Vidyya Medical News Servicesm
Vidyya, from the Sanskrit "vaidya," a practitioner who has come to understand the science of life.

Volume 1 Published - 14:00 UTC    08:00 EST    23-November-2000      
Issue 224 Next Update - 14:00 UTC 08:00 EST    24-November-2000      

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Vidyya Medical News Service For 23-November-2000:

The following stories appear in full on today's Vidyya Medical News Service Web site.

Some of us will get more than a full stomach this Thanksgiving. Campylobacter jejuni is the most commonly reported bacterial cause of foodborne infection in the United States. Adding to the human and economic costs are chronic sequelae associated with C. jejuni infection—Guillian-Barré syndrome and reactive arthritis. In addition, an increasing proportion of human infections caused by C. jejuni are resistant to antimicrobial therapy. Mishandling of raw poultry and consumption of undercooked poultry are the major risk factors for human campylobacteriosis. Efforts to prevent human illness are needed throughout each link in the food chain. Stay healthy for Thanksgiving and cook your turkey well.

The Health Care Financing Administration announced guidelines for Medicare+Choice organizations to receive extra risk adjustment payment for outpatient care of enrollees with congestive heart failure (CHF) beginning in 2002. Currently, adjustments to payment based on an enrollee's health status rely solely on inpatient encounter data. The new guidelines will ensure that Medicare+Choice organizations are paid more for the costs of providing high quality outpatient care as well.

In January, 1999, HCFA launched the Heart Failure National Project, a major effort to improve the care provided to Medicare patients with heart failure. Peer Review Organizations in all states and territories will work with hospitals over three years to improve left ventricular function evaluation and appropriate use of ACEI in patients hospitalized with heart failure. Get an outline of suggested performance quality indicators made by the group in today's issue of Vidyya. These indicators are part of a new set of guidelines that will increase outpatient payment for patients with CHF.

Secretary of Health and Human Services Donna E. Shalala has announced the availability of the 10th Special Report to the U.S. Congress on Alcohol and Health, produced by the National Institute of Alcoholism and Alcohol Abuse (NIAAA). The report highlights recent research advances on the causes, consequences, treatment, and prevention of alcohol addiction (alcoholism) and alcohol abuse. Read a summary of some of the highlights.

Alcohol is widely used in our society. Most individuals who use alcohol drink in ways that do not increase risk for alcohol use problems. Some, however, drink in ways or at times during their life course that increase risk to themselves or others. Still others who use alcohol may derive a health benefit from its use. Defining precisely who is at risk for alcohol use problems and assessing the risks versus benefits of alcohol use are the first steps toward providing accurate public health information and designing effective interventions to reduce alcohol use problems. The Tenth Special Report presents important new findings about biological and behavioral factors that affect the risks and benefits of drinking over the life span. Get the full report, complete with several files for you to download in today's issue.

As always, we hope you enjoy the issue.

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Editor: Susan K. Boyer, RN
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