Why Cochrane is Wrong About Hypertension. Very Wrong.
By SWAPNIL HIREMATH, MD
Archie Cochrane and the Cochrane Collaboration
Archie Cochrane was born in Scotland, educated in London (King’s College, University College and London School of Hygiene and Tropical Medicine) and worked in Cardiff, Wales. His work as a doctor during the Spanish Civil War and World War II, especially in a prisoner of war camp in Salonica, is credited with his push towards generating higher quality evidence. In his description of the clinical trial he conducted, he mentions James Lind as his hero. Ironically, that clinical trial – with weak randomization, open allocation, non-blinding of inv...
Source: The Health Care Blog - August 29, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Cochrane patient population risks Source Type: blogs
Why Cochrane is Wrong About Hypertension. Very Wrong.
By SWAPNIL HIREMATH MD
Archie Cochrane and the Cochrane Collaboration
Archie Cochrane was born in Scotland, educated in London (King’s College, University College and London School of Hygiene and Tropical Medicine) and worked in Cardiff, Wales. His work as a doctor during the Spanish Civil War and World War II, especially in a prisoner of war camp in Salonica, is credited with his push towards generating higher quality evidence. In his description of the clinical trial he conducted, he mentions James Lind as his hero. Ironically, that clinical trial – with weak randomization, open allocation, non-blinding of inve...
Source: The Health Care Blog - August 28, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Source Type: blogs
Digital Technologies for Improving Hygiene in Health Facilities
150 years after Semmelweis advised fellow physicians to sanitize their hands to mitigate the effect of infections, the maintenance of hygiene is still a widespread problem in hospitals and the source of healthcare-associated infections. Now, technological solutions line up against microorganisms, bacteria, and fungi. Here are a few examples.
1 in 9 in-patients will die due to infection
According to the US Center for Disease Control, studies show that on average, healthcare providers clean their hands less than half of the times they should. This significantly contributes to the spread of healthcare-associated infections (H...
Source: The Medical Futurist - August 16, 2018 Category: Information Technology Authors: nora Tags: Healthcare Design Medical Professionals Policy Makers clean digital digital health future HAI healthcare-associated infection hygiene Medicine robot robotics sensors technology trackers wearable Source Type: blogs
Digital Technologies for Improving Hygiene in Health Facilities
150 years after Semmelweis advised fellow physicians to sanitize their hands to mitigate the effect of infections, the maintenance of hygiene is still a widespread problem in hospitals and the source of healthcare-associated infections. Now, technological solutions line up against microorganisms, bacteria, and fungi. Here are a few examples.
1 in 9 in-patients will die due to infection
According to the US Center for Disease Control, studies show that on average, healthcare providers clean their hands less than half of the times they should. This significantly contributes to the spread of healthcare-associated infections (H...
Source: The Medical Futurist - August 16, 2018 Category: Information Technology Authors: nora Tags: Healthcare Design Medical Professionals Policy Makers clean digital digital health future HAI healthcare-associated infection hygiene Medicine robot robotics sensors technology trackers wearable Source Type: blogs
Tropical Travel Trouble 009 Humongous HIV Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 009
The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with a low ...
Source: Life in the Fast Lane - July 7, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Social Determinants of Health Statistics in AtlasPlus
CDC’s AtlasPlus is a database of health statistics for public health professionals, policymakers, community leaders, researchers, students, and those interested in HIV, viral hepatitis, STDs or tuberculosis. This database provides statistics on these conditions at the state and county level. AtlasPlus was recently updated to include eleven new indicator related to HIV and indicators that reflect the social determinants of health. To learn more, visit the What’s New in AtlasPlus page. (Source: BHIC)
Source: BHIC - June 25, 2018 Category: Databases & Libraries Authors: Erin Seger Tags: General Source Type: blogs
Tropical Travel Trouble 008 Total TB Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 008
Peer Reviewer Dr McBride ID physician, Wisconsin
TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without treatment 50% of pulmonary TB patients will be dead in 5 years. In low to middle income countries both TB and HIV can be ubiquitous, poor compliance can lead to drug resistance and malnourished infants are highly susceptible. TB can be very complex and this post will hopefully give you the backbone to TB m...
Source: Life in the Fast Lane - June 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine Genexpert meningitis TB TB meningitis Tuberculosis Source Type: blogs
Funtabulously Frivolous Friday Five 240
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 240.
Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL
Question 1
Colonial India, under British rule may seem a strange place for medical ethics but during this time the ‘Cobra effect’ was observed. What is the Cobra effect?
HmmR...
Source: Life in the Fast Lane - June 8, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five advert aortic stenosis body slam cobra effect edgar allan poe informed consent toothpaste tradus et parvus wrestling Source Type: blogs
The Ethics of Keeping Alfie Alive
By SAURABH JHA
Of my time arguing with doctors, 30 % is spent convincing British doctors that their American counterparts aren’t idiots, 30 % convincing American doctors that British doctors aren’t idiots, and 40 % convincing both that I’m not an idiot.
A British doctor once earnestly asked whether American physicians carry credit card reading machines inside their white coats. Myths about the NHS can be equally comical. British doctors don’t prostate every morning in deference to the NHS, like the citizens of Oceania sang to Big Brother in Orwell’s dystopia. Nor, in their daily rounds, do they calculate opportun...
Source: The Health Care Blog - May 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Uncategorized AlfieEvans Source Type: blogs
Beating the Travel Bug & Innovation in Hand Sanitation: Interview with Zoono CSO Dr. Andrew Alexander
While flu season is drawing to a close, transmission of germs can still lead to colds and serious respiratory diseases. In few places are individuals more exposed to a multitude of unique germs and germ carriers than during travel. Unlike some forms of travel, such as buses, where an individual can choose to get off the vehicle or find an alternate transit option, like carpooling, air travel is much less flexible. Based on data from the Bureau of Transportation Statistics, in 2010, on average 1.73 million passengers boarded domestic flights every day in the United States. On a plane, individuals are confined in a tight env...
Source: Medgadget - May 15, 2018 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Medicine Public Health Source Type: blogs
MKSAP: 35-year-old woman is evaluated for intermittent fever
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks’ duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. She received valganciclovir prophylaxis for 3 months after transplantation. Medications are tacrolimus, prednisone, mycophen...
Source: Kevin, M.D. - Medical Weblog - May 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Allergies & Immunology Infectious Disease Source Type: blogs
Overdiagnosis in IVF - how some IVF clinics increase work for themselves.
Lots of IVF doctors are very trigger happy, and make a diagnosis which is completely inaccurate. For example, they will do an ultrasound scan for a patient on the fifth or sixth day of the cycle and notice at that time that the follicles are small or the endometrium is thin , and then tell her, "Oh, your thin endometrium means that you most probably have endometrial tuberculosis, and you need investigation and treatment for this." This is plainly ridiculous ! On Day 6, most fertile women will have small follicles , because they haven't started growing yet , as a result of which their estrogen levels are going to be lo...
Source: Dr.Malpani's Blog - May 9, 2018 Category: Reproduction Medicine Tags: IVF diagnosis IVF misdiagnosis IVF overdiagnosis IVF tests Source Type: blogs
When philosophy and evidence collide: is an occupation-focused approach suitable in pain management?
I have often described myself as a renegade occupational therapist: I like statistics, I think experimental research is a good way to test hypotheses, I don’t make moccasins (though I occasionally wear them!), I’m happy reading research and figuring out how I can apply findings into my clinical practice.
Occupational therapy is a profession that continues to evolve. The origins of occupational therapy lie back in the “moral” model of treatment for mental illness when advocates found that giving people things to do helped them become well (mind you, some of the reasons for admission to a “menta...
Source: HealthSkills Weblog - May 6, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping Skills Occupational therapy Pain conditions Research Science in practice pain management Psychology rehabilitation research literature self management T Source Type: blogs
Dressing Up Tuberculosis: Carolyn A. Day ’ s Consumptive Chic by Sebastian Galbo
[read more] (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 25, 2018 Category: Medical Ethics Authors: Lucy Bruell Tags: Health Care A Different Take history of medicine Literature Arts and Medicine Blog syndicated Source Type: blogs
Tackling tuberculosis: local government's public health role
Local Government Association (LGA) - This publication looks to address questions that councillors and officers in local governmentmay have on tuberculosis, its burden in the UK and what action they and local governmentcan take to tackle tuberculosis. GuidanceSummary (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 9, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs
