Kahn said. As for Mr. The president noted that 90 percent of smokers began on or before their 18th birthday. Obama said. View all New York Times newsletters. Obama chews nicotine gum to cut down on his smoking. Obama said last June at a White House news conference. Obama showed no evidence of heart disease from an electrocardiogram and a test known as an electron beam CT scan that looks for calcified areas in coronary arteries that may be evidence of coronary artery disease. Other standard blood tests showed no evidence of diabetes , heart and metabolic disease.
They included triglycerides , 46; high density lipoprotein, 62; and low density lipoprotein so-called bad cholesterol , These compared to 44, 68 and 96 in Kuhlman, who is physician to the president, chief White House physician and director of the White House medical unit, said that Mr. Obama agreed to release the results of his checkup, which took place at the National Naval Medical Center in Bethesda, Md.
While there, Mr.
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Obama visited 12 military service members receiving treatment and rehabilitation for injuries suffered in Iraq and Afghanistan. The White House declined a request to interview Dr. Another CT scan known as a virtual colonoscopy or CT-colongraphy showed no evidence of colon cancer. Gibbs said that no sedation was required during the test, so it was not necessary to invoke the 25th Amendment, which would have temporarily transferred power to Vice President Joseph R.
Biden Jr. A previously undisclosed medical examination of Mr. Obama in July by a Congressional doctor was not conducted for any specific issues, Mr. It came one month before Mr. Obama formally accepted the Democratic presidential nomination. A standard group of tests, including those for thyroid function, were normal. A PSA test for prostate cancer was normal: 0.
Kuhlman recommended that Mr. Obama get his next routine checkup when he turns 50 in One oddity of the report: Mr.
Obama weighed Tell us what you think. Please upgrade your browser. A dynamic information-sharing process should be developed to ensure all PMI participants remain adequately informed through all stages of participation. Communications should be culturally appropriate and use languages reflective of the diversity of the participants.
Obama's health has improved since last physical, White House doctor says
Information should be made publicly available concerning PMI data protections and use, and compliance with governance rules. Participants should be notified promptly following discovery of a breach of their personal information. Notification should include, to the extent possible, a description of the types of information involved in the breach; steps individuals should take to protect themselves from potential harm, if any; and steps being taken to investigate the breach, mitigate losses, and protect against further breaches.
All users of PMI data should be expected to publish or publicly post a summary of their research findings, regardless of the outcomes, as a condition of data use. To enrich the public data resource, mechanisms for data users to integrate their research findings back into PMI should be developed. PMI should be broadly inclusive, recruiting and engaging individuals from communities with varied preferences and risk tolerances about data collection and sharing.
PMI should promote participant autonomy and trust through a dynamic and ongoing consent and information sharing process. This process should enable participants to engage actively in an informed and voluntary manner, and to re-evaluate their own preferences as data sharing, use requirements, and technology evolve. Participants should be able to withdraw their consent for future research use and data sharing at any time and for any reason, with the understanding that consent for research use of data included in aggregate data sets or used in past studies and studies already begun cannot be withdrawn.
Participants should be provided choices about the types and frequency of communications they receive, and about the circumstances under which they would like to be re-contacted for certain purposes, such as to collect additional information or specimens for supplementary research activities.
Educational resources should be made available to participants to assist them in understanding their health information and to empower them to make informed choices about their health and wellness. Innovative, responsible, and consumer-friendly ways of sharing research data with participants should be developed.
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This could include sharing aggregate research data, research findings, information about ongoing research studies, as well as data collected about participants. Data access, use, and sharing should be permitted for authorized purposes only. Certain activities should be expressly prohibited, including sale or use of the data for targeted advertising.
Multiple tiers of data access—from open to controlled—based on data type, data use, and user qualifications should be employed to ensure that a broad range of interested communities can utilize data while ensuring that privacy is safeguarded and public trust is maintained. PMI should use privacy-preserving methods to maintain a link to participant identities in order to return appropriate information and to link participant data obtained from different sources. Unauthorized re-identification and re-contact of PMI participants will be expressly prohibited.
Data analyses should be conducted with coded data to the extent feasible. Measures for protecting PMI data from disclosure in civil, criminal, administrative, legislative, or other proceedings should be explored. Data quality and integrity should be maintained at all stages—collection, maintenance, use, and dissemination.
Standards of accuracy, relevance, and completeness should be appropriately up-to-date. Participants should be able to easily report any inaccuracies in information maintained by PMI and request that such inaccuracies be addressed in PMI records. Data Security Policy Principles and Framework Participant-contributed data is the foundational asset of PMI, and participants deserve assurance that it is being protected. PMI organizations should, at a minimum: Strive to build a system that participants trust.
Participants are the foundational stakeholders of all research activities. Recognize that security, medicine, and technology are evolving quickly.
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Seek to preserve data integrity, so that participants, researchers, and physicians and other healthcare providers, can depend on the data. Identify key risks, and develop evaluation and management plans that address those risks, while still enabling science and research to advance. Provide participants and other relevant parties with clear expectations and transparent security processes. Use security practices and controls to protect data, but not as a reason to deny a participant access to his or her data, or as an excuse to limit appropriate research uses of the data.
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Act responsibly. Seek to minimize exposure of participant data, and to keep participants and researchers aware of breaches in order to maintain trust over time. Share experiences and challenges so that organizations can learn from each other. Overall Security Plan. PMI organizations should develop a comprehensive risk-based security plan that outlines roles and responsibilities related to security, consistent with the principles and framework outlined here.
The governance body will ensure that those who use or manage PMI data adhere to the security plan. The security plan should be reviewed by the governance body and updated periodically to incorporate evolving standards and best practices. The plan should describe its approach for: Complying with applicable laws and regulations, and other organization-specific security policies and standards; Designating and maintaining an appropriately resourced and technically experienced information security team; Identifying, assessing, and responding to vulnerabilities and threats; Conducting continuous monitoring; Responding to security incidents and breaches; Ensuring the physical security of areas where PMI data is located, as well as that appropriate administrative and technical controls are in place to safeguard the data; and Ensuring participants, researchers, vendors, contractors, and technical staff are aware of their security responsibilities.
Risk-Based Approach. PMI organizations should use risk-management strategies, tools, and techniques to inform and prioritize decisions regarding the protection of PMI data, including data in electronic and physical resources within its environment as well as at the point of initial collection. When planning protection of PMI data, the form of the data should be considered e. Independent Third-Party Review. PMI organizations should have an independent review of their security plans and of the effectiveness of controls on a periodic basis.
Access Control Identity Proofing. PMI organizations should develop a policy for verifying the identity of users and contributors e. PMI organizations should use innovative approaches for authentication so that over time they do not rely on username and password alone, and should use strong multi-factor authentication for users of PMI data.
Obama's health has improved since last physical, White House doctor says
Authorization controls should be granular enough to support participant consent and should limit access, use, or disclosure based on what is necessary to satisfy a particular purpose or carry out a function. Awareness and Training Participant Education. PMI organizations should provide participants with security awareness materials and education on an ongoing basis.
The educational materials should include discussion of how data will be used, the high-level protections that safeguard the data, and the tools available to research participants to protect their own PMI data. This role-based training should include information on appropriate protections for PMI data and security best practices. Appropriate security certifications and continued training in information system security and privacy protection should be encouraged.
Data Security Encryption. PMI data that is reasonably likely to identify an individual should be protected at-rest and in-motion using strong encryption. Examples of data reasonably likely to identify an individual include identifiers such as name, birth date, contact information, and Social Security Number.
Encryption Key Security. PMI organizations should store encryption keys separately from encrypted data and establish policies for secure encryption key creation, distribution, access, and revocation. Physical Security. PMI data should be protected by physical security controls as well as cybersecurity controls. Service Provider Security. Integrity Protection. PMI organizations should implement integrity protection controls that detect when unauthorized alterations have been made to PMI data. PMI organizations should implement a system development life cycle, which ensures that appropriate safeguards for PMI data remain in place from receipt or creation through disposition.
Security Patching. PMI organizations should keep systems updated with the latest security patches and should develop change control and configuration management policies to ensure that system updates are tested, reviewed, and approved prior to implementing. Audit Events. PMI organizations should define a set of system and network events that capture interactions with PMI data from networks, servers, and application infrastructure, including user access and behavior. Audit Logs. System and network events should be logged on a continuous uninterrupted basis in a manner that protects against tampering and provides sufficient detail to identify: the type of action performed on PMI data, the unique identity of who performed the action, the date and time the action occurred, and the subset of data impacted by the action.
Detection and Alerting. Continuous detection processes and alerting mechanisms should be created to ensure timely and adequate awareness of anomalous events, as well as a process to inform operational staff and stakeholders with relevant situational details. Threat Information Sharing. PMI organizations should participate in relevant threat information sharing forums.
PMI organizations should also follow existing best practices to provide ways for participants and non-affiliated individuals and entities to report potential vulnerabilities or threats, and respond to reports appropriately. Anomaly Reporting. Incident Response. Not all security incidents result in a breach. PMI organizations should develop a plan to respond to and contain security incidents. This plan should include a process to identify quickly and effectively whether an incident has led to a breach of PMI data.
Organizations should coordinate response activities with internal and external parties, as appropriate e. Incident Response Testing. PMI organizations should regularly test incident response plans to ensure the highest level of proficiency. Affected Individual Notification. Accountable Point of Contact. PMI organizations should identify an accountable point of contact who will coordinate with appropriate organizations and affected individuals throughout the incident response process.
The contact should have the authority to direct actions required in all phases of the incident response. Incident and Breach Recovery Plan. PMI organizations should establish, maintain, and implement plans for emergency response, backup operations, and post-incident recovery for PMI data.
These plans should address how the PMI organization will stabilize after the incident and restore basic services. As an integral part of the recovery plan, PMI organizations should communicate to stakeholders when a safe and secure environment has been restored. Lessons Learned. After recovery from a security incident or breach, PMI organizations should identify lessons learned, including conducting root cause analysis, to identify areas needing improvement, and update security plans based on those lessons learned.
Get Email Updates: Yes. These initiatives could include: New approaches for deploying precision medicine into patient care to improve health. Exciting new ways to engage patients, participants, and partners in research, and get the word out about PMI, including through the use of novel technologies.