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Total Knee Replacement Appears Cost-Effective In Older Adults
Total knee replacement (arthroplasty) appears to be a cost-effective procedure for older adults with advanced osteoarthritis, according to a report in the June 22 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. The procedure appears to be cost-effective across all patient risk groups, and appeared more costly and less effective in low-volume centers than in high-volume centers.

Pakistani Refugees Continue To Be At High Risk For Disease, U.N. Says
The 2 million Pakistani refugees forced from their homes due to a military offensive against Taliban militants in the northwestern Swat Valley continue to be at high risk for diseases "as they cope with damaged water and sewage systems in towns and villages," according to the U.N., Bloomberg reports. "Displaced people are threatened with diarrhea, measles and respiratory infections as a result of the strain on the health service, [Eric] Laroche, [assistant director-general of the Health Action in Crises Cluster of the WHO], said. So far, the WHO"s early warning system has managed to identify and control more than 30 potential communicable disease outbreaks, he said," Bloomberg writes (Tighe/Qayum, 7/3).
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Survey Finds Australian Men Risk Being Lonely And Isolated In Retirement
Men are planning for their financial security in retirement but not for their happiness, according to a survey revealing that more women than men plan for their health and leisure interests before they stop working.
Mental Health

Nurses To Speak Out At County Budget Hearing Wednesday

RNs Protest Cuts to Public Health, Pediatrics, TB Clinic, and Other Outpatient Services at San Joaquin County San Joaquin registered nurses Wednesday will protest proposed cuts in public healthcare services that they say will hit especially hard against children and families in San Joaquin County. The RNs, members of the California Nurses Association/NNOC, will speak out at a county hearing on proposed budget cuts. Among the items being considered by county officials are closure of a pediatric care unit at San Joaquin General Hospital, reduced services at the Bret Harte Clinic which threatens to increase the spread of tuberculosis, and cuts in pharmacy services. When: Wednesday, June 24, 1:30 p.m. Where: Courthouse, Room 701 222 East Weber Ave., Stockton Nurses say they are especially alarmed at the potential loss of the county hospital"s pediatric unit, which services children of ages ranging from 1 to 18. County officials are considering converting the unit to a general medical care unit - which raises a major question about where ill children in San Joaquin County will be able to receive needed medical care. Many could end up having to travel to Davis or Oakland, or go without care, posing a burden on county families and a risk to the children"s health. A second concern is the plan to slash hours of service at Bret Harte, the TB clinic, at a time when San Joaquin has the largest percentage of active TB cases in the state. The county also wants to cut pharmacy hours by more than half, raising the prospect that more patients may end up going without needed medications. The county is also considering cuts in the number of public health RNs. "It is counterproductive and dangerous to cut public health services," said Jackie Mandich, RN who works in the county"s cancer outpatient clinic. "The likely result, which will increase costs down the road by reducing prevention needed to stem the tide of communicable diseases from TB to the H1N1 (swine flu) virus, is that we"ll end up with people needing care in more expensive emergency rooms than in outpatient clinics." The RNs will also question why the county is cutting vital health services while proposing a multi-million dollar expansion of jail facilities without adequate funding, and purchasing new county vehicles. "The Law and Justice budget will increase $9.6 million while public health services will go begging. Public health is an immediately public safety concern for all county residents," said Barbara Lloyd, RN, a public health nurse for San Joaquin County. California Nurses Association


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