Stream: The Science of Soil

Most people take soil for granted, assuming that if you shove a seed into some dirt and add some water, hey presto. Stick it under an electron microscope, however, and you suddenly see a whole microcosm that exists beneath our feet. Landscape…

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Who Designed the Hamburger Icon?

Who Designed the Hamburger Icon?

The hamburger icon is a classic. Even if you don’t know it by that name, its three black bars are as familiar as your mouse’s cursor—a constant companion on your cyber journey since the day you got your first computer. But who designed this icon?

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Motorola lets unlocked Developer Edition handsets keep their warranties, reinstates old ones

If you’re one of a few who obtained a Developer Edition handset, you’re likely the type who’d want its bootloader unlocked so that you could tinker with it as you so please. Unfortunately, requesting such an unlock code would often void your warranty, which seems rather strange and unfair. Motorola has thankfully seen the errors of its ways and has recently agreed to let anyone who’s purchased a 2012 or 2013 Developer Edition handset — that includes the recently released Moto X — to keep their warranties even after requesting an unlock code. Further, that warranty is actually retroactive, which means warranties that were previously voided due to the unlock request are reinstated as of today. And if you’ve messed things up beyond repair, Moto has agreed to post return-to-factory software images for those Dev Edition handsets to let you make a fresh start. It’s good news all around for developers keen on dabbling with Motorola’s latest, which hopefully means better things for Google’s P&L sheets. Interested parties can head on over to the source link below for more on the company’s changes to its Developer Edition program.

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How the GoPro Became the Best Selling Camera In the World

How the GoPro Became the Best Selling Camera In the World

The GoPro is an amazing action camera that lets people record extreme sports, daredevil feats, and other spectacles. Just a few years ago, it would have been impossible. But, today, it is the best-selling camera in the world.

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House OKs health plans short of Obamacare


WASHINGTON (AP) — Brushing aside a White House veto threat, the Republican-controlled House voted Friday to let insurance companies sell individual health coverage to all comers, even if it falls short of the required standards in “Obamacare.”

In all, 39 Democrats broke ranks and supported the legislation, a total that underscored the political importance of a controversial issue likely to be front and center in next year’s elections for control of Congress.

The overall vote was 261-157 on a measure that supporters said would ease the plight of millions of consumers reeling from cancellation notices. Those cancellations have been arriving from companies despite President Barack Obama’s oft-made promise that anyone who liked his plan could keep it. The bill now goes to an uncertain fate in the Senate.

Friday’s vote came as Obama arranged a meeting later in the day at the White House with insurance company CEOs, and as the industry and state insurance commissioners began adjusting to an abrupt change in policy he announced a day earlier.

Under the shift, Obama said insurers should be permitted to continue to sell to existing customers individual coverage plans that would be deemed substandard under the health care law. Without the change, many existing plans would have been banned beginning next year, and the president’s announcement was an attempt to quell a public and political furor triggered by millions of cancellation notices.

The House measure went one step further. It would give insurance firms the ability to sell individual plans to new as well as existing customers, even if the coverage falls short of the law’s requirements.

View gallery.”

Obamacare overhaul

President Barack Obama gestures as he speaks about his signature health care law, Thursday, Nov. 14, …

“For the last six weeks the White House stood idly by ignoring the pleas of millions,” said Rep. Fred Upton, R-Mich., chairman of the House Energy and Commerce Committee and lead sponsor of the legislation.

“Our straightforward, one-page bill says, if you like your current coverage, you should be able to keep it. The president should heed his own advice and work with us, the Congress, as the founders intended, not around the legislative process.”

But Democrats said the measure was just another in a long line of attacks on the health care bill from Republicans who have voted repeatedly to repeal it.

“It would take away the core protections of that law. It creates an entire submarket of substandard health care plans,” said Rep. Henry Waxman of California.

Separately, Obama’s top health care official said Friday that the number of people who want to keep policies that were canceled because of the federal health overhaul is relatively small but that those people have valid concerns that the administration is addressing.

View gallery.”

Enrolling in health care exchange

A busy screen is shown on the laptop of a Certified Application Counselor as he attempted to enroll  …

“For those people it’s real,” Health and Human Services Secretary Kathleen Sebelius said during a visit to a Detroit health clinic. She said of the president, “The last thing he wants is people to be without coverage.”

Under the overhaul, insurance plans would have to conform to numerous conditions to qualify. Among them, they would have to accept all customers, regardless of pre-existing conditions, would be limited in additional premiums they could charge on the basis of age and could not cap lifetime benefits. They also would have to include coverage in a wide range of areas — doctor and hospital care for adults and children, laboratory services, preventive coverage and prescription drugs.

In a veto threat Thursday night, the White House accused Republicans of seeking to “sabotage the health care law,” and said their measure would allow “insurers to continue to sell new plans that deploy practices such as not offering coverage for people with pre-existing conditions, charging women more than men, and continuing yearly caps on the amount of care that enrollees receive. “

The cancellation issue is only part of the woes confronting the president and his allies as they struggle to sustain the health care law.

Obama has repeatedly apologized for a dismal launch of www.healthcare.gov , which consumers in 36 states were supposed to use beginning on Oct. 1 to sign up for new coverage. The website is so riddled with problems that the administration disclosed earlier this week that fewer than 27,000 signups have been completed — a number that Republicans noted is dwarfed by the flood of cancellations issued due to the law.

Compounding the administration’s misery, the poor quality of the website has made it that much harder for consumers receiving cancellation notices to shop for alternative plans.

It is unclear what, if anything, the administration is prepared to do to alleviate the threat of a break in coverage for those consumers.

In addition, there already are signs of resistance among state insurance commissioners, who would have to agree to allow Obama’s proposed change to take effect. At the same time, industry officials and commissioners alike warn that premium prices could rise beginning with 2015 coverage plans if the changes go into effect.

The Democratic opposition to the House measure was based in part on a fear that opening cheaper substandard plans to all comers could wind up driving premiums higher for the rest of the population.

The concern they express is that younger, healthier Americans would be attracted to the cheaper coverage, rather than seek out a plan that conforms with the Obamacare requirements.

Younger, healthier individuals are generally less expensive to cover for an insurer, and the more they shun the government-run insurance exchanges set up under the law, the higher the premiums could be for the relatively older, sicker customers who shop there.

___

Associated Press writers Ricardo Alonso-Zaldivar, Julie Pace and Alan Fram in Washington and David Eggert in Detroit contributed to this report.

Source: http://news.yahoo.com/house-oks-coverage-plans-short-obamacare-rules-184818602.html
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Schools help kids choose carrots over candy bars

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13-Nov-2013

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Contact: Layne Cameron
Layne.cameron@cabs.msu.edu
517-353-8819
Michigan State University


When schools adopt healthful nutrition policies and practices, kids’ diets improve.

According to new research led by Michigan State University and published in the current issue of Childhood Obesity, when schools offered snacks in lunchtime a la carte or vending that were mostly or entirely healthful, students responded with improvements in their diets, said Katherine Alaimo, MSU associate professor of food, science and human nutrition.

“When healthful food options are offered, students will select them, eat them and improve their diet,” she said. “Our study shows that schools can make the kinds of changes required by the forthcoming USDA guidelines, and these changes can have a positive impact on children’s nutrition.”

The U.S. Department of Agriculture will ask schools to implement its Smart Snacks nutrition standards on July 1, 2014. Those recommendations will set limits on calories, salt, sugar and fat in foods and beverages, as well as promote snack foods with more whole grains, low-fat dairy, fruits and vegetables.

Alaimo and her team of researchers tested standards similar to the USDA’s new requirements and demonstrated that Smart Snacks has the potential to improve students’ eating habits.

For example, schools that started healthful snacks in lunchtime a la carte or vending programs boosted their students’ overall daily consumption of fruit by 26 percent, vegetables by 14 percent and whole grains by 30 percent. Students also increased their consumption of fiber, calcium, and vitamins A and C.

For the study, researchers also compared schools that adopted a variety of nutrition programs and policies. Some schools made only limited changes, while others implemented more comprehensive programs to assess and improve the school’s nutrition environment.

Changes schools made included raising nutrition standards for snacks and beverages, offering taste tests of healthful foods and beverages to students, marketing healthful foods in school and removing advertisements of unhealthful foods. When schools implemented three or more new nutrition practices or policies, students’ overall diets improved.

“Creating school environments where the healthy choice is the easy choice allows students to practice lessons learned in the classroom and form good habits at an early age, laying a foundation for a healthy future,” said Shannon Carney Oleksyk, contributing author and healthy living adviser for Blue Cross Blue Shield of Michigan.

What made the study unique, in part, was that the researchers measured students’ overall diets, not just what they ate in school.

###

Alaimo’s research was funded in part by the Robert Wood Johnson Foundation’s Healthy Eating Research program and MSU’s AgBioResearch.



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PUBLIC RELEASE DATE:

13-Nov-2013

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Contact: Layne Cameron
Layne.cameron@cabs.msu.edu
517-353-8819
Michigan State University


When schools adopt healthful nutrition policies and practices, kids’ diets improve.

According to new research led by Michigan State University and published in the current issue of Childhood Obesity, when schools offered snacks in lunchtime a la carte or vending that were mostly or entirely healthful, students responded with improvements in their diets, said Katherine Alaimo, MSU associate professor of food, science and human nutrition.

“When healthful food options are offered, students will select them, eat them and improve their diet,” she said. “Our study shows that schools can make the kinds of changes required by the forthcoming USDA guidelines, and these changes can have a positive impact on children’s nutrition.”

The U.S. Department of Agriculture will ask schools to implement its Smart Snacks nutrition standards on July 1, 2014. Those recommendations will set limits on calories, salt, sugar and fat in foods and beverages, as well as promote snack foods with more whole grains, low-fat dairy, fruits and vegetables.

Alaimo and her team of researchers tested standards similar to the USDA’s new requirements and demonstrated that Smart Snacks has the potential to improve students’ eating habits.

For example, schools that started healthful snacks in lunchtime a la carte or vending programs boosted their students’ overall daily consumption of fruit by 26 percent, vegetables by 14 percent and whole grains by 30 percent. Students also increased their consumption of fiber, calcium, and vitamins A and C.

For the study, researchers also compared schools that adopted a variety of nutrition programs and policies. Some schools made only limited changes, while others implemented more comprehensive programs to assess and improve the school’s nutrition environment.

Changes schools made included raising nutrition standards for snacks and beverages, offering taste tests of healthful foods and beverages to students, marketing healthful foods in school and removing advertisements of unhealthful foods. When schools implemented three or more new nutrition practices or policies, students’ overall diets improved.

“Creating school environments where the healthy choice is the easy choice allows students to practice lessons learned in the classroom and form good habits at an early age, laying a foundation for a healthy future,” said Shannon Carney Oleksyk, contributing author and healthy living adviser for Blue Cross Blue Shield of Michigan.

What made the study unique, in part, was that the researchers measured students’ overall diets, not just what they ate in school.

###

Alaimo’s research was funded in part by the Robert Wood Johnson Foundation’s Healthy Eating Research program and MSU’s AgBioResearch.



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Source: http://www.eurekalert.org/pub_releases/2013-11/msu-shk111313.php
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Teacher shot at LAX upgraded to good condition

AAA  Nov. 4, 2013 1:55 PM ET
Teacher shot at LAX upgraded to good condition
By TAMI ABDOLLAH THE ASSOCIATED PRESS STATEMENT OF NEWS VALUES AND PRINCIPLES By TAMI ABDOLLAH

Lighted pylons at the Century Boulevard entrance to Los Angeles International Airport, which normally flash in a multicolored sequence, shine a steady blue Saturday evening, Nov. 2, 2013, in honor of Gerardo Hernandez, the Transportation Security Administration officer slain at an LAX terminal Friday. He is the first TSA officer to die in the line of duty in the history of the 12-year-old agency, created in the aftermath of the Sept. 11, 2001 terrorist attacks. A police entry checkpoint, part of an increased visible police presence, is seen in the foreground. (AP Photo/Reed Saxon)

Lighted pylons at the Century Boulevard entrance to Los Angeles International Airport, which normally flash in a multicolored sequence, shine a steady blue Saturday evening, Nov. 2, 2013, in honor of Gerardo Hernandez, the Transportation Security Administration officer slain at an LAX terminal Friday. He is the first TSA officer to die in the line of duty in the history of the 12-year-old agency, created in the aftermath of the Sept. 11, 2001 terrorist attacks. A police entry checkpoint, part of an increased visible police presence, is seen in the foreground. (AP Photo/Reed Saxon)

This photo provided by the FBI shows Paul Ciancia, 23. Accused of opening fire inside the Los Angeles airport, Ciancia was determined to lash out at the Transportation Security Administration, saying in a note that he wanted to kill at least one TSA officer and didn’t care which one, authorities said Saturday, Nov. 2, 2013. (AP Photo/FBI)

ALTERNATE HORIZONTAL CROP – This June, 2013 photo released by the Hernandez family Saturday, Nov. 2, 2013, shows Transportation Security Administration officer Gerardo Hernandez. Hernandez, 39, was shot to death and several others wounded by a gunman who went on a shooting rampage in Terminal 3 at Los Angeles International Airport Friday. (AP Photo/Courtesy Hernandez Family)

This photo provided by the Calabasas Courier, a student publication of Calabasas, Calif., High School, shows teacher Brian Ludmer in September, 2012. Ludmer, 29, was the lone civilian wounded by gunfire in the shooting rampage at Los Angeles International Airport Friday, Nov. 1, 2013. Ludmer remained in fair condition at Ronald Regan UCLA Medical Center with a gunshot wound to the leg. Two other people suffered injuries trying to evade the gunman, but weren’t shot. (AP Photo/Calabasas Courier)

John S. Pistole, left, Administrator of Transportation Security Administration and Ana Fernandez, center, wife of TSA agent Gerardo Fernandez, victim at LAX shooting, before a press conference in Porter Ranch, Calif. on Saturday Nov. 2, 2013. A gunman armed with a semi-automatic rifle opened fire at Los Angeles International Airport on Friday, killing a Transportation Security Administration employee and wounding two other people in an attack that frightened passengers and disrupted flights nationwide. (AP Photo/Ringo H.W. Chiu)

LOS ANGELES (AP) — Officials say a high school teacher wounded at Los Angeles International Airport has been upgraded to good condition.

Officials at Ronald Reagan UCLA Medical Center said Monday that Brian Ludmer has to undergo at least one more surgery on his leg and extensive physical therapy, but his condition was upgraded from fair to good.

Ludmer was shot Friday during the attack that authorities say was carried out by a 23-year-old Paul Ciancia over a grudge against the Transportation Security Administration.

TSA Officer Gerardo I. Hernandez was killed in the shooting.

Operations at the airport were back to normal Monday, the first business day since the attack.

Associated Press



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The Los Angeles Aqueduct Turns 100, or The Mules That Built L.A.

The Los Angeles Aqueduct Turns 100, or The Mules That Built L.A.

Wicked dust storms spun through Newhall Pass during the centennial celebration of the Los Angeles Aqueduct on Tuesday. The winds shuddered against the tent that held hundreds of LADWP workers and sent blinding poofs of dirt into the faces of the civic dignitaries seated onstage. It was a rather ominous sign.

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Boehner opposes landmark U.S. gay-rights bill, dimming its chances


By Thomas Ferraro

WASHINGTON (Reuters) – House of Representatives Speaker John Boehner on Monday opposed a bill to ban workplace discrimination based on sexual orientation and gender identity, dimming the chances of the White House-backed measure becoming law.

“The speaker believes this legislation will increase frivolous litigation and cost American jobs, especially small business jobs,” Boehner’s spokesman Michael Steel said in a statement.

Steel issued the statement at about the same time that the bill’s backers in the Senate appeared to have gathered enough support to clear a Republican procedural roadblock.

Dean Heller of Nevada became the fifth Senate Republican to announce support for the bill. “This legislation raises the federal standards to match what we have come to expect in Nevada, which is that discrimination must not be tolerated under any circumstance,” Heller said.

The bill has become the latest example of the ideological struggle within the Republican party over gay rights. While an increasing number of Republicans are showing more flexibility over gay rights, conservative groups are threatening to mount challenges against those Republicans who support such measures.

The four other Senate Republicans who publicly back the bill are Orrin Hatch of Utah, Susan Collins of Maine, Lisa Murkowski of Alaska and Mark Kirk of Illinois.

These five Republicans, combined with all 53 Senate Democrats and two independents who routinely vote with them, will give supporters of the bill the 60 votes needed in the 100-member Senate to clear a Republican procedural roadblock.

A vote was set for 5:30 p.m. (2230 GMT).

But before the Senate roll call could begin, it was upstaged by the statement from Boehner’s office and reaction to it.

House passage had already seemed unlikely, but Boehner’s statement underscored the fact that there seems to be no interest from the Republican leadership in even bringing it up.

Regardless, House Democrats said they would push to get a vote on the measure, guardedly hopeful that they could get most members of the chamber to support it.

Fred Sainz, a vice president of the Human Rights Campaign, the largest civil rights group for gays in the United States, ripped into Boehner, saying: “On a day when Senate Republicans are leading and saying ‘yes’ to employment protections, it doesn’t seem very smart for the speaker to say ‘no.’”

POLLS SHOW SUPPORT FOR GAY RIGHTS

“He (Boehner) comes across as completely out of step with Americans,” said Sainz, alluding to polls showing that most Americans support gays rights.

The bill is seen as the most important gay-rights measure to come before Congress since the 2010 repeal of the U.S. military’s “don’t ask, don’t tell” policy on gays in the armed forces.

Democrats and a number of Republicans have pushed for years for passage of such a bill. In 2007, the then Democratic-led House passed a smaller version of the latest measure, but Republicans in the Senate blocked it.

The current bill would prohibit employers from firing, refusing to hire, or discriminating against those employed or seeking employment, on the basis of their perceived or actual sexual orientation or gender identity.

Such protections are already prohibit discrimination based on race, religion, gender, national origin, age, and disability.

Nearly 90 percent of Fortune 500 companies now extend workplace protections based on sexual orientation and more than a third on the basis of gender identity, said supporters of the bill in the Senate.

Heritage Action, a conservative advocacy group, opposes the bill and last week warned lawmakers that it would include their votes on it in their annual “legislative scorecard.”

Heritage Action charges that the measure would undermine civil liberties, increase government interference in the labor market, and trample on religious liberty.

Although the bill exempts religious groups, the U.S. Conference of Catholic Bishops announced its opposition, in part, because of the measure’s support for gay marriage, which the Catholic Church opposes.

House rejection of the bill would help shape mid-term congressional elections in November next year when a third of the 100-member Senate and the entire 435-member House will be up for grabs.

The gay community traditionally votes Democratic, and rejection of the bill would probably make it even more likely to maintain that support.

About 5 percent of the voters in the 2012 election were lesbian, gay or bisexual and 76 percent of them voted for Democratic President Barack Obama, according to a poll commissioned by the Human Rights Campaign and conducted by Greenberg Quinlan Rosner Research.

The survey questioned 1,000 voters who participated in the 2012 election. It had a margin of error of plus or minus 3.1 percent.

(Reporting By Thomas Ferraro; editing by Christopher Wilson)

Source: http://news.yahoo.com/boehner-opposes-landmark-u-gays-rights-bill-dimming-221402733.html
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Increasing rate of knee replacements linked to obesity among young, researchers say

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PUBLIC RELEASE DATE:

31-Oct-2013

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Contact: Dave Falcone
Dfalcone@denterlein.com
617-482-0042
University of Massachusetts Medical School


New data show younger adults have same or greater impairment than older patients

BOSTON Contrary to popular myth, it is not the aging Baby Boomer or weekend warrior that is causing the unprecedented increase in knee replacement surgeries. Data gathered by more than 125 orthopedic surgeons from 22 states across the U.S. show a more mundane culprit: rising rates of obesity among those under the age of 65.

A first-of-its-kind database for knee and hip replacements and patient reported outcomes FORCE-TJR is beginning to yield information that may have significance for one of the most expensive, most used surgical procedures in the U.S. total joint replacement.

“What was once thought of as a procedure for older people or those with sporting injuries is changing,” said David Ayers, MD, Chair of the Department of Orthopedics and Physical Rehabilitation and director of the Musculoskeletal Center of Excellence at the University of Massachusetts Medical School. “Our study shows that younger patients are more obese and experience the same amount of pain and functional disability as older patients and in some cases even more.”

In the first 9,000 patients whose outcomes were tracked in FORCE-TJR, the national research program led by researchers at the University of Massachusetts Medical School, 55 percent of patients under age 65 were considered technically obese compared to 43 percent age 65 and older. Even more striking was that twice as many younger patients were in the morbidly obese category (body mass index greater than 40) 11 percent of those under age 65 versus 5 percent age 65 and older. The younger patients also had higher rates of smoking and lower mental health scores.

“What we’re seeing is that the rise in obesity rates in younger people is having a dramatic influence on the number of total joint replacement surgeries,” Ayers said. “These are not premature or unnecessary procedures.”

Knee replacement surgeries are already one of the most common procedures in the U.S. Approximately 600,000 are performed each year at a cost of $9.9 billion, and the demand is expected to grow to 3.48 million procedures a year by 2030.

“Unless we see a significant reduction in obesity, we will continue to see the necessity for more and more of these procedures,” Ayers said. “This is an example of the type of information this database will yield that could directly influence clinical best practices, health care policy and the overall health and quality of life for people with arthritis.”

Obesity is not only a major predictor of knee replacement surgery, it also puts patients at a post-operative disadvantage compared to healthier patients. For example, regardless of age, those who are obese don’t experience the same level of functional gain after joint replacement as other patients. Obese patients are also more likely to get an infection or other complications that require readmission or revision surgery.

These factors drive up costs. Researchers also say that post-operative support programs should target improved physical activity and diet with the overall goal being a healthier lifestyle. Currently there are no standards for physical therapy or health management after joint replacement surgery.

“Figuring out the best practices for rehabilitation and how to lose weight should be a priority,” said Patricia Franklin, MD, principal investigator of FORCE-TJR. “There needs to be a wellness incentive. Health insurers have done that around other diseases like diabetes and heart disease, but not joint replacement. We can’t just say we fixed the knee or the hip and then walk away.”

Franklin will present findings from the FORCE-TJR study at the annual meeting of the American College of Rheumatology and the Association of Rheumatology Health Professionals in San Diego, Oct. 25-30.

###

FORCE-TJR Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement is federally funded by a $12 million grant from the Agency for Healthcare Research and Quality (AHRQ). The research program is developing a national database of surgical results and patient-reported outcomes that will include at least 30,000 TJR patients. Find us at http://www.force-tjr.org/.


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[ Back to EurekAlert! ]

PUBLIC RELEASE DATE:

31-Oct-2013

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Contact: Dave Falcone
Dfalcone@denterlein.com
617-482-0042
University of Massachusetts Medical School


New data show younger adults have same or greater impairment than older patients

BOSTON Contrary to popular myth, it is not the aging Baby Boomer or weekend warrior that is causing the unprecedented increase in knee replacement surgeries. Data gathered by more than 125 orthopedic surgeons from 22 states across the U.S. show a more mundane culprit: rising rates of obesity among those under the age of 65.

A first-of-its-kind database for knee and hip replacements and patient reported outcomes FORCE-TJR is beginning to yield information that may have significance for one of the most expensive, most used surgical procedures in the U.S. total joint replacement.

“What was once thought of as a procedure for older people or those with sporting injuries is changing,” said David Ayers, MD, Chair of the Department of Orthopedics and Physical Rehabilitation and director of the Musculoskeletal Center of Excellence at the University of Massachusetts Medical School. “Our study shows that younger patients are more obese and experience the same amount of pain and functional disability as older patients and in some cases even more.”

In the first 9,000 patients whose outcomes were tracked in FORCE-TJR, the national research program led by researchers at the University of Massachusetts Medical School, 55 percent of patients under age 65 were considered technically obese compared to 43 percent age 65 and older. Even more striking was that twice as many younger patients were in the morbidly obese category (body mass index greater than 40) 11 percent of those under age 65 versus 5 percent age 65 and older. The younger patients also had higher rates of smoking and lower mental health scores.

“What we’re seeing is that the rise in obesity rates in younger people is having a dramatic influence on the number of total joint replacement surgeries,” Ayers said. “These are not premature or unnecessary procedures.”

Knee replacement surgeries are already one of the most common procedures in the U.S. Approximately 600,000 are performed each year at a cost of $9.9 billion, and the demand is expected to grow to 3.48 million procedures a year by 2030.

“Unless we see a significant reduction in obesity, we will continue to see the necessity for more and more of these procedures,” Ayers said. “This is an example of the type of information this database will yield that could directly influence clinical best practices, health care policy and the overall health and quality of life for people with arthritis.”

Obesity is not only a major predictor of knee replacement surgery, it also puts patients at a post-operative disadvantage compared to healthier patients. For example, regardless of age, those who are obese don’t experience the same level of functional gain after joint replacement as other patients. Obese patients are also more likely to get an infection or other complications that require readmission or revision surgery.

These factors drive up costs. Researchers also say that post-operative support programs should target improved physical activity and diet with the overall goal being a healthier lifestyle. Currently there are no standards for physical therapy or health management after joint replacement surgery.

“Figuring out the best practices for rehabilitation and how to lose weight should be a priority,” said Patricia Franklin, MD, principal investigator of FORCE-TJR. “There needs to be a wellness incentive. Health insurers have done that around other diseases like diabetes and heart disease, but not joint replacement. We can’t just say we fixed the knee or the hip and then walk away.”

Franklin will present findings from the FORCE-TJR study at the annual meeting of the American College of Rheumatology and the Association of Rheumatology Health Professionals in San Diego, Oct. 25-30.

###

FORCE-TJR Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement is federally funded by a $12 million grant from the Agency for Healthcare Research and Quality (AHRQ). The research program is developing a national database of surgical results and patient-reported outcomes that will include at least 30,000 TJR patients. Find us at http://www.force-tjr.org/.


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Source: http://www.eurekalert.org/pub_releases/2013-10/uomm-iro103113.php
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