Posts

October 21, 2014

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3:25 PM | Sleep Problems in Alcoholism Treatment
In a previous post, I summarized a research study six month outcome of insomnia in a group of subjects treated for alcoholism.This study found a high persistence of insomnia despite reduction, and in many cases abstinence, from alcohol.A second study recently published by investigators at the National Institute of Health provides some additional insight into this topic.Gwenyth Wallen and colleagues studied a series of 164 participants admitted to a 4-6 week inpatient program for alcohol […]
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10:00 AM | Oh goody. Acupuncture and Oriental Medicine Day is fast approaching.
A mere couple of weeks ago, I was beginning to “celebrate” a week designated to celebrate the sheer quackiness of the quackery that is naturopathy. True, that’s not what the woo-friendly Senators and Representatives who imposed Naturopathic Medicine Week 2014 on a disinterested world that didn’t need, want, or understand it. They represented it as…
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7:00 AM | An Overly Pessimistic View of Medicine
Sandeep Jauhar wrote Doctored: The Disillusionment of an American Physician to express his frustration with the modern system of medical care in America. I found the book profoundly disturbing. If his experience is representative, I can understand why so many people have been criticizing doctors for only caring about money.  His experience was so different […]
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3:19 AM | You Will Soon Pay More for Prescriptions Filled at Pharmacies Selling Tobacco
CVS Caremark is planning to charge an extra co-payment for prescriptions filled at pharmacies that sell tobacco products.
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1:04 AM | SEVERE CHRONIC HYPONATREMIA: A Pathophysiological Rumination (Part 2)
PART 2: THE PEE IS THE KEYI mentioned in the previous post that severe hyponatremia is multifactorial and that the contributing etiological factors in any given case may be transient and reversible.  In this post I would like to stress the importance of closely monitoring the urine output of the patient in addition to frequent monitoring of the plasma sodium.  Urine output is an extremely important clinical parameter that needs to be monitored closely but is not really mentioned in […]
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12:46 AM | “The Hot Zone” and the mythos of Ebola
The Hot Zone was first released in 1994, the year I graduated high school. Like many readers, that book and Laurie Garrett’s The Coming Plague really sparked my interest in infectious diseases. In some sense, I have those books to thank (or blame?) for my career. But I’m still going to criticize it, because as…

October 20, 2014

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11:48 PM | Resource Alert: Trauma Toolbox for Primary Care Providers
The American Academy of Pediatrics (AAP) released a 6-part series about childhood trauma, specifically formulated for primary care providers. Trauma Tool Box for Primary Care was developed for those who might not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events.The series addresses issues like: ·         What is the role of stress? […]
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10:40 PM | How to prevent cancer in 12 easy steps–OK, not that easy
I have railed against charlatans who claim that they have the easy way to prevent or cure cancer. Generally, these snake oil salesmen try to convince you that they have some miraculous food, supplement, spiritual energy, and on and on, that can either kill cancer in its tracks. Or keep them from even growing in your body. […]Continue reading «How to prevent cancer in 12 easy steps–OK, not that easy»
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8:11 PM | What IS a day in the life at Penn Medicine?
So tomorrow is the University of Pennsylvania’s annual Day in the Life project, and we’re pretty excited. I’ve taken photos for two previous Day in the Life projects during my time here at Penn Medicine (you can find those here and here), and both times I’ve been amazed at the...
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4:56 PM | Keeping cancer on the political agenda – this year’s Party Conferences
We look back on this year's Party Conferences, highlighting our work to keep cancer on the political agenda ahead of the next General Election.
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2:56 PM | Persistent Insomnia and Alcoholism
Sleep problems complicate the treatment and recovery in alcoholism. Heavy alcohol consumption modifies the nature of sleep architecture.A high blood alcohol concentration at bedtime may promote sleep early in the sleep cycle.However, as alcohol levels decline, sleep is often interrupted with limiting rapid eye movement (REM) sleep duration.Shortened total sleep time with alcohol can produce a lack of feeling well rested on awakening.For those with alcoholism or alcohol dependence, […]

Brower KJ, Krentzman A & Robinson EA (2011). Persistent insomnia, abstinence, and moderate drinking in alcohol-dependent individuals., The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 20 (5) 435-40. PMID: http://www.ncbi.nlm.nih.gov/pubmed/21838842

Citation
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1:00 PM | 12 simple ways to prevent cancer
33% to 50% of all cancers are attributable to preventable lifestyle causes, such as smoking and tobacco use, poor diet, alcohol consumption, and obesity (1-3). Genetics play a tiny role, causing only 5-10% of all cancers. The remainder of cancer … Continue reading »The post 12 simple ways to prevent cancer appeared first on Public Health.
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12:32 PM | Defending Sick Children
One of the most difficult issues that skeptical physicians face is dealing with children sick with cancer whose parents refuse standard therapy. These cases are always highly charged, because the stakes are extremely high. Obviously the stakes are highest for the child as their life is literally on the line. The stakes are also high [...]
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11:53 AM | Saudi Arabia – A MERS Surge?
Credit ECDC MERS-CoV Epidemiological Update   # 9219   Roughly six weeks ago, after a relatively quiet July and August, we began to see a slow uptick in the number of MERS-CoV infections being reported out of Saudi Arabia.  While the numbers remain modest – even compared to the same time last year – the clustering in Taif east of  Mecca prior to the Hajj is concerning. Local officials have publically been denying charges of a serious […]
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11:43 AM | Read: The Facts on Chiropractic
This is required reading. Questions and Answers about Chiropractic: The Bottom Line by Sam Homola, a retired chiropractor. Continue reading →
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11:37 AM | Should the government allow scientists to create new super-viruses?
Let's suppose a bunch of scientists proposed to take one of the most infectious human viruses—influenza, say—and turn it into a super-bug. Is this a good idea?Or to put it another way: should scientists be artificially mutating viruses so that they have the potential to become a worldwide pandemic?Right about now you might be asking: is anyone actually doing this, and if so, what on earth are they thinking?And yet, several of the world's most prominent influenza researchers have […]
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9:33 AM | Researcher Spotlight: Dr Kenneth Baillie
Dr Kenneth Baillie is a consultant in critical care medicine at the Intensive Care Unit of Edinburgh Royal Infirmary. He holds Wellcome Trust Intermediate Clinical Fellowship and works at the Roslin Institute at the University of Edinburgh where he is looking into the genetics of why some people are more likely than others to get […]
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7:35 AM | What naturopaths say to each other when they think no one’s listening
The true test of a man’s character is what he does when no one is watching. — John Wooden Regular readers might have gathered from reading this blog that we are not particularly fond of naturopaths. Actually, naturopaths themselves might be perfectly nice people; rather it’s naturopathy we don’t like, mainly because it is a […]
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7:05 AM | An old “friend” thinks Ayurvedic “auto-urine therapy” can cure Ebola
I’m beginning to feel that I’m flogging a topic a bit too hard again. Usually, this happens primarily when I’m on a roll over some particularly tasty ridiculous tidbit of antivaccine nonsense. This time around, it’s not so much antivaccine nonsense (although some did manage to slip its way into the discussion) but rather Ebola…

October 19, 2014

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8:11 PM | MCQ #2: BFHI and Breastfeeding Practices
 Filed under: #FOAMed Tagged: BFHI, breastfeeding, Community Medicine, mcq, Questions
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7:53 PM | MCQ #1 Answer
Want another shot at the question? Have a go at it here before you check out the answer!   If the baseline district prevalence of TF in 1–9-year-old children is 10% or greater, antibiotic treatment of all residents should be undertaken annually for 3 years. After these three treatments, a repeat district survey should be…
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7:47 PM | MCQ#1: Trachoma Control
When is blanket therapy advised for control of trachoma in a district? a. Prevalence of TF in 1-9 year old children >5% b. Prevalence of TF in 1-9 year old children >10% c. Prevalence of TF in 1-5 year old children >10% d. Prevalence of TF in 1-5 year old children >5%Filed under: #FOAMed Tagged:…
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7:38 PM | Ohio Daily Ebola Contact Report – Oct 19th
    # 9218   Although the primary Ebola focus in the United States has focused on Dallas, Texas - public health authorities in Ohio are also managing more than 150 contacts (close and otherwise) of Texas nurse Amber Vinson who visited family shortly before being diagnosed with Ebola. Most of these contacts are considered casual/low-risk, and so only three are `quarantined’.   Others must either have their temperatures taken twice daily (Tier […]
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6:50 PM | Ebola Preparedness and the Lab
By Lab, of course, I mean my yellow lab Mindo, pictured above during this morning's walk along the Iowa River. Look carefully and you’ll note a few important things: (1) she is alert, poised, vigilant for any potential threat (including, in her case, a random squirrel or rabbit); (2) she nonetheless appears calm—she understands that loud barking, tail-chasing, and similar behaviors are wastes of energy, counterproductive, foolish; and finally, (3) she is a dog, and probably […]
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6:46 PM | Saudi MOH Announces 2 More MERS Cases
  # 9217 The Saudi MOH Announced two more MERS cases today, including the 11th recent case from Taif.   Unless I’ve lost count, this makes 22 cases reported since this uptick began on  September 12th.     With half of those cases hailing from Taif, and few details released, it begs the question whether these are mostly community acquired cases or part of a nosocomial outbreak.
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6:24 PM | News from our research topic on cerebral oxygenation #15
Another update regarding our research topic on cerebral oxygenation. The last three papers (#16 to 18) of our research topic now available at Frontiers in Physiology ! Ventilatory strategy during liver transplantation: implications for near-infrared spectroscopy-determined frontal lobe oxygenation by Henrik Sørensen, Hilary Grocott, Mads Niemann, Allan Rasmussen, Jens Hillingsø, Hans Frederiksen and Niels Secher […]
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5:51 PM | Ebola fears at Kent State
Though I haven’t had a chance to write about this here, I have an article at Mic.com on Kent’s experience with Ebola exposure in our area. Amber Vinson, the second Ebola-infected nurse in Texas, is a Kent State alumna and has relatives that work here. Our experience on campus so far is described here in…
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4:49 PM | NIH: `More Stringent’ PPE Standards For Ebola On The Way
Old CDC Ebola PPE Recommendations http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html   # 9216   When Thomas Duncan arrived at a Dallas hospital last month the CDC’s recommended PPEs for HCWs dealing with a suspected or confirmed Ebola case included contact (gloves, gown) and droplet protection (surgical masks, eye protection), but full skin covering and the use of  respirators (ie. PAPR, N95) were not for patient care not […]
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1:05 PM | Ebola: Ohio Public Health Monitoring 29 Individuals
Contact Risks – Summit County Ebola FAQ   # 9215   The good news is that out of more than 150 people exposed to Thomas Duncan and the two-Ebola infected nurses from Texas Health Presbyterian Hospital, none have shown signs of infection to date.  (Note: This number does not include passengers on Frontier Airlines flights).   About a quarter of those contacts come off `quarantine watch’ at midnight tonight, having gone 21 days without symptoms. […]
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12:40 PM | Texas Health Presbyterian Hospital’s Open Letter To The Community
    # 9214   While we tend to think of Ebola in terms of the tragic number infected, and the number of deaths, the damage done by this epidemic also includes impacts on society, the economy, and even personal and corporate reputations.    One small example – Yesterday ABC News reported that the Ebola Scare Turns Dallas Hospital Into a 'Ghost Town', a response to the initial misdiagnosis of America’s index imported Ebola case, and the subsequent […]
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