Wednesday, September 30, 2009

Thinking with Maynard Clark

1 October is World Vegetarian Day - every year, everywhere

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Tuesday, September 29, 2009

Our Planet Weekly - Week of September 27th, 2009

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Week of September 27th, 2009

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NEWS THIS WEEK
Brighter Idea Than the CFL May Soon Hit the Market
Reported by Jessica Rae Patton
Compact fluorescent light bulbs (CFLs), though far more energy efficient than their incandescent forbears, leave a lot to be desired.
Go to all articles - Go to this article
Grizzlies Make the List
Reported by Jessica Rae Patton
According to the Greater Yellowstone Coalition, "In the past two years grizzly mortality has risen alarmingly...[and] their future remains precarious."
Go to all articles - Go to this article
 Reporting by Jessica Rae Patton
THIS WEEK'S COMMENTARY
Igniting Activists
It's the 40th Anniversary of Earth Day-Are You Ready to Get to Work?
Last year, Earth Day took some heat by online green scorekeepers, but this year-the celebration's 40th-it's reasserting its prominence. By Brita Belli
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IN THE CURRENT ISSUE OF E
GREEN LIVING
Lessons from Etsy
Tips for Taking Your Eco-Ideas Online
Get crafty with home-biz tips from these eco-entrepreneurs. By Jessica A. Knoblauch
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CURRENTS
Surviving the Downturn
Environmental Nonprofits Face a New Economic Reality
Environmental nonprofits are riding out the recession by joining forces-and office space. By Kristin Bender
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EARTHTALK
Week of 9/27/09
Dear EarthTalk: As I understand it, hair salons are pretty toxic enterprises on many counts. Are there any efforts underway to green up that industry?

Dear EarthTalk: Not long ago there were concerns about honey bees disappearing. Are the bees still disappearing, and if so do we know why and do we have a solution?

Go to this week's EarthTalk
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Thinking with Maynard Clark

At home after working all day on Huntington Av in LMA - working all day; cannot find tonight's mayoral debate on TV

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Watching HOUSE: terrible characters (fascinating scientific/medical plot)

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Talking w/American Public Health Association on the phone-re: double/duplicate membership renewals

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Researching issues in developing professional codes for bioethicists in AJOB (2005,5,5)

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Day of rest at the house (and aggressive house cleaning which the house has sought for a long time)

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Monday, September 28, 2009

www.mocamobile.org AND www.dossia.org

Today at lunchtime I attended an HSPH presentation on www.mocamobile.org (MIT and HSPH developers for global health applications by cellphone/wireless devices that transmit photos and patient info to secure servers) and www.dossia.org (employer-insured systems that collaborated with MIT and HSPH developers - builds in patient incentives to personal responsibility for maintaining and developing personal wellness).

Very promising!

Saturday, September 26, 2009

Dr. Leon Eisenberg, Pioneer in Autism Studies, Dies at 87



Dr. Leon Eisenberg, who conducted some of the first rigorous studies of autism, attention deficit disorder and learning delays and became a prominent advocate for children struggling with disabilities, died on Sept. 15 at his home in Cambridge, Mass. He was 87.

Dr. Leon Eisenberg



The cause was prostate cancer, said his wife, Dr. Carola Eisenberg.

The field of child psychiatry was dominated by Freudian psychoanalysis when, in the late 1950s and 1960s, Dr. Eisenberg began conducting medical studies of children with developmental problems. Working at Johns Hopkins University with Dr. Leo Kanner, who first described autistic behavior, Dr. Eisenberg completed the first detailed, long-term study of children with autism, demonstrating among other things that language problems predicted its severity.

In a similar study among children who were developing normally, Dr. Eisenberg showed that reading difficulties early in school predicted behavior problems later on.

In the 1960s, he performed the first scientific drug trials in child psychiatry, testing stimulants like Dexedrine and Ritalin to soothe the behavior of children identified as “delinquent” or “hyperkinetic.” These studies, which became the basis for drug treatment of what is now called attention deficit disorder, ran counter to psychoanalytic theories on the most effective treatments.

“Leon took a very courageous stand and denounced the way psychiatry treated children, this whole system in which we had a few rich kids and their parents getting psychoanalysis five days a week and still not being cured,” said C. Keith Conners, a professor emeritus in the department of psychiatry and behavioral sciences at Duke University. “No one even knew what a cure looked like. He had this conviction that nothing was being done for the bulk of children who needed help, and that we had very little scientific data to guide us.”

Dr. James Harris, a professor of psychiatry and behavioral science at Johns Hopkins University, said that Dr. Eisenberg was “the pivotal person in 20th-century child psychiatry who moved the field from simple descriptions of childhood disorders to actually looking at the science behind both the diagnosis and treatment.”


Leon Eisenberg was born in Philadelphia on Aug. 8, 1922, the eldest child of immigrants from Russia. He earned his undergraduate degree and, in 1946, his medical degree from the University of Pennsylvania, before taking an internship at Mount Sinai Hospital in New York, where he developed an interest in psychiatry. He completed his psychiatric residency at Sheppard Pratt Hospital in Towson, Md.

After two years in the Army teaching physiology (Carey incorrectly said psychology), in 1952 he began a residency at Johns Hopkins and his collaboration with Dr. Kanner. In 1967, he took over as chief of psychiatry at Massachusetts General Hospital, where he continued to publish and, among many other projects, helped formulate and carry out affirmative action policies at Harvard Medical School.


In 1980, he established the medical school’s department of social medicine, with the aim of applying the tools of social science to improving access to and practice of medicine worldwide.
In addition to his wife, a co-founder of Physicians for Human Rights, Dr. Eisenberg is survived by two children from a previous marriage, Kathy and Mark Eisenberg; two stepchildren, Alan and Larry Guttmacher; two sisters, Essie Ellis and Libby Wickler; and six grandchildren.

For two days last week, Harvard lowered its flags to half-staff in honor of Dr. Eisenberg.
In his later years, Dr. Eisenberg became increasingly alarmed at trends in the field he helped establish, criticizing what he saw as a cozy relationships between drug makers and doctors and the expanding popularity of the attention deficit diagnosis.

The diagnosis “has morphed from a relative uncommon condition 40 years ago to one whose current prevalence is 8 percent,” he wrote. “Correspondingly, the prescription of stimulant drugs has gone up enormously. The reasons are not self-evident.”

Good law from tragic facts--Congress, the FDA, and preemption

Good law from tragic facts--Congress, the FDA, and preemption.
Annas GJ.
N Engl J Med. 2009 Sep 17;361(12):1206-11. No abstract available.
PMID: 19759383 [PubMed - indexed for MEDLINE]
Related Articles



The New York Times heralded "A Win for Injured Patients,"1 while the Wall Street Journal said that the U.S. Supreme Court was "Pre-empting Drug Innovation."2 To the New York Times, the Court's decision in Wyeth v. Levine was "wise and surprising."1 To the Wall Street Journal, it was a "defeat for drug innovation and public health"2; the editorial expressed surprise because the Supreme Court had earlier ruled that Congress had preempted state civil lawsuits alleging device misbranding, and many persons thought that the Court had turned relentlessly pro-business and would therefore also rule that civil lawsuits alleging drug misbranding . . . [Full Text of this Article]
The Facts in Wyeth
The Law of Preemption
"Tragic Facts"
Preemption after Wyeth

Source Information
From the Department of Health Law, Bioethics, and Human Rights, Boston University School of Public Health, Boston.
References

  1. A win for injured patients. New York Times. March 5, 2009. 
  2. Pre-empting drug innovation. Wall Street Journal. March 5, 2009:A16.
  3. Rosen J. Supreme Court, Inc. New York Times Magazine. March 16, 2008.
  4. Wyeth v. Levine, 129 U.S. 1187 (2009).
  5. Curfman GD, Morrissey S, Drazen JM. Why doctors should worry about preemption. N Engl J Med 2008;359:1-3. [Free Full Text]
  6. Northern Securities v. United States, 193 U.S. 197, 400 (1904).
  7. Glantz LH, Annas GJ. The FDA, preemption, and the Supreme Court. N Engl J Med 2008;358:1883-1885. [Free Full Text]
  8. Kennedy D. Misbegotten preemptions. Science 2008;320:585-585. [Free Full Text]
  9. Warning signs. Nature 2008;452:254-254. [Medline]
  10. Committee on the Assessment of the US Drug-Safety System. The future of drug safety: promoting and protecting the health of the public. Washington, DC: National Academies Press, 2007.
  11. Psaty BM, Burke SP. Protecting the health of the public -- Institute of Medicine recommendations on drug safety. N Engl J Med 2006;355:1753-1755. [Free Full Text]
  12. Gilhooley M. Drug preemption and the need to reform the FDA consultation process. Am J Law Med 2008;34:539-561. [Web of Science][Medline]
  13. Wyeth v. Levine, 944 A.2d 179 (Vt. 2006).
  14. Riegel v. Medtronic, 128 U.S. 999 (2008).
  15. 71 C.F.R. § 3922 (2006).
  16. Geier v. American Honda Motor Co., 529 U.S. 861 (2000).
  17. Curfman GD, Morrissey S, Drazen JM. The Medical Device Safety Act of 2009. N Engl J Med 2009;360:1550-1551. [Free Full Text]
  18. Obama B. Memorandum for the heads of executive departments and agencies: preemption. Washington, DC: White House, May 20, 2009. (Accessed August 27, 2009, at http://www.whitehouse.gov/the_press_office/Presidential-Memorandum-Regarding-Preemption/.)

Friday, September 25, 2009

Thinking with Maynard Clark

home for much (not all) of the weekend

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Checking out the last bit of duty for HSPH billing.

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Ready to learn about the NIH grant funding process at HSPH: RFP for NONanimal models?

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Downloading Skype 4.1 with video; encourage others to do the same

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Ready to learn about the NIH grant funding process

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Thursday, September 24, 2009

Thinking with Maynard Clark

going home from LMA at 11 pm, ALL my HMS work for this week finished; still LOTS of HSPH stuff to do

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Making progress on sending out obituaries. Dept had leftover fruit platter and bagels; I'm hungry.

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Working away in the LMA: President FAUST speaks today.

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Wednesday, September 23, 2009

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Busy at HMS desk in LMA; tell me if YOU get my outgoing announcement

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going to sleep now: Tuesday is cleaning up EIGHR predecessors, research for sabbatical book, lunchtime lecture, archiving research, and more

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At HSPH/HMS all day.

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