid (cuts that are needed, but that will not be popular ); and strong-arming drug makers to raise discounts on Medicare drugs from 15 percent to 21 percent. About half of the money will come from changes in government programs, half from tax increases.

This is an administration that is based in reality (in contrast to the faith-based governance that we enjoyed for the past eight years.) The Washington Monthly’s, Steve Benen notes “The administration seems well aware of the fact that a $634 billion over 10 years would not cover literally everyone. Neera Tanden, a top Obama health adviser, acknowledged , ‘We know that this is not enough to achieve our overall goal of getting health care for every American, but it is a significant down payment.’”

remember in spite of the rationing, European healthcare costs are rising essentially as fast as ours are. The cost containment problem is not solved. Even with dispondent, alienated medical staffs (or because of?), European healthcare inflation remains a problem. In Europe, you can’t get what you want medically, and guess what?, it is still very expensive.The avergage doctor doesn’t have the resourses to comply with dozens of ad hoc inititives designed to “improve” his behavior. The real objective is to make it so onerous to do anything, that less is done in the end. Not rationing by age as in Europe, not rationing by money, as in the sixties (supposedly), but rationing by hassle.

plaintiffs have gone on to medical school

“Given the attempt to recover bonus payments to AIG, can you envision a scenarios where CMS attempts to recover payments from physicians health that they retroactively deem too high? What if a new national standards board establishes a rate for hip replacements that is lower than what it is today? Similar situation? Not at all? I’d like to see a discussion on this.”JR wrote an interesting question.

I had the opportunity to work with David Blumenthal recently when I served on an expert panel for the health IT adoption studies. He has a deep understanding of applied health IT and, even more important, how clinicians interact with these systems in the real world. This is great news for everyone interested in advancing the use of health IT to improve quality, safety, and cost efficiency.

The body that administers the test has to straddle a delicate line, in granting extra time to a broadening definition of the disabled student versus maintaining the overall fairness and integrity of the high stakes test.
Despite the ruling, three of the four plaintiffs have gone on to medical school, with two scoring in the 70th percentile or higher.I suspect that this will become more of an issue in the coming years, as a greater proportion of the current generation of students have been diagnosed with ADD.