Dementia
Clinical psychologist John Gartnerpulls out his Ph.D. to tell the world what ought to be obvious. Donald J. Trump has fairly advanced and rapidly progressing dementia. Believe me, I know what dementia looks like and I don ' t need a degree in psychology to tell you, but for some inexplicable reason the world wants to turn a blind eye. The New York Times ran at least one story every day for a couple of months (maybe a slight exaggeration, but also maybe not) telling us that Joe Biden is old, and the next day that he ' s still old, and the next day that he ' s still old . . .  Every time he forgot a name or got a date w...
Source: Stayin' Alive - April 23, 2024 Category: American Health Source Type: blogs

Using ChatGPT Offline: How Small Language Models Can Aid Healthcare Professionals
By now, you might have come across the term large language models (LLMs), which is a type of generative artificial intelligence (GenAI). If not, you have likely encountered GenAI applications that are based on LLMs. This includes the likes of ChatGPT, Google Bard and Microsoft Copilot. While such models have proved useful, in the healthcare setting, they come with new sets of regulatory, ethical and privacy concerns. Recently, another type of language model has been gaining attention in the GenAI field: the small language model (SLM). It even holds the promise of addressing some of the challenges with integrating LLMs i...
Source: The Medical Futurist - March 12, 2024 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: TMF large language models small language models SLM Source Type: blogs

Irrationality
One assumption that economic theorists have been weirdly fond of is the idea that as consumers, and investors, people are " rational actors. " We ' ll put the investor aside for the time being and just consider ourselves as consumers -- people who buy stuff with money. (We also consume a lot that we don ' t pay for but that ' s for another day.) The idea of rationality in this context means, first of all, that our desires for goods and services that might be on sale are quantifiable in units called utiles, an idea which has always been kind of vague, but basically it means that I can say that three tomatoes right now ...
Source: Stayin' Alive - March 2, 2024 Category: American Health Source Type: blogs

Bringing vital medical care to St. Lucia ’ s underserved
Our mission, should we choose to accept it, is seemingly simple: we are to join forces with another non-profit group in order to deliver medical care to those that need it most on St. Lucia, a West Indian island nation variously colonized by the English and French, with Arawak and Carib roots. It will be Read more… Bringing vital medical care to St. Lucia’s underserved originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 29, 2024 Category: General Medicine Authors: Tags: Physician Emergency Medicine Primary Care Source Type: blogs

Assume a Can Opener
Conclusion . . .  The endeavor from here on is to inflate this into a claim about the real world of many people, many corporations, and innumerable products.A first order conclusion is that the way to the best possible world is to let everybody do whatever trading they want, of anything, with anybody.The posited “free market” economy, if left to its own devices, will turn out maximum prosperity, efficiency and happiness for all.Government just needs to leave it alone – an idea called laissez faire – French for “let do” – a phrase popularized in the 19th Century. This, however, depends on certai...
Source: Stayin' Alive - February 27, 2024 Category: American Health Source Type: blogs

Why Flight Emergency Medical Kits Need A Digital Health Upgrade
A few weeks ago a doctor used an Apple Watch to aid an elderly woman who suffered a medical emergency on a flight. NHS doctor Rashid Riaz, from Hereford, borrowed the device from a flight attendant to check the patient’s oxygen levels. “The Apple Watch helped me find out the patient had low oxygen saturation,” the medic explained. Later, he also called on all airlines to consider having emergency physician kits as standard, which would ideally include tools to take basic measurements, diabetic and blood pressure meters, and an oxygen saturation monitor. We all know that aircraft have some medical su...
Source: The Medical Futurist - February 27, 2024 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine Health Sensors & Trackers portable diagnostics emergency medicine Healthcare technology flight medicine wearables Source Type: blogs

So what can we do about health care costs?
By MATTHEW HOLT Last week Jeff Goldsmith wrote a great article in part explaining why health care costs in the US went up so much between 1965 and 2010. He also pointed out that health care has been the same portion of GDP for more than a decade (although we haven’t had a major recession in that time other than the Covid 2020 blip when it went up to 19%). However, it’s worth remembering that we are spending 17.3% of GDP while the other main OECD countries are spending 11-12%. Now it’s true that the US has lots of social problems that show up in heath spending and also that those other countries probably spend ...
Source: The Health Care Blog - February 20, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Matthew Holt Buzz Cooper Datmouth health spending Jeff Goldsmith John Wennberg Medicare Price controls Source Type: blogs

What will happen if you implement the Queen of Hearts in your Hospital?
This case was sent by Dr. Jean-christophe Reiters, an interventionalist in Belgium.  He has been following the blog for 4 years.He has now implemented the Queen of Hearts in his hospital.  He wanted to share one of the first cases.A 55 year old with no previous cardiac history presented with 3 hours of chest pain.  The pain was persistent and reportedly still present at the time of the ECG.Here is the EKG:Smith: It looks like a reperfused inferior lateral OMI.  (Inverted T-waves in inferior and lateral leads, with reciprocally upright (pseudo-hyperacute) T-waves in I and aVL.  But if the pain ...
Source: Dr. Smith's ECG Blog - February 2, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

What Do Fats Do in the Body?
It’s common knowledge that too much cholesterol and other fats can lead to disease and that a healthy diet involves watching how much fatty food we eat. However, our bodies need a certain amount of fat to function—and we can’t make it from scratch. Hepatocytes, like the one shown here, are the most abundant type of cell in the human liver. One important role they play is producing bile, a liquid that aids in digesting fats. Credit: Donna Beer Stolz, University of Pittsburgh. Triglycerides, cholesterol, and other essential fatty acids—the fats our bodies can’t make on their own—store energy, ins...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - January 24, 2024 Category: Research Authors: Chrissa Chverchko Tags: Cells Chemistry, Biochemistry and Pharmacology Common questions Source Type: blogs

Econoclasm 101
I ' m going to do a series in which I explain why most of what you read in the paper, see on teevee, or hear politicians say about economics -- how the economy works, and why we should minimize taxes and government intervention -- is utter gibberish. Here is the first lesson.Introductory economics textbook writers are fond of proposing what they call “simplifying assumptions.” They invent cartoon worlds in which there are only two people with goods to exchange, or only two products for sale. They imagine how these worlds would work and then argue that these imaginings can be extrapolated to explain how the real world w...
Source: Stayin' Alive - December 18, 2023 Category: American Health Source Type: blogs

Christmas Round Robin
In conclusion, as we bask in the glow of our self-created magnificence, we send our regards to you, dear friends and family. May your year have been half as extraordinary as ours, and may your holidays be filled with the kind of refinement and sophistication that only we can truly appreciate. Yours, with an air of restrained magnanimity, Giles and Aspen Urquhart-Smythe The Croft Tilbury In case you were wondering, yes, this is an edited version of something I got ChatGPT to produce using the following prompt: You are to act as a pretentious, over-privileged middle-class Englishman writing a “round robin” newsl...
Source: David Bradley Sciencebase - Songs, Snaps, Science - December 17, 2023 Category: Science Authors: David Bradley Tags: Fiction Source Type: blogs

What's new in midwifery - 8th December 2023
Guidance and education resourcesRoyal College of Nursing,Genital examination in women: a resource for skills development and assessment (PDF)NHS England,Maternity and neonatal voices partnership guidance,  part of theThree year delivery plan for maternity and neonatal services ResearchLabour and childbirthBarriers and facilitators of implementing the practice programme for upright positions in the second stage of labour: A mixed ‐method study  Research undertaken in Chinese healthcare settings.   Subscription or library access may be needed to see the full text.Impact of discontinuing o...
Source: Browsing - December 8, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs

A mother ’ s healing love song
An excerpt from A Petit Mal. In ER, we are seen by French doctor, which is unusual and relevant because doctor asks boy if he likes any French soccer teams. Boy is wearing Italian soccer jersey. Yes, Paris Saint-Germain, boy says. Ah, doctor says, you like PSG. And you also like Juventus, ah. Boy is Read more… A mother’s healing love song originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 28, 2023 Category: General Medicine Authors: Tags: Conditions Neurology Source Type: blogs

Five sharp riddles to celebrate Thanksgiving in perfect harmony
Q: What is a sure way of sustaining a friendly and sociable feeling towards the whole world? A: Consort only with strangers. Q: What beats regretting what you DID say? A: Treasuring what you DIDN’T say. Q: What’s far more harmful to your health than NOT keeping up with the news? A: Keeping up with the news and discussing the latest over Thanksgiving dinner. Q: What is the most impenetrably foolproof camouflage of all on this planet? A: The human smile. Q: What does “you must come and visit us sometime” actually mean? A: Nothing at all. However, if you take it seriously, be ready for the “what are YOU doing here?...
Source: SharpBrains - November 22, 2023 Category: Neuroscience Authors: Keith Perreur-Lloyd Tags: Brain Teasers cognitive-abilities riddles Thanksgiving Source Type: blogs

Five sharp riddles to celebrate the Holidays in perfect harmony
Q: What is a sure way of sustaining a friendly and sociable feeling towards the whole world? A: Consort only with strangers. Q: What beats regretting what you DID say? A: Treasuring what you DIDN’T say. Q: What’s far more harmful to your health than NOT keeping up with the news? A: Keeping up with the news and discussing the latest over Thanksgiving dinner. Q: What is the most impenetrably foolproof camouflage of all on this planet? A: The human smile. Q: What does “you must come and visit us sometime” actually mean? A: Nothing at all. However, if you take it seriously, be ready for the “what are YOU doing here?...
Source: SharpBrains - November 22, 2023 Category: Neuroscience Authors: Keith Perreur-Lloyd Tags: Brain Teasers cognitive-abilities riddles Thanksgiving Source Type: blogs