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Congressman asks Virginia minister to redirect EHR funds



In a letter to Veterans Administration Secretary Denis McDonough following news of proposed layoffs at Mann-Grandstaff Medical Center, Virginia, Rep. Katie McMorris Rogers, R-Washington State, said hiring was restricted and further staff cuts will be required to address the issue. $35 million budget shortfall caused by Oracle Cerner Electronic Health Records Modernization Program.


McMorris Rogers said on Thursday that she “demanded” the VA secretary to commit to prevent cuts in staff or services at the medical centers where Oracle Cerner EHR operates by redirecting funding earmarked for a rollout now on hold, specifically at two medical centers. VA in Washington.

“Under no circumstances should a VA medical center experience budgetary shortfalls and reductions in staff or services as a result of an EHR failure,” McMorris Rogers said in her report. letter.

Dr. Robert Fischer, medical director of Mann-Grandstaff, sent an email to executives on May 9, reportedly stating that the hospital would need to cut its approved workforce by more than 15% due to a projected budget shortfall, equivalent to losing 146 full states. temporary positions, according to report earlier this week from Press secretary overview.

Overburdened medical centers said they relied on the private sector to make up for limited specialized care, although Fisher’s email cited wages as a contributing factor.

Sheriff Elnahal, Virginia’s chief health officer, indicated during a press conference last week that the department had already provided funding to account for the system’s impact, the report said.

McMorris insists that the EHR has undermined treatment and is now threatening facilities, and has asked the secretary to ensure adequate resources are provided for affected medical centers.

“Mr. Secretary, would you please make a commitment to me and to every veteran in Eastern Washington that your department will use every available EHR dollar to prevent staff or service cuts at Mann-Grandstaff and Jonathan Medical Centers. M. Wainwright, Virginia. ?”


Due to system outages, slowdowns, and patient-harming errors, the beleaguered EHR impacted the five institutions that were the first to migrate from VistA.

VA recently extended its contract to upgrade Oracle Cerner EHR with revised terms, including a number of performance metrics, failure to meet which will result in a cash loan to the agency and five one-year terms instead of one five-year.

“Overall, this is a much stronger contract, and I hope it helps VA ensure that Oracle Cerner makes this EHR program work for Washington State suppliers and veterans.” — U.S. Senator Patty Murray, WA, Chair of the Senate Appropriations Committee and Veterans Affairs Subcommittee, as well as a senior member of the Senate Veterans Affairs Committee, the statement said.


“There will be no further system deployments during the VA-announced EHR reset,” McMorris Rogers said.

“Therefore, those funds that were originally intended for further development should be redirected to those medical centers that are experiencing budget deficits, facing staff reductions and experiencing difficulties in operation due to EHR.”

Andrea Fox is a senior editor at Healthcare IT News.

Healthcare IT News is a publication of HIMSS Media.

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Neuralink: Elon Musk’s brain chip company says US has received approval for human research



Billionaire implant company Neuralink wants to help people regain vision and mobility.

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“Love and Death” Season 2



The following contains spoilers for love and death season 1

HBO love death concludes in the courtroom. Candy Montgomery (Elizabeth Olsen) details the events of her murder rampage by Getty Gore, which included an ax brought into the living room by Gore, a fight, and a trigger — “shhh” — that drove Candy into such a frenzy that she repeatedly stabbed Mountain. Psychotic break described in another testimony by Dr. Fred Faison as a dissociative event whose description was apparently bought by the jury and deemed sufficient for the defense to find Candy not guilty.

Candy Montgomery’s real-life case developed in a similar fashion when lawyer Don Crowder enlisted Dr. Candy’s support. Fred Faison, a psychologist and hypnotist, testifies in Candy’s defense. Through hypnosis, Faison reportedly helped Candy uncover moments of emotional trauma from the age of 4 when her mother really “shhh” Candy. At the booth, Candy said that Gore had also used the phrase and that Candy had “pissed off”.

The jury found Candy not guilty, apparently influenced by both testimony. (You can read about the real trial in 1984. Texas Monthly articles”Love and Death on Silicon Prairie Part 2: The Killing of Betty Gore“, itself taken from the book Proof of Love: A True Story of Suburban Passion and Death by John Bloom and Jim Atkinson.)

But while the lawsuit could end the events of the case and the source material for the HBO series, will it be the end of the show?

Want love death get season 2?

There have been no announcements for a second season yet. HBO himself only mentioned love death as a “limited series”, meaning it will most likely only run for one season.

If the series had continued the storyline, it would have done so without much source material. The lives of its protagonists were not widely publicized after the trial. Any future drama is likely to be fabricated.

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Joshua St. Clair is Associate Editor of Men’s Health.

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Now we know how Botox penetrates neurons and paralyzes muscles.



Botulism or Clostridium botulinum bacterium 3d illustration

Illustration of Clostridium botulinum, a bacteria that produces botulinum neurotoxin.


We finally know how Botox gets into the neurons. The discovery could help develop an antidote for the molecule’s neurotoxic effects, which can lead to paralysis or even death.

Botox uses a type of botulinum neurotoxin, a highly toxic substance produced by bacteria. The toxin disrupts communication between neurons, resulting in muscle paralysis. In small therapeutic doses, it can ease muscle spasms, cure migraines, or more commonly, reduce wrinkles. However, in high doses, this molecule causes botulism, a potentially fatal disease that does not require large amounts of treatment.

Frederic Meunier from the University of Queensland in Australia and colleagues analyzed how botulinum neurotoxin type A enters neurons using a technique called single molecule imaging. This allowed them to capture the movement of molecules labeled with a fluorescent dye.

The researchers placed the toxin in a dish of rat neurons. They tuned one camera to a neurotoxin and the other to receptors in neuronal membranes, also labeled with different colors of dyes.

Previously, only two receptors, called polysialoganglioside (PSG) and synaptic vesicle glycoprotein 2 (SV2), were thought to be key for toxin entry into cells. But when they tracked SV2’s response to the toxin, they saw that it moved in tandem with another receptor known as synaptotagmin 1 (Syt1).

“Basically we started thinking, ‘Oh, this is weird,'” Meunier says. The researchers genetically modified rat neurons to prevent Syt1 from binding to SV2 and repeated the experiment. If you suppress the binding between these two receptors, the toxin can no longer enter the cell, Meunier says.

The same was true when they genetically modified neurons to lack PSG, indicating that all three receptors are required for botulinum neurotoxin type A to enter cells. Future drugs that block the binding of the three receptors could prevent neurons from being infected by the toxin, Meunier said.

“By understanding more about the mechanism of cell entry, we are one step closer to preventing cell entry and preventing botulism,” says Sabine Pellett at the University of Wisconsin-Madison.


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