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Dialysis world news


Medicare vs. Medicaid - NorthJersey.com

There is often confusion between Medicare and Medicaid. There is a huge difference between the two, yet people will call and tell me that they just qualified for Medicaid but what they really mean is that they just qualified for Medicare. They sound alike but they are very different programs.

Medicare is health insurance for people 65 or older, people under 65 with certain disabilities and people of any age with end-stage renal disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant). It is funded by both the insured and mostly by the Federal Government. You apply for this at your local Social Security office.

Medicaid is a state governed program and Medicare is a federal governed program for certain people with very low incomes. Some people can qualify for both Medicare and Medicaid. People who qualify for both Medicare and Medicaid are called 'dual eligible'.

Medicaid is health coverage available to certain people and families who have limited income and resources. The rules for counting your income and resources (like bank accounts or other items that can be sold for cash) depend on which state you live in. Eligibility may also depend on how old you are and whether you are pregnant, whether you are blind or have other disabilities and whether you are a U.S. citizen. Certain legal immigrants may also be eligible. If a woman's labor and delivery of her child is covered by Medicaid, her baby may be covered for up to one year without needing to apply.

Even if you are not sure whether you qualify, if your income is limited, and if you or someone in your family needs health care, you should apply for Medicaid and have a qualified caseworker in your state look at your situation. People with Medicaid who are disabled or elderly may also get coverage for services such as nursing home care or home and community-based services. Depending on your state's rules, you may also be asked to pay a small part of the cost (a copayment) for some medical services. If you qualify for both Medicare and Medicaid, most of your health care costs will be covered, including prescription drug coverage.

For more info on Medicaid or to see if you qualify, call NJ Medicaid at 1-800-356-1561 or your county welfare agency.

Irene Card and Betsy Chandler are both licensed insurance professionals working at MIC Insurance Services, a health insurance services company. If you have questions relative to this column or other related topics, we invite you to call us at 973-492-2828.

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Medgenics to commence EPODURE Biopumps Phase IIa study in ESRD-related anemia - News-Medical.net

Medgenics, Inc. (NYSE Amex: MDGN and AIM: MEDU, MEDG),the developer of a novel technology for the sustained production and delivery of therapeutic proteins in patients using their own tissue, today announced receipt of clearance from the Israeli Ministry of Health to initiate a Phase IIa clinical study evaluating the safety and efficacy of sustained erythropoietin ("EPO") therapy produced and delivered by the Company's EPODURE™ Biopumps™. The study will assess EPODURE's ability to replace months of routine EPO injections for the treatment of anemia in patients with end-stage renal disease ("ESRD" or "kidney failure") who are on dialysis.

EPODURE is an autologous dermal Biopump, a small tissue implant made from the patient's own dermal (skin) tissue, processed to enable it to continuously produce EPO. EPODURE Biopumps are subsequently implanted subcutaneously into the patient to provide continuous delivery of EPO.

"Our EPODURE Biopump technology offers potential advantage over current therapy because it enables patients to continuously produce and deliver their own EPO within the normal physiological range. Sustained delivery of EPO is expected to help keep hemoglobin within the target range to reduce the risks of hemoglobin variability, while avoiding the possible risks posed by EPO concentrations many times the normal physiological range, as observed with EPO administrations. EPODURE could potentially be a safer anemia management tool. Additionally, the cost benefits for the management of anemia could be highly significant," said Andrew L. Pearlman, Ph.D., President and Chief Executive Officer of Medgenics.

This open-label Phase IIa study will enroll up to 20 dialysis patients with anemia due to ESRD who have been receiving routine EPO injections three times per week. Each patient will receive an individually targeted initial dose of EPODURE Biopumps designed to produce levels of EPO that would replace the routine EPO injections over a period of 4-12 months. The EPODURE dose may be adjusted if needed by adding or removing Biopumps, emulating the standard care, dose adjustments, currently made with injected EPO. The study's objective is to maintain hemoglobin levels within the desired therapeutic range without the need for EPO injections. The study will be conducted at the Tel Aviv Sourasky Medical Center by principal investigator Doron Schwartz, M.D., Head of the Center's Nephrology Department. The Ministry of Health has approved the Company's commencement of the recruitment and treatment of patients, subject to a follow-up safety review on June 19, 2012, similar to the protocol followed in the Phase I/II pre-dialysis study.

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Food Network personality to share renal-friendly recipes - Marietta Daily Journal
Chef Aaron McCargo Jr. of the Food Network’s “Big Daddy’s House” will give a healthy twist on his bold, flavorful meals when he visits Cobb County on Friday and Saturday. He has collaborated with Fresenius Medical Care North America, the nation’s leading network of dialysis facilities, to provide dialysis patients and at-risk diabetics with renal-friendly recipes.

March is National Kidney Month. According to information provided by FMCNA, diabetes is the leading cause of kidney failure in the U.S., accounting for about 44 percent of the people who start treatment for kidney failure each year.

Chronic kidney disease and kidney failure disproportionately affect African-Americans, Hispanics, Asians, American Indians and senior citizens. Being overweight also increases the chances of developing chronic kidney disease. There is an association because these groups are at higher risk for diabetes and high blood pressure.

This progressive disease often leads to permanent loss of kidney function. When it leads to kidney failure or end-stage renal disease, the only solutions are a kidney transplant or dialysis.

FMCNA launched its Healthy Lifestyle Initiative campaign and reached out to McCargo. In 2008, he won “The Next Food Network Star,” and his show debuted the same year. His signature is “Flavor of Bold” cuisine, which he defines as his vision of food and how to make it flavorable. He likes to show people how to use spices, herbs and fresh ingredients.

“I love the response from people when they do eat my food,” he said. “They’re like, ‘Wow, that’s powerful, that’s bold.’ And that’s where Flavor of Bold comes from.”

His partnership with Fresenius also stems from personal ties to kidney disease, as family members have been afflicted by it. He said their biggest challenge involved maintaining a healthy diet.

“I knew had the capacity and gift to help out by creating renal-friendly recipes,” he said. By following dieticians’ guidelines, the chef said his recipes would ease patients’ worries about their eating habits.

People who suffer from kidney ailments have dietary restrictions. McCargo said they are advised to avoid salt, phosphorous and potassium and to lower their fluid intake. Food such as oranges and tomatoes can not be included in these diets.

“When they get those components together, increase the amount of protein, and cut back the fat, they’re really on their way to a good diet plan,” he said.

McCargo will be meeting with patients and dieticians at Fresenius Medical Care Acworth on Friday. On Saturday, the public is invited to the American Diabetes Association Focus: Stop Diabetes event at the Cobb Galleria Centre from 9 a.m. to 3 p.m. The chef will have a healthy cooking demonstration where he will be making spaghetti and asparagus carbonara, followed by a meet-and-greet session with fans.

His visit to Cobb is one among many. He will be traveling across the country showing how this healthy diet is not only beneficial to people with kidney ailments, but how the food can also be flavorful. He said meeting with people allows him to learn about their struggles with their diet and create new recipes based off their feedback.

“They are my source of information,” McCargo said. “Once I get a chance to meet with them face to face and hear their thoughts and what their struggles are, I can be a better resource and asset to them with helping them live a better life and have healthier eating habits.”

For more information, visit www.ultracare-dialysis.com.


Spaghetti and Asparagus Carbonara
Serves 6, 1 serving: 1 cup

Ingredients

½ box of spiral noodle spaghetti (cooked al dente) – should be 3 cups

1 cup light cream

1 egg, beaten

1 cup diced onions

2 teaspoon canola oil

¼ cup low sodium chicken stock

3 tablespoon bacon bits (meatless)

2 cups chopped asparagus, about 1-inch long pieces

3 tablespoon shredded Parmesan cheese

½ cup chopped fresh scallions

1 tablespoon coarse cracked black pepper

Preparation

In a large nonstick sauté pan, on medium-high heat, sauté onions until slightly browned in oil. While that cooks, beat egg and cream until mixed thoroughly. Lower heat to medium and pour cream mixture into onion, stirring constantly until it starts to thicken, about 4 to 6 minutes. Add stock, pasta, asparagus and black pepper and continue to stir for an additional 3 to 4 minutes or until warmed throughout or hot. Turn off heat and pour onto serving dish. Top with scallions, bacon bits and cheese, and then serve.

Nutrient Analysis:

Calories: 417 calories

Trans Fat: 0 grams

Protein: 14 grams

Cholesterol: 82 milligrams

Carbohydrate: 51 grams

Potassium: 293 milligrams

Total Fat: 18 grams

Phosphorus: 186 milligrams

Saturated Fat: 9 grams

Sodium: 134 milligrams

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Renal-denervation debate centers on response time - TheHeart.Org
TheHeart.Org
Chicago, IL (updated) - An intriguing finding is emerging from longer-term follow-up of clinical studies of renal denervation for severe resistant hypertension: some initial nonresponders are, in fact, showing drops in blood pressure months after the ...
Medtronic Symplicity™ Renal Denervation System Demonstrates Significant and

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'Number of bariatric surgeries increasing' - Times of India
KANPUR: The mega event of 30th IMA CGP refresher course concludes with topics like 'newer surgical options for diabetes and obesity', 'vitamin D and adult health' and 'secrets of nephrology' on Sunday.

Padamshree Dr Predeep Chaubey, laproscopic surgeon from New Delhi, talked about newer surgical options for diabetes and obesity. He informed that a whopping number of 2-2.5 million people were suffering from obesity in India. According to the studies, obesity is a major cause of mortality in our country as well.

"Obesity is a metabolic disease which damages the body by its physiological, metabolic and mechanical adverse effects. The cumulative effect is a shorter lifespan and with a poor quality of life. An obese individual is much more susceptible to diseases like diabetes, hypertension, osteoarthritis and obstructive sleep apnoea," he added.

The expert while elaborating the methods for treating obesity said treatment modes included behaviour modification, physical activity, non clinical weight management programs. Medically managed weight-loss and surgical treatment are also in demand these days, among which bariatric surgery is the most effective long-term treatment for obesity.

"The number of bariatric surgeries being performed today in India is increasing. It could be said that in years to come, a vast number of people would be fighting the battle against the bulge," said the expert further.

Talking on the topic of vitamin D and adult health, Dr Ambrish Mithal, expert of endocrinology and diabetes from Gurgaon, informed that vitamin D-3 was a fat-soluble vitamin that is naturally present in very few foods. It is produced endogenously when skin is exposed to ultraviolet rays of sun.

"Vitamin D plays a definitive role in the normal growth and upkeep of our body and the quality of our bones. This is essential for the normal growth and maintenance of bone. Many studies suggest that vitamin D may provide protection from hypertension (high blood pressure), cancer, and several autoimmune diseases. This also contributes in growing number of important chronic diseases including osteoporosis, type 2 diabetes, cardiovascular disease, cancers, and autoimmune diseases as well as infections," added Dr Ambrish further.

However, in India, where sunshine is abundant, vitamin D deficiency is a growing concern among urban Indians. Studies have found that 60-80% of urban adults have less than 20 ng/ml of 25(OH)D in their blood.

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