Log in to search using one of your social media accounts:

This page shows you the most recent publications within this specialty of the MedWorm directory.

What Standing Rock Teaches Us About Environmental Racism And Justice
Access to clean, safe, and affordable drinking water is not just a concern of developing countries but of communities in our own backyard. The Standing Rock Sioux Tribe in North and South Dakota, for instance, relies on Lake Oahe, a 231-mile reservoir along the Missouri River, as its primary water source. In July 2016, the US Army Corps of Engineers approved the construction of the Dakota Access Pipeline (DAPL), a 1,172-mile duct that will carry crude oil from North Dakota to Illinois when completed, which will run underneath the Missouri River less than a mile north of the Standing Rock Sioux Reservation, including throug...
Source: Health Affairs Blog - April 17, 2017 Category: Health Management Authors: Ramon Jacobs-Shaw Tags: Featured Health Equity Population Health Public Health Quality Clean Water Rule Dakota Access Pipeline DAPL enironmental racism environmental equity Environmental Health Environmental Protection Agency Native Americans Standing R Source Type: blogs

Why President Trump Should Use Foreign Aid For Health To Make America Great
The Trump administration recently proposed to make major cuts to US foreign assistance, including the $10.3 billion a year that the federal government spends to advance global health through the National Institutes of Health (NIH), the Centers for Disease Control and Prevention, the US Agency for International Development (USAID), and the United Nations. As practitioners with more than 60 years of combined experience, we believe that the Trump administration is making a terrible mistake. Investing in global health is essential to the safety, security, and future prosperity of the United States, in addition to being a highl...
Source: Health Affairs Blog - April 17, 2017 Category: Health Management Authors: Robert Hecht and Sten Vermund Tags: Costs and Spending Featured Global Health Policy Population Health Public Health epidemics foreign aid humanitarian aid infectious diseases PEPFAR US foreign assistance Source Type: blogs

Fight Aging! Newsletter, April 17th 2017
This study assessed the prevalence of grey hair in patients with coronary artery disease and whether it was an independent risk marker of disease. This was a prospective, observational study which included 545 adult men who underwent multi-slice computed tomography (CT) coronary angiography for suspected coronary artery disease. Patients were divided into subgroups according to the presence or absence of coronary artery disease, and the amount of grey/white hair. The amount of grey hair was graded using the hair whitening score: 1 = pure black hair, 2 = black more than white, 3 = black equals white, 4 = white more t...
Source: Fight Aging! - April 16, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

The Dual Nature of Reactive Oxygen Species in Aging
Reactive oxygen species (ROS) are largely generated in the mitochondria of the cell, a side-effect of the energetic processes taking place there to power cellular operations. ROS cause damage that must be repaired by reacting with molecular machinery in the cell, and that stress on the cell increases with age, and features prominently in most discussions of aging. ROS also play an important role as signals, however, triggering important processes related as cellular maintenance. That exercise is beneficial, for example, depends upon an increase in ROS production, and a number of ways of increasing life span in laboratory s...
Source: Fight Aging! - April 11, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Bioterrorism: 10 facts about sarin gas
As the civil war in Syria shows no signs of de-escalating, worrisome evidence points towards the deployment of chemical warfare with banned agents recently, resulting in almost a hundred deaths with more than a quarter of them children. Chlorine and Sarin gas are primarily being implicated. Here are ten facts to know about Sarin gas and how it works. 1. Historically, Sarin was used for bioterrorism by members of Aum Shinrikyo, a radical religious cult group in Japan, in 1994 and 1995 that collectively poisoned 6500 people on the subway. In 1998, Saddam Hussein used it against Iranians and Kurdish people. The Syrian governm...
Source: Kevin, M.D. - Medical Weblog - April 9, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/tanu-s-pandey" rel="tag" > Tanu S. Pandey, MD < /a > Tags: Conditions Emergency Source Type: blogs

Research and Reviews in the Fastlane 178
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the  178th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains  5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and Chris Ni...
Source: Life in the Fast Lane - April 6, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Intensive Care Pediatrics Procedure R&R in the FASTLANE Radiology Respiratory Resuscitation Toxicology and Toxinology Education emergency Emergency Medicine recommendations Review Source Type: blogs

OPDP Picks Up Steam on Enforcement Letters
After a fairly slow 2016, the United States Food and Drug Administration’s (FDA) Office of Prescription Drug Promotion (OPDP) issued a quick burst of letters in the span of nine days in December. This flurry of activity more than doubled the enforcement letters that had been issued up to that point in the year. Although there was an apparent increase in enforcement activity in December (perhaps related to the new Administration and the mark the old Administration wanted to leave on the industry), the type of activity and the nature of Draft Guidances issued in 2017 prior to the Trump Administration taking office indicat...
Source: Policy and Medicine - April 5, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Penn Medicine Expert: Smoking May Be No More Hazardous than Vaping
An expert at Penn Medicine - the University of Pennsylvania ' s health care system - is telling the public that smoking cigarettes, like Marlboros, Camels, and Newports, may beno more hazardous to your health than vaping a tobacco-free e-liquid.According to the expert: "We know that cigarettes are unsafe after 40 years of exposure. We don ’t have 40 years of exposure to e-cigarettes to know what the danger is. We don’t know the safety profile, so we can’t say that e-cigarettes are safer than traditional cigarettes."The Rest of the StoryWell, if we can ' t say that e-cigarettes are safer than traditional cigarettes, t...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - April 3, 2017 Category: Addiction Source Type: blogs

The Jittery Patient
​A 22-year-old woman with no past medical history presented to the emergency department with palpitations. She reported that she had ingested a handful of caffeine tablets with a large glass of wine two hours earlier. She reported feeling "stressed out" and wanting to hurt herself. The patient was alert but appeared anxious on arrival at the ED.Her blood pressure was 90/49 mm Hg, heart rate was 115 beats/min, respiratory rate was 20 breaths/min, and SPO2 was 100% on room air. An ECG showed sinus tachycardia at 120 beats/min with normal intervals. Shortly after arrival, her blood pressure dropped to 83/42 mm Hg,...
Source: The Tox Cave - March 31, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Research and Reviews in the Fastlane 177
This study has some frustrating findings: they looked at 318 patients who got a CTPA within 2 weeks of a negative CTPA and found a 5% positive rate. Is CTPA like a stress test, where we just can’t predict plaque rupture? Are people who get CTPAs people who other docs are also worried about PE? Or are we just ordering too many CTPAs? How many of these were false postives or negatives? Sadly, as with most clinical research on pulmonary embolism, I am let with more questions than answers (but we probably order too many CTPAs). Recommended by: Seth Trueger Pediatrics Luck RP, et al. Cosmetic outcomes of absorbable ver...
Source: Life in the Fast Lane - March 30, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Clinical Case Education Emergency Medicine Infectious Disease Intensive Care Pediatrics R&R in the FASTLANE Radiology Respiratory Resuscitation critical care research and reviews Source Type: blogs

Bit by the Research Bug: Priscilla ’s Growth as a Scientist
This is the third post in a new series highlighting NIGMS’ efforts toward developing a robust, diverse and well-trained scientific workforce. Credit: Christa Reynolds. Priscilla Del Valle Academic Institution: The University of Texas at El Paso Major: Microbiology Minors: Sociology and Biomedical Engineering Mentor: Charles Spencer Favorite Book: The Immortal Life of Henrietta Lacks, by Rebecca Skloot Favorite Food: Tacos Favorite music: Pop Hobbies: Reading and drinking coffee It’s not every day that you’ll hear someone say, “I learned more about parasites, and I thought, ‘This is so cool!’” But it’s al...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - March 28, 2017 Category: Research Authors: Christa Reynolds Tags: Being a Scientist Bacteria BUILD Infectious Diseases Profiles Training Source Type: blogs

Where ’s the Buprenorphine asked Mr. Obvious? Thanks, CDC!
A quick note tonight, hopefully with a longer post to follow this weekend… I’ve been frustrated by the people behind the Wisconsin PDMP, or Prescription Drug Monitoring Program, for their mistakes related to buprenorphine. Whoever came up with the numbers made a rookie error when calculating the equivalent morphine dose of patients taking buprenorphine products. The error is easy to notice by anyone who works with the drug, but apparently difficult to grasp by anyone with the power to correct the database figures. Those people include, by the way, the folks at Brandeis University who give the numbers to Wiscons...
Source: Suboxone Talk Zone - March 22, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Benzos Buprenorphine pharmacology Public policy risks benzodiazepines CDC PDMP Source Type: blogs

Anti-Vaping Advocates Support Indoor Vaping Bans Because We Don ' t Know if Secondhand Vaping is Harmful
In an interesting twist from the usual reasoning in public health, anti-vaping advocates are promoting the enactment of policies that ban vaping in public places not because secondhand vaping has been shown to have serious health hazards, but because it hasn ' t been proven to be benign.In anopinion piece published inTobacco Control, Dr. Simon Chapman and colleagues support a ban on vaping in public places because we don ' t know yet whether secondhand vaping is harmful. The authors write that: " those advocating for vaping to be allowed in smoke-free public places centre their case on gossamer-thin evidence that vapi...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - March 21, 2017 Category: Addiction Source Type: blogs

Dr. Janet Woodcock on the Opioid Epidemic
The United States Food and Drug Administration (FDA) offers a podcast series, known as the Director’s Corner, that features the director of the FDA Center for Drug Evaluation and Research (CDER). One of the most recent episodes featured an interview with Dr. Janet Woodcock, by Colleen Labbe from the CDER Office of Communications, who discussed the way the FDA has been addressing the opioid epidemic affecting many communities around the United States. CDER’s Response to FDA Labeling Changes One of the first questions asked of Dr. Woodcock was what, exactly, CDER did with regard to the various opioid safety labeling ch...
Source: Policy and Medicine - March 20, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

A 20-something with DKA and a regular wide complex tachycardia
Medics were called to see a 20-something type 1 diabetic with h/o DKA who had altered mental status.He was found to have " Kussmaul " respirations and respiratory distress.He was not in shock, his blood pressure was adequate, and pulses were strong.He was put on the cardiac monitor:Regular wide complex tachycardia.A 12-lead ECG was recorded:Regular Wide complex tachycardia at a rate of 200.What do you think?If you ' re the medic, what would you do?Whenever there is a wide complex, especially in a patient with DKA, one should think of hyperkalemia (sinus rhythm, often with " invisible P-waves " ).However, this rate is too f...
Source: Dr. Smith's ECG Blog - March 16, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

New York State Department of Health Urges Physicians to Discourage Patients from Quitting Unless They Use Big Pharma Products and Tells Vapers They Might as Well Go Back to Smoking
The New York State Department of Health has sent out a letter to medical professionals in the state, urging them to discourage patients from quitting smoking using e-cigarettes, even if they indicate unwillingness or lack of interest in nicotine replacement therapy or other smoking cessation drugs.In the February 2017 letter, the state health commissioner writes:" I encourage all health care providers to talk to their patients -- young and old alike -- about the dangers of e-cigarettes and to discourage their use. For patients who are already using traditional cigarettes or e-cigarettes, there are currently seven FDA-appro...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - March 15, 2017 Category: Addiction Source Type: blogs

Estimating the economic burden of respiratory illness in the UK
This report finds that lung disease costs the economy £11 billion every year. Of this, almost £10 billion is spent on direct costs to the NHS: GP appointments, time in hospital, treatments and medication. It calls for the government to support the first ever taskforce for lung health.ReportBritish Lung Foundation - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 15, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities NHS finances and productivity Source Type: blogs

Happy 12th birthday to the Health Business Blog
The Health Business Blog has turned 12 years old! Continuing a tradition I established with birthdays one, two, three, four, five, six, seven, eight, nine, ten and eleven I have picked out a favorite post from each month. Thanks for continuing to read the blog! March 2016: Health Wonk Review -Tales of the Trump My roundup of policy posts from the blogosphere took Trump seriously and literally. April 2016: Listen app – ResApp diagnoses respiratory ailments An Australian company developed a smartphone app to diagnose respiratory diseases by analyzing the sound signatures of coughs. I interviewed the CEO, Dr...
Source: Health Business Blog - March 13, 2017 Category: Health Management Authors: dewe67 Tags: Announcements Blogs Source Type: blogs

Time spent in “green” places linked with longer life in women
In this study, those women that lived in greener spaces were more physically active. Living among trees, plants, grass, and flowers provides an environment with less pollution than one with low levels of vegetation. The plants can reduce levels of nitrogen dioxide and particulate matter, which lowers the level of pollution. In this study, death from respiratory disease was reduced by about one third in those women who lived in the homes with the highest amount of vegetation. Breathing clean air matters, and plants help to clean the air. Take advantage of green spaces If you live in an area with heavy vegetation, this is go...
Source: Harvard Health Blog - March 9, 2017 Category: Consumer Health News Authors: Elizabeth Pegg Frates, MD Tags: Behavioral Health Prevention Stress Women's Health Source Type: blogs

Infection and Inflammation in Neurodegenerative Conditions
Increased levels of chronic inflammation accompany aging, and this drives faster progression of a range of age-related conditions, spurring greater damage and loss of function in tissues. Researchers here ask to what degree this is due to opportunistic infections and a weakened immune system rather than being caused by the more general dysfunction and overactivation of the aged immune system that would occur even absent such infections, the state known as inflammaging. Like many such investigations, this serves to emphasize the need for effective means to rejuvenate the age-damaged immune system, such as through clearing a...
Source: Fight Aging! - March 9, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

A Demonstration in Mice of Whole Mitochondria Delivered as a Therapy
Mitochondria, the swarming power plants of the cell, become damaged and dysfunctional with age. Can this be addressed by delivering complete, whole, new mitochondria as a therapy? There have been signs in past years that cells can ingest and incorporate mitochondria from the surrounding environment, but few useful demonstrations to show whether or not this is common in living tissues. In the research here, researchers achieve that result, delivering mitochondria into tissues as a therapy, and using this approach to treat an animal model of Parkinson's disease. This neurodegenerative condition is associated with degraded mi...
Source: Fight Aging! - March 7, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Health Affairs ’ March Issue: Delivery System Innovation
The March issue of Health Affairs explores various aspects of delivery system innovation as it relates to efficiency, improved quality, better patient engagement, and a more satisfied clinical workforce. The issue was supported by Blue Shield of California Foundation, The Colorado Health Foundation, Missouri Foundation for Health, and New York State Health Foundation. YMCA of the USA interventions reduce Medicare spending and utilization The YMCA of the USA’s prediabetes intervention program saved Medicare an average of $278 per member per quarter over the first three years. Maria Alva of RTI International and coauthors ...
Source: Health Affairs Blog - March 6, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs Health Affairs journal Source Type: blogs

The tricky thing about asthma
In mid-January, health headlines announced that nearly one-third of adults diagnosed with asthma don’t actually have this respiratory condition at all. This announcement appeared everywhere from Fox News Health to the Chicago Tribune. As a primary care doc, a medical writer, and an asthma sufferer, I was very skeptical of these dramatic announcements, and with good reason. An editorial that accompanied this study provides important perspective that suggests the news headlines were exaggerated and misleading. Taking a closer look at the study Let’s talk about the study, which is a good one, and has merit. Canadian resea...
Source: Harvard Health Blog - March 6, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Asthma and Allergies Lung disease Source Type: blogs

eCOA in action: Podcast interview with iCardiac CEO, Alex Zapesochny
Alex Zapesochny, CEO, iCardiac Technologies https://healthbb.files.wordpress.com/2017/03/hbdew053-david-e-williams-interviews-icardiac-ceo-alex-zapesochny.mp3 Electronic clinical outcome assessment (eCOA) platforms collect data from patients, clinicians and caregivers to make clinical trials more efficient and accurate. iCardiac Technologies, an innovative core lab where I am a board member, just introduced its QPoint eCOA platform to complement its existing cardiac safety and respiratory function product lines. In this podcast interview, iCardiac CEO Alex Zapesochny shares more about the launch. (0:11) What are some of ...
Source: Health Business Blog - March 6, 2017 Category: Health Management Authors: dewe67 Tags: Devices Pharma Technology clinical trials eCOA icardiac Source Type: blogs

Physicians must stop losing their own
In the past few weeks, we have lost two female physician colleagues tragically to suicide, a pediatrician and psychiatrist.  In the general population, males take their lives at four times the rate of females.  However, for physicians specifically, the suicide rate is evenly distributed between genders; making our occupation the one with the highest relative risk for women to die by suicide.  This is what I wish would change about being a female physician; we must stop losing our own. We need to support each other, love one another, and face our challenges together. Fifteen years ago, a surgeon called me in to evaluate ...
Source: Kevin, M.D. - Medical Weblog - March 5, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/niran-s-al-agba" rel="tag" > Niran S. Al-Agba, MD < /a > Tags: Physician Psychiatry Source Type: blogs

Pee in the Pool: What You Should Know, What You Should Do
Scientists recently figured out a cool way to measure how much urine is in a public swimming pool. And the results are sure to turn some heads! Their sweet idea? They used the artificial sweetener acesulfame K (Ace K). The human body is unable to break down aspartame, which is why there are no calories. It’s excreted intact in our urine and stable in swimming pool water. Researchers closely followed two public pools and found nearly 8 gallons of urine in the smaller one and nearly 20 gallons of urine in the larger one. They also found high levels in the 31 other pools and hot tubs they checked. People are peeing prodigio...
Source: Conversations with Dr Greene - March 3, 2017 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Outdoor Outdoor Fun Outdoor Safety Water Quality Source Type: blogs

Senescent Cells Make Everything Worse in the Aging Lungs
Here I'll point out a recent open access paper that covers the various ways in which accumulated senescent cells harm the lungs in old age. The count of senescent cells rises with age in all tissues, the consequence of increased cellular damage on the one hand and progressive failure of the immune system to destroy these cells on the other. The presence of these cells is one of the contributing root causes of aging, in fact. They generate a mix of signals known as the senescence-associated secretory phenotype (SASP) that promotes chronic inflammation, destructively remodels the extracellular matrix structures necessary for...
Source: Fight Aging! - March 3, 2017 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

Compartmentalization failed me, and I ’m forever grateful
I’m humbled by the honor to practice medicine.  We have the opportunity to be frontline participants in an ever evolving cascade of events in the lives of others.  Our decisions, directions, and split second actions have the ability to unite families, sustain breath or literally a beating heart.  Although biased, I can’t think of many professions more fulfilling and honorable.  There are issues and concerns, but they pale in comparison to the fulfillment and gratitude I encounter on a daily basis. As an emergency physician, I’m involved in many frontline encounters of life and death.  Our seemingly ritualistic c...
Source: Kevin, M.D. - Medical Weblog - March 2, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/jeffrey-mcwilliams" rel="tag" > Jeffrey McWilliams, MD < /a > Tags: Physician Emergency Source Type: blogs

Oldie but Goodie Pediatric Clinical Concepts
​A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago. Physicians should feel free to question the potential value and validity of older clinical concepts that aren't at the forefront of medical education, but my experience of more than 30 years practicing pediatrics and emergency medicine has repeatedly affirmed to me that these are valuable in emergency medicine.​Parenteral DiarrheaThe concept of parenteral diarrhea has been around for...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

How to Sedate the Violent Patient
​The emergency department can be an exciting yet sometimes violent place to work, often because of a patient presenting with excited delirium syndrome (ExDS), the most severe form of agitation. It is associated with the use of sympathomimetics such as methamphetamine, cocaine, and PCP.​Patients with ExDS present with sudden onset of aggressive and bizarre behavior. These patients generally demonstrate unexpected physical strength and hyperthermia. This disease process is extremely important for prehospital responders and emergency physicians to recognize because almost two-thirds of the patients with ExDS die at the sc...
Source: The Tox Cave - March 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

How Yoga Helps with Depression, Anxiety and Addiction
Aerobic movement of any kind helps to relieve depression and anxiety by boosting our brain’s dopamine levels and providing endorphins. But some types of exercises are superior for healing chronic conditions, mood disorders, and addiction. Yoga’s therapeutic benefits have been studied in recent decades, with much of the research being in randomized controlled trials — the most rigorous for proving efficacy. There are many types of yoga, of course — from the more aerobic power yoga to a meditative gentle yoga. Hatha yoga, the most studied, combines physical postures (asanas) and controlled breathing with sho...
Source: World of Psychology - March 1, 2017 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Alcoholism Alternative and Nutritional Supplements Anxiety and Panic Bipolar Depression Exercise & Fitness Mindfulness Personal Self-Esteem Stress Bikram yoga despressive episode Mood Disorder stress reduction Yoga styles Source Type: blogs

My 6-Months Sleep Tracking Experiment – And What I Learnt From It
I have been working for years on how to optimize my sleeping pattern to be able to wake up well-rested in the morning. Through a 6-months sleep tracking experiment carried out with the Pebble Time sensor and the Android Sleep app, I increased my sleep quality significantly. Check out what I learnt from it! Eliminate luck from sleep quality! I’m quite an avid health tracker. In some previous articles, I have described how I track stress, how I changed my life with a simple excel spreadsheet or how you could live healthier with the help of technology. Being familiar with the difficulties of lifestyle change, I know that it...
Source: The Medical Futurist - February 23, 2017 Category: Information Technology Authors: nora Tags: Health Sensors & Trackers future gc3 health trackers Healthcare Innovation pebble personalized Personalized medicine sleep sleep as android sleep tracking wearables Source Type: blogs

An unstable wide complex tachycardia resistant to electrical cardioversion
CONCLUSIONS:p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 11.9px Arial; -webkit-text-stroke: #000000; background-color: #ffffff} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 17.2px Arial; -webkit-text-stroke: #000000; background-color: #ffffff} p.p3 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.9px Arial; color: #660066; -webkit-text-stroke: #660066; background-color: #ffffff} p.p4 {margin: 0.0px 0.0px 0.0px 0.0px; font: 14.0px Arial; color: #660066; -webkit-text-stroke: #660066} p.p5 {margin: 0.0px 0.0px 0.0px 0.0px; font: 14.0px Arial; color: #660066; -webkit-text-stroke: #660066; min-height: 16.0px} p.p6 {margin: 0.0px 0.0p...
Source: Dr. Smith's ECG Blog - February 22, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Confirmed: vitamin D helps prevent acute respiratory infections
I just read this in the February 22nd issue of the “Harvard Gazette”: “A new global collaborative study has confirmed that vitamin D supplementation can help protect against acute respiratory infections. The study, a participant data meta-analysis of 25 randomized controlled trials including more than 11,000 participants, has been published online in The BMJ.”  This is such important news for those of us who have impaired immune systems. I’ve written a bunch of posts on the vitamin D topic, as you probably know, referring, e.g., to the important studies carried out by the Mayo Clinic (2009)...
Source: Margaret's Corner - February 22, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs

SkQ1 Slows Accelerated Aging in Mitochondrial Mutator Mice
Mice engineered to generate a high level of deletion mutations in mitochondrial DNA exhibit accelerated aging. As in most cases of accelerated aging, we can debate whether or not it is correct to call it accelerated aging. The important point is whether or not the type of cellular damage involved provides a significant contribution to the normal aging process, which in this case it does. The normal lower levels of mitochondrial DNA damage are implicated as a cause of aging and age-related disease. Then the question becomes whether or not it is acceptable to continue to call it aging given a vastly greater presence of just ...
Source: Fight Aging! - February 20, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Doctors revived after suicide tells all
In this podcast, I share insights from a doc who barely survived his suicide attempt plus simple ways to prevent the next suicide. Listen in. You may save a life. Dear Pamela, I’ve never been so happy to fail at something in my life. Four weeks ago today I died. Cardiopulmonary arrest in jail. Why was I in jail? My wife alerted the police. Sheriff deputies were upset when I did not pull over to talk to them after overdosing. After boxing me in, they threw me from my truck into the slushy street and tased me. After charging me with a felony and two misdemeanors, they nearly provided the perfect assist to my suicide. Throu...
Source: Kevin, M.D. - Medical Weblog - February 18, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/pamela-wible" rel="tag" > Pamela Wible, MD < /a > Tags: Physician Emergency Source Type: blogs

Doctor revived after suicide tells all
In this podcast, I share insights from a doc who barely survived his suicide attempt plus simple ways to prevent the next suicide. Listen in. You may save a life. Dear Pamela, I’ve never been so happy to fail at something in my life. Four weeks ago today I died. Cardiopulmonary arrest in jail. Why was I in jail? My wife alerted the police. Sheriff deputies were upset when I did not pull over to talk to them after overdosing. After boxing me in, they threw me from my truck into the slushy street and tased me. After charging me with a felony and two misdemeanors, they nearly provided the perfect assist to my suicide. Thro...
Source: Kevin, M.D. - Medical Weblog - February 18, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/pamela-wible" rel="tag" > Pamela Wible, MD < /a > Tags: Physician Emergency Source Type: blogs

Masimo MightySat Rx Oximeter Cleared in Europe to Measure Breathing Rate
Masimo has announced that European regulatory authorities have given clearance for its MightySat Rx fingertip pulse oximeter to be used to measure the respiration rate of patients, in addition to all the other measurements it performs. The respiration rate from the pleth (RRp), as Masimo calls it, notices how the respiratory cycle changes the nature of the pulses detected by the oximeter. While it’s accurate in most patients, it’s contraindicated for those that move a lot and those with certain conditions that produce irregular breathing. It’s compatible for use in children and adults, and the device can ...
Source: Medgadget - February 17, 2017 Category: Medical Equipment Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

Let ’s stop therapies that hurt kids
We do many things in medicine to patients that are either not helpful or have the potential to harm. If you take the long view of medical history, this should not be surprising. After all less than a century ago, physicians were still giving toxic mercury compounds to people in the form of calomel. And a century before that, physicians were bleeding people because they thought that was a good thing to do for serious illness. The dawn of scientific medicine in the late 19th century began the process of putting medicine on a scientific basis, that is, of demanding proof that a particular therapy works — and why. But we sti...
Source: Kevin, M.D. - Medical Weblog - February 17, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > Tags: Physician Pediatrics Source Type: blogs

Buprenorphine Overdose After Naltrexone Treatment
Naltrexone induces mu-receptor hypersensitivity.  Buprenorphine’s protective ‘ceiling effect’ may not prevent overdose in patients with this ‘reverse tolerance’. A new patient described his recent history of respiratory failure several days into buprenorphine treatment.  He was told by his doctors that he experienced an allergic reaction to Suboxone. The rarity of buprenorphine or naloxone allergy led me to look deeper into his history, and my conclusion differs from what he was told by his last treatment team. The patient, a man in his mid-50s, has a history of significant opioid use over t...
Source: Suboxone Talk Zone - February 15, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Buprenorphine Induction pharmacology receptor actions side effects Suboxone tolerance buprenorphine induction buprenorphine overdose naltrexone treatment Suboxone after vivitrol Suboxone allergy Source Type: blogs

Medical errors are not the third leading cause of death
I read it again this week, and I wonder why the editors of our medical journals continue to perpetuating this falsehood. An article in a prominent journal stated again that medical errors are the third leading cause of death in the United States. We all know this is not the case, and yet editors continue to let this be stated in their journals as if it were fact. Ever since the offending article was published last year making this ridiculous claim, other authors have perpetuated it as if it were true. Yet it is painfully obvious to every practicing physician that it is not true. The top ten causes of death, according to th...
Source: Kevin, M.D. - Medical Weblog - February 13, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/cory-fawcett" rel="tag" > Cory Fawcett, MD < /a > Tags: Physician Malpractice Source Type: blogs

When you have a cold, I want you to know why I ’m not giving you an antibiotic
I want you to know about colds, and integrity. Every day I see a hand full of colds. Viral upper respiratory infections. Bronchitis. Coughing, sneezing, congestion, fever. You come to me because you are miserable, and I appreciate that you trust my advice. I want you to know that I can commiserate with you. I don’t want you to feel miserable either. Truthfully, as odd as this sounds, I wish could find something bacterial — something “curable” on your exam or testing. Not because I want you to be sick, but because I can “do” something. And frankly, a lot of the times it would be easier. If you have strep thr...
Source: Kevin, M.D. - Medical Weblog - February 10, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/eileen-sprys" rel="tag" > Eileen Sprys, MD < /a > Tags: Conditions Infectious disease Source Type: blogs

Caring and risk
One of the basic realities of the medical profession is that caring for the sick may at times involve risk to physicians and others who are providing that care. Sometimes the risk is relatively minor such as when we care for those with minor respiratory infections and may become ill ourselves. That seemed to happen to me every time I was on a pediatrics rotation... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 8, 2017 Category: Medical Ethics Authors: Steve Phillips Tags: Health Care Culture / Ethnicity / Gender / Disability human dignity syndicated Source Type: blogs

Does Snoring Have Any Health Risks?
You're reading Does Snoring Have Any Health Risks?, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. For a long time, people have categorized snoring as simply a minor health condition that will go away on its own. However, modern research has declared that snoring is not only irritation to the ears and to peaceful sleep but an indication of a number of complaints in your body. People who are overweight, who are regular smokers or have high cholesterol are prone to snoring, obstructive sleep apnea (OSA). OSA is defined ...
Source: PickTheBrain | Motivation and Self Improvement - February 5, 2017 Category: Consumer Health News Authors: dylan_moran Tags: featured health and fitness self improvement bodyweight health warnings illness pickthebrain sleep disorder snoring stop snoring Source Type: blogs

Without Evidence, NIH Director Claims E-Cigarettes Cause Respiratory Infections and Asthma
In acommentary by the director of the National Institutes of Health (NIH), it is claimed that electronic cigarettes cause respiratory infections and asthma. According to the NIH director:" E-cigarettes come with their own health risks, including lung inflammation, asthma, and respiratory infections. "The Rest of the StoryThere is clinical evidence that vaping causes lung inflammation, so that part of the statement is supported by evidence. Specifically, vaping can causelung irritation, leading to short-term increases in airway resistance as measured by sensitive technology, although not apparent by routine spirometry. Whet...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - February 2, 2017 Category: Addiction Source Type: blogs

Benzos and Buprenorphine
The high safety of buprenorphine, except when combined with a benzodiazepine, has been twisted in comments about the drug (and in the minds of regulators) to buprenorphine being uniquely dangerous when combined with benzodiazepines, which is not true. I’ve heard more and more from insurers, regulators, and well-meaning agencies about the dangers of combining buprenorphine and benzodiazepines.   Some insurers protest paying for buprenorphine if patients are taking benzodiazepines.  Medicaid recently sent a letter that described a ‘severe risk’ of using benzodiazepines in patients on buprenorphine.  And...
Source: Suboxone Talk Zone - January 27, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Benzos Buprenorphine pharmacology risks Suboxone tolerance buprenorphine and benzodiazepines suboxone overdose xanax and suboxone Source Type: blogs

A Less Effective Compensatory Response to Mitochondrial DNA Deletions Observed in Parkinson ' s Disease Patients
Mitochondria, the power plants of the cell, evolved from symbiotic bacteria, and still carry a remnant genome of their own, entirely separate from the nuclear DNA found in the cell nucleus. Unfortunately, mitochondrial DNA is prone to deletion mutations, either due to replication errors or oxidative reactions, and some types of deletion can form the basis for runaway cellular dysfunction. This process is one of the causes of degenerative aging, and doing something about it is one of the line items on the SENS rejuvenation research agenda. As it happens, mitochondrial DNA damage accumulates more readily in some tissues than...
Source: Fight Aging! - January 24, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

There ’s absolutely no way to stop a cough. Here’s why.
Coughing is one of the most common reasons parents bring their children to see me. And I can understand why. Coughing is noisy and uncomfortable and gets kids dirty looks in schools and subways. Even worse, coughing keeps kids and their parents awake. We’ve all been there, and no one likes to cough. But coughing is there, usually, for a reason. Almost all coughs are from upper respiratory infections (that’s fancy talk for common, ordinary colds caused by common, ordinary viruses.) People cough because viral infections cause excess mucus to form throughout your “respiratory tree” — from your nose, down your throat...
Source: Kevin, M.D. - Medical Weblog - January 23, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/roy-benaroch" rel="tag" > Roy Benaroch, MD < /a > Tags: Conditions Pediatrics Source Type: blogs