OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don't automatically dismiss the idea.
Acute coronary syndrome in a pediatric patient?Written by Kirsten Morrissey, MD with edits by Bracey,
Grauer, Meyers, and Smith An older teen was transferred from an outside hospital
with elevated serum troponin and and ECG demonstrating ST elevations. The patient was obese and had a medical history of only recurrent tonsillitis status post tonsillectomy and adenoidectomy but was otherwise healthy and fully vaccinated. He reported 1.5 days of chest pain that started as substernal and crushing in nature awakening him from sleep and occasionally traveling to right side of neck. The pain ...
Source: Dr. Smith's ECG Blog - December 5, 2023 Category: Cardiology Authors: Bracey Source Type: blogs
Peter Panto poetry
I’ve written a short poem to use with my video montage of a few of my photos from the 2023 Cottenham Theatre Workshop production – Peter Panto!
Tickets on sale here.
https://www.sciencebase.com/images/Panto-Poem.mp4
Peter Panto
It’s panto season once more
Oh no it isn’t! I hear the crowd roar
We’ve tuned the ba-dum tsch, We’ve settled the score
And stitched curtain calls for the walk-down encore
The principals’ principles are sometimes ad lib
The chorus-line parts are tight like a jib
Cute kids play their part, There will be no damp squib
And the drums they may crack your spare ri...
Source: David Bradley Sciencebase - Songs, Snaps, Science - December 4, 2023 Category: Science Authors: David Bradley Tags: Fiction Source Type: blogs
“ S/he ’ s just not taking the message on board ” – A word to clinicians
I’ve heard it many times, probably said it myself some years back. You’ve presented an idea to the person, but they just don’t seem to be ‘getting it.’ What to do, what to do?
The context of this kind of problem is often when someone’s pain isn’t settling down, or when some kind of self-management strategy is being recommended. To the clinician, the message is probably quite logical: “Here’s some information about pain that I am telling you about” and the unspoken assumption is that the person ought to listen carefully, maybe ask some questions, but essentially...
Source: HealthSkills Weblog - December 4, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Clinical reasoning Coping Skills healthcare Occupational therapy pain management Therapeutic approaches Source Type: blogs
Study finds positive self-reported aspects of the ADHD experience among young women, especially related to hyperactivity and hyperfocus
– Three young Norwegian women. Source: Young and Promising show (SBS)
As is true for children and adolescents, many adults experience substantial challenges related to having ADHD. These challenges often include relationship problems, educational and work challenges, difficulty adhering to long-term plans and goals, and time and money management difficulties.
Given these well-documented difficulties, it is not surprising that ADHD treatment with adults has largely adopted a deficit model that emphasizes reducing the symptoms and impairments associated with the condition.
While these are important treatment goals, and the...
Source: SharpBrains - November 30, 2023 Category: Neuroscience Authors: Dr. David Rabiner Tags: Attention & ADD/ADHD ADHD experience ADHD-Treatment cognition cognitions cognitive cognitive-abilities cognitive-behavioral-therapy deficits impairments resilience treatment research ymptoms Source Type: blogs
Wednesday Bible Study: Science
Note: I am aware that the charter of Hamas can be construed as racist. I do not defend Hamas. That is beside the point of my recent post. Psalm 19 is interesting for at least two reasons. Verses 5 and 6 were cited by the court in the trial of Galileo, for his heresy of claiming that the earth rotates, and revolves around the sun. The last verse, omitting the words " my rock and my redeemer, " are recited by the priest from the Book of Common Prayer in the Episcopal church. It may be used in other denominations as well, but that ' s the one I ' m familiar with. Psalm 20 is a prayer for victory in war, about ...
Source: Stayin' Alive - November 29, 2023 Category: American Health Source Type: blogs
Personal Connections
Of the three Palestinian young men who were shot in Vermont two days ago, one is a student at Brown University, where I am on the faculty; one is a student at Haverford College, the " sister " institution of my alma mater, where I spent two summers participating in a theater program and otherwise visited often to see friends; and Trinity College in Hartford, which I have also visited at least twice. They became friends because they all attended a prep school in Ramallah, in the West Bank. Their families thought they would be safer now that they are all in the U.S. So obviously I can relate to them. At their age I was in a ...
Source: Stayin' Alive - November 28, 2023 Category: American Health Source Type: blogs
AI ’ s Unforeseen Medical Discoveries: The Curious Case Of Unusual Associations
Artificial intelligence can do a plethora of astonishing things, which has been discussed thoroughly in the past year. We train models to assist medical work, from administration to image analysis, from triage to mental health support. And every now and then AI has curious medical discoveries, detecting things that – to the best of our human knowledge – should not be detectable from the input data. Like knowing the race of the patient from chest X-rays alone. These unusual associations present brand-new challenges to medical professionals.
In these cases, the medical detective work has a new aim: to understa...
Source: The Medical Futurist - November 28, 2023 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: TMF Artificial Intelligence in Medicine digital health Healthcare technology AI Source Type: blogs
There ’ s no place for “ benevolent deception ” in obstetrics
When I was 36 weeks pregnant with my second child, Anna, my obstetrician noted that my fetus had a disproportionately small head, or microcephaly—a condition now commonly known because of its association with the Zika virus. “We’ll just have to wait and see,” he said, meaning we’ll look for answers if the baby is affected
Read more…
There’s no place for “benevolent deception” in obstetrics originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 27, 2023 Category: General Medicine Authors: Megan Nix Tags: Conditions OB/GYN Source Type: blogs
What are the most commonly used pain self-management strategies?
This study also demonstrates how novel interventions can be examined in groups with small numbers, but still allowing us to measure important changes. As an exploratory design, single case study design replicated with several participants is a method we need to use more.
In a systematic review and meta-analysis, Blasco-Belled and colleagues (2023) found that positive psychology interventions do enhance positive affect and reduce anxiety but didn’t alter depression. There were not many studies included in this analysis suggesting that we still have a hang-up on promoting joy and compassion and all the good things i...
Source: HealthSkills Weblog - November 26, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping Skills Coping strategies Occupational therapy Resilience Resilience/Health Science in practice biopsychosocial pain management Research Therapeutic approaches Source Type: blogs
Answer to Case 732
Answer to theParasite Case of the Week 732:Enterobius vermicularis(pinworm) adult female. As noted by Florida Fan, " Well, this is a classic situation. Children by nature are very altruistic, sharing their prize possessions (e.g., M&M ’s). The asymmetric eggs with a flat side and a convex side are commonly shared in this fashion. " The appearance of the eggs is also called planoconvex or " D " shaped. Anonymous mentioned that the extensive uterine reproductive system of the fertilized female worm is often completely filled with with these eggs.If you watched the video, you could see the movement of the egg...
Source: Creepy Dreadful Wonderful Parasites - November 26, 2023 Category: Parasitology Source Type: blogs
Wednesday Bible Study: Specificity
The next four psalms -- 14 through 17 -- are particular reminders that these were mostly written for specific occasions, in response either to the writer ' s perception of current events, or his personal situation. Actually I don ' t know if any of these might have been composed by women. While it ' s likely that the priesthood had a monopoly on literacy during the time most of these were composed, priests could have served as scribes for others. I note that in Exodus, Miriam leads a female choir and implicitly was the composer of their song. Some are more general assertions of what the writer values moral...
Source: Stayin' Alive - November 22, 2023 Category: American Health Source Type: blogs
(We Don ’ t) Trust The Science
By KIM BELLARD
I know the A.I. community is eagerly waiting for me to weigh in on the Sam Altman/OpenAI dramedy (), but I’m not convinced this isn’t all a ploy by ChatGPT, so I’m staying away from it. A.I. may, indeed, be an existential issue for our age, but it’s one of many such issues that I fear we’re not, as a society, going to be equipped to handle.
Last week the Pew Research Center issued an alarming report Americans’ Trust in Scientists, Positive Views of Science Continue to Decline. Now, a glass half-full kind of person might look at it and say – no, it’s good news! Fifty-seven pe...
Source: The Health Care Blog - November 22, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Creationism Education Kim Bellard Science STEM Source Type: blogs
Orange, Green, and Red – The Colors of Tribalism
BY MIKE MAGEE
As Thanksgiving Day approaches, let’s give thanks for the study of history, in part because it reminds us that Trumpian words like “vermin” have been used before and serve to alert the human race that we have entered danger zone
One President who understood the power of words more than many others was FDR. When he structured up “a series of programs, public work projects, financial reforms and regulations…to provide support for farmers, the unemployed, youth and the elderly”, he memorably packaged the plan under the label, “The New Deal.”
Seizing alliteration in 1933, he further ...
Source: The Health Care Blog - November 20, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Declaration of Human Rights March of Dimes Mike Magee Thanksgiving Welfare Source Type: blogs
poem
MasksThe one thing I miss about the pandemicWas always wearing the mask.Free range to talk to myself Without anyone seeing my lips moving. Don ’t judge It ’s none of your business. Just listen Sometimes an excited whisperOften a boring low drone Mostly a dinner party overcompensation. The best way to become less self-Conscious is to incessantly talk to yourself Out loud as much as you can.Become the mad man muttering On the sidewalk that everyoneCrosses the street to avoid. We aren ’t really crazyJust a little less self aware.Now that I have to keep thoseConvers...
Source: Buckeye Surgeon - November 20, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
What are the most commonly used pain self-management strategies?
In a very unscientific vox populi survey conducted via my blog, I asked people with pain to tell me the FIVE self-management strategies they’d used over the week prior. If you’re interested in completing this yourself, click here: click. (Scroll down that page to the survey).
My reason for asking the question is that we have a list of self-management strategies, but the definitions and the way strategies are used in daily life are quite murky. For example, we don’t have a clear definition of ‘activity pacing’ though we are starting to investigate it. We also don’t know whether strateg...
Source: HealthSkills Weblog - November 19, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Research Resilience/Health pain management Therapeutic approaches Source Type: blogs
