Eppie
I ' ve considered writing about Jeffrey Epstein for a long time, but I kept expecting more information about the sordid case to be forthcoming from the Southern District of New York. So far however we have seen no additional indictments or any investigative report. This surprises many people because there are strong indications that there is ample basis for additional indictments, despite Epstein ' s death. I ' ll get to that.I don ' t have any information to add to what is publicly known, obviously, but many people don ' t fully understand the story and the mysteries connected with it, so I figured I ' d provide a summary...
Source: Stayin' Alive - November 6, 2019 Category: American Health Source Type: blogs
Why Electronic Health Records Should Be Wikified
Clinical documentation is an inescapable part
of a clinician’s everyday experience. It is one of the “arts” of medicine
rarely formally taught. Instead, most clinicians learn how to write a note in
call rooms and side halls, usually through some hasty teaching by a harried
resident. The clarity that is asked of medical students is too often replaced
by the brevity insisted upon by long hours and heavy workloads.
Electronic health records (EHRs) are
essentially digital recreations of paper charts without leveraging how
technology can be an improvement over paper.
Unfortunately, despite their advances in secur...
Source: Academic Medicine Blog - October 15, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective academic medical center electronic health records medical education patient care Source Type: blogs
Box-tree Moth, Cydalima perspectalis
The Box-tree Moth, Cydalima perspectalis, is an Asian species of moth (usually seen in (Japan, China, Taiwan, Korea, the Russian Far East, and India), that is gradually spreading, presumably with the advent of box hedges on new housing estates, across the South East of England.
Box-tree Moth, Cydalima perspectalis (Walker, 1859), to actinic light Jul 2019, VC29
It would’ve arrived as eggs/larvae on imported box (Buxus), first recorded here in 2007. Its larvae can destroy a box hedge. Another reason to go native when it comes to planting…probably too late for native box now though. I saw my first one in the trap...
Source: David Bradley Sciencebase - Songs, Snaps, Science - October 13, 2019 Category: Science Authors: David Bradley Tags: Sciencebase Source Type: blogs
Mount Lycabettus
You can’t miss the tallest peak in Athens, no not the one with The Parthenon at the top (68 metres elevation), but Mount Lycabettus, also known as Lycabettos, Lykabettos or Lykavittos. In Greek, it’s pronounced “likavi’tos”, so the first three syllables flow as a triplet and the emphasis is on the final beat. It stands at 264 metres.
Mount Lycabettus across Athens viewed from Acropolis
Second full day on our trip to Athens, we took the funicular railway to the top to see the 19th Century St George’s Chapel and take in the views over the city. I’d have chosen to climb to the top, de...
Source: David Bradley Sciencebase - Songs, Snaps, Science - October 2, 2019 Category: Science Authors: David Bradley Tags: Sciencebase Source Type: blogs
The Rejuvenation Now Risk-Benefit Analysis of Fisetin as a Senolytic Therapy
The Forever Healthy Foundation's Rejuvenation Now program is engaged in the production of detailed analyses of risk and reward for presently available treatments that may act to slow or reverse aging. I think this is helpful, as a great deal of information exists, but is very scattered, and there is far too much uninformed hype out there. Putting all of the facts together in one place, coupled to a sober assessment of what those facts mean, is a good use of resources. This is particularly true given that senolytic therapies presently exist, and, to the degree to which these treatments successfully clear senescent cells wit...
Source: Fight Aging! - September 19, 2019 Category: Research Authors: Reason Tags: Activism, Advocacy and Education Source Type: blogs
Fasting mimicking diet (ProLon) by Valter Longo, PhD
Interventions that promote longevity, remembered by mnemonic:DEEP purple - “eat colorful plant foods:Dietary modification,Exercise, activeEngagement,Purposeful living (click here toenlarge the image).Valter D. Longo (born October 9, 1967) is an Italian-American biogerontologist and cell biologist known for his studies on the role of fasting and nutrient response genes on cellular protection aging and diseases and for proposing that longevity is regulated by similar genes and mechanisms in many eukaryotes. He is currently a professor at the USC Davis School of Gerontology with a joint appointment in the department of Biol...
Source: Clinical Cases and Images - Blog - September 13, 2019 Category: Universities & Medical Training Tags: Diet Longevity Source Type: blogs
Angels of Death
The news that somebody at a West Virginia VA medical center wasapparently murdering patients with insulin overdoses is the latest reminder of a phenomenon that occurs disturbingly often. The denominator of all the medical professionals in the world is obviously very large, so the dozens who have been identified as serial killers don ' t mean you are at notable risk, but still. Actually there must be many more since one of the perks of being a physician or a nurse is that you can get away with being a serial killer pretty easily.The most notorious is probably the British GP Harold Shipman,who killed at least 218 of his own ...
Source: Stayin' Alive - August 28, 2019 Category: American Health Source Type: blogs
It ’ s not a beer
When we announced a few weeks ago that our IPA had executed our first contract, I found myself explaining what an IPA is and what it does. An IPA is a business entity that assists multiple independent organizations to contract with managed care organizations (health plans). But it’s uncommon (unheard of?) for an IPA to work with organizations that are not physicians. We even had to update the Wikipedia entry on IPA to clarify that physicians aren’t the only ones who can create or join an IPA.
Where we are now
We have over thirty organizations participating in the IPA.We have two executed agreements with h...
Source: Docnotes - August 27, 2019 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Answer to Case 558
Answer toParasite Case of the Week 558:Plasmodium falciparummalaria,>10% parasitemia. NEGATIVE rapid antigen.Sowhy is the rapid antigen test negative???As noted by our readers, there are many possible reasons for apositive blood smear and negative rapid malaria antigen test (RDT). Here are our options, along with the reasons why each is or isn ' t a likely explanation in this case:This is babesiosis, and not malaria. This is a very important consideration given the morphologic similarities betweenBabesiaspp. andPlasmodium falciparum.However, the moprhologic features in this case are highly consistent withP. falcipa...
Source: Creepy Dreadful Wonderful Parasites - August 25, 2019 Category: Parasitology Source Type: blogs
National Health Service a " Balkanized " Mess; Special Problems with IT
For many years, the U.K. healthcare system, theNational Health Service (NHS), has been referred to in the U.S. as a prime example of the success of a national healthcare system. Here's a brief summary of the NHS from Wikipedia:The National Health Service (NHS) is the publicly funded national healthcare system for England and one of the four National Health Services for each constituent country of the United Kingdom.It is the largest single-payer healthcare system in the world. Primarily funded through the government funding and overseen by the Department of Health and Social Care, NHS England provides healthcare to all...
Source: Lab Soft News - August 15, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Electronic Health Record (EHR) Healthcare Information Technology Hospital Financial Public Health Source Type: blogs
Electromagnetic Fields to Stop Spread of Cancer
After a cancer is discovered in a patient, the biggest fear is that it will metastasize to other parts of the body. Currently, there’s really nothing that doctors can do to alter a cancer’s ability to shed tumor cells that can easily travel far away from their birth site. Now, researchers at Ohio State University have discovered that low intensity electromagnetic fields can be used to halt the ability of cancer cells to spread around the body.
What’s particularly remarkable, and will hopefully form the basis for a future medical device, is that the cancer cells change their behavior not only depending ...
Source: Medgadget - August 14, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Oncology Source Type: blogs
The know-do gap: does social media help change things?
This post is prompted by a Facebook post from Connor Gleadhill asking “in what way is SoMe contributing to knowledge translation (KT)? I’m interested in the experience of those tagged and if anyone is aware if it has been rigorously tested. As far as I’m aware it hasn’t. Is it simply a confirmation bias arena? We are humans after all, and we curate our experience on SoMe.”
Oh such a great question and one reason I still hang out on social media!
I’ve been blogging since 2007, two years before the famous Body in Mind (who have just announced they won’t post any more content)....
Source: HealthSkills Weblog - August 4, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Clinical reasoning Education Education/CME Professional topics Research blogging community of practice conversations knowledge translation research translation social media Source Type: blogs
Inside Schizophrenia: Childhood Schizophrenia
In this episode of Inside Schizophrenia, our hosts tackle the topic of early onset – or childhood – schizophrenia. Host Rachel Star discusses her personal experiences with schizophrenia symptoms as an adolescent and Dr. Joseph Gonzalez-Heydrich from Harvard Medical School discusses some of the latest research. Listen in now!
About Our Guest
Joseph Gonzalez-Heydrich, MD is Director of the Developmental Neuropsychiatry Clinic at Boston Children’s Hospital and an Associate Professor of Psychiatry at the Harvard Medical School. He did his undergraduate and medical school at Johns Hopkins, his residency training at U...
Source: World of Psychology - July 17, 2019 Category: Psychiatry & Psychology Authors: Rachel Star Withers Tags: Disorders Inside Schizophrenia Psychiatry Source Type: blogs
Inferior Subtle ST elevation: straight ST segment, but also no reciprocal ST depression in aVL: which is more important?
60-something with h/o MI and stents presented with chest pain radiating to the back and nausea/vomiting.Time zeroWhat do you think?There is inferior ST elevation. Is it normal variant? Is it ischemic (OMI)? [Pericarditis? (NOT!)]There is one finding that argues against inferior OMI (There is absence of reciprocal ST depression in aVL; STD aVL is extremely sensitive for inferior OMI; Reference: Bischof and Smith). However, there is alsostraightening of the inferior ST segments, and astraight ST segment in aVF; this is extremely rare in normal variant STE)._______There is alsoterminal QRS di...
Source: Dr. Smith's ECG Blog - June 27, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs
Fake It Till You Make It: 5 Cheats from Neuroscience
The catchy phrase Fake It Till You Make It is “an English aphorism which suggests that by imitating confidence, competence, and an optimistic mindset, a person can realize those qualities in their real life.”1
Like most cliches or slogans, there’s more than a grain of truth in this one. Luminaries, as diverse as William James and Alfred Adler — not to mention New Thought philosophers like Rhonda Byrne — have expressed their own variations of this oft-quoted expression.
When it comes to exploring this principle, I prefer the tricks and perspectives learned from rigorous studies in neuroscience to flesh ou...
Source: World of Psychology - June 25, 2019 Category: Psychiatry & Psychology Authors: John DiPrete Tags: Brain and Behavior Habits Motivation and Inspiration Self-Help Body Language smiling Source Type: blogs
