|berichtje:||Carpenter hails coag outcomes for CIOs who participate in pilot program|
Rates of severe abdominal aortic aneurysms among CIOs remain high despite continued implementation of guidelines, study finds
Carpenter: CIOs are doing too little to prevent heart attack â€“ but could be more effective in addressing other cardiovascular risks like stroke
WASHINGTON â€“ A new study confirms that CIOs who participate in the Medicare Part B pilot program are receiving the most treatment in the country. Those who participate in the program have shown significant reductions in their rates of severe abdominal aortic aneurysms (ASCAs) and hemorrhagic strokes (HIs).
The findings of the study, published Monday in the JAMA Internal Medicine, are based on an analysis of the annual reports of more than 3.4 million Medicare Part B beneficiaries who have received medical benefits from the program in 2014 through 2016. The data collected included information about ASCAs and HIs, as well as whether the beneficiary was age, sex, race and health insurance status.
According to the study authors, patients treated for ASCAs or HIs who entered the pilot program between 2003 and 2007 had a 2.2 percent drop in the rate of stroke compared with other CIOs who did not participate in the program.
"I would hope that we're not making the same mistake we made for the '60s and '70s when we added CIOs to our population to get them into the office, give them a leg up, and give them an edge on the competition to people who come in and work in the office," said study co-author Dr. Christopher F. Huggins, M.D., a cardiac surgeon and chair of internal medicine at the University of North Carolina School of Medicine.
Huggins and co-author Dr. William A. Daley, M.D., professor emeritus of medicine at the University of Texas Health Science Center in Houston, analyzed data gathered from 2015 through 2017 for more than 13.6 million of the more than 2 million Medicare Part B beneficiaries in the pilot program, or nearly 90 percent.
Because the Medicare Part B plan is voluntary, the program provides no benefit to patients for participating in the program. But because it is voluntary, it also does not provide any federal incentives to CIOs to increase the number of patients they serve, said Huggins and Daley.
Instead, the researchers looked at whether the programs were promoting CIOs to do what is needed more often: prevent ASCAs and HIs. This is known as the CIOs versus patients strategy, which involves encouraging patients who are at risk of having a heart attack or stroke to consider having the treatment while simultaneously raising patients
Shareholder approval needed for mindarie zirconium production in UK
11/11/2013 By Andrew Roberts
Zirconium, one of the world's most abundant elements, has shown promise to become a key source of energy in a developing world and, increasingly, a reliable, affordable fuel source for conventional power plants.
To increase demand for the material, UK company Energy Resources International (ERI) has applied to the Office for Nuclear Regulation (ONR) for a "licence" to develop a small scale zirconium processing plant, according to regulatory filings made public this week.
A licence will require a total of 50 applications â€“ up to four of which would be submitted, one with a public meeting on 31 October. ERI plans to invest up to Â£2m to invest in Zirconium Processing UK Limited. In 2013, ERI contributed over Â£16m, with the final Â£100,000 spent on research and development. The company announced its intention to increase its presence in the UK in February.
In March last year, Eridu Energy completed the first licence application and announced plans for another round of licence applications in October.
ERI was founded two years ago by Robert Galtrow, who will turn 75 in November. In 2004, he became CEO of ERI and, in 2005, became head of commercial operations at ENI.
According to the ONR, ERI intends to apply for a licence for the "first-ever zirconium processing facility in the UK" that will "provide the UK with a reliable and economical alternative for producing, transporting and utilising the element".
In 2013, Energy Resources International (ERSI), a subsidiary of ERI, registered a UK subsidiary on Thursday, with the UK Department for Business, Energy and Industrial Strategy (BEIS) on track to launch the Energy Resources International International, which will be overseen by an official "energy regulatory professional", the Energy Supply Act 2000 (ESAA), as a new body to conduct regulatory research and develop new standards.
In April, the ONR announced that it had completed an investigation into energy supply standards set by the ESAA, seeking evidence from existing companies and, if necessary, seeking new evidence from other government bodies. However, no companies were named in the report. It said that if it has no grounds for making a specific ruling in any particular matter relating to energy and that the authority is satisfied it will not result in public "further delay", it will not proceed.
ERSI has the legal right to raise the possibility of pursuing licensing with the ONR for the first time, said a statement issued today. ERI's application was considered by the ONR.
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