Posts

October 21, 2014

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4:27 PM | The Price of Joining the ‘Middle Income Country’ Club: Reduced Access to Medical Innovation
On November 5, 2014, the WHO, WIPO and WTO will hold a joint symposium to discuss innovation and access to medical technologies in middle-income countries. In this post, Judit Rius Sanjuan and Rohit Malpani of Médecins Sans Frontières discuss the barriers … Continue reading »The post The Price of Joining the ‘Middle Income Country’ Club: Reduced Access to Medical Innovation appeared first on Speaking of Medicine.
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3:43 PM | What is a Virus?
Typical Bacteria (Wikipedia) With the recent Ebola outbreak in Africa, I’ve had a number of individuals question me as to what exactly a virus is. When I ask them what they think it is, they usually say a very small organism related to a bacteria. In actuality viruses are quite a bit different from bacteria … Continue reading »
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3:42 PM | HPV and HepB vaccines are not associated with multiple sclerosis
I didn’t know it was an issue, but apparently there was some concern that there was a small possibility that vaccines, specifically the hepatitis B (HepB) and human papillomavirus (HPV) vaccines, might increase the risk of multiple sclerosis (MS) or some other acquired central nervous system demyelinating syndrome (CNS ADS). Apparently, there have been numerous studies […]Continue reading «HPV and HepB vaccines are not associated with multiple sclerosis»
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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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3:09 PM | Exploring the Roles of Emotion and Bias in Caring for Patients
How we think about emotion affects not only the meanings we ascribe to situations, events or people but also our possible future actions. In medicine, emotion is central to the work carried out by health professionals daily. Understanding, reflecting on, engaging with and expressing emotion are important aspects of practice. That healthcare professionals need to [...]
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2:51 PM | Saudi MOH Announces Another MERS Case In Taif
# 9228 Yesterday, in Saudi MOH Statement On Recent MERS Cases In Taif and  Saudi Arabia – A MERS Surge?, we looked at the recent uptick in MERS cases – particularly in and around Taif.     While the numbers don’t come close to the level we were seeing last spring in Jeddah, today we have what appears to be the 15th case reported from that area over the past 6 weeks.  
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12:24 PM | Webcast Of HCW Ebola Training Session Today – 10 am EDT
    # 9227   The first tenet of the CDC’s updated Interim Guidance for HCWS on working with Ebola patients stresses the importance of taking training prior to encountering an Ebola patient: Prior to working with Ebola patients, all healthcare workers involved in the care of Ebola patients must have received repeated training and have demonstrated competency in performing all Ebola-related infection control practices and procedures, and specifically in […]
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12:20 PM | Graphene Neuro-electrode
This news item combines two technologies that I have been eagerly following, graphene and brain-machine interface. Researchers have developed a 1-molecule thick graphene electrode that is transparent and can be used for high-resolution electrophysiological recordings of brain cell activity. Before I explain why this is such a cool advance, I will quickly review these technologies. [...]
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12:00 PM | What I Am Reading: OCP
Stop what you are doing. Right now. We all should read this book, The Birth of the Pill: How Four Crusaders Reinvented Sex and Launched a Revolution. Jonathan Eig tells us the story of the intersecting lives of Margaret Sanger, Katharine McCormick, Goody Pincus, and John Rock. Their individual motivations differed, but ultimately their efforts […]
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11:34 AM | Human mutants (2004)
Viejita pero interesante. Recién hace unos días me hice y vi esta miniserie de 3 episodios (cada uno de 60 min).Human Mutants, 2004.TigerAspect for Channel 4 / Discovery USA.Directores:  Philip Smith, Damon ThomasEscrita y presentada por Armand Marie Leroi.En 2010 había encontrado su libro en la librería del Museo de Historia Natural de Londres y me lo leí de un tirón.Los 3 capítulos, muy bien hechos y con esas producciones tremendas que […]
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11:25 AM | Ebola Preparedness Webinar For EMS Personnel
Columbus Fire Department Medic 7 - Wikipedia   # 9226   As part of their continuing efforts to prepare frontline medical personnel on what to do if they are presented with a possible or suspected Ebola case, the CDC and the Office of the Assistant Secretary for Preparedness and Response (ASPR) will hold a webinar tomorrow afternoon geared for EMS personnel.   Webinar: Ebola Preparedness for Emergency Medical Services ASPR and CDC staff will discuss the previously […]
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11:00 AM | The Science of Acupuncture
Acupuncture has been used in traditional Chinese medicine for over 2,000 years. In the Western world, acupuncture has been a highly controversial therapy, mostly due to the lack of scientific explanations for its mechanisms of action. Nevertheless, acupuncture has become increasingly accepted, having spread worldwide and having become a frequently sought-after alternative therapy. In 1997, […]
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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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9:50 AM | CDC: Updated Interim PPE Guidance For HCWs Dealing With Ebola
Credit CDC   # 9225   The updated CDC guidance on donning and doffing PPEs when working with suspected or confirmed Ebola cases - which we previewed last night (see CDC Announces Stricter PPE Recommendations For Ebola) - is fleshed out in the following document posted overnight on the CDC’s Ebola web portal. When you return you’ll find a short listing of non-CDC online resources (listed on the CDC site) with experience dealing with Ebola.     […]
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9:29 AM | Biotherapeutics – a new funding scheme for research
Our latest funding scheme focuses on the emerging field of biotherapeutics – smarter cancer treatments based on cells and biological molecules.
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7:28 AM | Ergonomics and ME/CFS: Have You Hurt Yourself Without Knowing It?
Having a chronic illness like ME/CFS can make it hard to avoid problems that come from bad ergonomics. Jody Smith has learned some lessons the hard way … Ergonomics can help people to navigate in a healthy way through their world, so they are not slouching, bent funny or stuck in the same position for too long, and so they can avoid the aches, pains and problems that result from same. Ergonomics and ME/CFS may seem like strange bedfellows. And in fact, actual ME/CFS […]
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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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11:52 PM | CDC Announces Stricter PPE Recommendations For Ebola
Credit CIDRAP   # 9224   Although the full set of guidance documents have yet to make their appearance on the CDC’s website, this evening in an unusually late (7pm) press briefing, CDC Director Thomas Frieden  provided some details on the CDC’s new, tougher guidance on Healthcare Worker’s PPEs when treating suspected or confirmed Ebola cases. Dr. Frieden outlined three important upgrades to their earlier PPE recommendations: No exposed skin N95 […]
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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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4:33 PM | Saudi MOH: 2 New MERS Cases (Taif & Riyadh)
  # 9223   The uptick in MERS case in Saudi Arabia over the past six weeks continues (see Saudi MOH Statement On Recent MERS Cases In Taif & Saudi Arabia – A MERS Surge?) with the Saudi MOH announcing two more cases today – one a HCW from Taif. By my count this raises to 14 the number of cases in Taif since early September, with 4 of them being Healthcare workers.
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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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2:47 PM | Saudi MOH Statement On Recent MERS Cases In Taif
# 9221   Earlier today, in Saudi Arabia – A MERS Surge?, we looked at recent reports of MERS cases in Taif and a hospital inspection conducted yesterday by Health Minister Faqih.     Today the Saudi MOH site has posted the following statement regarding these recent cases, and the steps they are taking to address the situation.     Health Minister Reviews Response to MERS-CoV in Taif 20 October 2014 His Excellency Eng. Adel M. Fakeih, the […]
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2:00 PM | CDC Guidance: Initial Steps In Caring For A Suspected Ebola Patient
Credit FEMA   # 9220   Given the current concerns over the possibility of having another Ebola patient walk into a hospital Emergency room, Clinic, or Doctor’s office the CDC has been working on various types of guidance, and we expect updated advice on PPEs to be released in the next few days (see NIH: `More Stringent’ PPE Standards For Ebola On The Way).   While clinicians have been asked to be alert for the signs of Ebola in anyone with recent travel […]
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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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