Unstable Angina Still Exists in Era of high sensitivity troponin, with a short lesson on troponin interpretation
42 y.o. male with no past medical history presented for chest pain of onset 2 weeks prior.  It is not constant, but lasts only a couple minutes.  It is substernal without radiation, and is associated with SOB.  Onset of chest pain was 2 weeks.  States it is not constant. He has PMH of HTN, hyperlidemia, DM2, 1/3 ppd smoking (4 risk factors).A few days prior, his chest pain was intense and lasted about 10 minutes and it made him sweat. On the day of presentation, he was walking to the ED from the parking lot and the chest pain recurred and lasted about 2 minutes.  Here is his ED ECG:T...
Source: Dr. Smith's ECG Blog - May 8, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

WHO European regional obesity report 2022
This report examines the growing challenge and impact of obesity in the Region and focuses on managing obesity throughout the life course and tackling obesogenic environments. It also considers more recent challenges, including problematic digital marketing to children and the impact of the Covid-19 pandemic on obesity prevalence.ReportWorld Health Organization Europe - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 3, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Public health and health inequalities Source Type: blogs

Nothing Good Can Come From FDA ’s Proposed Ban of Menthol Cigarettes
Jeffrey A. SingerFood and Drug Administration Commissioner Robert M. Califfannounced today that the agency plans to seek a ban on menthol cigarettes and cigars.This ironically comes in the wake of recentresearch that shows menthol smokers have no greater difficulty giving up smoking than non ‐​menthol smokers. Even more ironic is the fact that FDA researchersreported in the journalNicotine and Tobacco Research:We found evidence of lower lung cancer mortality risk among menthol smokers compared with non ‐​menthol smokers among smokers at ages 50 and over in the U.S. populationAnd a prospective cohort study...
Source: Cato-at-liberty - April 28, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

A man in his 40s with RUQ abdominal pain
Conclusion:In hemodynamically stable patients with chest pain, sinus tachycardia aids in the identification of patients unlikely to have type I MI, especially in those with HR greater than 120 bpm.===================================MY Comment by KEN GRAUER, MD (4/28/2020):===================================Insightful case presented by Drs. Goss and Meyers highlighting the importance of recognizing the ECG signs of acute PE. I focus my comments on further dissecting some of these " tell-tale " ECG features.The " theme " of today ' s case was "pattern recognition". Like the ECG diagnos...
Source: Dr. Smith's ECG Blog - April 28, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

poem
 Dead SpringIn my spring nothing growsLeafless trees splay Across the sky As frazzle headed wicks Of burned down candles Too smoked to know they ’re dead No grass needs mowedNo buds or bloomsIt ’s a season bereft of color—At least of any that I can see.I only know it ’s springBy the shift in the wind But no matterSoon it will be sweltering summerEverything moist and stickyThe drone of beesAnd crabgrass and weedsEveryone just gives up and sweatsFanning themselves on screened porches Too languorous to utter a single word I look forward to the fallThe ferrousfeuille morte e...
Source: Buckeye Surgeon - April 26, 2022 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

What's new in midwifery - 21st April 2022
First, aCochrane review on repeat doses of prenatal corticosteroids for women at risk of preterm birth, for improving neonatal outcomes, And a trial of adding financial incentives tobest practices for smoking cessation among pregnant and newly postpartum women, an RCT carried out in Burlington, Vermont, USA.ASpectator article about an email sent from the NHS National Clinical Director for Maternity and Women ' s Health and the Chief Midwifery Officer, to NHS Trusts about the language used about birth in job adverts, that might suggest a bias to one mode of delivery.  A government press release reporting resp...
Source: Browsing - April 21, 2022 Category: Databases & Libraries Tags: midwifery Source Type: blogs

#HealthTechDeals Episode 24: Carbon Health, Clipboard Health, Source Health, and Diligent Robotics
Happy 4/20 everybody! Smoking weed live on Health Tech Deals is not to be encouraged, but Jess and I embrace the natural high of discussing the multitude of million-dollar deals in health technology: Carbon Health enters diabetes care; Clipboard Health raises $50 and $30 million; Source Health raises $3 million; and Diligent Robots raises $30 million. -Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 20, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Tech Health Tech Deals Carbon Health Clipboard Helath Diligent Robots Source Health Source Type: blogs

Fight Aging! Newsletter, April 18th 2022
In conclusion, our results suggest that SAH extends lifespan by inducing MetR or mimicking its downstream effects. Since the lifespan-extending effects of SAH are conserved in yeast and nematodes, and MetR extends the lifespan of many species, exposure to SAH is expected to have multiple benefits across evolutionary boundaries. Our findings offer the enticing possibility that in humans the benefits of a MetR diet can be achieved by promoting Met reduction with SAH. The use of endogenous metabolites, such as SAH, is considered safer than drugs and other substances, suggesting that it may be one of the most feasible ways to ...
Source: Fight Aging! - April 17, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Menthol Cigarette Bans in Canada and the US the Role of Legal and Market Structures
Ian Irvine (Concordia University Montreal), Menthol Cigarette Bans in Canada and the US the Role of Legal and Market Structures, SSRN (2022): Menthol cigarettes have been viewed as a scourge on youth because they have facilitated initiation and made quitting... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - April 17, 2022 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs

The Lipid Invasion Model of Alzheimer's Disease
Researchers here discuss a model of Alzheimer's disease that is centered around consequences of the age-related disruption of the blood-brain barrier. This barrier of specialized cells lines blood vessels in the central nervous system, and acts to control the passage of cells and molecules to and from the brain. Unfortunately, it becomes leaky with age, failing just like every other system and structure in the body. The researchers propose an interesting hypothesis, but it stands as one of many new ways to look at Alzheimer's disease. A great deal of theorizing has been provoked by the ongoing failure to make progress in t...
Source: Fight Aging! - April 14, 2022 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Monopoly and Monopsony in the U.S. Economy – Is Big Business Too Powerful? (Part 2)
Ryan BourneYesterday, I  shared some reflections on a  recent House Select Committee hearing I participated in, on why I thought progressive claims of the U.S. suffering from monopsony labor markets were seriously flawed. But if I disagreed with these witness arguments, I was left just as skeptical of their assertions on the impacts of industrial concentration on inflation.MONOPOLY POWER DRIVING INFLATIONMy fellow witness Hal Singer presented correlations (see chart below) purporting to show that more highly concentrated industries had seen faster price rises during 2021, supposedly lending credence to the idea (enco...
Source: Cato-at-liberty - April 12, 2022 Category: American Health Authors: Ryan Bourne Source Type: blogs

10 Simple Ways to Spread the Optimism and Positive Energy Starting Today
“A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty.” Winston Churchill Optimism. It can turn a situation that looks negative or bleak into an opportunity or something to learn from. It can replace the draining thoughts of pessimism with something that will create more positive energy and enthusiasm again. And it can help you to jump over obstacles, to keep moving when you fall or stumble and to not give up just because you have had a couple of temporary setbacks. So not just adding more of it to your own life but to the lives of the people in your world too is a ...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - April 12, 2022 Category: Consumer Health News Authors: Henrik Edberg Tags: Happiness Personal Development Source Type: blogs

Denmark Finds New Ways to Promote Underground Trade
Jeffrey A. SingerIn 1969, Denmark became thefirst country to legalize pictorial and audiovisual pornography, so it is acutely painful to see its government take a new puritanical turn.The Health Ministry has already set the goal of raising the alcohol drinking age from 16 to 18. And last month, Denmark ’s health minister announcedplans to ban the sale of tobacco and nicotine products to anyone born after 2010. This way, the Health Ministry hopes to gradually phase out the use of all tobacco and nicotine products in the country. The Health Ministry took this action to address the 13,600 annual deaths from smoking ‐...
Source: Cato-at-liberty - April 11, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Actual causes of death
This by Sandro Galea in JAMA Health Forum has a lot of good information, but it isn ' t really the whole story. As we all know, there are large disparities in health and longevity associated with income -- the richest Americans live on average ten years longer than the poorest. Galea cites a study by Pukaet althat attributes these disparities to behaviors such as smoking, excessive drinking, and lack of physical activity, though to be precise the Puka studied correlated these behaviors with level of formal education, not income.Galeo is at pains to argue that just targeting risk behaviors misses the real point because ther...
Source: Stayin' Alive - April 11, 2022 Category: American Health Source Type: blogs

Fight Aging! Newsletter, April 4th 2022
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - April 3, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs