Monday, September 3, 2012

Another Endorsement of Population Health Management

While it's not an explicit endorsement of the population health management industry, it comes pretty darn close.

Writing in the New England Journal, David Asch and Kevin Volpp point to three market?"signals" that are being missed by the traditional medical-industrial complex:

1. There is growing consensus that the doctors have it wrong: being healthy is not a merely a "biologic" process.? Rather, social circumstances, environmental influences?and personal behavior account for the bulk of well being.?

2. While providers are being called to task on a host of specific process and outcome measures, communities and employers are more interested in and?getting better at measuring overall health.

3. While there are short-term approaches to reducing waste and increasing efficiency in the health care system (like bundled payments or episodes of care), everyone agrees on the long-term solution: a healthier population.

Drs. Asch and Volpp predict health systems will?transition from selling product-oriented sickness treatment "within their walls" to customer-oriented?"health" delivery. They better, or they'll end up like bankrupt Eastman Kodak, which thought it was the film, not imaging, business

And the?Disease Management Care Blog agrees. Look no further than this web site of an outsider?business devoted to?the very services described in this Journal article.??In fact, as far back as March of 2009, the DMCB described one PHM?industry veteran's challenge to make America rank #1 in the world in an overarching, comprehensive and easy understood measure of health status.

It sounded like a good idea back then.? This?timely?Journal article?reminds us it still is.

And the good news is that the PHM service providers are already working on it.

Image from alaska.gov

Source: http://diseasemanagementcareblog.blogspot.com/2012/09/another-endorsement-of-population.html

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Sunday, September 2, 2012

Scientists probe mystery of operon evolution

Saturday, September 1, 2012

The threads of an evolutionary mystery that dates to the birth of molecular biology are beginning to unravel, thanks to a new investigation by computational bioengineers at Rice University and the University of Texas MD Anderson Cancer Center.

In new research published online this week in PLOS Computational Biology, Rice's Oleg Igoshin and MD Anderson's Christian Ray offer a possible explanation for the existence of jointly controlled clusters of genes called operons, which are found in bacterial chromosomes but not in those of higher order organisms like humans.

The new study harkens to one of the earliest 20th-century discoveries in molecular biology, and it could help clear 21st-century hurdles for synthetic biologists.

In the early 1960s, just as scientists were discovering how cells transcribed information from DNA to create the necessary proteins for life, French scientists Jacques Monod and Fran?ois Jacob found that the bacterium Escherichia coli used three specialized genes to create the proteins it needed to break down and digest lactose. They also found that these three metabolic genes were switched on and off together from a single control point.

Monod and Jacob had discovered the first operon, a set of multiple genes that are controlled as one. It marked the first time that scientists had identified a gene regulatory network, and it earned them a share of the 1965 Nobel Prize in Physiology or Medicine. Monod and Jacob's lac operon turned out to be the first of many bacterial operons. But by the late 1960s, it was clear that operons weren't the biological norm. None have ever been found in humans, for instance, and very few have been identified in multicellular organisms.

"There's never been a definitive explanation for why nature would preferentially select for operons in prokaryotes but not in eukaryotes," said Igoshin, associate professor of bioengineering at Rice. "In addition, we do not know how genes get grouped into operons. Why, for example, are some interacting genes selected to be in one operon while others are not?"

Igoshin and Ray are computational bioengineers who apply mathematics and computational bioinformatics to study cell signaling and other biochemical processes. Ray, a former Rice postdoctoral research associate in Igoshin's research group, is now in the Department of Systems Biology at MD Anderson. Ray and Igoshin began investigating operons in late 2009 to determine whether their evolution might have been influenced by the "noisy" nature of biochemical signals that regulate bacterial gene transcription.

"When a cell is responding to its environment, it can use regulators to control gene expression, but the amount of control that the cell has is limited by the number of molecules like messenger RNAs, which mediate protein production," Ray said. "So, in bacteria, the number of copies of a protein expressed by a gene can vary widely, say from 50 one hour to 100 the next. And this happens even when conditions outside the cell have not changed."

Igoshin and Ray knew that these random fluctuations were less of an issue for eukaryotic cells, which have larger volumes and more copies of messenger RNA and proteins. So they hypothesized that operons play a role in helping bacteria deal with these "noisy" conditions.

To test their idea, they developed a series of mathematical models of gene networks that could be run on a computer rather than on cell cultures, as well as statistical tests that could be performed using the information accumulated in bioinformatic databases.

Their mathematical models of gene networks covered six different types of protein-protein interactions. For each interaction type, they compared how operons affected noise in networks encoded by the member genes. For three of the six networks, operons worked to suppress noise. For the other three, they worked to increase noise. The findings from the simulations therefore suggested that operons could reduce the detrimental effects of noisy signals in some gene regulatory networks, but not others.

To further test the idea, Igoshin and Ray examined the operon organization of the E. coli genome. They found operons were frequent when the type of interaction that they encoded worked to suppress noise. When the encoded interaction did not suppress noise, operons were infrequent.

"Operons that emerged in the course of evolution in E. coli are consistent with selection for noise suppression and selection against noise amplification," Igoshin said.

The study also suggested why specific genes might be found in a specific operon.

"Certain genes perform much better when they're controlled as a unit, particularly if they produce co-ingredients that are required in proportional amounts," Ray said. "In the simulations, when these were split up and put onto separate operons, the inherent noise in the control signals would create a situation where the cell had way too much or too little of one co-product. In some cases, this is just inefficient, but in others the buildups could be toxic."

Ray and Igoshin said the study has implications for synthetic biologists who are trying to imbue cells with new biological functions not found in nature.

"For example, if you need to take multiple enzymes from different species and put them into a bacterium -- something that was done recently to produce a low-cost anti-malaria drug -- it might be easier to take them separately and put them into different parts of the chromosome," Igoshin said. "What this new finding shows is that there may be a cost for that in terms of overall fitness of the organism. Nature sometimes groups things together, particularly in cases where one of the enzymes makes or consumes toxic intermediates, and synthetic biologists would do well to pay attention to these types of interactions as they prepare their designs."

###

Rice University: http://media.rice.edu

Thanks to Rice University for this article.

This press release was posted to serve as a topic for discussion. Please comment below. We try our best to only post press releases that are associated with peer reviewed scientific literature. Critical discussions of the research are appreciated. If you need help finding a link to the original article, please contact us on twitter or via e-mail.

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Source: http://www.labspaces.net/123150/Scientists_probe_mystery_of_operon_evolution

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questions about accounting? | Gold Investment Trading Report

Question: questions about accounting?

OK I am taking accounting in High School but i?m stumped on this question. It asked me that John invested 500 dollars in silver and that should be placed into a general journal where silver asset would be debited for 500 and credited 500 for cash since he used cash to buy. So my question is. If this was in the real world would the accountant have to go in and change the price everyday since silver rises and falls second to seconds and days to days. How would you handle Investments like silver or gold when doing accounting?

Goldsenze Answer:

Assets are written in there face value so it is no problem in the real world.

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  5. I have several questions regarding investing in silver and gold.?

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Valve launches Steam Greenlight to pick cream of indie game crop

Valve launches Steam Greenlight to pick cream of indie game crop for its store

Steam has developed a reputation as a haven for indie games like Super Meat Boy, so it's only fitting that store owner Valve has just launched a section to welcome more of those games into its tent. Greenlight lets small developers submit titles and have gamers vote as to whether or not the candidates should get space on Steam's virtual shelf. Pickier players don't have to see every game in contention; they can filter the list down to specific game types and platforms, and collections can narrow the selection to categories hand-picked by fans or publishers. No games have cleared Greenlight just yet, but it won't be long before the logjam becomes a flood -- between this and general apps, Steam is about to get a lot more crowded.

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Valve launches Steam Greenlight to pick cream of indie game crop originally appeared on Engadget on Fri, 31 Aug 2012 22:51:00 EDT. Please see our terms for use of feeds.

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Saturday, September 1, 2012

How To Work Your Magic In Home Improvement

For someone working on a limited budget, there are ways to give your living space a brand new look. It?s simply a case of working with what you have. Move your existing furniture around, maybe using different pieces in different rooms. Replace any photos with updated ones. Spend a little money on a new shade for an existing lamp. It?s the small touches that make the difference.

If you are using a tank style hot water heater and do not have the money to replace it take a trip to your hardware store. You can buy an energy saving blanket to wrap around your tank to keep heat in and save you money on your energy or gas bill.

To remove nicks or scratches from kitchen cabinets, recondition the wood with oil, and then install new handles or knobs. Another option is to replace just the doors or door fronts. This is a little work but far cheaper than completely re-facing your cabinets, and your kitchen will get a brand new look.

Once you?ve tried every possible method imaginable to rid yourself of a squeaky door, if it still persists, it might be time for a new door hinge. They can be found at any hardware store. Simply disassemble the hinge and attach each side of it to the door and wall frame. Then align the hinge parts and replace the pins.

When doing any kind of flooring home improvements, it is of critical importance that the old floor be cleaned properly before applying any new flooring. If there is dirt or any residual old mortar or underlayment, your new flooring will not adhere properly to the sub-floor and will cause problems in the future.

Get really good references for contractors you use on your home improvements. It is far too easy for a con artist to take your money and run, leaving you with a wreck of a home and no more money to fix it. Don?t trust just anyone. Make sure you have plenty of excellent references, from people you really trust.

When building walls, always build away from concrete. When the wood foundation in walls comes in contact with concrete, moisture bleeds through the concrete and goes straight to the wood. The moisture from the concrete caused the wood to grow and mildew and ultimately rot, causing major problems in the future.

Self adhesive drywall patches are a must-have home improvement. These patches come in many forms ranging from mesh drywall tape to those made of a polymer material. Press them carefully into place using an iron. Be careful not to scorch the patch or the wall surface. Paint right over the patch and you?ll never know it?s there.

To repair a larger hole in your walls, use sheet rock. First make the hole into an uniform square or rectangle by cutting away a measured area. Doing this will make the hole bigger, but will allow you to get exact dimensions for repair. Then cut a piece of sheet rock that is the same size as the square or rectangle you just cut from the wall. Place the newly cut piece of sheet rock in the hole and secure in place with drywall nails. Then apply joint compound to the seams. Cover the seams with joint tape, then apply another layer of joint compound and smooth it out. When dry, paint over it with any color.

If you don?t have enough space for a small office, you can use a small portion of your living room for that purpose. Buy a small privacy screen and place a desk behind it with a matching chair. You can purchase small shelves to install on your wall to store your pens, pencils, staplers and other important items.

Consider converting unused rooms in your house. Before you spend too much money adding an extra room or two to your home, seriously look at what you have to work with. Are you getting much use out of that exercise room or office? Even storage spaces like attics can be transformed into something useful, like a bedroom.

In conclusion, home improvements can be made by anyone. For those who are inexperienced, you just need some valuable information. The above article is meant to provide you with information that can help you begin the process of making home improvements. Remember, by following this information you can do the repair work yourself.

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rollcall: In Virginia, Skipping GOP Convention Works Out Well for George Allen http://t.co/aSDnY99G via @jasonjdick

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Just a couple of short months until Windows 8 comes out?and the Microsoft Touch...

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