Lifestyle Changes
I looked at my last blog post. It was from June 28, 2021. I had just met my new primary care physician. Since then we had made slow changes to my health. I tried to eat better and exercise more. It has been a journey of trying to implement what I preach. The progress was slow. Last year, to help my physical activity endeavors (and because I have a huge interest in martial arts), I decided to start training at a local Karate school. The school I attend teaches Enshin Karate a style that traces it’s roots back through Ashihara and Kyokushin. Shortly after that time I noticed my Apple Watch was notifying me abou...
Source: JeffreyMD.com - October 27, 2023 Category: Internal Medicine Authors: Dr. Jeff Tags: My Life Source Type: blogs

Believe it or not
 I ' m gifting Krugthulu ' s column today, which tells the amazing truth about our new Speaker of the House. Do read, but just for starters:Much of the reporting on [Mike] Johnson has, understandably, focused on his role in the efforts to overturn the 2020 election. Let me say, by the way, that the widely used term “election denial” is a euphemism that softens and blurs what we’re really talking about. Trying to keep your party in power after it lost a free and fair election, without a shred of evidence of significant fraud, isn’t just denial; it’s a betrayal of democracy.There has also been considera...
Source: Stayin' Alive - October 27, 2023 Category: American Health Source Type: blogs

Brugada Syndrome: Diagnosis and Risk Stratification
Hello friends, this is the modified version of my talk at Indian Heart Rhythm Society Conference, New Delhi, 2023, on Brugada Syndrome. Hope you will enjoy this session. Initial description of Brugada syndrome in 1992 was that of syncopal episodes and/or sudden death in persons with structurally normal heart and a characteristic ECG pattern of right bundle branch block with ST segment elevation in leads V1 to V3. Sometimes individuals with a diagnostic ECG may be totally asymptomatic and may be having a family history of sudden death. Genetic nature of the disorder and mutation in sodium channel gene was described in 1998...
Source: Cardiophile MD - October 27, 2023 Category: Cardiology Authors: Johnson Francis Tags: ECG / Electrophysiology General Cardiology Source Type: blogs

On neuroplasticity, cognition, aging, medication, Alzheimer ’s, board games, brain teasers, and more
Welcome to a new edition of SharpBrains e‑newsletter, featuring fascinating research findings on neuroplasticity, cognition, aging, medication, Alzheimer’s, board games, and more, plus some brain teasers to get you in great shape for Halloween. #1. Study: Playing board games like Chess, Mahjong, Go, helps slow cognitive decline as we age (but with clear differences in neurobiology and improved function) So … let’s play all three! #2. The Mindful Body argues against mindlessly accepting age-related decline in cognition and health as inevitable “Perhaps Langer’s most provocative advice is reserved for doctors and...
Source: SharpBrains - October 26, 2023 Category: Neuroscience Authors: SharpBrains Tags: Brain/ Mental Health Education & Lifelong Learning SharpBrains Monthly eNewsletter Aduhelm aging Alzheimer’s board games cognition digital therapeutics DTx Leqembi medication neuroplasticity Source Type: blogs

Understanding RNA-Modifying Enzymes: Q & A With Jeffrey Mugridge
Credit: Courtesy of Jeffrey Mugridge. “One of the best aspects of research is the excitement of discovery, being the first person in the world to know a small detail about the system you’re studying,” says Jeffrey Mugridge, Ph.D., an assistant professor of chemistry and biochemistry at the University of Delaware in Newark. We talked with Dr. Mugridge about how a pet store job sparked his early interest in science, why he decided to change his career trajectory after graduate school, and what he believes is key to being a successful researcher. Q: How did you first become interested in science? A: ...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - October 25, 2023 Category: Research Authors: Chrissa Chverchko Tags: Being a Scientist Chemistry, Biochemistry and Pharmacology Profiles RNA Source Type: blogs

What Makes Regretful Parents Have Children In The First Place (M)
What parents say they regret about having children and what motivated them in the first place. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - October 24, 2023 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Social psychology subscribers-only Source Type: blogs

Cortica Closes $40 Million Series D Extension Led by CVS Health Ventures, LRVHealth, and Other Strategic Investors, Bringing Round Total to $115 Million
Funding to Support Expanded Access to Whole-Child, Value-Based, Outcomes-Driven Autism Care Cortica, the United States’ leading physician-led, whole-child, value-based autism services company, has raised $40 million in a Series D extension, bringing the total Series D round to $115 million. The extension was entirely strategic, led by CVS Health Ventures, in conjunction with LRVHealth, Ascension Investment Management (a subsidiary of Ascension), and the University of Wisconsin Foundation. “There is an increasing need for access to evidence-based care for children with neurodivergent conditions and autism...
Source: EMR and HIPAA - October 24, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT AIM Ascension Ascension Investment Management Cortica CVS Health Ventures Ellen Herlacher Health IT Funding Health IT Fundings Health IT Investment Justin Brock LRVHealth Neil Hattangadi MD Unive Source Type: blogs

Faculty and Student Perceptions of Unauthorized Collaborations
In this study, it was clear students do recognize the need for individual accountability and that their individual competence will be assessed, but they also recognize that they are encouraged to work with each other and that throughout their careers they will be working with colleagues in the clinical settings and for the rest of their lives. That gets at some of the tension, and we create some of that tension in the curriculum because we foster students working together in small groups and we embrace them supporting each other and helping each other learn. Then that comes up against the individual demonstration of compet...
Source: Academic Medicine Blog - October 24, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast faculty learning environment medical students RIME Source Type: blogs

poem
 Op Note XLIOur diagnosis was never in doubt. It was the definitive treatment that remained elusive. Knowing the well-described occasional efficacy of placebo interventions we offered the patient a procedure of last resort. We were down to our last couple of bullets. A proposition strictly in the experimental stages, we told her. A double blinded study. But what other choice did we have? Unbeknownst to her it was a sham surgery. Nothing would be fixed, nothing cut out. We termed it her “special procedure”, as if she were a child being told that grandma was “only sleeping”. We reviewed the risks and benefits, t...
Source: Buckeye Surgeon - October 24, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

Automation Drives Optimal Use of Temp Nurses
Staffing has become alarmingly tight in health care, driven by aging and a less healthy population, an aging workforce, bureaucratic demands from payers that disincentivize staff, and the traumas of the COVID-19 crisis and increasing violence against staff. Temps, often traveling long distances, have been making up the difference between supply and demand in staffing. The critical shortage has interfered with well-intentioned regulatory goals. ShiftMed, though, has been taking a sleeker and friendlier direction in temporary staffing. On the institutional side, pressures to reduce staff costs intersect with desperate needs ...
Source: EMR and HIPAA - October 23, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data Clinical Health IT Company Healthcare IT Hospital - Health System Craig Allen Ahrens Healthcare Burnout Healthcare Staffing nurse staffing Nursing ShiftMed Temp Nurses Uber UberHealth Source Type: blogs

Suction Cup Delivers Drugs Through Cheek
Researchers at ETH Zurich in Switzerland have developed an alternative to injections as a way to deliver large drugs, such as peptides, minimally invasively into the blood stream. The suction cup created by these researchers is inspired by octopus suckers, and it affixes to the mucosal lining of the inside of the cheek. The cup stays in place because a vacuum is drawn when the patient presses it onto their cheek lining. This vacuum helps to stretch the tissue, making it more permeable to drugs. The suction cup also exposes the mucosal lining to an additional reagent called a permeability enhancer, which fluidizes the cell ...
Source: Medgadget - October 23, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Medicine ETH Zurich ETH_en Source Type: blogs

Enhanced mRNA Vaccine May Work Intranasally.
Researchers at MIT have developed an enhanced mRNA vaccine system that can elicit a greater immune response at lower doses. The vaccine technology is so potent that it may be useful for intranasal COVID-19 vaccines. This would have the benefit of localized immunity in the nasal mucus membranes that could kill the SARS-CoV-2 virus before it enters the body. The system includes an mRNA strand that encodes the viral spike protein, as with earlier generations of such vaccines, but in this case the strand also encodes for an immune protein called C3d. This protein typically binds to antigens, such as the spike protein, in the b...
Source: Medgadget - October 23, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Medicine Public Health covid mit SARS-CoV-2 Source Type: blogs

Athelas + Commure: Merging to Create a $6B Healthcare Infrastructure Company
Press release written by Tanay Tandon, CEO at Athelas We are beyond excited to share that Athelas and Commure – a leading provider of enterprise healthcare software – are merging, and I am taking over the combined entity as CEO, Deepika Bodapati as COO, and Dhruv Parthasarathy as CTO. We’re also raising fresh capital from General Catalyst, valuing the combined entity at $6B. In the past few years, Athelas RCM and RPM have grown rapidly to thousands of healthcare providers and hundreds of thousands of patients. We process hundreds of millions of dollars in healthcare claims and power critical workflows for small pract...
Source: EMR and HIPAA - October 23, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Athelas Commure CommureOS Deepika Bodapati Dhruv Parthasarathy General Catalyst HCA Healthcare Health IT Acquisitions Healthcare M&A Hemant Taneja Jefferson Providence Qasar Younis Quentin Clar Source Type: blogs

Bonus Features – October 22, 2023 – 57% of patients accessed portals or medical records in 2022, 21 orgs make Level 10 in the 2023 CHIME Digital Health Most Wired Survey, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News Nearly six in 10 (57%) of patients accessed online medical records or patient portals in 2022, according to the latest ONC data brief. This total has doubled since 2017. This compares to 73% of patients who were offered acc...
Source: EMR and HIPAA - October 22, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT @EqualityHealth 9amHealth Alliance for Pediatric Device Innovation Amazon Web Services Artisight Avidex CareCloud Censinet CHIME Densitas Fairtility First Health Advisory FOLX Health Health iPASS Healthcare IT T Source Type: blogs

A Puzzlement
I get that the " conservative " movement in the U.S. is not part of the Reality Based Community -- as Karl Rove proudly proclaimed -- but I thought that extended to social and scientific facts and public policy, not to the hard facts of the actual, physical world in which they live.I mean, what the actual f. does Jim Jordan think he is doing? The Republican House caucus meets, 20 or more members tell him they are not going to vote for him, and he insists on calling a vote anyway, which he loses. Then he does it again. And again. Why? Does he think that people calling in death threats to the members, their spouses, their ch...
Source: Stayin' Alive - October 20, 2023 Category: American Health Source Type: blogs