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"content": "\u003cp>In the 1960s, San Francisco appealed to people seeking mind-altering drugs to help them ‘turn on.’ Half a century later super-achievers in Silicon Valley are popping pills to help them really 'turn on,' to increase brain power and productivity.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/03/EinsteinPez_KQED_300x550.jpg\" rel=\"attachment wp-att-137761\">\u003cimg class=\"alignright size-full wp-image-137761\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/03/EinsteinPez_KQED_300x550.jpg\" alt=\"EinsteinPez_KQED_300x550\" width=\"300\" height=\"550\">\u003c/a>Bay Area entrepreneur Eric Matzner says he discovered nootropics, 'smart drugs,' out of desperation. Six years ago he was a 22-year-old trying to get a mobile technology start-up off the ground in a competitive environment. His voice rises slightly as he described his predicament.\u003c/p>\n\u003cp>“That feeling when you’re staring at a screen and the text isn’t computing just wasn’t an option. I was motivated to learn and retain more!\" Matzner exclaims. \"I began to find whispers of nootropics on the Internet. And, then I found this community called \u003ca href=\"http://www.longecity.org/forum/forum/412-nootropic-stacks/\">LongeCity\u003c/a>.\"\u003c/p>\n\u003cp>It’s easy to see the lure... Here’s a nootropic devotee on LongeCity.\u003c/p>\n\u003cblockquote>\u003cp>I am able to study for the bar exam all day with zero mental fatigue. Second, I am able to read vast quantities of information only one time and spit it back with pinpoint precision. It is the closest thing to a photographic memory I have ever experienced.\u003c/p>\u003c/blockquote>\n\u003cp>Recently venture capital firm Andreessen Horowitz announced \u003ca href=\"https://nootrobox.com/blog/2-million-financing-round-led-by-andreessen-horowitz/\">a $2 million seed investment\u003c/a> in a San Francisco-based smart-pill company called \u003ca href=\"https://nootrobox.com/\">Nootrobox,\u003c/a> and the company is only one of many new businesses trying to lead the brain-boost market.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I am able to read vast quantities of information only one time and spit it back with pinpoint precision. It is the closest thing to a photographic memory I have ever experienced.'\u003ccite> LongeCity user\u003c/cite>\u003c/aside>\n\u003cp>Nootropics are substances that promise to make you smarter, or boost cognitive function. They can include caffeine and vitamins B6 and B12, or herbs like Ashwaganda. But, they can also include supplements like Piracetam (memory enhancer), Emoxiypine (antioxidant), or Modafinil (promotes wakefulness). The substances are often repackaged into formulas that promise to fuel you into the wee hours of the morning. [contextly_sidebar id=\"lnWWj2vA0hAjyU6Alr8gpDsaGXf2UtZM\"]\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Combining nootropics is called \u003ci>stacking\u003c/i>. Extensive Reddit threads discuss supplement doses and combinations in precise detail. The conversations can read like foreign languages.\u003c/p>\n\u003cblockquote>\u003cp>I was stacking all this with Choline Bitartrate and Alpha GPC (Powder City) in turns but found that it affected my motivation and energy levels to the point below baseline. I also had to stop Bacopa and Rhodiola (Powder City) because I found that adaptogens would make me TOO CHILLED out to the point that I did not worry about exams.\u003c/p>\u003c/blockquote>\n\u003cp>The Reddit user cited 30 different supplements they were taking, daily. The post ended with a plea:\u003c/p>\n\u003cblockquote>\u003cp>HOW CAN I GET SUPER MOTIVATED?\u003c/p>\u003c/blockquote>\n\u003cp>Eric Matzner has experimented with countless combinations of nootropics over the last six years. He currently takes 40-50 supplements a day that he says costs about $10-$15/day.\u003c/p>\n\u003cp>Two years ago he decided to market his expertise by starting a company called \u003ca href=\"http://nootroo.com/\">Nootroo\u003c/a> which strives to provide the \u003ci>perfect\u003c/i> stack in either a gold or silver capsule. Both blends include numerous supplements like citicoline, L-Theanine, and a Caffeine-pterostilbene co-crystal called PURENERGY. Matzner says the caffeine buzz in Nootroo lasts 6-8 hours instead of a cup of coffee’s mere 2-3 hour lift.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Just because something is natural or plant-based does not mean it’s safe.'\u003ccite>Dena Dubal, UC San Francisco\u003c/cite>\u003c/aside>\n\u003cp>Dan Walsh, a 31-year-old marketing consultant in San Francisco, swears by Nootroo not only for a mental boost, but also mood regulation. He says he feels less anxious and more positive after popping a pill.\u003c/p>\n\u003cp>“It’s easier to not doubt yourself, or be too stressed about some things,” Walsh explains. “That helps when you’re working for yourself balancing a bunch of different client needs and deadlines. All around it (Nootroo) just makes my life a little easier by perking me up and helping me think a little faster -- they’re like a tune-up.”\u003c/p>\n\u003cp>Nootropics aren’t new. The idea was coined in the early 1970s by a Romanian psychologist and chemist named Dr. Corneliu Giurgea who synthesized \u003ca href=\"http://www.braintropic.com/nootropics/piracetam/\">Piracetam\u003c/a> for the first time. The word \u003ca href=\"http://nootroo.com/setting-the-record-straight-on-roots-of-the-term-nootropic/\">nootropic\u003c/a> is derived from the Greek words \u003cem>noos\u003c/em> meaning \u003cem>mind\u003c/em> and from \u003cem>tropein\u003c/em> meaning \u003cem>towards\u003c/em>. Giurgia defined nootropics as substances that enhance learning, memory and focus with few side effects.\u003c/p>\n\u003cp>Smart drugs gained mainstream attention when the 2011 movie “\u003ca href=\"http://www.imdb.com/title/tt1219289/?ref_=ttmd_md_nm\">Limitless\u003c/a>” was released starring Bradley Cooper. The movie features a struggling writer (Eddie Mora/Bradley Cooper) who takes a magic pill that gives him the ability to engage 100 percent of his brain. A new laser focus allows him to quickly climb to the top of the financial world. But, the plot thickens when terrible side effects set in. Side effects are hot topic on Reddit threads. For example:\u003c/p>\n\u003cblockquote>\u003cp>\u003ca class=\"title may-blank \" href=\"https://www.reddit.com/r/Nootropics/comments/4cladd/hospitalized_due_to_suicidal_and_homicidal/\" rel=\"nofollow\">Hospitalized due to suicidal and homicidal thoughts while using moclobemide and tianeptine.\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://memory.ucsf.edu/ourcenter/staff/ddubal\">Dena Dubal\u003c/a>, a neuroscientist at the University of California San Francisco, says we don't know a lot about how nootropics affect the body long term.\u003c/p>\n\u003cp>“It’s important to ask questions like, ‘Who makes them? What is the quality of the supplement?’ We often don’t know what’s in them. Sometimes it’s clear, but these are not FDA regulated products,\" Dubal emphasizes. \"Just because something is natural or plant based does not mean it’s safe.”\u003c/p>\n\u003cp>Dubal is excited about the future of nootropics, but until more research concludes they're safe, she doesn't advise toying with the brain.\u003c/p>\n\u003cp>“Cognitive enhancement should be safe, equitable, and have beneficial effects for the individual and for society,” Dubal explains. “None of the smart drugs, or nootropics – including those prescribed [like Adderall] – meet the bill for proven efficacy or safety. They just haven’t been studied carefully. And whether any have long-lasting beneficial effects for the individual or society is a complete unknown.”\u003c/p>\n\u003cp>For now, Dubal recommends sticking to time-tested activities like a good night’s sleep, or a balanced diet. And, in a pinch, grab a cup of coffee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the 1960s, San Francisco appealed to people seeking mind-altering drugs to help them ‘turn on.’ Half a century later super-achievers in Silicon Valley are popping pills to help them really 'turn on,' to increase brain power and productivity.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/03/EinsteinPez_KQED_300x550.jpg\" rel=\"attachment wp-att-137761\">\u003cimg class=\"alignright size-full wp-image-137761\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/03/EinsteinPez_KQED_300x550.jpg\" alt=\"EinsteinPez_KQED_300x550\" width=\"300\" height=\"550\">\u003c/a>Bay Area entrepreneur Eric Matzner says he discovered nootropics, 'smart drugs,' out of desperation. Six years ago he was a 22-year-old trying to get a mobile technology start-up off the ground in a competitive environment. His voice rises slightly as he described his predicament.\u003c/p>\n\u003cp>“That feeling when you’re staring at a screen and the text isn’t computing just wasn’t an option. I was motivated to learn and retain more!\" Matzner exclaims. \"I began to find whispers of nootropics on the Internet. And, then I found this community called \u003ca href=\"http://www.longecity.org/forum/forum/412-nootropic-stacks/\">LongeCity\u003c/a>.\"\u003c/p>\n\u003cp>It’s easy to see the lure... Here’s a nootropic devotee on LongeCity.\u003c/p>\n\u003cblockquote>\u003cp>I am able to study for the bar exam all day with zero mental fatigue. Second, I am able to read vast quantities of information only one time and spit it back with pinpoint precision. It is the closest thing to a photographic memory I have ever experienced.\u003c/p>\u003c/blockquote>\n\u003cp>Recently venture capital firm Andreessen Horowitz announced \u003ca href=\"https://nootrobox.com/blog/2-million-financing-round-led-by-andreessen-horowitz/\">a $2 million seed investment\u003c/a> in a San Francisco-based smart-pill company called \u003ca href=\"https://nootrobox.com/\">Nootrobox,\u003c/a> and the company is only one of many new businesses trying to lead the brain-boost market.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I am able to read vast quantities of information only one time and spit it back with pinpoint precision. It is the closest thing to a photographic memory I have ever experienced.'\u003ccite> LongeCity user\u003c/cite>\u003c/aside>\n\u003cp>Nootropics are substances that promise to make you smarter, or boost cognitive function. They can include caffeine and vitamins B6 and B12, or herbs like Ashwaganda. But, they can also include supplements like Piracetam (memory enhancer), Emoxiypine (antioxidant), or Modafinil (promotes wakefulness). The substances are often repackaged into formulas that promise to fuel you into the wee hours of the morning. \u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Combining nootropics is called \u003ci>stacking\u003c/i>. Extensive Reddit threads discuss supplement doses and combinations in precise detail. The conversations can read like foreign languages.\u003c/p>\n\u003cblockquote>\u003cp>I was stacking all this with Choline Bitartrate and Alpha GPC (Powder City) in turns but found that it affected my motivation and energy levels to the point below baseline. I also had to stop Bacopa and Rhodiola (Powder City) because I found that adaptogens would make me TOO CHILLED out to the point that I did not worry about exams.\u003c/p>\u003c/blockquote>\n\u003cp>The Reddit user cited 30 different supplements they were taking, daily. The post ended with a plea:\u003c/p>\n\u003cblockquote>\u003cp>HOW CAN I GET SUPER MOTIVATED?\u003c/p>\u003c/blockquote>\n\u003cp>Eric Matzner has experimented with countless combinations of nootropics over the last six years. He currently takes 40-50 supplements a day that he says costs about $10-$15/day.\u003c/p>\n\u003cp>Two years ago he decided to market his expertise by starting a company called \u003ca href=\"http://nootroo.com/\">Nootroo\u003c/a> which strives to provide the \u003ci>perfect\u003c/i> stack in either a gold or silver capsule. Both blends include numerous supplements like citicoline, L-Theanine, and a Caffeine-pterostilbene co-crystal called PURENERGY. Matzner says the caffeine buzz in Nootroo lasts 6-8 hours instead of a cup of coffee’s mere 2-3 hour lift.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Just because something is natural or plant-based does not mean it’s safe.'\u003ccite>Dena Dubal, UC San Francisco\u003c/cite>\u003c/aside>\n\u003cp>Dan Walsh, a 31-year-old marketing consultant in San Francisco, swears by Nootroo not only for a mental boost, but also mood regulation. He says he feels less anxious and more positive after popping a pill.\u003c/p>\n\u003cp>“It’s easier to not doubt yourself, or be too stressed about some things,” Walsh explains. “That helps when you’re working for yourself balancing a bunch of different client needs and deadlines. All around it (Nootroo) just makes my life a little easier by perking me up and helping me think a little faster -- they’re like a tune-up.”\u003c/p>\n\u003cp>Nootropics aren’t new. The idea was coined in the early 1970s by a Romanian psychologist and chemist named Dr. Corneliu Giurgea who synthesized \u003ca href=\"http://www.braintropic.com/nootropics/piracetam/\">Piracetam\u003c/a> for the first time. The word \u003ca href=\"http://nootroo.com/setting-the-record-straight-on-roots-of-the-term-nootropic/\">nootropic\u003c/a> is derived from the Greek words \u003cem>noos\u003c/em> meaning \u003cem>mind\u003c/em> and from \u003cem>tropein\u003c/em> meaning \u003cem>towards\u003c/em>. Giurgia defined nootropics as substances that enhance learning, memory and focus with few side effects.\u003c/p>\n\u003cp>Smart drugs gained mainstream attention when the 2011 movie “\u003ca href=\"http://www.imdb.com/title/tt1219289/?ref_=ttmd_md_nm\">Limitless\u003c/a>” was released starring Bradley Cooper. The movie features a struggling writer (Eddie Mora/Bradley Cooper) who takes a magic pill that gives him the ability to engage 100 percent of his brain. A new laser focus allows him to quickly climb to the top of the financial world. But, the plot thickens when terrible side effects set in. Side effects are hot topic on Reddit threads. For example:\u003c/p>\n\u003cblockquote>\u003cp>\u003ca class=\"title may-blank \" href=\"https://www.reddit.com/r/Nootropics/comments/4cladd/hospitalized_due_to_suicidal_and_homicidal/\" rel=\"nofollow\">Hospitalized due to suicidal and homicidal thoughts while using moclobemide and tianeptine.\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://memory.ucsf.edu/ourcenter/staff/ddubal\">Dena Dubal\u003c/a>, a neuroscientist at the University of California San Francisco, says we don't know a lot about how nootropics affect the body long term.\u003c/p>\n\u003cp>“It’s important to ask questions like, ‘Who makes them? What is the quality of the supplement?’ We often don’t know what’s in them. Sometimes it’s clear, but these are not FDA regulated products,\" Dubal emphasizes. \"Just because something is natural or plant based does not mean it’s safe.”\u003c/p>\n\u003cp>Dubal is excited about the future of nootropics, but until more research concludes they're safe, she doesn't advise toying with the brain.\u003c/p>\n\u003cp>“Cognitive enhancement should be safe, equitable, and have beneficial effects for the individual and for society,” Dubal explains. “None of the smart drugs, or nootropics – including those prescribed [like Adderall] – meet the bill for proven efficacy or safety. They just haven’t been studied carefully. And whether any have long-lasting beneficial effects for the individual or society is a complete unknown.”\u003c/p>\n\u003cp>For now, Dubal recommends sticking to time-tested activities like a good night’s sleep, or a balanced diet. And, in a pinch, grab a cup of coffee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Apple's new Night Shift light, as profiled in the San Francisco Chronicle below, does offer a concrete improvement to newer iPhones and iPads: it shifts the color of light coming off the screen, so viewers get exposed to less of the sleep-disrupting blue wavelengths. Very much like the \u003ca href=\"https://justgetflux.com/\" target=\"_blank\">f.lux app\u003c/a> does for iOS devices, laptops and some Android phones.\u003c/p>\n\u003cp>There's \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/12/22/ipads-tablets-smartphones-disrupt-good-sleep-study-finds/\" target=\"_blank\">solid research\u003c/a> that blue light delays sleep by delaying the production of melatonin in the brain, an essential hormone for sleep.\u003c/p>\n\u003cp>While the new light choice has its benefits, some scientists say it won't help as much as actually turning off your phone two hours before bed. In other words, all of us with ongoing sleep problems won't likely solve them by doing our evening routine of emails, Facebook, online video and binge-watching in sunset colors instead of blue light.\u003c/p>\n\u003cp>http://www.sfchronicle.com/business/article/Apple-s-blue-light-special-can-help-sleep-but-7044772.php?t=88d815fd7400af33be&cmpid=twitter-premium\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Last week the Centers for Disease Control and Prevention told doctors they should really, really think twice before prescribing opioids for chronic pain.\u003c/p>\n\u003cp>And now the doctors are telling us that meditation and cognitive behavioral therapy often works better than pain meds and other medical treatments for chronic back pain.\u003c/p>\n\u003caside class=\"alignright\">It's pretty striking to see a journal like JAMA endorsing meditation as an effective treatment, considering that not so very long ago it would have been dismissed as woo woo.\u003c/aside>\n\u003cp>It's the latest in a series of studies saying that low-tech interventions like \u003ca href=\"http://www.npr.org/sections/health-shots/2016/01/11/462366361/forget-the-gizmos-exercise-works-best-for-lower-back-pain\">exercise\u003c/a>, \u003ca href=\"http://www.npr.org/sections/goatsandsoda/2015/06/08/412314701/lost-posture-why-indigenous-cultures-dont-have-back-pain\">posture training\u003c/a>, \u003ca href=\"http://www.npr.org/sections/health-shots/2015/10/13/448299723/physical-therapy-may-help-for-back-pain-but-time-works-best\">physical therapy\u003c/a> and just the passage of time work better than opioids, imaging or surgery for the vast majority of people with chronic back pain.\u003c/p>\n\u003cp>And it's part of a push to move treatment for chronic back pain, which affects about 8 percent of Americans and is a major cause of disability, away from being \"medicalized\" to something that people can manage by choosing from an array of nonmedical alternatives.\u003c/p>\n\u003cp>This latest \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2504811\">study\u003c/a>, published Tuesday in \u003cem>JAMA\u003c/em>, the journal of the American Medical Association, assessed the value of \u003ca href=\"http://www.mindfullivingprograms.com/whatMBSR.php\">mindfulness-based stress reduction\u003c/a>, a program developed at the University of Massachusetts Medical Center in the 1970s, and \u003ca href=\"https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000415.htm\">cognitive behavioral therapy\u003c/a>, a form of psychotherapy that helps reframe negative thoughts and is considered an evidence-based treatment for chronic pain.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The 342 participants, most of whom had suffered back pain weekly for at least the past year, were offered either eight weekly sessions of mindfulness training; eight sessions of cognitive behavioral therapy; or to keep doing what they'd been doing.\u003c/p>\n\u003cp>Of those who did the mindfulness training, which included meditation and yoga instruction and CDs they could use at home, 43.6 percent reported a meaningful reduction in pain 26 weeks later. In the cognitive behavioral therapy group, 44.9 percent reported significant improvements. That's compared to 26.6 percent in the usual care group. And despite the fact that most people didn't attend all eight sessions of the programs.\u003c/p>\n\u003cp>\"I've been doing research on back pain for 30 years,\" says Daniel Cherkin, a senior investigator at the Group Health Research Institute in Seattle and lead author of the study. \"The biggest revolution has been the understanding that it's not just a physical problem with physical solutions. It's a biopsychosocial problem.\"\u003c/p>\n\u003cp>And some of those problems come about because there's often no medical \"cure\" for chronic back pain. \"It puts people in a situation where they get afraid, they get stressed, they're tired, they're irritable,\" Cherkin says. \"Unfortunately, these people have not found health care providers to be very helpful. They feel alone; they feel that their pain is not being validated.\"\u003c/p>\n\u003cp>The lack of effective medical treatments frustrates doctors, too, and has helped fuel the explosion of opioid prescribing for chronic pain, Cherkin says, \"Patients and docs were really kind of desperate to find things that worked.\"\u003c/p>\n\u003cp>It's pretty striking to see a journal like \u003cem>JAMA\u003c/em> endorsing meditation as an effective treatment, considering that not so very long ago it would have been dismissed as woo woo.\u003c/p>\n\u003cp>But that doesn't mean it's easy to find mindfulness training for stress reduction, or cognitive behavioral therapy for pain, or to get insurers to pay for it.\u003c/p>\n\u003cp>\"A lot of treatments that are recommended by high-quality guidelines are not covered by insurance or even licensed in some states,\" Cherkin says. \"Some of the least effective and sometimes harmful and expensive treatments are readily available and are covered by insurance.\"\u003c/p>\n\u003cp>But if your back is making you miserable, insurance reimbursement may not be at the top of your must-haves. So let's talk retail.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.umassmed.edu/cfm/stress-reduction/mbsr-8-week/tuition--payment-plans/\">31-hour on-site course \u003c/a>at the University of Massachusetts Medical School's Center for Mindfulness, which developed mindfulness-based stress reduction, costs $545 to $725; tuition assistance is available. An \u003ca href=\"http://www.soundstrue.com/store/the-mbsr-online-course-3226.html\">online video course\u003c/a> costs $197.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Cognitive behavioral therapy sessions can run $120 to $200 each; people typically don't need more than 16 sessions, and might need much less. It's a very particular technique, so it's important to ask a practitioner about \u003ca href=\"http://www.abct.org/Information/?fa=_HowToChooseTherapist&m=mInformation\">training and qualifications\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=For+Chronic+Low+Back+Pain%2C+Mindfulness+Can+Beat+Painkillers&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last week the Centers for Disease Control and Prevention told doctors they should really, really think twice before prescribing opioids for chronic pain.\u003c/p>\n\u003cp>And now the doctors are telling us that meditation and cognitive behavioral therapy often works better than pain meds and other medical treatments for chronic back pain.\u003c/p>\n\u003caside class=\"alignright\">It's pretty striking to see a journal like JAMA endorsing meditation as an effective treatment, considering that not so very long ago it would have been dismissed as woo woo.\u003c/aside>\n\u003cp>It's the latest in a series of studies saying that low-tech interventions like \u003ca href=\"http://www.npr.org/sections/health-shots/2016/01/11/462366361/forget-the-gizmos-exercise-works-best-for-lower-back-pain\">exercise\u003c/a>, \u003ca href=\"http://www.npr.org/sections/goatsandsoda/2015/06/08/412314701/lost-posture-why-indigenous-cultures-dont-have-back-pain\">posture training\u003c/a>, \u003ca href=\"http://www.npr.org/sections/health-shots/2015/10/13/448299723/physical-therapy-may-help-for-back-pain-but-time-works-best\">physical therapy\u003c/a> and just the passage of time work better than opioids, imaging or surgery for the vast majority of people with chronic back pain.\u003c/p>\n\u003cp>And it's part of a push to move treatment for chronic back pain, which affects about 8 percent of Americans and is a major cause of disability, away from being \"medicalized\" to something that people can manage by choosing from an array of nonmedical alternatives.\u003c/p>\n\u003cp>This latest \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2504811\">study\u003c/a>, published Tuesday in \u003cem>JAMA\u003c/em>, the journal of the American Medical Association, assessed the value of \u003ca href=\"http://www.mindfullivingprograms.com/whatMBSR.php\">mindfulness-based stress reduction\u003c/a>, a program developed at the University of Massachusetts Medical Center in the 1970s, and \u003ca href=\"https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000415.htm\">cognitive behavioral therapy\u003c/a>, a form of psychotherapy that helps reframe negative thoughts and is considered an evidence-based treatment for chronic pain.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The 342 participants, most of whom had suffered back pain weekly for at least the past year, were offered either eight weekly sessions of mindfulness training; eight sessions of cognitive behavioral therapy; or to keep doing what they'd been doing.\u003c/p>\n\u003cp>Of those who did the mindfulness training, which included meditation and yoga instruction and CDs they could use at home, 43.6 percent reported a meaningful reduction in pain 26 weeks later. In the cognitive behavioral therapy group, 44.9 percent reported significant improvements. That's compared to 26.6 percent in the usual care group. And despite the fact that most people didn't attend all eight sessions of the programs.\u003c/p>\n\u003cp>\"I've been doing research on back pain for 30 years,\" says Daniel Cherkin, a senior investigator at the Group Health Research Institute in Seattle and lead author of the study. \"The biggest revolution has been the understanding that it's not just a physical problem with physical solutions. It's a biopsychosocial problem.\"\u003c/p>\n\u003cp>And some of those problems come about because there's often no medical \"cure\" for chronic back pain. \"It puts people in a situation where they get afraid, they get stressed, they're tired, they're irritable,\" Cherkin says. \"Unfortunately, these people have not found health care providers to be very helpful. They feel alone; they feel that their pain is not being validated.\"\u003c/p>\n\u003cp>The lack of effective medical treatments frustrates doctors, too, and has helped fuel the explosion of opioid prescribing for chronic pain, Cherkin says, \"Patients and docs were really kind of desperate to find things that worked.\"\u003c/p>\n\u003cp>It's pretty striking to see a journal like \u003cem>JAMA\u003c/em> endorsing meditation as an effective treatment, considering that not so very long ago it would have been dismissed as woo woo.\u003c/p>\n\u003cp>But that doesn't mean it's easy to find mindfulness training for stress reduction, or cognitive behavioral therapy for pain, or to get insurers to pay for it.\u003c/p>\n\u003cp>\"A lot of treatments that are recommended by high-quality guidelines are not covered by insurance or even licensed in some states,\" Cherkin says. \"Some of the least effective and sometimes harmful and expensive treatments are readily available and are covered by insurance.\"\u003c/p>\n\u003cp>But if your back is making you miserable, insurance reimbursement may not be at the top of your must-haves. So let's talk retail.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.umassmed.edu/cfm/stress-reduction/mbsr-8-week/tuition--payment-plans/\">31-hour on-site course \u003c/a>at the University of Massachusetts Medical School's Center for Mindfulness, which developed mindfulness-based stress reduction, costs $545 to $725; tuition assistance is available. An \u003ca href=\"http://www.soundstrue.com/store/the-mbsr-online-course-3226.html\">online video course\u003c/a> costs $197.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Cognitive behavioral therapy sessions can run $120 to $200 each; people typically don't need more than 16 sessions, and might need much less. It's a very particular technique, so it's important to ask a practitioner about \u003ca href=\"http://www.abct.org/Information/?fa=_HowToChooseTherapist&m=mInformation\">training and qualifications\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=For+Chronic+Low+Back+Pain%2C+Mindfulness+Can+Beat+Painkillers&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Amazon's Alexa voice assistant can now give you progress reports if you wear a Fitbit fitness tracker.\u003c/p>\n\u003cp>Ask about your sleep, and Alexa will tell you when you fell asleep and for how long. Ask about your daily walks, and Alexa will reply with how many more miles you need to reach your goals. Alexa might also add some encouraging words, such as \"I believe in you.\"\u003c/p>\n\u003cp>Alexa works with Amazon's Echo speaker and Fire TV streaming devices. It's Amazon's answer to Apple's Siri, Google Now and Microsoft's Cortana. You can already use voice commands to ask Alexa for weather, movie listings and sports scores. In recent weeks, Alexa has also acquired such capabilities as paying Capital One bills and ordering pizza from Domino's.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amazon's Alexa voice assistant can now give you progress reports if you wear a Fitbit fitness tracker.\u003c/p>\n\u003cp>Ask about your sleep, and Alexa will tell you when you fell asleep and for how long. Ask about your daily walks, and Alexa will reply with how many more miles you need to reach your goals. Alexa might also add some encouraging words, such as \"I believe in you.\"\u003c/p>\n\u003cp>Alexa works with Amazon's Echo speaker and Fire TV streaming devices. It's Amazon's answer to Apple's Siri, Google Now and Microsoft's Cortana. You can already use voice commands to ask Alexa for weather, movie listings and sports scores. In recent weeks, Alexa has also acquired such capabilities as paying Capital One bills and ordering pizza from Domino's.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>On Wednesday, \u003ca href=\"http://www.alivecor.com/\" target=\"_blank\">AliveCor\u003c/a> announced the coming release of a product it's calling the \u003ca href=\"http://www.alivecor.com/\" target=\"_blank\">Kardia Band\u003c/a>, an extension of its popular mobile electrocardiogram, or EKG.\u003c/p>\n\u003cp>Designed primarily to work with the Apple Watch, the new device will enable users to record an EKG by touching a sensor on a wrist band, which the company says will result in an EKG in about 30 seconds. The app will tell users if their heart rhythm is normal or alert them if atrial fibrillation has been detected.\u003c/p>\n\u003cp>The company said the device could be available in the spring, pending an \u003ca href=\"http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/510kClearances/\" target=\"_blank\">FDA 510(k) clearance\u003c/a>. AliveCor also announced it's rebranding its debut product -- the device formerly known as AliveCor Mobile EKG -- as Kardia Mobile.\u003c/p>\n\u003cp>If you want to see how the new, Kardia Band will work, here's the company's promotional video. (Hey, turn off the volume if you hate advertising.)\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=958dfGnTvK8\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>\"A Very Useful Device\"\u003c/strong>\u003c/p>\n\u003cp>When you work the digital health beat you get used to coming across stuff that \u003ca href=\"http://ww2.kqed.org/futureofyou/2016/01/21/lumosity-ceo-admits-brain-training-games-may-produce-no-direct-benefits/\" target=\"_blank\">doesn't work\u003c/a> as \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\" target=\"_blank\">advertised\u003c/a>. Kardia Mobile, the company's original portable EKG, doesn't seem to be one of those products. That standalone device, as well as the company's algorithm for detecting \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp#.VusMvOIrKUk\" target=\"_blank\">atrial fibrillation\u003c/a> (AFib), are both FDA-approved.\u003c/p>\n\u003cp>AFib is the most common type of \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/Arrhythmia_UCM_002013_SubHomePage.jsp\" target=\"_blank\">arrhythmia\u003c/a>\u003ci>. \u003c/i> Associated with stroke and heart failure, it affects 2.2 million people in the U.S., according to the National Stroke Association.\u003c/p>\n\u003cp>Dr. Gregory Marcus, the director of clinical research for UC San Francisco's Division of Cardiology, calls Kardia Mobile \"a very useful device.\"\u003c/p>\n\u003cp>\"It actually provides a real electrocardiogram,\" he says, \"so it's not simply relying on one's pulse [which] can be inaccurate or not provide as much information.\"\u003c/p>\n\u003cp>An electrocardiogram records your heart's electrical activity, the electrical impulses that trigger a heartbeat.\u003c/p>\n\u003cp>Dr. Satish Misra, a cardiology fellow at Johns Hopkins University who also writes clinician-oriented reviews for the website \u003ca href=\"http://www.imedicalapps.com/\" target=\"_blank\">iMedicalApps\u003c/a>, thought the new Apple Watch product represented an incremental step in mobile EKG development. Kardia Mobile fits over your phone like a case. The coming Kardia Band, he says, \"removes the step of taking [a device] out of your pocket,\" (You can read his\u003ca href=\"http://www.imedicalapps.com/2016/03/apple-watch-ekg-kardia-band/\" target=\"_blank\"> write-up on yesterday's announcement here\u003c/a>.)\u003c/p>\n\u003cp>\u003cstrong>Mobile EKGs Not Right For All Patients\u003c/strong>\u003c/p>\n\u003cp>Both Misra and Marcus like Kardia in part because it solves what Marcus called a common conundrum -- patients making an appointment between arrhythmia episodes.\u003c/p>\n\u003cp>\"Someone often comes in and says, 'Every two or three days my heart feels like it's racing for 15 minutes. But it's not, right now,\" Misra said, adding that he often recommends AliveCor's mobile EKG. \"It's probably less than your copay is going to be for the devices we normally prescribe. Just take it out and record when you're having symptoms.\"\u003c/p>\n\u003cp>But it's not right for every patient, he cautioned.\u003c/p>\n\u003cp>\"You have to pick the patient right. It can't be somebody who takes out their phone and it takes them 10 minutes to figure out how to open an app. And it can't be somebody who's so symptomatic when they're having [an episode] that they're not going to be able to navigate using the phone to capture an [EKG].\"\u003c/p>\n\u003cp>Marcus also said the device has limitations, especially its inability to monitor continuously, which is necessary for some patients. Many patients have asymptomatic arrhythmia, he said, so relying on intermittent checks can cause you to miss an episode.\u003c/p>\n\u003cp>\"I'm reluctant to recommend it for laypeople without any sort of physician oversight,\" he said, \"because some rhythms could still be missed and others could be interpreted as being present when they're not if there's a lot of \u003ca href=\"http://www.wikidoc.org/index.php/EKG_artifacts\" target=\"_blank\">artifacts\u003c/a>.\"\u003c/p>\n\u003cp>Marcus cautions there's still a lot of research to be done to determine the best way to use the device and to understand exactly what its limitations are.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But, he says of AliveCor's first mobile EKG, \"it's a nice advance that is convenient to use.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On Wednesday, \u003ca href=\"http://www.alivecor.com/\" target=\"_blank\">AliveCor\u003c/a> announced the coming release of a product it's calling the \u003ca href=\"http://www.alivecor.com/\" target=\"_blank\">Kardia Band\u003c/a>, an extension of its popular mobile electrocardiogram, or EKG.\u003c/p>\n\u003cp>Designed primarily to work with the Apple Watch, the new device will enable users to record an EKG by touching a sensor on a wrist band, which the company says will result in an EKG in about 30 seconds. The app will tell users if their heart rhythm is normal or alert them if atrial fibrillation has been detected.\u003c/p>\n\u003cp>The company said the device could be available in the spring, pending an \u003ca href=\"http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/510kClearances/\" target=\"_blank\">FDA 510(k) clearance\u003c/a>. AliveCor also announced it's rebranding its debut product -- the device formerly known as AliveCor Mobile EKG -- as Kardia Mobile.\u003c/p>\n\u003cp>If you want to see how the new, Kardia Band will work, here's the company's promotional video. (Hey, turn off the volume if you hate advertising.)\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/958dfGnTvK8'\n title='//www.youtube.com/embed/958dfGnTvK8'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\"A Very Useful Device\"\u003c/strong>\u003c/p>\n\u003cp>When you work the digital health beat you get used to coming across stuff that \u003ca href=\"http://ww2.kqed.org/futureofyou/2016/01/21/lumosity-ceo-admits-brain-training-games-may-produce-no-direct-benefits/\" target=\"_blank\">doesn't work\u003c/a> as \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\" target=\"_blank\">advertised\u003c/a>. Kardia Mobile, the company's original portable EKG, doesn't seem to be one of those products. That standalone device, as well as the company's algorithm for detecting \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp#.VusMvOIrKUk\" target=\"_blank\">atrial fibrillation\u003c/a> (AFib), are both FDA-approved.\u003c/p>\n\u003cp>AFib is the most common type of \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/Arrhythmia_UCM_002013_SubHomePage.jsp\" target=\"_blank\">arrhythmia\u003c/a>\u003ci>. \u003c/i> Associated with stroke and heart failure, it affects 2.2 million people in the U.S., according to the National Stroke Association.\u003c/p>\n\u003cp>Dr. Gregory Marcus, the director of clinical research for UC San Francisco's Division of Cardiology, calls Kardia Mobile \"a very useful device.\"\u003c/p>\n\u003cp>\"It actually provides a real electrocardiogram,\" he says, \"so it's not simply relying on one's pulse [which] can be inaccurate or not provide as much information.\"\u003c/p>\n\u003cp>An electrocardiogram records your heart's electrical activity, the electrical impulses that trigger a heartbeat.\u003c/p>\n\u003cp>Dr. Satish Misra, a cardiology fellow at Johns Hopkins University who also writes clinician-oriented reviews for the website \u003ca href=\"http://www.imedicalapps.com/\" target=\"_blank\">iMedicalApps\u003c/a>, thought the new Apple Watch product represented an incremental step in mobile EKG development. Kardia Mobile fits over your phone like a case. The coming Kardia Band, he says, \"removes the step of taking [a device] out of your pocket,\" (You can read his\u003ca href=\"http://www.imedicalapps.com/2016/03/apple-watch-ekg-kardia-band/\" target=\"_blank\"> write-up on yesterday's announcement here\u003c/a>.)\u003c/p>\n\u003cp>\u003cstrong>Mobile EKGs Not Right For All Patients\u003c/strong>\u003c/p>\n\u003cp>Both Misra and Marcus like Kardia in part because it solves what Marcus called a common conundrum -- patients making an appointment between arrhythmia episodes.\u003c/p>\n\u003cp>\"Someone often comes in and says, 'Every two or three days my heart feels like it's racing for 15 minutes. But it's not, right now,\" Misra said, adding that he often recommends AliveCor's mobile EKG. \"It's probably less than your copay is going to be for the devices we normally prescribe. Just take it out and record when you're having symptoms.\"\u003c/p>\n\u003cp>But it's not right for every patient, he cautioned.\u003c/p>\n\u003cp>\"You have to pick the patient right. It can't be somebody who takes out their phone and it takes them 10 minutes to figure out how to open an app. And it can't be somebody who's so symptomatic when they're having [an episode] that they're not going to be able to navigate using the phone to capture an [EKG].\"\u003c/p>\n\u003cp>Marcus also said the device has limitations, especially its inability to monitor continuously, which is necessary for some patients. Many patients have asymptomatic arrhythmia, he said, so relying on intermittent checks can cause you to miss an episode.\u003c/p>\n\u003cp>\"I'm reluctant to recommend it for laypeople without any sort of physician oversight,\" he said, \"because some rhythms could still be missed and others could be interpreted as being present when they're not if there's a lot of \u003ca href=\"http://www.wikidoc.org/index.php/EKG_artifacts\" target=\"_blank\">artifacts\u003c/a>.\"\u003c/p>\n\u003cp>Marcus cautions there's still a lot of research to be done to determine the best way to use the device and to understand exactly what its limitations are.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But, he says of AliveCor's first mobile EKG, \"it's a nice advance that is convenient to use.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A state appeals court has \u003ca href=\"http://www.courts.ca.gov/opinions/documents/B262174.PDF\" target=\"_blank\">upheld a judge's decision\u003c/a> to block a smartphone app that allowed people in Los Angeles to have medical marijuana delivered to them.\u003c/p>\n\u003cp>A division of the 2nd District Court of Appeal said Monday the app by a company called NestDrop violated a 2013 voter-approved law that restricted medical marijuana facilities in the city. The company was sued in 2014 by Los Angeles' city attorney, who sought to shut it down as a violation of that law.\u003c/p>\n\u003cp>The three-judge appellate panel said the law, Proposition D, also generally prohibits marijuana deliveries by vehicle. The panel upheld a lower court's decision to issue a preliminary injunction.\u003c/p>\n\u003cp>Michael Grahn, who represented NestDrop, said the appeals court did not provide a good reason why it rejected NestDrop's argument that Proposition D was pre-empted by the state vehicle code.\u003c/p>\n\u003cp>Nestdrop launched in L.A. last year, according to the \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-nestdrop-pot-marijuana-delivery-20141223-story.html\" target=\"_blank\">L.A. Times\u003c/a>, marketing itself as America's first app-based, on-demand delivery service for medical marijuana.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It is our mission to offer you high quality medical marijuana legally with the privacy you deserve now through your phone,\" Nestdrop's \u003ca href=\"http://nestdrop.com/about\" target=\"_blank\">website says\u003c/a>. \"Your comfort is important to us and Nestdrop makes it easy, fast, and affordable to get your medicinal needs brought to your door.\"\u003c/p>\n\u003cp>Co-founder Michael Pycher told the Times in December that the app had tens of thousands of users. The app's download page on Google Play says it's available in San Francisco, Portland, Seattle and other areas in California.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A state appeals court has \u003ca href=\"http://www.courts.ca.gov/opinions/documents/B262174.PDF\" target=\"_blank\">upheld a judge's decision\u003c/a> to block a smartphone app that allowed people in Los Angeles to have medical marijuana delivered to them.\u003c/p>\n\u003cp>A division of the 2nd District Court of Appeal said Monday the app by a company called NestDrop violated a 2013 voter-approved law that restricted medical marijuana facilities in the city. The company was sued in 2014 by Los Angeles' city attorney, who sought to shut it down as a violation of that law.\u003c/p>\n\u003cp>The three-judge appellate panel said the law, Proposition D, also generally prohibits marijuana deliveries by vehicle. The panel upheld a lower court's decision to issue a preliminary injunction.\u003c/p>\n\u003cp>Michael Grahn, who represented NestDrop, said the appeals court did not provide a good reason why it rejected NestDrop's argument that Proposition D was pre-empted by the state vehicle code.\u003c/p>\n\u003cp>Nestdrop launched in L.A. last year, according to the \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-nestdrop-pot-marijuana-delivery-20141223-story.html\" target=\"_blank\">L.A. Times\u003c/a>, marketing itself as America's first app-based, on-demand delivery service for medical marijuana.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It is our mission to offer you high quality medical marijuana legally with the privacy you deserve now through your phone,\" Nestdrop's \u003ca href=\"http://nestdrop.com/about\" target=\"_blank\">website says\u003c/a>. \"Your comfort is important to us and Nestdrop makes it easy, fast, and affordable to get your medicinal needs brought to your door.\"\u003c/p>\n\u003cp>Co-founder Michael Pycher told the Times in December that the app had tens of thousands of users. The app's download page on Google Play says it's available in San Francisco, Portland, Seattle and other areas in California.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>BALTIMORE — There is little in Ruby’s life that is easy. Nearly blind and unable to walk more than a step or two, the 39-year-old struggles to raise three sons while dealing with a daunting array of health conditions, from diabetes that recently landed her in the hospital to pain from bulging spinal disks.\u003c/p>\n\u003cp>Without support, odds are she’ll end up back in a hospital. But Ruby, who asked that her last name not be used to protect her family’s privacy, is part of a growing effort to reduce those odds by arming home care aides and other non-medical workers with the power of data.\u003c/p>\n\u003caside class=\"pullquote alignright\">Companies are targeting non-medical caregivers in touting software designed to help spot potential medical problems and avoid hospitalization.\u003c/aside>\n\u003cp>On a recent Monday, health coach Nhaomie Douyon visited Ruby in the small, rented two-story row house where she lives with her children. Douyon works for the Coordinating Center, a Maryland-based nonprofit that helps organize medical and social needs for clients like Ruby, who live in designated medically underserved areas.\u003c/p>\n\u003cp>The two chatted in the living room, where a couch and chairs share the space with a bed. White curtains obscure the view outside, where small groups of young people cluster on front steps and some homes have boarded-up windows. Douyon, 28, came equipped with a tablet loaded with a software program that uses predictive analytics to generate patient-specific questions.\u003c/p>\n\u003cp>The software was developed by Care at Hand, a privately held firm that is among a small but growing number of companies touting products they say can help spot potential medical problems before they require hospitalization. The software was created for use by non-medical workers like Douyon and home care aides who care for millions of elderly, ill or disabled people.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Skeptics note that there are few studies confirming whether the technology accurately predicts problems, prevents hospitalizations or saves money. Still, the business has attracted the attention of venture capitalists and may lead to more health care applications for consumers.\u003c/p>\n\u003cp>Was Ruby having trouble paying for her medications? Did she feel nauseous? Were her ankles more swollen today? Those were some of the 15 questions the program Douyon’s agency uses generated for Ruby.\u003c/p>\n\u003cp>When she typed in Ruby’s answer that her ankles and legs were definitely more swollen, it triggered an alert to the nurse manager back at her office. Within a few minutes, nurse Chris Parsons called from the Coordinating Center’s headquarters, asked more questions and directed the pair to contact Ruby’s doctor’s office for medicine that might help. Try to elevate your feet, she told Ruby, and go to the emergency room if the swelling gets worse.\u003c/p>\n\u003cp>“It’s like bringing a pocket nurse Chris with you,” said Douyon, who is also studying for a master’s degree in public health and has previously worked for groups doing health outreach in Ghana and Haiti.\u003c/p>\n\u003cp>“It doesn’t just go through medical questions but asks about resources they might need and helps us pick up on certain red flags or the barriers they face,” she said of the tablet.\u003c/p>\n\u003cp>Another firm, eCaring, is aimed more squarely at home care aides and their agencies. The company’s software allows aides to note a patient’s well-being hour by hour, using colorful icons, such as a toothbrush for recording personal care activities and a happy or sad face for documenting their mental state. It, too, uses the information to predict which patients might be at high risk and send an alert back to a care manager.\u003c/p>\n\u003cp>“It’s a portrait of what is going on in the home,” said Robert Herzog, CEO and founder of eCaring, a privately held firm that has contracted with home care agencies in New York to use its software programs. “It transforms the home from a black box into a data-rich environment.”\u003c/p>\n\u003cp>Other firms, such as Honor in California and Hometeam in New York, offer more consumer-directed services, such as apps that home care aides use to log their daily observations. The companies have each drawn low, double-digit million dollar funding from well-known venture capitalists, including Marc Andreessen, a cofounder of the Silicon Valley venture firm Andreesen Horowitz, Yelp cofounder and CEO Jeremy Stoppelman, and emerging technology investor Lux Capital. The apps help families hire and schedule home care aides, and then keep the family informed about how mom is doing with texts, pictures and updates on daily activities.\u003c/p>\n\u003cp>One big question is who will pay for the technology? Agencies using programs aimed at consumers can build the cost into their home care services, charging consumers more than agencies that didn’t use the technology. Herzog at eCaring says his firm pays for the tablets and gets a low-cost data package for internet use — which the tablets require — from Verizon. It then builds those costs into its contracts with hospitals or insurers. The Coordinating Center, which uses Care at Hand in Baltimore and other locations in Maryland, similarly builds those costs into its contracts. It also receives grant money from the state and other agencies for its care coordination efforts.\u003c/p>\n\u003cp>Thomas Scully, the former top administrator at the Centers for Medicare & Medicaid Services and now an attorney who advises clients on health care issues and a general partner in a private investment firm, said the idea behind these firms is good. But, he added, their growth potential may be limited because the expense of the tablets and software will make the home care services more expensive. “All of this is part of the answer, but it has to show economic savings,” said Scully.\u003c/p>\n\u003cp>\u003cstrong>Watching For Evidence Of Success\u003c/strong>\u003c/p>\n\u003cp>Billions are spent nationally each year on avoidable hospital admissions, prompting measures to prevent more of them. The federal health law, for example, created financial incentives for hospitals to reduce readmissions.\u003c/p>\n\u003cp>The new software fits into this focus. But obstacles remain, including the big question of whether they actually work better than other efforts aimed at this goal.\u003c/p>\n\u003cp>The companies themselves — mainly small, privately held ventures — say they have data showing significant reduction in hospitalizations and costs.\u003c/p>\n\u003cp>“Non-medical workers are able to make some guided observations that predict if a patient will be at risk of going to a hospital,” said Andrey Ostrovsky, a doctor who is CEO and founder of Care at Hand.\u003c/p>\n\u003cp>For example, a study done by consulting firm Avalere, with Ostrovsky co-authoring, reviewed the records of more than 2,200 patients using the technology. It concluded that hospital admissions dropped 29 percent for patients who had three or more hospital visits the prior year. It showed an overall 14 percent decrease in admissions among all those studied.\u003c/p>\n\u003cp>But not everyone is convinced that arming home care workers with software programs will prove to be an effective strategy.\u003c/p>\n\u003cp>“It’s more theory than reality,” said Bob Kocher, a partner at Venrock, a venture capital firm in California. After reviewing the firms out there, Kocher said his firm decided not to invest yet, although “I have no doubt that 10 years from now, we will improve the training of home care workers and have much better diagnostic tools in the home — and it will work.”\u003c/p>\n\u003cp>Still, the ranks of elderly Americans are growing rapidly and most want to avoid nursing homes. “The industry is placing a big bet that technology will be the missing variable … to allow us to care for a large elderly population at home,” said Jared Landis, practice manager at the Advisory Board, a firm that consults with hospitals.\u003c/p>\n\u003cp>’Just One Tool’ In A Larger Effort\u003c/p>\n\u003cp>For Ruby, the tablet is just one piece of a much larger effort by the Coordinating Center, which has also enrolled her in the practice of a local primary care doctor, signed her up for an appointment at an eye clinic and is seeking an alternative to a medication she was prescribed that wasn’t included on her insurance plan.\u003c/p>\n\u003cp>She is motivated: “I want to be here to see my kids walk across the stage at high school graduation, to see when they have kids.”\u003c/p>\n\u003cp>That combination — a motivated patient and a broad effort to coordinate her care — may help prevent Ruby from returning to the hospital with high blood sugar levels or other problems.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“The tablet is just one tool. We were reducing readmissions without it, but when we implemented it, we were able to squeeze out a little more,” said Carol Marsiglia, senior vice president of strategic initiatives at the center.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>BALTIMORE — There is little in Ruby’s life that is easy. Nearly blind and unable to walk more than a step or two, the 39-year-old struggles to raise three sons while dealing with a daunting array of health conditions, from diabetes that recently landed her in the hospital to pain from bulging spinal disks.\u003c/p>\n\u003cp>Without support, odds are she’ll end up back in a hospital. But Ruby, who asked that her last name not be used to protect her family’s privacy, is part of a growing effort to reduce those odds by arming home care aides and other non-medical workers with the power of data.\u003c/p>\n\u003caside class=\"pullquote alignright\">Companies are targeting non-medical caregivers in touting software designed to help spot potential medical problems and avoid hospitalization.\u003c/aside>\n\u003cp>On a recent Monday, health coach Nhaomie Douyon visited Ruby in the small, rented two-story row house where she lives with her children. Douyon works for the Coordinating Center, a Maryland-based nonprofit that helps organize medical and social needs for clients like Ruby, who live in designated medically underserved areas.\u003c/p>\n\u003cp>The two chatted in the living room, where a couch and chairs share the space with a bed. White curtains obscure the view outside, where small groups of young people cluster on front steps and some homes have boarded-up windows. Douyon, 28, came equipped with a tablet loaded with a software program that uses predictive analytics to generate patient-specific questions.\u003c/p>\n\u003cp>The software was developed by Care at Hand, a privately held firm that is among a small but growing number of companies touting products they say can help spot potential medical problems before they require hospitalization. The software was created for use by non-medical workers like Douyon and home care aides who care for millions of elderly, ill or disabled people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Skeptics note that there are few studies confirming whether the technology accurately predicts problems, prevents hospitalizations or saves money. Still, the business has attracted the attention of venture capitalists and may lead to more health care applications for consumers.\u003c/p>\n\u003cp>Was Ruby having trouble paying for her medications? Did she feel nauseous? Were her ankles more swollen today? Those were some of the 15 questions the program Douyon’s agency uses generated for Ruby.\u003c/p>\n\u003cp>When she typed in Ruby’s answer that her ankles and legs were definitely more swollen, it triggered an alert to the nurse manager back at her office. Within a few minutes, nurse Chris Parsons called from the Coordinating Center’s headquarters, asked more questions and directed the pair to contact Ruby’s doctor’s office for medicine that might help. Try to elevate your feet, she told Ruby, and go to the emergency room if the swelling gets worse.\u003c/p>\n\u003cp>“It’s like bringing a pocket nurse Chris with you,” said Douyon, who is also studying for a master’s degree in public health and has previously worked for groups doing health outreach in Ghana and Haiti.\u003c/p>\n\u003cp>“It doesn’t just go through medical questions but asks about resources they might need and helps us pick up on certain red flags or the barriers they face,” she said of the tablet.\u003c/p>\n\u003cp>Another firm, eCaring, is aimed more squarely at home care aides and their agencies. The company’s software allows aides to note a patient’s well-being hour by hour, using colorful icons, such as a toothbrush for recording personal care activities and a happy or sad face for documenting their mental state. It, too, uses the information to predict which patients might be at high risk and send an alert back to a care manager.\u003c/p>\n\u003cp>“It’s a portrait of what is going on in the home,” said Robert Herzog, CEO and founder of eCaring, a privately held firm that has contracted with home care agencies in New York to use its software programs. “It transforms the home from a black box into a data-rich environment.”\u003c/p>\n\u003cp>Other firms, such as Honor in California and Hometeam in New York, offer more consumer-directed services, such as apps that home care aides use to log their daily observations. The companies have each drawn low, double-digit million dollar funding from well-known venture capitalists, including Marc Andreessen, a cofounder of the Silicon Valley venture firm Andreesen Horowitz, Yelp cofounder and CEO Jeremy Stoppelman, and emerging technology investor Lux Capital. The apps help families hire and schedule home care aides, and then keep the family informed about how mom is doing with texts, pictures and updates on daily activities.\u003c/p>\n\u003cp>One big question is who will pay for the technology? Agencies using programs aimed at consumers can build the cost into their home care services, charging consumers more than agencies that didn’t use the technology. Herzog at eCaring says his firm pays for the tablets and gets a low-cost data package for internet use — which the tablets require — from Verizon. It then builds those costs into its contracts with hospitals or insurers. The Coordinating Center, which uses Care at Hand in Baltimore and other locations in Maryland, similarly builds those costs into its contracts. It also receives grant money from the state and other agencies for its care coordination efforts.\u003c/p>\n\u003cp>Thomas Scully, the former top administrator at the Centers for Medicare & Medicaid Services and now an attorney who advises clients on health care issues and a general partner in a private investment firm, said the idea behind these firms is good. But, he added, their growth potential may be limited because the expense of the tablets and software will make the home care services more expensive. “All of this is part of the answer, but it has to show economic savings,” said Scully.\u003c/p>\n\u003cp>\u003cstrong>Watching For Evidence Of Success\u003c/strong>\u003c/p>\n\u003cp>Billions are spent nationally each year on avoidable hospital admissions, prompting measures to prevent more of them. The federal health law, for example, created financial incentives for hospitals to reduce readmissions.\u003c/p>\n\u003cp>The new software fits into this focus. But obstacles remain, including the big question of whether they actually work better than other efforts aimed at this goal.\u003c/p>\n\u003cp>The companies themselves — mainly small, privately held ventures — say they have data showing significant reduction in hospitalizations and costs.\u003c/p>\n\u003cp>“Non-medical workers are able to make some guided observations that predict if a patient will be at risk of going to a hospital,” said Andrey Ostrovsky, a doctor who is CEO and founder of Care at Hand.\u003c/p>\n\u003cp>For example, a study done by consulting firm Avalere, with Ostrovsky co-authoring, reviewed the records of more than 2,200 patients using the technology. It concluded that hospital admissions dropped 29 percent for patients who had three or more hospital visits the prior year. It showed an overall 14 percent decrease in admissions among all those studied.\u003c/p>\n\u003cp>But not everyone is convinced that arming home care workers with software programs will prove to be an effective strategy.\u003c/p>\n\u003cp>“It’s more theory than reality,” said Bob Kocher, a partner at Venrock, a venture capital firm in California. After reviewing the firms out there, Kocher said his firm decided not to invest yet, although “I have no doubt that 10 years from now, we will improve the training of home care workers and have much better diagnostic tools in the home — and it will work.”\u003c/p>\n\u003cp>Still, the ranks of elderly Americans are growing rapidly and most want to avoid nursing homes. “The industry is placing a big bet that technology will be the missing variable … to allow us to care for a large elderly population at home,” said Jared Landis, practice manager at the Advisory Board, a firm that consults with hospitals.\u003c/p>\n\u003cp>’Just One Tool’ In A Larger Effort\u003c/p>\n\u003cp>For Ruby, the tablet is just one piece of a much larger effort by the Coordinating Center, which has also enrolled her in the practice of a local primary care doctor, signed her up for an appointment at an eye clinic and is seeking an alternative to a medication she was prescribed that wasn’t included on her insurance plan.\u003c/p>\n\u003cp>She is motivated: “I want to be here to see my kids walk across the stage at high school graduation, to see when they have kids.”\u003c/p>\n\u003cp>That combination — a motivated patient and a broad effort to coordinate her care — may help prevent Ruby from returning to the hospital with high blood sugar levels or other problems.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Truth: Who actually reads the permissions for every app before agreeing to them?\u003c/p>\n\u003cp>Turns out that, unlike every other entity that collects your health information and makes you read privacy policies \u003cem>ad nauseum\u003c/em>, apps do not generally have to abide by federal health privacy laws. And many health apps are taking advantage of that to share sensitive health information with advertisers and other third parties, according to a \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2499265\" target=\"_blank\">new study\u003c/a> in \u003ca href=\"http://jama.jamanetwork.com/journal.aspx\" target=\"_blank\">The Journal of the American Medical Association\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Once your health information gets leaked, anyone can access it and you no longer have control.'\u003ccite>Sarah Blenner,\u003cbr>\nUCLA Fielding School of Public Health\u003c/cite>\u003c/aside>\n\u003cp>The study found it was rare that people who downloaded any of the diabetes apps studied could exert control over how it used their private health information. Only four of 211 apps said they would ask users for permission to share data. And 81 percent of the apps had no privacy policy at all.\u003c/p>\n\u003cp>\"It's very troubling.\" says lead author and lawyer Sarah Blenner, a project manager at the UCLA Fielding School of Public Health.\u003c/p>\n\u003cp>Blenner led the project when she was at the Illinois Institute of Technology's Chicago-Kent College of Law, and focused on diabetes apps because diabetes and consumer privacy were the two major areas of concern for her team.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The researchers found even the apps that had privacy policies didn't do much to safeguard privacy. Eighty percent of the privacy policies authorized the app to collect sensitive health information, and nearly half the policies authorized the app to share personal health data with third parties.\u003c/p>\n\u003cp>To find out whether the apps actually shared all this information, Blenner and her colleagues conducted a sort of covert op.\u003c/p>\n\u003cp>After they examined permissions and privacy policies for all 211 diabetes apps available on Android over a period of six months, researchers chose a random subset of 65 apps they monitored surreptitiously to find how they used people's personal health information.\u003c/p>\n\u003cp>More than 75 percent of the apps in the subset -- both those with privacy policies and those without -- routinely collected and shared the sensitive health data, such as blood glucose and insulin levels. Once the app shared the information, Blenner and her colleagues couldn't follow where it went next, but she says at that point, it could continue to be shared and sold multiple times.\u003c/p>\n\u003cp>Further, the apps could have been sweeping up wide swaths of personal information, depending on what the user was tracking: food and exercise, perhaps, or useful websites and doctors.\u003c/p>\n\u003cp>\"All of that can be shared or leaked with third parties,\" Blenner says. \"Once your health information gets leaked, anyone can access it and you no longer have control.\"\u003c/p>\n\u003cp>Equally startling was the range of activities the apps were authorized to conduct inside the user's phone. These activities were embedded in the permissions users have to agree to in order to download the app. Of the 211 apps, 64 precent were authorized to modify or delete any of the content stored on your phone.\u003c/p>\n\u003cp>And a creepy fraction of the apps -- 11 percent or less -- were authorized to turn on your phone's camera and take pictures and videos, call and modify your contacts, read or write your call log, and record your phone calls. One of the apps using these creepy permissions sounds otherwise bland; Blenner says it offered recipes as its only content.\u003c/p>\n\u003cp>While the study looked at a limited subset of health apps, it points to glaring deficiencies in privacy law and troubling practices that any health app can legally participate in.\u003c/p>\n\u003cp>As the study summed it up, health professionals should consider privacy implications before they recommend a health app, and patients cannot generally assume their health information is private once they enter it into an app.\u003c/p>\n\u003cp>If you do want to find a health app's privacy policy, fair warning that it's apparently not always easy. Blenner says some privacy policies were included in the description of the app, others made you click on a link to read the policy, and still others the researchers found only by figuring out who developed the app and going to the developer's website.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In other words, while your doctors and other health professionals are generating reams of paperwork to protect your sensitive health information, that same information on your phone could be streaming off to who knows where.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Truth: Who actually reads the permissions for every app before agreeing to them?\u003c/p>\n\u003cp>Turns out that, unlike every other entity that collects your health information and makes you read privacy policies \u003cem>ad nauseum\u003c/em>, apps do not generally have to abide by federal health privacy laws. And many health apps are taking advantage of that to share sensitive health information with advertisers and other third parties, according to a \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2499265\" target=\"_blank\">new study\u003c/a> in \u003ca href=\"http://jama.jamanetwork.com/journal.aspx\" target=\"_blank\">The Journal of the American Medical Association\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Once your health information gets leaked, anyone can access it and you no longer have control.'\u003ccite>Sarah Blenner,\u003cbr>\nUCLA Fielding School of Public Health\u003c/cite>\u003c/aside>\n\u003cp>The study found it was rare that people who downloaded any of the diabetes apps studied could exert control over how it used their private health information. Only four of 211 apps said they would ask users for permission to share data. And 81 percent of the apps had no privacy policy at all.\u003c/p>\n\u003cp>\"It's very troubling.\" says lead author and lawyer Sarah Blenner, a project manager at the UCLA Fielding School of Public Health.\u003c/p>\n\u003cp>Blenner led the project when she was at the Illinois Institute of Technology's Chicago-Kent College of Law, and focused on diabetes apps because diabetes and consumer privacy were the two major areas of concern for her team.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The researchers found even the apps that had privacy policies didn't do much to safeguard privacy. Eighty percent of the privacy policies authorized the app to collect sensitive health information, and nearly half the policies authorized the app to share personal health data with third parties.\u003c/p>\n\u003cp>To find out whether the apps actually shared all this information, Blenner and her colleagues conducted a sort of covert op.\u003c/p>\n\u003cp>After they examined permissions and privacy policies for all 211 diabetes apps available on Android over a period of six months, researchers chose a random subset of 65 apps they monitored surreptitiously to find how they used people's personal health information.\u003c/p>\n\u003cp>More than 75 percent of the apps in the subset -- both those with privacy policies and those without -- routinely collected and shared the sensitive health data, such as blood glucose and insulin levels. Once the app shared the information, Blenner and her colleagues couldn't follow where it went next, but she says at that point, it could continue to be shared and sold multiple times.\u003c/p>\n\u003cp>Further, the apps could have been sweeping up wide swaths of personal information, depending on what the user was tracking: food and exercise, perhaps, or useful websites and doctors.\u003c/p>\n\u003cp>\"All of that can be shared or leaked with third parties,\" Blenner says. \"Once your health information gets leaked, anyone can access it and you no longer have control.\"\u003c/p>\n\u003cp>Equally startling was the range of activities the apps were authorized to conduct inside the user's phone. These activities were embedded in the permissions users have to agree to in order to download the app. Of the 211 apps, 64 precent were authorized to modify or delete any of the content stored on your phone.\u003c/p>\n\u003cp>And a creepy fraction of the apps -- 11 percent or less -- were authorized to turn on your phone's camera and take pictures and videos, call and modify your contacts, read or write your call log, and record your phone calls. One of the apps using these creepy permissions sounds otherwise bland; Blenner says it offered recipes as its only content.\u003c/p>\n\u003cp>While the study looked at a limited subset of health apps, it points to glaring deficiencies in privacy law and troubling practices that any health app can legally participate in.\u003c/p>\n\u003cp>As the study summed it up, health professionals should consider privacy implications before they recommend a health app, and patients cannot generally assume their health information is private once they enter it into an app.\u003c/p>\n\u003cp>If you do want to find a health app's privacy policy, fair warning that it's apparently not always easy. Blenner says some privacy policies were included in the description of the app, others made you click on a link to read the policy, and still others the researchers found only by figuring out who developed the app and going to the developer's website.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In other words, while your doctors and other health professionals are generating reams of paperwork to protect your sensitive health information, that same information on your phone could be streaming off to who knows where.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>You know you need to exercise more, but there's always next week, or the week after. To entice you to stop procrastinating, your company or insurer might soon reward you for wearing a fitness device to track your steps, heart rate and more.\u003c/p>\n\u003cp>For instance, in one program announced Wednesday, some workers can buy a $350 Apple Watch for just $25 by meeting exercise goals for two years. Miss goals, and see your discount shrink. Vitality, a provider of disease-prevention and lifestyle programs, is initially bringing the offer to U.S. employees at three companies, along with John Hancock life-insurance customers. It has been testing the program in South Africa since December.\u003c/p>\n\u003cp>Other programs let you redeem points from fitness activities for gift cards and other rewards. Submit to biometric screenings and nutrition classes, and in some cases you can earn insurance discounts.\u003c/p>\n\u003cp>\"We all live busy lives, but the truth is, if doctors could write one prescription for the world, it would be activity,\" says Jeff Williams, Apple's chief operating officer.\u003c/p>\n\u003cp>Adrian Gore, CEO and founder of Vitality parent company Discovery Group, says that for many people, the benefits from exercise might not be apparent for a few decades. Reward programs make the payoff more immediate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Programs like these are still new, but appear to be expanding as part of broader changes in the health care marketplace.\u003c/p>\n\u003cp>On Tuesday, health insurer UnitedHealthcare started offering up to $1,460 a year in credits toward deductibles for meeting daily goals while wearing a custom tracker. Oscar, which sells health insurance directly to consumers, has been giving out free Misfit trackers for opportunities to earn up to $100 a year in Amazon gift cards. Fitbit works with employers such as Indiana University Health and Emory University in Atlanta to subsidize fitness trackers for their staff.\u003c/p>\n\u003cp>\"I love playing sports, but doing cardio stuff isn't my favorite,\" says Brett Broviak, 43, an IU Health employee in Noblesville, Indiana.\u003c/p>\n\u003cp>He says getting a discounted Fitbit pushed him to walk 1 million steps a month.\u003c/p>\n\u003cp>These programs are typically voluntary, but you must be willing to share data to earn the most rewards and insurance discounts.\u003c/p>\n\u003cp>Sound creepy? Program officials say that data from fitness trackers typically go to outside administrators, such as Fitbit or Vitality. Employers and insurers get only broad totals to verify eligibility and not details on heart rate and sleep. But participants need to trust that these systems won't get hacked.\u003c/p>\n\u003cp>Mike Doughty, president and general manager of John Hancock Insurance, says premiums won't rise if a screening uncovers higher blood pressure or other risks. Rather, he says, wellness incentives are about promoting longer lives — and collecting life-insurance premiums longer.\u003c/p>\n\u003cp>There's no proof that providing fitness trackers directly lowers health care costs, but there's plenty of evidence that exercise leads to better health, which in turn can improve productivity and reduce absences. Michael Staufacker, Emory's director of health management, describes the thinking as a \"value of investment and not a hard-dollar return on investment as it relates to medical or pharmacy costs.\"\u003c/p>\n\u003cp>More importantly, reaching daily exercise goals is just the beginning of getting people to think more about their health.\u003c/p>\n\u003cp>\"If I exercise regularly, then junk food just doesn't appeal to me,\" says Mark Holloway, 55, of Clemmons, North Carolina, who participates in Vitality's wellness program through his employer, Lockton. \"French fries and hamburgers? No, thanks. It's like putting sand in your gas tank.\"\u003c/p>\n\u003cp>Programs from Vitality and others typically won't let you earn insurance discounts simply by exercising. You'll need to earn additional points by completing questionnaires and getting flu shots. You sometimes get bonus points simply by staying within recommended limits for cholesterol, blood pressure and other measures. Smokers can also get points for joining programs to help them quit.\u003c/p>\n\u003cp>\"You change one thing about your behavior, and you can be more motivated to work on these other aspects,\" says Tammy Smith, who manages the employee wellness program at IU Health.\u003c/p>\n\u003cp>DaVita HealthCare Partners says health care spending by its employees slowed significantly after it offered tracker-based incentives through Vitality. But DaVita also increased the deductible on claims and started such initiatives as Fresh Fruit Wednesday. That makes the effect of the fitness program difficult to isolate.\u003c/p>\n\u003cp>With the Apple Watch program, you must pay back Vitality each month you miss your fitness goals, which typically call for four substantial workouts a week. The goals are meant to be achievable, but tough enough to change habits. You can get more expensive Apple Watch models by paying the difference.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>An iPhone is required; Vitality has no current plans to offer anything similar for Android. Neither Apple nor Vitality would provide financial details on the arrangement.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>You know you need to exercise more, but there's always next week, or the week after. To entice you to stop procrastinating, your company or insurer might soon reward you for wearing a fitness device to track your steps, heart rate and more.\u003c/p>\n\u003cp>For instance, in one program announced Wednesday, some workers can buy a $350 Apple Watch for just $25 by meeting exercise goals for two years. Miss goals, and see your discount shrink. Vitality, a provider of disease-prevention and lifestyle programs, is initially bringing the offer to U.S. employees at three companies, along with John Hancock life-insurance customers. It has been testing the program in South Africa since December.\u003c/p>\n\u003cp>Other programs let you redeem points from fitness activities for gift cards and other rewards. Submit to biometric screenings and nutrition classes, and in some cases you can earn insurance discounts.\u003c/p>\n\u003cp>\"We all live busy lives, but the truth is, if doctors could write one prescription for the world, it would be activity,\" says Jeff Williams, Apple's chief operating officer.\u003c/p>\n\u003cp>Adrian Gore, CEO and founder of Vitality parent company Discovery Group, says that for many people, the benefits from exercise might not be apparent for a few decades. Reward programs make the payoff more immediate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Programs like these are still new, but appear to be expanding as part of broader changes in the health care marketplace.\u003c/p>\n\u003cp>On Tuesday, health insurer UnitedHealthcare started offering up to $1,460 a year in credits toward deductibles for meeting daily goals while wearing a custom tracker. Oscar, which sells health insurance directly to consumers, has been giving out free Misfit trackers for opportunities to earn up to $100 a year in Amazon gift cards. Fitbit works with employers such as Indiana University Health and Emory University in Atlanta to subsidize fitness trackers for their staff.\u003c/p>\n\u003cp>\"I love playing sports, but doing cardio stuff isn't my favorite,\" says Brett Broviak, 43, an IU Health employee in Noblesville, Indiana.\u003c/p>\n\u003cp>He says getting a discounted Fitbit pushed him to walk 1 million steps a month.\u003c/p>\n\u003cp>These programs are typically voluntary, but you must be willing to share data to earn the most rewards and insurance discounts.\u003c/p>\n\u003cp>Sound creepy? Program officials say that data from fitness trackers typically go to outside administrators, such as Fitbit or Vitality. Employers and insurers get only broad totals to verify eligibility and not details on heart rate and sleep. But participants need to trust that these systems won't get hacked.\u003c/p>\n\u003cp>Mike Doughty, president and general manager of John Hancock Insurance, says premiums won't rise if a screening uncovers higher blood pressure or other risks. Rather, he says, wellness incentives are about promoting longer lives — and collecting life-insurance premiums longer.\u003c/p>\n\u003cp>There's no proof that providing fitness trackers directly lowers health care costs, but there's plenty of evidence that exercise leads to better health, which in turn can improve productivity and reduce absences. Michael Staufacker, Emory's director of health management, describes the thinking as a \"value of investment and not a hard-dollar return on investment as it relates to medical or pharmacy costs.\"\u003c/p>\n\u003cp>More importantly, reaching daily exercise goals is just the beginning of getting people to think more about their health.\u003c/p>\n\u003cp>\"If I exercise regularly, then junk food just doesn't appeal to me,\" says Mark Holloway, 55, of Clemmons, North Carolina, who participates in Vitality's wellness program through his employer, Lockton. \"French fries and hamburgers? No, thanks. It's like putting sand in your gas tank.\"\u003c/p>\n\u003cp>Programs from Vitality and others typically won't let you earn insurance discounts simply by exercising. You'll need to earn additional points by completing questionnaires and getting flu shots. You sometimes get bonus points simply by staying within recommended limits for cholesterol, blood pressure and other measures. Smokers can also get points for joining programs to help them quit.\u003c/p>\n\u003cp>\"You change one thing about your behavior, and you can be more motivated to work on these other aspects,\" says Tammy Smith, who manages the employee wellness program at IU Health.\u003c/p>\n\u003cp>DaVita HealthCare Partners says health care spending by its employees slowed significantly after it offered tracker-based incentives through Vitality. But DaVita also increased the deductible on claims and started such initiatives as Fresh Fruit Wednesday. That makes the effect of the fitness program difficult to isolate.\u003c/p>\n\u003cp>With the Apple Watch program, you must pay back Vitality each month you miss your fitness goals, which typically call for four substantial workouts a week. The goals are meant to be achievable, but tough enough to change habits. You can get more expensive Apple Watch models by paying the difference.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>An iPhone is required; Vitality has no current plans to offer anything similar for Android. Neither Apple nor Vitality would provide financial details on the arrangement.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>An app that measures your blood pressure through your smartphone is \"highly inaccurate,\" according to a research letter published Wednesday in JAMA Internal Medicine. The app, Instant Blood Pressure, missed high blood pressure levels in nearly four out of five people, the researchers found.\u003c/p>\n\u003cp>The app's manufacturer fired back on Wednesday, arguing that the study was based on faulty methodology and thus invalid. The lead researcher defended the findings.\u003c/p>\n\u003cp>\"This isn't something I want my patients using,\" says Dr. Tim Plante, a general internal medicine fellow at Johns Hopkins University and lead author of the letter.\u003c/p>\n\u003cp>The app is no longer available for sale, but it was popular between 2014 and 2015, with people buying 148,000 units, according to Plante and his colleagues. He's concerned that those who bought it will keep using it.\u003c/p>\n\u003cp>\"If you have people who are using an inaccurate device like Instant Blood Pressure at home, and telling their doctor, 'my blood pressure is OK,' you could miss a risky high reading and develop complications from that down the road,\" Plante says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.scpr.org/blogs/health/2016/03/02/18121/researchers-find-blood-pressure-app-highly-inaccur/\" target=\"_blank\">Read the full story on KPCC\u003c/a>\u003c/p>\n\n",
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"content": "\u003cp>One in four babies has \u003ca href=\"http://www.businesswire.com/news/home/20101006006722/en/Digital-Birth-Online-World\" target=\"_blank\">a digital footprint\u003c/a> before it's even born, which isn't surprising if you've ever seen a sonogram photo on Facebook.\u003c/p>\n\u003cp>The trend continues as we grow up. A host of activities—from buying groceries with a credit card to texting friends—leaves a trace in cyberspace.\u003c/p>\n\u003caside class=\"alignright\">Watch the health segments below\u003c/aside>\n\u003cp>This information can be helpful, as when \u003ca href=\"http://www.medicaldaily.com/reddit-user-fitbit-data-pregnancy-symptoms-372880\">Fitbit data revealed \u003c/a>a couple was expecting, or not so much, as when a 23andMe test \u003ca href=\"http://www.vox.com/2014/9/9/5975653/with-genetic-testing-i-gave-my-parents-the-gift-of-divorce-23andme\" target=\"_blank\">led to a couple's divorce\u003c/a>.\u003c/p>\n\u003cp>The increasing power of all this information is the subject of PBS' hour-long special: \"\u003ca href=\"http://www.pbs.org/show/human-face-big-data/\">The Human Face of Big Data\u003c/a>,\" which airs Wednesday.\u003c/p>\n\u003cp>Featuring more than 30 leading voices and pioneers in the fields of data science, artificial intelligence, technology and digital medicine, \"The Human Face of Big Data\" is a galvanizing yet cautionary tale. Several experts predict a world where privacy ceases to exist.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"\u003cspan style=\"font-weight: 400\">What I’m really worried about is the cost to democracy; today it’s nearly impossible to be truly anonymous,\" \u003ca href=\"http://www.media.mit.edu/\" target=\"_blank\">MIT Media Lab\u003c/a> Director Joi Ito says in the film.\u003c/span>\u003c/p>\n\u003cp>Perhaps most striking in the documentary: how big data is rapidly being applied to health care.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We talk a lot in the movie about medicine,\" says director and producer Sandy Smolan. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Now that the cost of getting your DNA sequenced has dropped so low, it’s only a matter of years before hospitals compile medicine for you.\" \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Smolan says precision will make today's health care system seem woefully antiquated.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We’ll look back at this period and say, 'How barbaric, we just prescribed medicine and hope it worked.'\"\u003c/span>\u003c/p>\n\u003cp>\u003ca name=\"clips\">\u003c/a>\u003c/p>\n\u003cp>The film explores four public health advances fueled by big data:\u003c/p>\n\u003cp>\u003cstrong>Google Flu Trends. \u003c/strong>The search engine used real time search results to \u003ca href=\"https://en.wikipedia.org/wiki/Google_Flu_Trends\" target=\"_blank\">predict infectious outbreaks\u003c/a>, such as the flu, which previously took several weeks for the Centers for Disease Control and Prevention to track.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=lEDt89eQ64o&ab_channel=PBS\u003c/p>\n\u003cp>\u003cstrong>Monitoring health. \u003c/strong>If millions of people tracked their health continuously, producing huge amount of physiological information, what would that enable? \"There's a company right now in Boston that can actually predict you're going to get depressed, two days before you get depressed,\" says journalist Rick Smolan.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=-ZKsqr2RUjw&ab_channel=PBS\u003c/p>\n\u003cp>\u003cstrong>Heartbeat data saves infants.\u003c/strong> Data scientist Carolyn McGregor aggregated data from medical equipment to predict the onset of life-threatening infections in premature babies before physical symptoms appeared.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=WNccLBzR_I4&ab_channel=UOIT\u003c/p>\n\u003cp>\u003cstrong>Whole genome sequencing and personalized medicine\u003c/strong>. Digitizing our genome could revolutionize personal health care. In the film, a daughter tests for mutations in the \u003ca href=\"http://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q1\" target=\"_blank\">BRCA2 gene\u003c/a>, to see if she inherited the mutation from her mom, which would lead to an increased risk for breast cancer.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=V6FMIbgCtys\u003c/p>\n\u003cp>\u003cstrong>Mapping the spread of malaria.\u003c/strong> The organization Ushahidi worked with a communications network to map malaria hotspots in Kenya. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One in four babies has \u003ca href=\"http://www.businesswire.com/news/home/20101006006722/en/Digital-Birth-Online-World\" target=\"_blank\">a digital footprint\u003c/a> before it's even born, which isn't surprising if you've ever seen a sonogram photo on Facebook.\u003c/p>\n\u003cp>The trend continues as we grow up. A host of activities—from buying groceries with a credit card to texting friends—leaves a trace in cyberspace.\u003c/p>\n\u003caside class=\"alignright\">Watch the health segments below\u003c/aside>\n\u003cp>This information can be helpful, as when \u003ca href=\"http://www.medicaldaily.com/reddit-user-fitbit-data-pregnancy-symptoms-372880\">Fitbit data revealed \u003c/a>a couple was expecting, or not so much, as when a 23andMe test \u003ca href=\"http://www.vox.com/2014/9/9/5975653/with-genetic-testing-i-gave-my-parents-the-gift-of-divorce-23andme\" target=\"_blank\">led to a couple's divorce\u003c/a>.\u003c/p>\n\u003cp>The increasing power of all this information is the subject of PBS' hour-long special: \"\u003ca href=\"http://www.pbs.org/show/human-face-big-data/\">The Human Face of Big Data\u003c/a>,\" which airs Wednesday.\u003c/p>\n\u003cp>Featuring more than 30 leading voices and pioneers in the fields of data science, artificial intelligence, technology and digital medicine, \"The Human Face of Big Data\" is a galvanizing yet cautionary tale. Several experts predict a world where privacy ceases to exist.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"\u003cspan style=\"font-weight: 400\">What I’m really worried about is the cost to democracy; today it’s nearly impossible to be truly anonymous,\" \u003ca href=\"http://www.media.mit.edu/\" target=\"_blank\">MIT Media Lab\u003c/a> Director Joi Ito says in the film.\u003c/span>\u003c/p>\n\u003cp>Perhaps most striking in the documentary: how big data is rapidly being applied to health care.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We talk a lot in the movie about medicine,\" says director and producer Sandy Smolan. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Now that the cost of getting your DNA sequenced has dropped so low, it’s only a matter of years before hospitals compile medicine for you.\" \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Smolan says precision will make today's health care system seem woefully antiquated.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We’ll look back at this period and say, 'How barbaric, we just prescribed medicine and hope it worked.'\"\u003c/span>\u003c/p>\n\u003cp>\u003ca name=\"clips\">\u003c/a>\u003c/p>\n\u003cp>The film explores four public health advances fueled by big data:\u003c/p>\n\u003cp>\u003cstrong>Google Flu Trends. \u003c/strong>The search engine used real time search results to \u003ca href=\"https://en.wikipedia.org/wiki/Google_Flu_Trends\" target=\"_blank\">predict infectious outbreaks\u003c/a>, such as the flu, which previously took several weeks for the Centers for Disease Control and Prevention to track.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/lEDt89eQ64o'\n title='//www.youtube.com/embed/lEDt89eQ64o'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Monitoring health. \u003c/strong>If millions of people tracked their health continuously, producing huge amount of physiological information, what would that enable? \"There's a company right now in Boston that can actually predict you're going to get depressed, two days before you get depressed,\" says journalist Rick Smolan.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/-ZKsqr2RUjw'\n title='//www.youtube.com/embed/-ZKsqr2RUjw'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Heartbeat data saves infants.\u003c/strong> Data scientist Carolyn McGregor aggregated data from medical equipment to predict the onset of life-threatening infections in premature babies before physical symptoms appeared.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/WNccLBzR_I4'\n title='//www.youtube.com/embed/WNccLBzR_I4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Whole genome sequencing and personalized medicine\u003c/strong>. Digitizing our genome could revolutionize personal health care. In the film, a daughter tests for mutations in the \u003ca href=\"http://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q1\" target=\"_blank\">BRCA2 gene\u003c/a>, to see if she inherited the mutation from her mom, which would lead to an increased risk for breast cancer.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/V6FMIbgCtys'\n title='//www.youtube.com/embed/V6FMIbgCtys'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Mapping the spread of malaria.\u003c/strong> The organization Ushahidi worked with a communications network to map malaria hotspots in Kenya. Since 2000, Malaria infections are down 25 percent worldwide.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/zHCnLkTHSAk'\n title='//www.youtube.com/embed/zHCnLkTHSAk'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Last week, \u003ca href=\"http://hereandnow.wbur.org/\">Here & Now\u003c/a>’s Jeremy Hobson spoke with executive producer Rick Smolan and Shwetak Patel, a computer science and engineering professor at the University of Washington, who appears in the film. Listen below:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"100%\" height=\"124\" scrolling=\"no\" frameborder=\"no\" src=\"//embed.wbur.org/player/hereandnow/2016/02/24/human-face-of-big-data-pbs\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out",
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"content": "\u003cp>Any day now, Ben Lecomte will plunge into the Pacific Ocean off a Tokyo beach toward San Francisco. He wants to become the first person to swim across the Pacific. He's already the first person to free swim across the Atlantic Ocean, without a kickboard.\u003c/p>\n\u003cp>No one knows how the physical feat of swimming 5,500 miles will affect Lecomte's heart, but cardiologists are anxious to find out. His swim offers a rare opportunity to study whether extreme athletic performance has a harmful effect on the heart.\u003c/p>\n\u003cp>[contextly_sidebar id=\"JuYUmV8doE13AUPgKViOiltqAlgnStNq\"]After he completed the swim across the Atlantic in 1998, the first words out of Ben Lecomte's mouth were \"never again.\"\u003c/p>\n\u003cp>Now this 48-year-old, French-born American is about to embark on a swim expected to take five to six months.\u003c/p>\n\u003cp>\"I'm not a fast swimmer,\" Lecomte says. But boy is he dedicated. \"Swimming is a passion,\" he says. \"You cannot just push it away.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lecomte, who lives in Austin, Texas, is diving back into the ocean to focus attention on environmental problems. He's worried about the future for his kids. During the swim, he will collect data on the Pacific, including the microbes and trash he encounters. People can follow along on his Facebook page, \u003ca href=\"https://www.facebook.com/TheLongestSwim\" target=\"_blank\">The Longest Swim\u003c/a>.\u003c/p>\n\u003cp>He will also collect data on himself, including how his heart holds up for eight hours of freestyle every single day. This data will go to \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\">Benjamin Levine, \u003c/a>a cardiologist at UT Southwestern Medical Center and director of the \u003ca href=\"http://www.ieemphd.org/\" target=\"_blank\">Institute of Exercise and Environmental Medicine\u003c/a> at Texas Health Resources.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-106548\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/pacific-swim.png\" alt=\"pacific-swim\" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim-400x300.png 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003c/p>\n\u003cp>\"My question has always been, how much exercise do you need to do to injure the heart?\" Levine says. \"Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity.\"\u003c/p>\n\u003cp>After all, we're told more exercise is better — and generally, it is. Yet several \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> of extreme endurance athletes have called that idea into \u003ca href=\"http://circ.ahajournals.org/content/130/12/987.extract\">question.\u003c/a>\u003c/p>\n\u003cp>People who run marathons or do triathlons can have some scarring or fibrosis in the center of the heart, says \u003ca href=\"http://www.harthosp.org/findaphysician/default.aspx?view=detail&phyid=003j000000gd69maat\">Paul Thompson\u003c/a>, chief of cardiology at Hartford Hospital in Connecticut. \"Right where the two sides of the heart join each other — the septum.\"\u003c/p>\n\u003cp>This scarring at the septum is worrisome, Thompson says, particularly for people who have an underlying genetic condition that weakens the heart muscle.\u003c/p>\n\u003cfigure id=\"attachment_106550\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-full wp-image-106550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/swimmer.jpg\" alt=\"Lecomte will gather data on the environment and on his own health during the Pacific swim. \" width=\"300\" height=\"365\">\u003cfigcaption class=\"wp-caption-text\">Lecomte will gather data on the environment and on his own health during the Pacific swim. \u003ccite>(Bongani Mlambo/The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And there's a second area of concern. \"It's been shown in a couple of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> now that people who are lifelong endurance athletes have more coronary artery calcification than you would expect for their risk factors,\" Thompson says.\u003c/p>\n\u003cp>Calcification, meaning a \u003ca href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/cscan/\">buildup of calcium\u003c/a> in the heart, is not something you'd expect to find in people swimming long distances, running ultramarathons or tackling Ironman competitions. There could be a genetic explanation to both the calcium issue and the scarring, Thompson says. So he advises people to study up on their family history and see if there have been cases of \u003ca href=\"http://www.nih.gov/news-events/news-releases/nih-cdc-launch-registry-sudden-death-young\">sudden death\u003c/a>, then weigh the benefits and risks of extreme exercise.\u003c/p>\n\u003cp>\"We don't think that long-term exercise is dangerous, because long-term endurance athletes live longer than other people,\" Thompson says. But Thompson does want to figure out what's going on.\u003c/p>\n\u003cp>Which brings us back to Ben Lecomte and the tricky task of monitoring his heart from the middle of the ocean.\u003c/p>\n\u003cp>Using technology that\u003ca href=\"http://science.nasa.gov/science-news/science-at-nasa/2009/10jul_cardio/\"> NASA\u003c/a> uses for monitoring astronauts on the International Space Station, UT Southwestern's Levine will be able to monitor Lecomte's heart during his swim. It's a small echo machine, like an ultrasound for the heart, that will be on the support boat traveling with Lecomte. Once a month, while resting on the boat, Lecomte will turn the machine on and use a satellite phone to call the Johnson Space Center.\u003c/p>\n\u003cfigure id=\"attachment_106553\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-106553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/longest-swim-800x544.jpg\" alt=\"Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \" width=\"800\" height=\"544\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-400x272.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-768x522.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \u003ccite>(The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Someone there will tell Lecomte how to position the probe to give himself an echocardiogram.\u003c/p>\n\u003cp>From his desk in Dallas, Levine will see images of how fast Lecomte's heart is contracting, how quickly the blood flows in and out of the valves, and any stress where the two sides of the heart meet.\u003c/p>\n\u003cp>His prediction?\u003c/p>\n\u003cp>\"I think when he comes back he'll have signs of a little inflammation or irritation right where the right and left ventricle connect,\" Levine says. \"That's what we see in some other of these elite long-endurance athletes, and I think that's what we'll see in Ben.\"\u003c/p>\n\u003cp>For most people this inflammation is really of no consequence, Levine says. But for some people — for example, those who have pulmonary hypertension or other kinds of heart disease — it could cause problems.\u003c/p>\n\u003cp>He hopes studying Lecomte's heart will help reveal why extreme exercise changes the heart and determine whether there's a limit to how much exercise the human heart can handle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ben Lecomte is not worried. He thinks his heart can handle the enormous ocean, some 20-foot-high waves and the occasional shark.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 KERA Unlimited. To see more, visit \u003ca href=\"http://www.kera.org/\">KERA Unlimited\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Can+Extreme+Exercise+Hurt+Your+Heart%3F+Swim+The+Pacific+To+Find+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Any day now, Ben Lecomte will plunge into the Pacific Ocean off a Tokyo beach toward San Francisco. He wants to become the first person to swim across the Pacific. He's already the first person to free swim across the Atlantic Ocean, without a kickboard.\u003c/p>\n\u003cp>No one knows how the physical feat of swimming 5,500 miles will affect Lecomte's heart, but cardiologists are anxious to find out. His swim offers a rare opportunity to study whether extreme athletic performance has a harmful effect on the heart.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>After he completed the swim across the Atlantic in 1998, the first words out of Ben Lecomte's mouth were \"never again.\"\u003c/p>\n\u003cp>Now this 48-year-old, French-born American is about to embark on a swim expected to take five to six months.\u003c/p>\n\u003cp>\"I'm not a fast swimmer,\" Lecomte says. But boy is he dedicated. \"Swimming is a passion,\" he says. \"You cannot just push it away.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lecomte, who lives in Austin, Texas, is diving back into the ocean to focus attention on environmental problems. He's worried about the future for his kids. During the swim, he will collect data on the Pacific, including the microbes and trash he encounters. People can follow along on his Facebook page, \u003ca href=\"https://www.facebook.com/TheLongestSwim\" target=\"_blank\">The Longest Swim\u003c/a>.\u003c/p>\n\u003cp>He will also collect data on himself, including how his heart holds up for eight hours of freestyle every single day. This data will go to \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\">Benjamin Levine, \u003c/a>a cardiologist at UT Southwestern Medical Center and director of the \u003ca href=\"http://www.ieemphd.org/\" target=\"_blank\">Institute of Exercise and Environmental Medicine\u003c/a> at Texas Health Resources.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-106548\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/pacific-swim.png\" alt=\"pacific-swim\" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim-400x300.png 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003c/p>\n\u003cp>\"My question has always been, how much exercise do you need to do to injure the heart?\" Levine says. \"Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity.\"\u003c/p>\n\u003cp>After all, we're told more exercise is better — and generally, it is. Yet several \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> of extreme endurance athletes have called that idea into \u003ca href=\"http://circ.ahajournals.org/content/130/12/987.extract\">question.\u003c/a>\u003c/p>\n\u003cp>People who run marathons or do triathlons can have some scarring or fibrosis in the center of the heart, says \u003ca href=\"http://www.harthosp.org/findaphysician/default.aspx?view=detail&phyid=003j000000gd69maat\">Paul Thompson\u003c/a>, chief of cardiology at Hartford Hospital in Connecticut. \"Right where the two sides of the heart join each other — the septum.\"\u003c/p>\n\u003cp>This scarring at the septum is worrisome, Thompson says, particularly for people who have an underlying genetic condition that weakens the heart muscle.\u003c/p>\n\u003cfigure id=\"attachment_106550\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-full wp-image-106550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/swimmer.jpg\" alt=\"Lecomte will gather data on the environment and on his own health during the Pacific swim. \" width=\"300\" height=\"365\">\u003cfigcaption class=\"wp-caption-text\">Lecomte will gather data on the environment and on his own health during the Pacific swim. \u003ccite>(Bongani Mlambo/The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And there's a second area of concern. \"It's been shown in a couple of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> now that people who are lifelong endurance athletes have more coronary artery calcification than you would expect for their risk factors,\" Thompson says.\u003c/p>\n\u003cp>Calcification, meaning a \u003ca href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/cscan/\">buildup of calcium\u003c/a> in the heart, is not something you'd expect to find in people swimming long distances, running ultramarathons or tackling Ironman competitions. There could be a genetic explanation to both the calcium issue and the scarring, Thompson says. So he advises people to study up on their family history and see if there have been cases of \u003ca href=\"http://www.nih.gov/news-events/news-releases/nih-cdc-launch-registry-sudden-death-young\">sudden death\u003c/a>, then weigh the benefits and risks of extreme exercise.\u003c/p>\n\u003cp>\"We don't think that long-term exercise is dangerous, because long-term endurance athletes live longer than other people,\" Thompson says. But Thompson does want to figure out what's going on.\u003c/p>\n\u003cp>Which brings us back to Ben Lecomte and the tricky task of monitoring his heart from the middle of the ocean.\u003c/p>\n\u003cp>Using technology that\u003ca href=\"http://science.nasa.gov/science-news/science-at-nasa/2009/10jul_cardio/\"> NASA\u003c/a> uses for monitoring astronauts on the International Space Station, UT Southwestern's Levine will be able to monitor Lecomte's heart during his swim. It's a small echo machine, like an ultrasound for the heart, that will be on the support boat traveling with Lecomte. Once a month, while resting on the boat, Lecomte will turn the machine on and use a satellite phone to call the Johnson Space Center.\u003c/p>\n\u003cfigure id=\"attachment_106553\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-106553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/longest-swim-800x544.jpg\" alt=\"Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \" width=\"800\" height=\"544\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-400x272.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-768x522.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \u003ccite>(The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Someone there will tell Lecomte how to position the probe to give himself an echocardiogram.\u003c/p>\n\u003cp>From his desk in Dallas, Levine will see images of how fast Lecomte's heart is contracting, how quickly the blood flows in and out of the valves, and any stress where the two sides of the heart meet.\u003c/p>\n\u003cp>His prediction?\u003c/p>\n\u003cp>\"I think when he comes back he'll have signs of a little inflammation or irritation right where the right and left ventricle connect,\" Levine says. \"That's what we see in some other of these elite long-endurance athletes, and I think that's what we'll see in Ben.\"\u003c/p>\n\u003cp>For most people this inflammation is really of no consequence, Levine says. But for some people — for example, those who have pulmonary hypertension or other kinds of heart disease — it could cause problems.\u003c/p>\n\u003cp>He hopes studying Lecomte's heart will help reveal why extreme exercise changes the heart and determine whether there's a limit to how much exercise the human heart can handle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ben Lecomte is not worried. He thinks his heart can handle the enormous ocean, some 20-foot-high waves and the occasional shark.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 KERA Unlimited. To see more, visit \u003ca href=\"http://www.kera.org/\">KERA Unlimited\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Can+Extreme+Exercise+Hurt+Your+Heart%3F+Swim+The+Pacific+To+Find+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"soldout": {
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