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Mayo Clinic Medical Science Blog

May 26th, 2015 · Leave a Comment

Improve Health of Pediatric Populations Using the Stepped Wedge Design

By Elizabeth Zimmermann Young

Robert Jacobson, M.D.

 

Robert Jacobson, M.D., is a Professor of Pediatrics in the Mayo Clinic College of Medicine in Rochester, Minnesota, and serves as the medical director for the Population Health Science Program at the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery. He also leads Mayo's Employee and Community Health Research Initiative.

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The expense and rigid requirements of traditional randomized clinical trials (RCT) combined with its tendency toward a lack of representativeness limit utilization of the RCT design for health services research.  A variation of that method overcomes many of the limits. In a recent issue of [...]

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Tags: health care delivery, kern center, pediatrics, population health, Robert Jacobson, Science of health care delivery, Yasaman Fatemi

May 20th, 2015 · Leave a Comment

Precision Medicine Key in Treating Bipolar Disorder

By Bob Nellis

IMG_0686The title is the key message of Mark Frye, M.D,, head of Mayo Clinic's department of psychiatry and psychology today to a group of 20 top medical journalists in Rochester, MN. Just in this morning from the national psychiatry conference in Toronto, Dr. Frye told fellows from the National Press Club Foundation how precision medicine testing can alert physicians as to the appropriate medication for someone with bipolar disorder and also serve as a diagnostic tool. He also outline how Mayo's Bipolar Biobank is helping in research on new treatments for bipolar disorder.

He told the reporters that a person who has one bipolar manic episode has a 90 percent chance of having another, and [...]

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Tags: bipolar disorder, Center for Individualized Medicine, Individualized Medicine, Mark Frye, Precision Medicine, psychiatry

May 19th, 2015 · Leave a Comment

Single Biggest Concern: A Palliative Approach

By Elizabeth Zimmermann Young

handsFor people living with serious illness, both patients and care providers, identifying the single biggest concern can be a difficult task.  There are so many concerns – from “Who will help me if I am too weak to care for myself?” to “How can we treat my nausea and pain?”  When interrupted by a serious illness, life often takes on many new challenges and can certainly create many new fears.   In an effort to understand our patients’ most pressing concerns, we now ask them to tell us about their “single biggest concern.”  This then becomes the focus of their visit with the palliative care team.

Over the last year, through a partnership between [...]

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Tags: Bob Shannon, Cory Ingram, Jeff Sloan, kern center, palliative care, patient reported outcomes, PROs, Ryan Utti, Science of health care delivery, Tom Fitch

May 14th, 2015 · Leave a Comment

Mayo Medical School Student Soyun Hwang Chosen for Fellowship with Howard Hughes Medical Institute

By Bob Nellis

Soyun M. HwangA second-year student at Mayo Medical School -- Soyun (S. Michelle) Hwang -- has been selected by the Howard Hughes Medical Institute (HHMI)   to receive a year-long fellowship to conduct mentored biomedical research.   Hwang will be mentoring at Mayo Clinic with Jennifer Westendorf, Ph.D., in orthopedic surgery. She will purse her interest in reconstructive surgery, which overlaps with surgical fields like orthopedics. She met Dr. Westendorf at the Perry Initiative, a national event aimed at diversifying the field of orthopedics.

“This is a phenomenal opportunity,” Hwang says. “I conducted proteomics research for 5 to 6 years in muscle diseases prior to coming to Mayo and I have always regarded research as one [...]

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Tags: HHMI, Howard Hughes Medical Institute, Jennifer Westendorf, Mayo Clinic, Mayo Medical School

May 12th, 2015 · Leave a Comment

Setting a Course for Sustainable Integrated Care with COMPASS

By Elizabeth Zimmermann Young

Managing mental health in a primary care setting

Compass_Logo_greenMayo Clinic continually seeks ways to improve the way patients experience health care. One of the areas currently being investigated is mental health – specifically we are looking at ways to integrate behavioral health care into the primary care setting, providing opportunities for early intervention, enabling team-based care, and resulting in better health and potential cost savings.

Under the leadership of the Institute for Clinical Systems Improvement (ICSI) and as part of a partnership of ten organizations nationally, David Katzelnick, M.D., and Mark Williams, M.D., are sharing best practices and working to integrate the COMPASS model with [...]

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Tags: behavioral health, COMPASS, ICSI, integrated care, kern center, Mark Williams, mental health, Science of health care delivery

May 8th, 2015 · Leave a Comment

Bridging Health Care Delivery and Community Health – An Opportunity to Reduce Health Disparities?

By Elizabeth Zimmermann Young

amenah

 

Amenah Agunwamba, Sc.D., is a Health Sciences Research Fellow in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery
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Last month, I and 1,500 other researchers and clinicians from across more than 20 different disciplines, convened in San Antonio for the Society of Behavioral Medicine’s 36th Annual Meeting.sbm1

Chaired by Dr. Lila Finney Rutten, who is also the scientific director for the Population Health Science Program in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, the conference focused on [...]

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Tags: Amenah Agunwamba, health sciences research fellow, kern center, Lila Rutten, Science of health care delivery, Society for Behavioral Medicine

May 5th, 2015 · Leave a Comment

What Could Engineering Possibly Have To Offer Health Care?

By Elizabeth Zimmermann Young

huddleston

Jeanne Huddleston, M.D., is the medical director of the Health Care Systems Engineering Program in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery.

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commonwealth fund us healthcare ranking

When you think of an engineer, what do you think of?  OK, beyond pocket protectors…what comes to mind?  Engineers solve problems right?  Engineers fix things.

Our system of delivering health care in North America is broken. According to the Common Wealth Fund’s annual international review, the United States received the lowest ranking among the top eleven wealthiest nations for [...]

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Tags: Jeanne Huddleston, kern center, Science of health care delivery, systems engineering

April 29th, 2015 · Leave a Comment

Catching Eye Problems Earlier with Technology

By Bob Nellis

shutterstock_134282846A team of Mayo Clinic ophthalmologists have validated what they are calling a user-friendly computer program for pediatric vision testing. Tomohiko Yamada, O.D. and colleagues tested the the Jaeb Visual Acuity Screener (JVAS) - a computerized test -- on 175 children between 3 and 7 years old. After that, they were also tested by an expert ophthalmologist using conventional methods. The screening test is fast -- an average of only 84 seconds to obtain the crucial information. It's also fairly accurate. Compared to the physician exam, the computer test had only 9 to 17 percent falls positives, depending on the screen criteria. And it uses an algorithm that helps prevent tester bias.

Why is something like [...]

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Tags: eye diseases, eye research, ophthalmology, pediatrics, vision tests

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