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Recent media quotes from experts within UI Health Care
Peter Cram, M.D. DrKoop.com
Specialty hospitals, often partly owned by physicians who refer their
own patients to them, are no better at cardiac procedures than ordinary
community hospitals, a new study claims. The study, published in
the New England Journal of Medicine, acknowledges that specialty hospitals
have produced findings that would indicate better care—such
as lower death rates and shorter hospital stays. But those numbers are
deceptive, said Cram, an assistant professor of medicine at University
of Iowa Hospitals and Clinics, who led this latest study of more than
42,000 Medicare patients undergoing cardiac procedures. “There are
three main findings,” Cram said. “First, specialty hospitals are admitting
patients who are healthier and wealthier. Second, these hospitals
do many more bypass surgeries per year than local general hospital
competitors. Third, after accounting for [these] differences in patient
characteristics and volume, there are no statistically significant differences
in outcome.”
Bradley Van Voorhis, M.D. USA Today
Sorting menopause symptoms from aging symptoms is tricky. For
example, incontinence is more common in older women, said Van
Voorhis, a gynecologic endocrinologist at University of Iowa Hospitals
and Clinics. But the NIH-sponsored Women’s Health Initiative found
in 2002 that bladder control worsened in women on hormones, compared
with those on a placebo, suggesting the problem is unrelated to
menopause, he said. After listening to Van Voorhis and other speakers,
an independent panel convened by the NIH concluded that only hot
flashes, night sweats, vaginal dryness, painful intercourse, and, probably,
sleep disturbances were linked to declining estrogen.
Nancy Andreasen, M.D. ABC World News Tonight
Harvard University’s President Lawrence Summers’ suggestion that differences
between the sexes might help explain the lack of women in
math and science departments got him in all sorts of trouble. Nancy
Andreasen, M.D., a neuroscientist at University of Iowa Hospitals and
Clinics, says men and women may have different brains, but the cause
is societal influences, not intrinsic aptitude. “I, as a young woman,
was brought up to believe that I had great verbal abilities, but that I
couldn’t do math and science. And you know, here I am, now, I’m a
very successful scientist.” |
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