Everyone ’s talking about the flu. Here’s what to do about it

H3N2: If you ’ve had it, you know how bad it can be. If you don’t, you’ve heard about it and are afraid. Very afraid.We ’re talking about the flu, specifically this flu season’s dominant strain.Others are taking about the flu as well. Physicians at Ronald Reagan UCLA Medical Center and UCLA Medical Center, Santa Monica, have been featured in the media, and sought by patients and the public for advice on flu care and prevention — and for good reason.The Centers for Disease Control and Prevention reports that flu activity is widespread across the country. The California Department of Public Health has announced that flu activity in California is at levels that are usually only seen at the peak of flu season. And the Los Angeles County Department of Public Health has reported 36 confirmed flu deaths this year in the county alone; last year at this time, the toll was 13.   Amid the alarming reports, dire headlines and, of course, sneezes and coughs, one refrain is emerging:  This year’s flu vaccine isn’t very effective.  While that ’s true, it’s the wrong take-home message, saysDr. Deborah Lehman,  an infectious diseases specialist and a professor of clinical pediatrics in theDavid Geffen School of Medicine at UCLA.“When people hear the vaccine isn’t that effective, they assume there’s no point in getting it — and that’s very frustrating,” she says. &ldquo...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news

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Non-clinicians skip over some of the most necessary underpinnings of doctoring and speak too much about housekeeping issues: blood pressure targets, aspirin use, mass screenings, immunization rates and so on. People without medical degrees could do those things. But there are steps that must be taken before we worry about the measurables. These are the essence of being a physician, what people ask for when they come to see us. Most people don’t come in and say, “I need you to regulate my blood pressure,” or “Help me lower my cholesterol.” They come in saying, “I don’t feel good,&rd...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Primary Care Source Type: blogs
Authors: Shaw CA Abstract In the following, I will consider the impact of aluminum on two major systems, the central nervous system (CNS) and the immune system, across the life span. The article will discuss the presence of aluminum in the biosphere, its history, and the sources of the element. These include food, water cosmetics, some vaccines, and a range of other sources. I will also consider aluminum's unique chemistry. Finally, in humans and animals, I will consider how aluminum may impact the CNS at various levels of organization and how it may be involved in various neurological disease states across the lif...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Authors: Niu Q Abstract Aluminum is a type of ubiquitously existing naturally and widely used metal in our world. It is combined with other elements and forms different compounds. In different pH and due to other conditions, it can be released into ions of different valence states. Our century is an "aluminum age"; aluminum is used in many fields of our daily life, such as vaccine adjuvant, antacids, food additives, skin care products, cosmetics, and cooking wares, and may be as elements or contaminants appeared in a lot of foods, including infant formulae, milk products, juice, wine, sea foods, and tea. ...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
I don’t want to be unclear here.  I don’t want to mince my words.  But I’m mad about an interaction I had on Facebook.  I was commenting on the Physician Side Gigs group page when someone riffed on one of my statements.  They mentioned that my opinions could be a slippery slope towards a future where doctors no longer see patients.  The insinuation was that we as physicians owe it to our community to continue practicing medicine.  As many of you know, with my half retirement, I am planning to leave patient visits behind.  Being financially independent is allowing me...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Practice Management Source Type: blogs
Authors: Satia I, Badri H, Lahousse L, Usmani OS, Spanevello A PMID: 30310687 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Authors: Almendros I, Aliverti A PMID: 30310686 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Authors: Shi K, Sun H, Zhang H, Xie D, Yu B Abstract Myocardial infarction (MI) is an unsolved health problem which seriously affects human health around the world. miR-34a-5p acting as a tumor-suppressor is associated with left ventricular remodeling. We aimed to explore the functional roles of miR-34a-5p in cardiomyocytes. Hypoxia-induced cell injury in H9c2, HL-1 and human cardiac myocytes was analyzed according to the decrease of cell viability and increase of apoptosis. Expression of miR-34a-5p was measured by quantitative reverse transcription polymerase chain reaction (qRT-PCR) when the concentration of O2 w...
Source: Biological Chemistry - Category: Chemistry Tags: Biol Chem Source Type: research
Source: BMJ Comments - Category: General Medicine Source Type: forums
Source: BMJ Comments - Category: General Medicine Source Type: forums
Authors: Miller S, Silverman E, Hoffman-Ruddy B Abstract Impairment of cough and swallow is a potential consequence of neurological dysfunction that places affected patients at increased risk for respiratory compromise and death. Nurses are critical to early identification and frequent screening of airway defense mechanisms to reduce aspiration risk and improve clinical outcomes in patients with neurological impairment. PMID: 30304592 [PubMed]
Source: Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses - Category: Nursing Tags: Medsurg Nurs Source Type: research
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