January 28, 2012

Program aims to improve, prolong kidney patients’ lives

A health care campaign is being launched in Iowa that aims to prolong and improve the lives of people with kidney problems. Kathleen Smith, a registered nurse and spokeswoman for Fresenius Medical Care, says the effort is being dubbed “PEAK,” for Performance Excellence and Accountability in Kidney Care.

“The primary goal of the program is to reduce first-year mortality in patients beginning dialysis,” Smith says. “That mortality rate has always been high — in the 20% range.” Smith says the program aims to cut death rates by 20%, which would extend the lives of ten-thousand kidney patients by the end of 2012.

She says it’s hard for some people to adapt to dialysis and the program aims to better equip Iowa health care providers with tools to help first-year dialysis patients make the transition. “Early interventions with new patients, education primary among them, and attention to the medical problems that are present with patients when they first begin dialysis,” Smith says. “They have an entire organ system that’s not functioning.”

Money is always a concern in health care issues and Smith says implementing this program should result in fewer hospitalizations, which will bring a savings of Medicare dollars. She says kidney disease is becoming more prevalent in Iowa and nationwide.

Diseases that typically lead to kidney failure are diabetes and high blood pressure. Smith says both diseases are widespread in the U-S, and they’re both considered “silent” diseases. “For people who do not have regular checkups or screenings,” Smith says, “those diseases can go undetected long enough to cause serious impacts on certain organ systems, the kidneys in particular.”

In Iowa, there were more than 700 new dialysis patients in 2007 and more than 2,200 patients in total on dialysis that year, which is a rise of more than 10% since 2003, according to the Heartland Kidney Network. Fresenius has facilities in Des Moines, Ottumwa and Sioux City, serving more than 400 kidney patients.

For more information, visit: www.kidneycarequality.com

Study says gift cards can make you spend over your budget

Gift cards can be a good thing for shoppers who aren’t sure what to get someone, but a study by Iowa State shows those cards can lead to some bad shopping habits for recipients. I.S.U. assistant marketing professor, Laura Smarandescu, says people have more of a connection to what they are spending when buying something with cash.

She says people are more likely to violate their budgets and end up spending more with gift cards than with equivalent cash gifts. Smarandescu says people see the gift card as something extra. Smarandescu says gift cards allow people to indulge, and they have “waste aversion”, where they don’t want to leave money on the card and waste it. And she says they often see the gift card like a coupon and use it to make a more expensive purchase. For instance, if you get a $50 gift card, you might see it as half off a $100 item and buy the more expensive item than you normally would purchase. Smarandescu says businesses like the benefits of gift cards.

She says a lot of people will delay using gift cards and they will expire and they never use the cards. And she says the cards cause people to spend more and become mechanism for people to become more impulsive about spending. Smarandescu says you can avoid the bad side of gift cards by including them in your plan.

Smarandescu says it’s always a good idea to have a budget when you go to the score and especially with gift cards so you have a “more rational mind” when using the cards. This will keep you from overspending. State Treasurer Michael Fitzgerald also has these tips for those who receive gift cards: Read the fine print to check the disclosures for expiration dates or fees that can reduce the value of the gift card.; Understand the retailer’s policy for replacing a lost or stolen gift card.; Use the gift card promptly.; Keep the original receipt if it was included with the gift card.

Fitzgerald says new gift card protections passed by congress earlier this year will go into effect in 2010. The new rules will prohibit fees on gift cards for one year and expiration dates of less than five years from the date of purchase.

Two killed in southwest Iowa go-cart crash

Two people were killed in southwest Iowa Saturday when a go-cart and a semi collided northwest of Clarinda. 

According to the Iowa State Patrol, the accident happened Saturday afternoon as the go cart, which had pulled out of a residential drive, was attempting to turn around on Q Avenue, near 200th Street. When the go cart was struck by a 1994 Freightliner semi which was northbound on Q Avenue, both occupants were killed.

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Police say naked driver ran SUV into 3 parked vehicles

A naked, allegedly intoxicated woman was cited for failure to maintain control of her vehicle early Saturday morning after the SUV she was driving allegedly struck three parked vehicles on the same side of the street in Council Bluffs.   

Police were called after they received a report that the driver of a 2003 Dodge Durango traveling  north on South 11th Street had hit a parked 1998 Honda and a 1999 Saturn. The collision with the Saturn pushed that car into a 2002 Ford Ranger pickup. The Durango was disabled by the crash, but a witness told officers the woman driving the Durango tried to put it into gear one more time, before stepping out — quote — “completely naked.”

The witness gave the woman a robe and, when police arrived, the witness identified the woman as the driver of the SUV.

Twenty-three-year old Nicole M. Smith of Council Bluffs reportedly told police she had been drinking  and that she “just wanted to go home.”   Smith was taken to a hospital for treatment of minor injuries and to determine her blood-alcohol content. 

Police cited her for driving with an expired registration, failure to maintain control and no proof of insurance. Damage to the vehicles involved in the crash amounted to an estimated $17,500.

(Reporting by Ric Hanson, KJAN, Atlantic)

Iowa’s suicide rate climbs to highest level since Farm Crisis

State health officials are hoping to reverse an alarming increase in the number of Iowans who are choosing to take their own lives. In 2008, 376 Iowans committed suicide. That’s a nearly 14% increase over the previous year.

“I think the concern is that the economy is playing a role in these deaths,” says Dale Chell, suicide prevention coordinator at the Iowa Department of Public Health.  ”…As much as the economy can play a role, I think if there’s something to emphasize, it would be that it makes those people who are already vulnerable even more so. When they lose a house, they lose a job. It might be that trigger that makes them make that attempt, that suicide attempt that there’s nothing else to live for.”

Last year’s data is not available for all states, but according to a 19 state analysis conducted by the Wall Street Journal, the year-to-year percentage increase in Iowa suicides is second only to Tennessee. Chell says Iowa needs to find a way to help people gain access to mental health care.

“In about 90-percent of suicide deaths, there was an undiagnosed, untreated mental illness such as major depression…and if there’s a way that you can identify those people who are suffering from depression or other mental illnesses – catch them early on and provide treatment and support and counseling – then you can hopefully, down the road, prevent most of the suicide deaths that occur,” Chell says.

Despite the increase in Iowa suicides, the state’s suicide rate still ranks among the bottom half in the nation.

Impact of on-line shopping on holiday sales not known

You can now buy just about anything you can find in a store on-line, but an Iowa State University researcher says it’s still not clear how internet shopping impacts the holiday sales. Economist Meghan O’Brien says it’s hard to nail down the numbers. She says there is some data available, but she says researchers haven’t quite caught up with on-line shopping.

O’Brien says every year people spend more and more money on the internet, however in the aggregate on-line sales declined, but sales declined across the board. She says on-line sales did decline at a lower rate than sales at “brick and mortar” stores. O’Brien says the internet can serve as a research tool as well as a place to buy.

O’Brien says the internet and on-line retailers allow people to shop prices and find the best deals, so the retailers that have a brick and mortar presence along with a well managed internet site, are in the best position to capture sales on-line and in their stores. O’Brien says the down economy has people looking to big discounters for the best deals and those big discounters have the best resources to maintain and advertise their internet site.

She says it’s a “catch-22″ for smaller retailers as they need the internet to stay competitive — but because they are smaller — they have less ability to use the internet to be competitive. O’Brien says it plays back into the hands of the big discounters like Super Target, Super Walmart, Best Buy and Amazon, because they are most able to effectively use the internet to promote business. But O’Brien says internet sales aren’t going to help a smaller retailer close the gap with the big discounters.

“I don’t know that internet sales could save a lot of smaller retailers, but for smaller retailers that have a niche product, I think it could be very advantageous,” O’Brien says. She says for example, a specialty craft store could benefit by having their products more widely available on the internet.

Ottumwa Republican plots second bid for second district seat

A Republican who waged an unsuccessful campaign in Iowa’s second congressional district in 2008 says she’s going to try again in 2010. Mariannette Miller-Meeks of Ottumwa says if you’re a “mature person,” you learn from your mistakes. 

“While I’m articulate and intelligent, I didn’t raise enough money and that’s my fault as a candidate,” Miller-Meeks says.  “I didn’t get enough in the areas where I needed to be, such as Cedar Rapids and Iowa City and, again, that’s my fault as a candidate because I had to continue working.” 

Miller-Meeks quit her job as an eye doctor in Ottumwa in January and she plans to move somewhere in the Cedar Rapids/Iowa City corridor.  

“So I think all of those things combine into being a more aggressive candidate and by aggressive, I don’t mean angrily aggressive,” she says.  “i just mean being available; being forward with the message; drawing more contrasts; raising more money; building a greater, most expansive grassroots network…I think you learn from all of those things and can put forward a better campaign.”

Congressman Dave Loebsack, a Democrat Mount Vernon, has indicated he’ll seek a third term in 2010. 

Miller-Meeks says she ran in 2008 because she was concerned about government encroachment in medicine. “That has only been enhanced by what has gone on both in congress and the senate throughout the year,” she says.

Miller-Meeks will formally kick off her campaign on Monday with stops in Muscatine, Marion, West Burlington and Ottumwa. 

Another Republican, Christopher Reed of Marion, has already announced his intentions to run in the second congressional district, too.