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Modafinil for the Improvement of Patient Outcomes Following Traumatic Brain Injury
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple sclerosis. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research

Plasma Metal Concentrations and Incident Coronary Heart Disease in Chinese Adults: The Dongfeng-Tongji Cohort
Conclusions: Our study suggested that incident CHD was positively associated with plasma levels of titanium and arsenic, and inversely associated with selenium. Additional research is needed to confirm these findings in other populations. https://doi.org/10.1289/EHP1521 Received: 22 December 2016 Revised: 17 September 2017 Accepted: 19 September 2017 Published: 19 October 2017 Address correspondence to T. Wu, or A. Pan, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hongkong Rd., Wuhan 430030, Hubei, China. Telephone: +86-27-83692347. Email: wut@mails.tjmu.edu.cn or p...
Source: EHP Research - October 20, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Research Source Type: research

What Types of Memory Impairments are There in Children?
Discussion Memory is an important part of what distinguishes higher order species from others. Memory also is part of one’s self-identity. Difficulties in short-term memory can make common, everyday tasks difficult for the person experiencing the problem particularly if it recently occurred and the person’s long-term memory is intact. Difficulties with long-term memory can also have problems when language, events or even one’s own identity are affected. For some people the memory loss is temporary but for others, memory impairments are permanent and must be accepted and accommodated as part of the overall...
Source: PediatricEducation.org - March 30, 2020 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Bill Bowman obituary
Pharmacologist and academic who made a huge contribution in the field of anaesthesiaAnyone who has had a general anaesthetic in the last 40 years has reason to be grateful to Bill Bowman, who has died aged 83. Bill played a pivotal role in both understanding how muscle-relaxing drugs work and developing safer and shorter-acting replacements.A person under anaesthetic twitches alarmingly unless a drug is used for "paralysis" or temporary muscle relaxation. This allows surgery in the chest and abdomen without the need for very deep anaesthesia and makes it possible for a tube to be passed into the windpipe to keep a patient'...
Source: Guardian Unlimited Science - August 20, 2013 Category: Science Authors: Caroline Richmond Tags: theguardian.com Obituaries Medical research Pharmacy and pharmacology Second world war Scotland University of Strathclyde Medicine Education Source Type: news

The idea you can be fat but fit is 'a myth' study argues
ConclusionThis was a large prospective cohort study from Sweden, which was carried out in young adult males who were then followed for a period of around 29 years. The study found that lower levels of aerobic fitness were associated with risk of early death, but that this risk of death was greater for those with a high BMI, even if they had a high level of aerobic fitness. This study has a number of strengths and limitations. The limitations are that a large number of participants had missing smoking data and therefore it was not possible to control for the confounding effect of smoking. The lower fitness level group with...
Source: NHS News Feed - December 21, 2015 Category: Consumer Health News Tags: Food/diet Obesity Source Type: news

What Causes Hyperammonemia?
Discussion Reye’s syndrome (RS)is named for Dr. Douglas Reye who along with Drs. G. Morgan and J. Baral described encephalopathy and fatty accumulation and degeneration in children in a 1963 Lancet article. RS usually affects children but can occur at all ages. All organs can be affected but the liver and brain are primarily affected causing liver failure and encephalopathy as toxic metabolites (especially ammonia) accumulate, and intracranial hypertension and cerebral edema occurs. As the ammonia levels begin to rise (> 100 mg/dL) patients lose their appetite, have nausea and emesis and mental status changes whic...
Source: PediatricEducation.org - February 20, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Endocrine Disruptors and Health Effects in Africa: A Call for Action
Conclusion: To address the many challenges posed by EDCs, we argue that Africans should take the lead in prioritization and evaluation of environmental hazards, including EDCs. We recommend the institution of education and training programs for chemical users, adoption of the precautionary principle, establishment of biomonitoring programs, and funding of community-based epidemiology and wildlife research programs led and funded by African institutes and private companies. https://doi.org/10.1289/EHP1774 Received: 16 February 2017 Revised: 22 May 2017 Accepted: 24 May 2017 Published: 22 August 2017 Address correspond...
Source: EHP Research - August 23, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Commentary Source Type: research

Binge Drinkers Have About 7 Drinks At a Time, CDC Says
It’s no secret that binge drinking is common in the U.S., as a visit to most college campuses will demonstrate. But a new report from the Centers for Disease Control and Prevention (CDC) finds that the practice is widespread beyond the college years, well into adulthood. More than 37 million Americans, or 17% of the adult population, reported binge drinking — defined as consuming four or more drinks in one sitting for women, or five or more for men — at least once in 2015, according to the report. Many people binge drank far more frequently than that: The average number of episodes per binge drinker was 5...
Source: TIME: Health - March 16, 2018 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized healthytime onetime public health Source Type: news

Degree of Bystander-Patient Relationship and Prehospital Care for Opioid Overdose.
ConclusionPresence of a proximal bystander during an overdose event is associated with dispatch codes indicative of an overdose and shorter times to naloxone administration compared with those with distal bystanders. These findings offer opportunities for public education and engagement of overdose harm reduction strategies. PMID: 32073921 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - February 21, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research