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New Service Will Relieve Pressure On GPs And NHS, UK
A new self-care service which will give people with pandemic swine flu symptoms fast access to antivirals was launched today by Health Secretary Andy Burnham.

Renowned Surgeon Examines Our Most Significant Contributions To Surgery - From Crude Procedures To Precision Operations
As a result of the scientific advances and medical innovations made in the twentieth century, the United States today occupies an established and unchallenged leading role in the field of surgery. Renowned surgeon Seymour I. Schwartz, MD, gives a sweeping history of American surgical practice in "Gifted Hands: America"s Most Significant Contributions To Surgery" (Prometheus Books). He describes how surgery in the United States has advanced from the comparatively crude practices of pioneering physicians in the pre-Columbian and colonial eras to its current level of preeminence in scientific surgery today.
News of the day
Economy Squeezing Access To Health Care
As unemployment rises, many Florida women are "turning to federally subsidized mammograms and pap smears, and county health officials are worried they could be overwhelmed," The Orlando Sentinel reports. "Since 1990, the Centers for Disease Control [and Prevention] has provided free and low-cost mammograms and pap smears to uninsured or underinsured women between 40 and 64 years old. In Florida, only women 50 to 64 years old qualify. Although the number of women screened in Florida through this federal program has increased through the years, unemployment in women 55 to 64 years old has nearly doubled, from 3.4 percent in 2008 to 6.3 percent now. Demand always has exceeded available services - only 15 percent of eligible women get the breast exams, according to the CDC - but the number of women who will now qualify for the free tests is expected to outstrip the funding provided by Congress" (Maza, 7/15).
Cardiovascular

Therapy Technique Cuts Divorce/Separation Rate By Nearly 50 Percent

Four simple questions on well-being asked at the start of each session of ongoing couples therapy can greatly increase chances for reconciliation and improved relationships, according to a newly published study. The largest clinical trial with couples to date, it shows that divorce and separation rates for couples that used this feedback technique were 46.2 percent less than that of couples who received therapy as usual. The findings, published in the August 3, 2009, Journal of Consulting and Clinical Psychology, are the results of a 2-year study conducted at the Vestfold Family Counseling Center in Norway by a U.S.-Norwegian team of researchers. From October 2005 to December 2007, 205 randomly selected couples receiving therapy in southern Norway participated in the study, which investigated the effects of providing ongoing feedback regarding the progress of treatment to both clients and therapists. The couples had problems typical of struggling relationships: communication difficulties, loss of feeling for partner, jealousy/infidelity, conflict, and coping with partner"s physical or psychological problems. Half of the study group had feedback incorporated into their therapy while the other half did not. Couples who used the feedback method rated their well-being on an individual, interpersonal, social, and overall basis by using a visual scale called the Outcome Rating Scale (ORS) at the beginning of each session. The results were used to guide each session: if progress was not noted, new directions for therapy were discussed and implemented. Therapists participating in the study received training on how to integrate the findings of the ORS and collaborate with couples to find new solutions. "Adding feedback can be the start of a revolution in couples therapy," said Dr. Barry Duncan, one of the authors of the study. "It encourages couples to honestly evaluate their progress and enables therapists to adjust therapy before it"s too late." Although feedback has been demonstrated to improve individual psychotherapy outcomes, no studies until now have examined couples therapy. Participants were contacted 6 months after the last therapy session. Respondents answered questions about their experience in treatment, including whether the couple remained together. The feedback couples were not only more satisfied with their relationships but also reported significantly lower rates of separation or divorce: a 18.4 percent separation/divorce rate for ORS couples versus 34.2 percent for non-ORS couples. This study adds to growing evidence that ongoing client feedback in psychotherapy can significantly improve outcomes. MyOutcomes, LLC


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