Latest in lipidology: is lipoprotein(a), Lp(a), "the most dangerous particle you ’ve never heard of"?
Dr Attia's podcast on Lp(a), the link is here:https://peterattiamd.com/tomdayspring6/Discussed:- ApoB as a preferred metric over LDL-P [16:30]; Atherogenic lipoproteins (apoB/LDL-P) as front and center in pathogenesis of CVD. ApoB and LDL-P are used interchangeably, but this is not quite accurate.- Therapeutic goals for apoB concentration [21:45]-Lipoprotein(a)—the most dangerous particle you’ve never heard of [55:00];preferred lab measurements [1:17:45]; Lipoprotein(a), or Lp(a), is a distinctive particle with 2 components:  - a lipoprotein core that resembles LDL-  a shell that contains ap...
Source: Clinical Cases and Images - Blog - October 16, 2020 Category: Universities & Medical Training Tags: Cardiology Source Type: blogs

Elevated White Blood Cell Count (WBC) Linked With Cardiovascular Disease
A growing body of evidence suggests that low grade inflammation contributes to the development of cardiovascular disease and, specifically, coronary artery disease (CAD). WBC-derived macrophages and other phagocytes are believed to contribute to vascular injury and atherosclerotic progression. Multiple markers of inflammation have been tested as potential risk factors for the development of CAD such as IL-6, E-selectin and CRP.Elevated white blood cell count (WBC) that is well within the normal range was associated with an increased risk for developing CAD in multiple studies. A large-scale study demonstrated that a s...
Source: Clinical Cases and Images - Blog - October 15, 2020 Category: Universities & Medical Training Tags: Cardiology Source Type: blogs

Latest in lipidology: is lipoprotein(a) "the most dangerous particle you ’ve never heard of"?
Dr Attia's podcast on Lp(a), the link is here:https://peterattiamd.com/tomdayspring6/Discussed:- ApoB as a preferred metric over LDL-P [16:30]; Atherogenic lipoproteins (apoB/LDL-P) as front and center in pathogenesis of CVD. ApoB and LDL-P are used interchangeably, but this is not quite accurate.- Therapeutic goals for apoB concentration [21:45]-Lipoprotein(a)—the most dangerous particle you’ve never heard of [55:00];preferred lab measurements [1:17:45]; Lipoprotein(a), or Lp(a), is a distinctive particle with 2 components:  - a lipoprotein core that resembles LDL-  a shell that contains ap...
Source: Clinical Cases and Images - Blog - October 1, 2020 Category: Universities & Medical Training Tags: Cardiology Source Type: blogs

"At the end of our lives, we all become philosophers"
"At the end of our lives, we all become philosophers" is a quote from the podcast episode "Life Lessons From Dead Philosophers" by AoM:https://www.artofmanliness.com/articles/podcast-643-life-lessons-from-dead-philosophers/The Greek word “philosophy” (philosophia) is a compound word, composed of two parts: 'Philos' (love) and 'Sophia' (wisdom), "love of wisdom". Eric Weiner traveled thousands of miles around the world to visit the haunts of philosophers as he sought to better understand their insights and how he might apply them to his own life. He wrote about this philosophic...
Source: Clinical Cases and Images - Blog - September 28, 2020 Category: Universities & Medical Training Tags: Philosophy Psychology Source Type: blogs

"Bacon is a Killer": 1 daily serving of processed meat, such as bacon, increases risk of colorectal cancer by 18% - Physicians Committee PSA
According to the World Health Organization, eating even one serving of processed meat, including bacon, daily increases the risk of colorectal cancer by 18 percent. This public health awareness campaignis sponsored by The Physicians Committee —a nonprofit of 12,000 doctors.https://www.youtube.com/watch?v=eZ1Va4NaU5E Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - September 24, 2020 Category: Universities & Medical Training Tags: Food Vegan Source Type: blogs

The most practical/cost effective point of care ultrasound (POCUS) device as of 2020: Butterfly iQ
FromCNN:"Handheld devices also cost much less than traditional ultrasound machines. The ones sold by Butterfly, GE and Philips range in price from around $2,000 to $5,000, whereas traditional devices can cost tens or even hundreds of thousands of dollars.The Butterfly iQ is currently equipped for 19 different types of scans and tests. A "major" limitation is the inability to perform the spectral Doppler test used to identify some more acute heart conditions."The Butterfly iQ costs $2,000. There is a first-year fee of $400:https://store.butterflynetwork.com/us/en/iq/configure/References:https://www.cnn.c...
Source: Clinical Cases and Images - Blog - July 8, 2020 Category: Universities & Medical Training Tags: POCUS Source Type: blogs

Best longevity app as of 2020? LifeExtend, and it's free
Among the longevity apps, LifeExtend is the clear winner as of May 2020. The app is evidence-based, has great references and it is free:https://lifeapps.io/apps/life-extend/It is backed by thephysician/entrepreneur Don Brown (LifeOmics) and the University of Indiana, so it is not going away next year.The app is packed with features and you can dig deeper in any of the domains/5 pillars when you have time.LifeExtend is based on 5 scientifically proven health pillars, they appear as 5 columns and you collect points in each pillar. It looks like a game but the benefits are very much real.The app tracks the big 5 longevity pra...
Source: Clinical Cases and Images - Blog - May 21, 2020 Category: Universities & Medical Training Tags: Apps Longevity Source Type: blogs

Coronavirus: Lockdown's heavy toll on Italy's mental health
- BBC News. What started as a physical health emergency is morphing into a psychological one:From BBC: "Italy ’s coronavirus death toll is the second highest in the world, and its lockdown is the strictest and longest in Europe.Doctors say both things are creating a mental health emergency. The BBC has been given access to a psychological support centre run by the Red Cross, where staff say they’re over whelmed by calls from people struggling. Psychologists are warning that Italy is not equipped to deal with the crisis, and that the rest of Europe must prepare. If you've been affected by a mental health i...
Source: Clinical Cases and Images - Blog - April 24, 2020 Category: Universities & Medical Training Tags: COVID-19 Music Psychiatry Psychology Source Type: blogs

Wim Hof Method decreases IL-6, can it prevent IL-6-induced cytokine storm in COVID19?
A subgroup of patients with severe COVID-19 may have a cytokine storm syndrome.A cytokine profile in severe COVID-19 disease includes increased interleukin (IL)-2, IL-7, granulocyte-colony stimulating factor, interferon-gamma inducible protein 10, monocyte chemoattractant protein 1, macrophage inflammatory protein 1-alpha, tumour necrosis factor-alpha, and IL-6. Mortality might be due to virally driven hyperinflammation.Anti-IL-6 antibody tocilizumab (IL-6 receptor blocker) has been used in patients with COVID-19 pneumonia and elevated IL-6. Other agents, such as sarilumab and siltuximab, which also target the IL-6 pathway...
Source: Clinical Cases and Images - Blog - April 2, 2020 Category: Universities & Medical Training Tags: COVID-19 Wim Hof Method Source Type: blogs

How to Break the Coronavirus Anxiety Cycle
From the psychiatrist Judson A. Brewer, M.D., Ph.D. in the NYTimes:Anxiety and its close cousin, panic, are both born from fear and uncertainty. We have plenty of that with the current COVID-19 pandemic.If information is lacking, our prefrontal cortex lays out different scenarios about what might happen. Some of these scenarios can be pretty scary.Anxiety is contagious. The spread of emotion from one person to another is called social contagion. "People can sneeze on your brain", says Dr Jud. "Our own anxiety can be cued or triggered simply by talking to someone else who is anxious. Their fearful words are l...
Source: Clinical Cases and Images - Blog - March 23, 2020 Category: Universities & Medical Training Tags: COVID-19 Psychology Source Type: blogs

Glycemic index (GI) and glycemic load (GL) for 1,800 foods
Glycemic index (GI) and glycemic load (GL) values determined in subjects with normal glucose tolerance: 2008: 58-page PDF from Diabetes Care 2008 Dec; 31(12): 2281-2283. https://doi.org/10.2337/dc08-1239https://care.diabetesjournals.org/content/diacare/suppl/2008/09/18/dc08-1239.DC1/TableA1_1.pdfReferences:https://care.diabetesjournals.org/content/31/12/2281.figures-onlyhttps://www.health.harvard.edu/diseases-and-conditions/glycemic-index-and-glycemic-load-for-100-foods Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - January 13, 2020 Category: Universities & Medical Training Authors: noreply at blogger.com (Unknown) Tags: Diabetes Endocrinology Food Source Type: blogs

Intermittent metabolic switching (IMS) via fasting: is it for you and how to do it?
Intermittent metabolic switching (IMS) via fasting is getting mainstream, spearheaded by an all-positive NEJM review published on Christmas Day 2019:https://www.nejm.org/doi/full/10.1056/NEJMra1905136The article is ranked at the 99th percentile compared to other NEJM articles as of 01-02-2020,https://www.nejm.org/doi/metrics/10.1056/NEJMra1905136#social_mediaFasting is an example of hormesis. Hormesis is a term used by toxicologists to refer to a biphasic dose –response to an environmental agent: 1. a low dose stimulation or beneficial effect, 2. a high dose inhibitory or toxic effect. In the fields of biology and me...
Source: Clinical Cases and Images - Blog - January 3, 2020 Category: Universities & Medical Training Tags: Fasting Longevity Source Type: blogs

How Balding Became Big Business, and the market is expected to grow even further - WSJ video
How Balding Became Big Business - WSJ video: Only 2 medications are FDA-approved as of 2019: minoxidil and finasteride:References:https://on.wsj.com/32SeoPz Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - October 3, 2019 Category: Universities & Medical Training Tags: Dermatology Source Type: blogs

How to Take Care of Your Eyes as You Age: be aware of GMC: Glaucoma, Macular degeneration, Cataract
FromConsumer Reports:GlaucomaMore than 2 million Americans have glaucoma, but 50% know it. Glaucoma often goes undiagnosed because it causes no symptoms until vision declines, at which point treatment no longer helps.People aged 40-60 should be examined by an optometrist every 3-5 years; those older than 60 need an eye exam every 1-2 years.Many eye doctors screen for glaucoma with tonometry (measures eye pressure) but that ’s not enough. Relying only on intraocular pressure (IOP) when screening for glaucoma could miss up to 50% of all cases. Theexam should also include an ophthalmoscopy, which involves examining your...
Source: Clinical Cases and Images - Blog - October 2, 2019 Category: Universities & Medical Training Tags: Ophthalmology Source Type: blogs

Keep Things Simple For A Healthy, and Hopefully Longer, Life
By my former colleague at the University of Chicago,John Schumann: Keep Things Simple For A Healthy, Long Life:1. Get enough sleep.2. Move your body throughout the day.3. Eat well — a healthy assortment of foods. Mostly plants, and not too much.4. Interact socially. Isolation is not good for the body, soul or mind.5. Take some time to reflect on what you are grateful for.Interventions that promote longevity, remembered by mnemonic:DEEP purple - “eat colorful plant foods:Dietary modification,Exercise, activeEngagement,Purposeful living (click here toenlarge the image).References:https://www.npr.org/sections/heal...
Source: Clinical Cases and Images - Blog - October 1, 2019 Category: Universities & Medical Training Source Type: blogs

Being hungry may lead to poor decisions, focused on on short-term rewards
In conclusion, sleep and eat on it, before making a final decision.References:https://link.springer.com/article/10.3758/s13423-019-01655-0https://www.irishexaminer.com/breakingnews/world/empty-stomachs-lead-to-poor-decisions-research-says-951019.html Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - September 18, 2019 Category: Universities & Medical Training Tags: Diet Fasting Psychology Source Type: blogs

Fasting mimicking diet (ProLon) by Valter Longo, PhD
Interventions that promote longevity, remembered by mnemonic:DEEP purple - “eat colorful plant foods:Dietary modification,Exercise, activeEngagement,Purposeful living (click here toenlarge the image).Valter D. Longo (born October 9, 1967) is an Italian-American biogerontologist and cell biologist known for his studies on the role of fasting and nutrient response genes on cellular protection aging and diseases and for proposing that longevity is regulated by similar genes and mechanisms in many eukaryotes. He is currently a professor at the USC Davis School of Gerontology with a joint appointment in the department of ...
Source: Clinical Cases and Images - Blog - September 13, 2019 Category: Universities & Medical Training Tags: Diet Longevity Source Type: blogs

Michal Kosinski: "The End of Privacy" | Talks at Google
Michal Kosinski is an Assistant Professor of Organizational Behavior at Stanford ’s Graduate School of Business. He has published on privacy risks, psychometrics, and psychological profiling. Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - August 10, 2019 Category: Universities & Medical Training Tags: Google Source Type: blogs

"Cardio IQ Advanced Cardiovascular Tests" by Quest
"Cardio IQ Advanced Cardiovascular Tests" are marketed by Quest labs and recently discussed by Dr Hyman and Dr Attea here:https://www.youtube.com/watch?v=n5bLggnbtyIQuest has a 2016 webinar that discussed why Advanced Cardiovascular testing is beneficial, reviewed two cardiovascular risk factors Lp(A) and ApoB, biomarkers for assessment of inflammation, clinical importance of LDL sub-fractions, introduced the Cardio IQ Report as a management solution beyond the routine lipid panel:https://education.questdiagnostics.com/presentations/advanced-insights-into-residual-cardiovascular-risk?presentation_id=262More info ...
Source: Clinical Cases and Images - Blog - August 8, 2019 Category: Universities & Medical Training Tags: Cardiology Source Type: blogs

Making the impossible look effortless... for hundreds of years
Ian Gillan, singer/songwriter of the hard rock legendary band Deep Purple, on the musicianship of his colleagues at 1:30 min in the video below: "performing live, they are making the impossible look effortless."That's a good goal for any profession. And you just hope you can continue doing for "hundreds of years."Source:https://www.thehighwaystar.com/news/2019/05/28/well-be-back-in-300-years/ Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - May 29, 2019 Category: Universities & Medical Training Tags: Deep Purple Ian Gillan Music Source Type: blogs

Cleveland Clinic in London
The new Cleveland Clinic building in London is growing from within - see for yourself - it's just across from the Buckingham Palace:Cleveland Clinic London is on track to open a new 200-bed private healthcare facility near Buckingham Palace in January 2021. The opening will coincide with the system's centennial.https://clevelandcliniclondon.ukCleveland Clinic London will focus on 4 specialties: cardiology, orthopedics, digestive disease and neurology. And it will open 3 outpatient facilities. The Clinic will employ about 50 doctors and a staff of about 200.https://www.cleveland.com/healthfit/2018/08/cleveland_clinic_london...
Source: Clinical Cases and Images - Blog - May 24, 2019 Category: Universities & Medical Training Tags: Cleveland Clinic Source Type: blogs

Physician Burnout Jumps Dramatically In Just a Few Years
Ina commentary in The American Journal of Medicine, Drs. Andrew G. Alexander and Kenneth A. Ballou reported 3 factors for physician burnout:1. The traditional doctor-patient relationship has been dwarfed by the relationship between health insurance providers and patients, with companies standing in the way of fast and appropriate treatments ordered by physicians.3. Doctors are feeling more cynical as a whole, because patients don ’t expect continuity of care anymore and routinely change doctors.3. General lack of enthusiasm for their work.Only 40% of physicians reported that they have a healthy work-life balance...
Source: Clinical Cases and Images - Blog - April 22, 2019 Category: Universities & Medical Training Tags: Stress Source Type: blogs

Air-popped popcorn is a healthy snack
When air-popped and eaten plain, popcorn is a healthy whole grain food. It is low in calories (30 calories per cup) and high in fiber (1 gram per cup).A 3-cup serving of air-popped popcorn has only 9 calories, 1 gram of fat and close to 4 grams of fiber.However, the minute you start cooking popcorn in oil or butter and adding salt and flavors, this can quickly turn it into an unhealthy snack.The movie theater popcorn, which is popped in coconut oil with salt and "buttery topping" added has little to do with its clean-living relative, the air-popped, unflavored popcorn. A medium bucket of popcorn holds 20 cups and...
Source: Clinical Cases and Images - Blog - April 14, 2019 Category: Universities & Medical Training Tags: Food Nutrition Source Type: blogs

Jack Ma lauding overtime work culture: "996"
To survive at Alibaba, you need to work 12 hours a day, 6 days a week, billionaire Jack Ma demanded. He endorsed the industry ’s notorious 996 work culture -- that is, 9 a.m. to 9 p.m., 6 days a week.“By following the ’996’ work schedule, you are risking yourself getting into the ICU [Intensive Care Unit]” according to a description posted on the “996.ICU” project page.Read more here:https://www.bnnbloomberg.ca/jack-ma-draws-controversy-by-lauding-overtime-work-culture-1.1243536 Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebo...
Source: Clinical Cases and Images - Blog - April 12, 2019 Category: Universities & Medical Training Tags: Stress Source Type: blogs

NYT: Attempted population mind control using a party app in China
All over China, people are furiously tapping on their smartphones to improve their score on an app - Study the Great Nation - a new app devoted to promoting President Xi Jinping and the ruling Communist Party — a kind of high-tech equivalent of Mao’s Little Red Book. Many spend several hours daily on the app, checking news about Mr. Xi and brushing up on socialist theories.Schools are shaming students with low app scores. Private companies, hoping to curry favor with party officials, are ranking employees based on their use of the app.Many employers now require workers to submit daily screenshots documenting ho...
Source: Clinical Cases and Images - Blog - April 10, 2019 Category: Universities & Medical Training Tags: Technology Source Type: blogs

Senolytic drugs target senescent cells (known as "zombie cells"), hoping to delay aging
Clinical geriatrician Dr James Kirkland, Director of the Robert and Arlene Kogod Center on Aging at Mayo Clinic, said: “Most people don’t want to live to 130 and feel like they’re 130 but they wouldn’t mind living to 90 or 100 and feel like they’re 60. And now that can actually be achieved in animals.You tend to find older individuals who are completely healthy and are playing 18 rounds of golf a day, or they ’ve got three, five or 10 different conditions. There aren’t too many people in between.If you get one age-related disease, you ’ve got a huge chance of having several.&...
Source: Clinical Cases and Images - Blog - April 9, 2019 Category: Universities & Medical Training Tags: Geriatrics Longevity Source Type: blogs

Mapping the Social Space of the Face
See how it works in the BBC video below: How to Make Your Face More Likable: "cough out a laugh".The video was based on the work of the Bulgarian American psychology professor Alexander Todorov:https://psych.princeton.edu/person/alexander-todorovhttps://www.apa.org/science/about/psa/2010/03/sci-briefSee a few computer simulated models here:http://tlab.princeton.edu/demonstrations/ Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - March 22, 2019 Category: Universities & Medical Training Tags: Psychology Source Type: blogs

Google AI-powered doodle is a tribute to Bach that lets users create their own harmonized melodies
Google developed an AI model that was trained on 306 of Bach's harmonizations. This allows users to compose their own two-measure melody in the style of Bach.See for yourself here:https://g.co/doodle/7pftunReferences:https://www.dailymail.co.uk/sciencetech/article-6834369/First-artificial-intelligence-Google-Doodle-features-Bach.html Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - March 22, 2019 Category: Universities & Medical Training Tags: Technology Source Type: blogs

Iron Maiden singer Bruce Dickinson found out he had throat cancer via Google
He actually describes the process very well, and it worked: The Iron Maiden singer opens up about his battle with cancer in Scandinavian talk show Skavlan. Also present in the studio are Gro Harlem Brundtland, former prime minister of Norway, and Swedish director and actor Felix Herngren. Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - March 8, 2019 Category: Universities & Medical Training Tags: Google Music Oncology Source Type: blogs

For employers: effectiveness drops, and health problems rise, when hours lengthen
From WSJ:Every employer is in the health care business, like it or not. Employee health benefits cost Starbucks more annually than coffee beans; General Motors spends more on them than on steel.The Centers for Disease Control and Prevention reported in 2016 that stress is the leading workplace health problem, ahead of physical inactivity and obesity.Absenteeism is one issue. “Presenteeism” is another: employees who, though at work, are not at their physical or psychological best.Effectiveness drops, and health problems rise, when hours lengthen. Read more here:https://www.wsj.com/articles/the-hidden-costs-of-st...
Source: Clinical Cases and Images - Blog - March 1, 2019 Category: Universities & Medical Training Tags: Stress Source Type: blogs

Medicinal Mushrooms: Turkey Tail (Trametes versicolor), Reishi (Ganoderma lucidum) and Lion's mane (Hericium erinaceus)
There some evidence in PubMed than medicinal mushrooms may play a role in treatment of some cancers. Most of the claims of medical benefits are bot backed up by high quality studies as of 2019. References are below.---What is turkey tail?Turkey tail is a type of mushroom that grows on dead logs worldwide. It's named turkey tail because its rings of brown and tan look like the tail feathers of a turkey. Its scientific name is Trametes versicolor or Coriolus versicolor. In traditional Chinese medicine, it is known as Yun Zhi. In Japan, it is known as kawaratake (roof tile fungus). Turkey tail has been used in traditional Chi...
Source: Clinical Cases and Images - Blog - February 13, 2019 Category: Universities & Medical Training Tags: Medicinal Mushrooms Oncology Source Type: blogs

New Treatment for Acquired Thrombotic Thrombocytopenic Purpura: Caplacizumab
Immune-mediated deficiency of the von Willebrand factor –cleaving protease ADAMTS13 allows unrestrained adhesion of von Willebrand factor multimers to platelets and microthrombosis. This results in thrombocytopenia, hemolytic anemia, and tissue ischemia. These are the hallmarks of  acquired thrombotic thrombocytopenic purpura (TTP).Caplacizumab is an anti –von Willebrand factor humanized. Caplacizumab is not a full antibody, but just a fragment if it, as you can see in the video below. It inhibits interaction between von Willebrand factor multimers and platelets.In this double-blind, controlled trial, 145 ...
Source: Clinical Cases and Images - Blog - February 1, 2019 Category: Universities & Medical Training Tags: Hematology NEJM Source Type: blogs

Avoid "endless day-to-day shallowness"
A quote fromthis NEJM article:"Socrates underscored the perils of an unexamined life. Yet for some physicians, a closely examined professional life would force a painful recognition of what ’s missing. Robert Pirsig, whose philosophical writing focused on quality and values, crystallized the problem decades ago: “We’re in such a hurry most of the time we never get much chance to talk. The result is a kind of endless day-to-day shallowness, a monotony that leaves a person wonderin g years later where all the time went and sorry that it’s all gone.”"The author of the article lists a fe...
Source: Clinical Cases and Images - Blog - January 31, 2019 Category: Universities & Medical Training Tags: NEJM Psychology Source Type: blogs

Bad traffic has wide reaching health implications including nighttime domestic abuse
From the NYTimes:Brutal commute toll: to save 1 minute of time spent in traffic, people would trade away 5 minutes of any other leisure activityExtreme evening traffic on highways (double the usual time) increased the incidence of nighttime domestic violence by 9%How do deal with this: “Throughout life, mindfulness, healthy eating, sleeping and exercise, and hobbies that blow of steam all help”, according to Rebecca Mooney.References:https://www.nytimes.com/2019/01/21/upshot/stuck-and-stressed-the-health-costs-of-traffic.html Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter an...
Source: Clinical Cases and Images - Blog - January 23, 2019 Category: Universities & Medical Training Tags: Stress Source Type: blogs

How the ultra-rich deal with stress
From the Guardian: Burned-out billionaires are taking extended multimillion-dollar 'sabbaticals' to recharge:A 40-year-old tech CEO, fresh off selling his multimillion-dollar business, embarked on an extended world tour, visited 66 countries over two years via private jet. The trip included learning to hunt with a bow and arrow with the San people in the Kalahari Desert and filming a documentary in South Africa – and it cost "well into the seven figures.""It could be a couple of million dollars to take your family around the world with a teacher in tow."These wealthy clients are looking for an esc...
Source: Clinical Cases and Images - Blog - January 21, 2019 Category: Universities & Medical Training Tags: Stress Source Type: blogs

Parenting advice: 5 supportive gestures remembered by the mnemonic CLICC
Mnemonic CLICC:Comfort: stay calm and patientListen: show interest in their passionInspire: expose them to new ideasCollaborate: ask for their opinionCelebrate: use “put-ups”, “not put-downs”Comfort: stay calm and patientPractice active listening and provide support.For teens: Be present and pay attention to changes in behaviors. Offer validating and reflecting statements to help them label their own emotions when in distress.Practice relaxation techniques such as counting to ten, deep breathing, meditation, or positive self-talk. Help them identify strategies to manage stress and control their impu...
Source: Clinical Cases and Images - Blog - January 21, 2019 Category: Universities & Medical Training Authors: noreply at blogger.com (Ves Dimov) Tags: Children Parents Pediatrics Psychology Stress Trauma Source Type: blogs

People overreport their height and underreport their weight. What are the real numbers?
From the NYTimes:“People tend to overreport their height and underreport their weight,” said the senior author, Cynthia L. Ogden, an epidemiologist at the C.D.C. The new figures, she noted, are the result of actual measurements:Meet the average American man. He weighs 198 pounds and stands 5 feet 9 inches tall. He has a 40-inch waist, and hisbody mass index is 29, at the high end of the “overweight” category.The picture for the average woman? She is roughly 5 feet 4 inches tall, and weighs 171 pounds, with a 39-inch waist. Her B.M.I. is close to 30."Men and women gained more than 30 pounds from...
Source: Clinical Cases and Images - Blog - January 16, 2019 Category: Universities & Medical Training Tags: NYTimes Source Type: blogs

People who live in neighborhoods with green spaces have less stress, healthier blood vessels and lower risk of heart attack and stroke
People who live in neighborhoods with more green spaces may have less stress, healthier blood vessels and a lower risk of heart attacks and strokes.Residential greenness is associated with lower levels of sympathetic activation, reduced oxidative stress, and higher angiogenic capacity. This is independent of age, sex, race, smoking status, neighborhood deprivation, statin use, and roadway exposure.For this study (see the link below), researchers tested for a variety of biomarkers of stress and heart disease risk in blood and urine samples from 408 patients at a cardiology clinic in Louisville, Kentucky, USA.Residents of th...
Source: Clinical Cases and Images - Blog - January 11, 2019 Category: Universities & Medical Training Tags: Longevity Nature Source Type: blogs

Exceptional longevity: why some people live to be more than 100-year old
Interventions that promote longevity, remembered by mnemonic:DEEP purple - “eat colorful plant foods:Dietary modification,Exercise, activeEngagement,Purposeful living (click here toenlarge the image).Based on a Mayo Clinic Proceedings article (https://www.mayoclinicproceedings.org/article/S0025-6196(18)30792-4/):Exceptional Human Longevity: the oldest old have an extreme phenotype of delayed onset of age-related diseases and/or resistance to lethal illnesses occurring earlier in life.Centenarians have delayed onset of chronic diseasesDuring the span of human history the likelihood of living from birth to age 100 rose...
Source: Clinical Cases and Images - Blog - December 25, 2018 Category: Universities & Medical Training Tags: Lifestyle Longevity Mayo Clinic Source Type: blogs

For type 2 diabetes patients who require an injectable drug, GLP-1-based drugs are preferred over insulin
That's a pretty big change:Diabetes Guidelines Updated: For patients with type 2 diabetes who require an injectable drug, a glucagon-like peptide 1 receptor agonist is preferred over insulin.https://buff.ly/2T0KowcGlucagon-like peptide-1 (GLP-1)-based therapies (eg, GLP-1 receptor agonists, dipeptidyl peptidase-4 [DPP-4] inhibitors) affect glucose control throughseveral mechanisms, including:- enhancement of glucose-dependent insulin secretion- slowed gastric emptying- reduction of postprandial glucagon and food intakeThese agents do not usually cause hypoglycemia.Short-acting GLP-1 receptor agonists have an effect on post...
Source: Clinical Cases and Images - Blog - December 20, 2018 Category: Universities & Medical Training Tags: Diabetes Source Type: blogs

Piriformis muscle syndrome remains controversial and diagnosis is difficult
Piriformis syndrome is a controversial entrapment neuropathyWhat is  piriformis muscle?The piriformis muscle is a small but important external rotator of the hip that crosses the sciatic nerve and is believed by some to cause sciatica-type pain when it compresses the nerve. However, the existence of this so-called "piriformis syndrome" remains controversial and diagnosis is difficult.Controversy is due to the limited research about the condition and the difficulty of making the diagnosis, particularly as symptoms mimic many other more common diagnoses.How common is it?Piriformis syndrome may account for 0.3-...
Source: Clinical Cases and Images - Blog - December 17, 2018 Category: Universities & Medical Training Tags: Orthopedics Sports Source Type: blogs

Canned tuna is struggling to connect with younger generation
From the WSJ:"Canned tuna is struggling to connect with younger generations who favor fresher, less-processed options."In a country focused on convenience, canned tuna isn ’t cutting it with consumers. “A lot of millennials don’t even own can openers,” said vice president for StarKist.Younger consumers are opting for fresh or frozen fish over canned items.Tuna first made inroads into American cupboards following a sardine shortage in 1903 and grew in popularity during wartime protein shortages that followed and as new canning technologies took hold. Since the late 1980s, its reputation has...
Source: Clinical Cases and Images - Blog - December 4, 2018 Category: Universities & Medical Training Tags: Food Source Type: blogs

Kids can't escape screens: America ’s schools are heavily promoting devices for classwork and homework
From Cupertino to San Francisco, a growing consensus has emerged that screen time is bad for kids: The benefits of screens as a learning tool are overblown, and the risks for addiction and stunting development seem high, as per the NYTimes.“Doing no screen time is almost easier than doing a little,” said Kristin Stecher, a former social computing researcher married to a Facebook engineer. “If my kids do get it at all, they just want it more.”Here is the problem:America ’s public schools are still promoting devices with screens — even offering digital-only preschools. The rich are banning...
Source: Clinical Cases and Images - Blog - November 9, 2018 Category: Universities & Medical Training Tags: NYTimes Pediatrics Phone Psychology Source Type: blogs

Medical students "taught how to practice empathy by following clever mnemonics" - NEJM
C. Nicholas Cuneo, M.D. in the NEJM: "With every faux interaction I felt myself being forced to shed another layer of authenticity, and I quickly grew to dread the whole tedious charade.PEARLS, it spelled out: Partnership, Empathy, Apology, Respect, Legitimization, and Support.With a smirk, I tossed it in the trash."Better understanding and educational approach are needed.--Just as a side note, here is an overview of some empathy/communication mnemonics with the corresponding references:"PEARLS– which stands for partnership, empathy, apology/acknowledgment, respect, legitimation, and support"https...
Source: Clinical Cases and Images - Blog - October 27, 2018 Category: Universities & Medical Training Tags: Communication Empathy NEJM Source Type: blogs

Lifespan vs. healthspan: "I'LL do it" mnemonic
Epigenetics"Tthere is nobody who disputes that epigenetics predicts life span ”. Aging eight or more years faster than your calendar age equates to twice the typical risk of dying, while aging seven years slower is associated with half the risk of death, Horvath says."Life span predictor" clockHis lab has developed a "life span predictor" they named it after the Grim Reaper: DNAm GrimAge. The epigenetic clock is more accurate the younger a person is. It ’s especially inaccurate for the very old. “At this point, we don’t have any evidence that it’s clinically useful, be...
Source: Clinical Cases and Images - Blog - October 22, 2018 Category: Universities & Medical Training Tags: Geriatrics Lifestyle Source Type: blogs

4 personality types based on new data
Researchers from Northwestern University sifted through data from more than 1.5 million questionnaire respondents to find at least four distinct clusters of personality types exist — average, reserved, self-centered, and role model — challenging existing paradigms in psychology. Read more here:https://news.northwestern.edu/stories/2018/september/are-you-average-reserved-self-centered-or-a-role-model/The personality types are based on 5 widely-accepted basic character traits - you can run a simple test created by Jordan Peterson for Dr Oz here:https://www.doctoroz.com/quiz/quiz-whats-your-personality-type?quiz=t...
Source: Clinical Cases and Images - Blog - October 11, 2018 Category: Universities & Medical Training Tags: Psychology Source Type: blogs

fNIRS brain scans could identify novice from experienced surgeons
From WSJ:Researchers studied surgeons as they performed surgical simulations and found they could identify novice from experienced surgeons by analyzing brain scans taken as the physicians worked.Prefrontal cortex, the part of the brain involved in planning complex behaviors was more active in the novices. Skilled surgeons had more activity in the motor cortex, which is important for movement. The researchers, who developed a machine-learning system to analyze the scans, also showed that training resulted in a shift toward higher activity in the motor cortex.Simple mnemonic:Prefrontal cortexPlanningPre-proficient levelMoto...
Source: Clinical Cases and Images - Blog - October 4, 2018 Category: Universities & Medical Training Tags: Psychology WSJ Source Type: blogs

Eagerness to use an immature technology: Humans have a habit of trusting algorithms without troubling themselves to think about consequences
From WSJ:Don ’t Believe the Algorithm: Blind faith in machines (and machine learning) has left us vulnerable to biased and incoherent AI. The solution? A healthy dose of skepticism and human oversight.The mathematican who wrote the WSJ artucle had the following suggestion:"USE ‘MAGIC’ TO SPOT BOGUS ALGORITHMS -- Whenever you see a story about an algorithm, replace buzzwords like “machine learning,” “artificial intelligence” and “neural network” with the word “magic.” Does everything still make grammatical sense? Is any of the meaning lost? If not, I&rsq...
Source: Clinical Cases and Images - Blog - September 7, 2018 Category: Universities & Medical Training Tags: Technology WSJ Source Type: blogs

"All Americans are just one bad tweet away from being fired"
From MarketWatch:"If you use Twitter, you too are a public figure. And one egregious tweet could blow up your life.The political climate puts all employers on high alert when it comes to the words and behavior of their employees.Many people are plugged into the news cycle all day long. One in five employers think staff is productive fewer than five hours a day, with most citing smartphone use as the culprit.The First Amendment protects free speech, but it may not protect your job if you do or say anything that is contrary to the company ’s values, even if it’s a joke.Anyone with a public Twitter account is...
Source: Clinical Cases and Images - Blog - June 5, 2018 Category: Universities & Medical Training Tags: Social Media Twitter Source Type: blogs

When advertising your physician practice: Google and Facebook dominate 73% of U.S. digital advertising market
The WSJ expressed concerns about monopoly: Tech ’s Titans Tiptoe Toward Monopolyhttps://buff.ly/2H5SHAh"Imagine a not-too-distant future in which trustbusters force Facebook FB to sell off Instagram and WhatsApp. Imagine a time when Amazon ’s cloud and delivery services are so dominant the company is broken up like AT&T. Imagine Google ’s search or YouTube becoming regulated monopolies, like electricity and water.Facebook Inc., Google parent Alphabet Inc. and Amazon.com Inc. are enjoying profit margins, market dominance and clout that, according to economists and historians, suggest they ’r...
Source: Clinical Cases and Images - Blog - June 4, 2018 Category: Universities & Medical Training Tags: Practice Source Type: blogs