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Health Information Technology Lobby Group Rallies Support For Certification Group; Critics Question Group's Ties
The Healthcare Information and Management Systems Society has asked HHS to give the Certification Commission for Healthcare Information Technology authorization to determine which electronic health records systems can receive funding from the economic stimulus package, the Washington Post reports. In a letter dated April 27 to HHS officials, HIMSS officials wrote, "To ensure continuity, recognize CCHIT as the certifying body" of EHRs.Some health care industry officials have raised issue with giving CCHIT the responsibility of certifying EHR products because of the commission"s associations with various IT and health care companies, the Post reports. CCHIT has ties with HIMSS, which played a role in its inception in 2004 and is now managed by Mark Leavitt, the former chief medical officer of HIMSS. In 2005, the commission received a three-year, $7.5 million contract from HHS.According the Post, Internal Revenue Service tax documents show that HIMSS technically paid Leavitt"s salary through 2008, which was reimbursed by CCHIT. However, Leavitt said he is accountable only to CCHIT"s board members and he "was not supervised by HIMSS." He said he expects CCHIT will be "the body or one of several certifying bodies that are recognized" by HHS in part because it already is tasked with certifying health IT products. According to Leavitt, some of the commission"s critics are IT vendors who have failed to meet CCHIT"s standards. The Post reports that the provision in the stimulus package that requires health care providers to demonstrate "meaningful use" of health IT has become an issue because federal officials, IT systems vendors, and physicians and patient advocates have not been able to reach a consensus on the definition of meaningful use. Under the provision, providers must demonstrate meaningful use of health IT in order to receive Medicare and Medicaid incentive payments for adopting the technology (O"Harrow, Washington Post, 5/21). Blumenthal
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Risk Of Frailty In Older Women Dependent On Multisystem Abnormalities
A study published online ahead of press in the Gerontology Society of America"s Journal of Gerontology: Medical Sciences reports that the condition of frailty in older adults is associated with a critical mass of abnormal physiological systems, over and above the status of each individual system, and that the relationship is nonlinear. This research is the first evidence that frailty is related to the number of abnormal physiological systems, rather than a specific system abnormality, a chronic disease, or chronological age. It suggests significant alterations in system biology with aging, and underlying frailty. Clinical implications are that prevention and treatment may be more likely to be effective if any given intervention improves multiple systems, not just one.
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Omega 3 Fatty Acids Appear To Impact AMD Progression
Omega-3 fatty acids found in fatty fish such as tuna and salmon may protect against progression of age-related macular degeneration (AMD), but the benefits appear to depend on the stage of disease and whether certain supplements are taken, report researchers at the Laboratory for Nutrition and Vision Research (LNVR), Jean Mayer USDA Human Nutrition Research Center on Aging (HNRCA) at Tufts University.
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Cohesin Jigsaw Begins To Fit

The essential chromosomal protein complex cohesin has crucial roles in sister chromatid cohesion, DNA repair and transcriptional regulation. Despite its conserved function, cohesin"s disparate association patterns in different organisms did not quite add up. New research published in the open access journal Genome Biology works towards completing the cohesin puzzle, reconciling some of these differences. Christine Schmidt, Neil Brookes and Frank Uhlmann working together at the Cancer Research UK London Research Institute, performed high-resolution analysis of cohesin binding patterns along fission yeast chromosomes. The authors" findings suggest that features thought to differentiate cohesin between organisms actually collectively define the overall behaviour of fission yeast cohesin. In fact cohesin"s mechanisms of action might be much more similar between organisms than previously thought. Earlier studies investigated cohesin"s chromosomal binding sites in different model organisms, including Drosophila and budding yeast. Despite its conserved function in DNA repair and mitosis, no common rule had emerged that defined these sites. "Our findings suggest that features that were thought to differentiate cohesin behaviour between organisms collectively define the overall behaviour of fission yeast cohesin", writes Uhlmann. "Apparent differences between organisms could reflect an emphasis on different aspects, rather than different principles, of cohesin behaviour." Cohesin complexes have a central role in cell division, mediating the association between sister chromosomes. Cohesin forms large proteinaceous rings, and is thought to bind to and holds sister chromatids together in a topological embrace. Conserved features of cohesin binding along fission yeast chromosomes Christine K Schmidt, Neil Brookes and Frank Uhlmann Genome Biology (in press) http://genomebiology.com/ Charlotte Webber BioMed Central


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