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Drug abuse is changing fast: Old drugs are falling from favor, new ones are growingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
New psychoactive substances, mainly stimulants and cannabinoids from China sold on the internet, proliferate too quickly for anyone to keep track of them. Websites such as Erowid.org create lists of those drugs. It is all part of the rapid diversification of recreational drugs, fuelled by chemical ingenuity and by new distribution possibilities opened up by the internet. "Talk to Frank" is a British government-funded website for drug abuse prevention and treatment tips for the general public available at http://talktofrank.com The "A to Z" list of substances explains appearance and use, effects, chances of getting hook...
Source: Clinical Cases and Images - Blog - February 7, 2012 Category: Professors and Educators Tags: Drug Abuse Psychiatry Psychology Source Type: blogs

Osteoarthritis at the base of the thumb has a 15-30% prevalence in adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
What is it? Patients with osteoarthritis of the thumb carpometacarpal joint, or base of the thumb, commonly seek help for their symptoms. Arthritis at the base of the thumb causes functional disability and pain, particularly with “pinching” actions. A hand with arthritic changes. Image source: Cicadas, a Creative Commons license. How common is osteoarthritis of the thumb? The prevalence of this condition increases with age and is greatest in postmenopausal women. It ranges between 15% prevalence in adults in Finland and a 33% prevalence in postmenopausal women. This is likely to increase as populations age an...
Source: Clinical Cases and Images - Blog - February 6, 2012 Category: Professors and Educators Tags: Rheumatology Orthopedics BMJ Source Type: blogs

Microcosmos, by Brandon Broll: Awesome Scanning Electron Microscope PicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
   The following photos were forwarded to me by my husband. I am not sure where they came from originally, but they are included in Brandon Broll's book, "Microcosmos:... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TechPsych)
Source: TechPsych - February 5, 2012 Category: Professors and Educators Authors: Lynn V. Marentette Source Type: blogs

New iPad apps from Inclusive Technology!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I use resources from the HelpKidzLearn website by Inclusive Technology in my work at as a school psychologist at Wolfe School quite frequently.  The students who participate in the program at... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TechPsych)
Source: TechPsych - February 4, 2012 Category: Professors and Educators Authors: Lynn V. Marentette Source Type: blogs

Identify Methods of Promoting Healthy Living and Disease PreventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
" Researchers surveyed 183 University of Michigan Health System doctors: 102 residents and fellows and 81 attending physicians. Most said they weren't confident they could persuade patients to change their lifestyle habits. Only about one in 10 trainees and 17.3% of attending physicians were confident about counseling patients on diet and exercise." Howe et all, 2010 There are three major locations that influence the methods chosen: 1. In the Office/Hospital You control what information the patient receives vs. Physician Time; Expense of purchasing or creating resources 2. Community Resources Doesn't require a lot o...
Source: Medical Education Blog - February 2, 2012 Category: Professors and Educators Tags: CanMEDS Roles Source Type: blogs

Identify Opportunities for Advocating for Individual PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Take a moment to reflect on the cartoon on this page. Words used to describe patients can tell you a lot about how patients are viewed in your clinic/hospital. As you compare the following words used to describe patients, consider how patient centered medicine might result in improved medical outcomes? Hierarchical View undemanding difficult non-compliant whiny challenging authority Patient Centered View well informed or afraid to ask or unsure what to ask concerned, frightened or confused lacking trust or didn't understand or unable to comply frightened questioning Take a moment and think about the times you have ...
Source: Medical Education Blog - February 2, 2012 Category: Professors and Educators Tags: CanMEDS Roles Source Type: blogs

Advocate Role IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In The CanMEDS 2005 Physician Competency Framework developed by the Royal College of Physicians and Surgeons, Health Advocacy is described as: "Definition As Health Advocates, physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations. Description Physicians recognize their duty and ability to improve the overall health of their patients and the society they serve. Doctors identify advocacy activities as important for the individual patient, for populations of patients and for communities. Individual patients need physicians to assis...
Source: Medical Education Blog - February 2, 2012 Category: Professors and Educators Tags: CanMEDS Roles Source Type: blogs

Diagnosis of chronic kidney disease: When to refer to a nephrologist?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is another recent review from Am Fam Physician: Chronic kidney disease (CKD) affects 27 million adults in the U.S. It increases risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney disease (CKD). Risk factors for CKD include: - diabetes mellitus - hypertension - older age - cardiovascular disease - family history of chronic kidney disease - ethnic and racial minority status Tests for CKD: - Serum creatinine levels can be used to estimate the glomerular filtration rate (GFR) - Spot urine testing can detect pro...
Source: Clinical Cases and Images - Blog - February 1, 2012 Category: Professors and Educators Tags: Review Nephrology Source Type: blogs

First snowmobile front flip landed and winter sport trauma (video)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heath Frisby lands the first snowmobile front flip in competition: This is what happens when the things don't go as planned: Colten Moore flies 120 feet into the air and then hits the snow hard in Snowmobile Freestyle Finals... (video below). He not only survived but went on to win Winter X Games Gold later. Not all extreme winter sport champions are so lucky though, and some of them have barely escaped death, with life-altering injuries: Kevin Pearce reflects on Sarah Burke's death (USA Today). Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: ...
Source: Clinical Cases and Images - Blog - January 31, 2012 Category: Professors and Educators Tags: Sports Video Trauma Source Type: blogs

Chronic Diarrhea - Diagnostic EvaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic diarrhea is defined as a decrease in stool consistency (loose BM) for more than 4 weeks (Am Fam Physician, 2011). It can be divided into 3 categories: - watery - fatty (malabsorption) - inflammatory Watery diarrhea Watery diarrhea may be subdivided into: - osmotic - secretory - functional, e.g. IBS Watery diarrhea includes irritable bowel syndrome (IBS), which is the most common cause of functional diarrhea. Another example of watery diarrhea is microscopic colitis, which is a secretory diarrhea affecting older persons. Laxative-induced diarrhea is often osmotic. Malabsorptive diarrhea Malabsorptive...
Source: Clinical Cases and Images - Blog - January 30, 2012 Category: Professors and Educators Tags: Review Gastroenterology Source Type: blogs

Scabies - NHS patient education videoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From the NHS Choices YouTube channel: Scabies is a contagious skin infection which itches intensely. A GP talks about the causes, symptoms and treatment. From the memorable medical textbooks of the past: Medical textbooks were not always as dreary and as bland as they are now, according to BMJ. Some examples of lively, first person didactic tone come from J L Burton’s Essentials of Dermatology: "The simultaneous occurrence of scabies in a doctor and a nurse may mean that they have shared nothing more exciting than a patient with Norwegian scabies." References: Memorable medical textbooks of the past Posted at Cli...
Source: Clinical Cases and Images - Blog - January 25, 2012 Category: Professors and Educators Tags: Video NHS Infectious Diseases Source Type: blogs

The Rise of the ePatient - presentation by Pew Internet ProjectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Director Lee Rainie presented at Providence St. Joseph Medical Center in Burbank, California on January 12, 2012 on understanding social networking and online health information seeking: The Rise of the e-Patient View more presentations from Pew Research Center's Internet & American Life Project Link via via e-patients.net Here is how to facilitate the Rise of the ePhysican who works hand in hand with the ePatient: References: Social media in medicine: How to be a Twitter superstar and help your patients and your practice Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and co...
Source: Clinical Cases and Images - Blog - January 24, 2012 Category: Professors and Educators Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Presentations Social Media Source Type: blogs

Testing as a learning toolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Almost two years ago, I published an article about testing as a method of teaching in my blog The Electronic Professor. In the article, I shared my experience in using frequent online tests in my anatomy & physiology courses as a way to get students engaged with the material on an ongoing basis.Almost a year later, research published in Science further supported this idea.  Not that I needed the support . . . my own experience over several years has confirmed for me that it works.  In fact, it works VERY well in enhancing student learning.  But as a scientist, a variety of independent confirmations of a ...
Source: The A and P Professor - January 21, 2012 Category: Professors and Educators Authors: Kevin Patton Source Type: blogs

iPads: iTunesU App, iBooks Textbooks -- Oh, my!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is a lot of buzz about iPads in education.  I'm convinced that tablet technology will be adopted by schools at a faster rate than anticipated a year or so ago, now that Apple has... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TechPsych)
Source: TechPsych - January 19, 2012 Category: Professors and Educators Authors: Lynn V. Marentette Source Type: blogs

Sleepwalking: Lee's storyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From NHS Choices YouTube channel: Lee started sleepwalking at the age of four. In this video he describes his sleepwalking episodes, including doing artwork despite having no interest in art, plus the physical side effects when he wakes up. Also watch Sleepwalking in children. Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - January 18, 2012 Category: Professors and Educators Tags: Video Sleep NHS Source Type: blogs

GeekDads (and Moms with Apps)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
GeekDad's Post: The Changing Nature of App Design for Kids (quick link) The Changing Nature of App Design and Development for Kids Daniel Donahoo, GEEKDAD, Wired,  1/16/12 "During... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TechPsych)
Source: TechPsych - January 16, 2012 Category: Professors and Educators Authors: Lynn V. Marentette Source Type: blogs

---Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
How To Use Game Dynamics In The Classroom   (Cross-posted on the Interactive Multimedia Technology blog) Although the article refers to the work of Liz Gross and her... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TechPsych)
Source: TechPsych - January 16, 2012 Category: Professors and Educators Authors: Lynn V. Marentette Source Type: blogs

Which? magazine: “…high street nutritional therapists are a waste of money”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion "Dr Margaret McCartney says: ‘This investigation appears to show that high street nutritional therapists are a waste of money. If you have symptoms please see your GP, not someone who can’t diagnose accurately.’ If you’re looking for tailored dietary advice, visit a registered dietitian. " There is a discussion of this topic on the Which? magazine site. Follow-up The excellent Quackometer has posted simultaneously on the great nutritional therapy scam. 16 January 2012 The British Dietetic Association issued a press release that describes very clearly the many differences between a ...
Source: DC's goodscience - January 15, 2012 Category: Professors and Educators Authors: David Colquhoun Tags: Anti-science antiscience badscience BANT CNHC nutritional therapy Patrick Holford quackademia Thames Valley University of Westminster Academia alternative medicine Gillian McKeith nutribollocks Ofquack Westminster university Source Type: blogs

How to avoid hidden sodium - a Johns Hopkins dietitian walks through the aisles of a grocery store with you (video)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Join Johns Hopkins registered dietitian, Arielle Rosenberg, as she walks through the aisles and offers suggestions on how to lower salt intake -- but not compromise flavor. Cutting U.S. salt intake by just half a teaspoon (3 grams) a day would prevent up to 92,000 deaths, 99,000 heart attacks, and 66,000 strokes -- a benefit as big as smoking cessation. A 3-gm per day reduction in salt (1,200 mg of sodium) will result in 6% fewer new cases of heart disease and 3% fewer deaths. The average U.S. man gets about 10.4 grams a day and the average U.S. woman gets about 7.3 grams a day. 77% of the salt in the American diet come...
Source: Clinical Cases and Images - Blog - January 12, 2012 Category: Professors and Educators Tags: Video Diet Johns Hopkins Source Type: blogs

94% of Americans score at “poor” level on at least one of the 7 factors defining ideal cardiovascular healthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
More than 90% of Americans score poorly on at least one of the American Heart Association’s 7 factors defining ideal cardiovascular health. The 7 factors (with lack of a diagnosis of heart or blood vessel disease) include: - smoking status - weight - physical activity - healthy diet - cholesterol concentration - blood pressure - fasting glucose concentration The new data by CDC and NIH show that 94% of US adults score at a “poor” level on at least one of those factors and that 38% have at least 3 factors at a poor level. References: US citizens score poorly on ratings of cardiovascular risk factors. BMJ 2012; 3...
Source: Clinical Cases and Images - Blog - January 11, 2012 Category: Professors and Educators Tags: Cardiology Source Type: blogs

Depression treatment is as effective in older (over 65) as in younger adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Depression in later life, traditionally defined as age older than 65, is associated with disability, increased mortality, and poorer outcomes. Compared to younger adults with depression: - cognitive and functional impairment and anxiety are more common in older adults - older adults with depression are at increased risk of suicide Depression is associated with cognitive impairment and an increased risk of dementia. A selective serotonin reuptake inhibitor (SSRI) should be the first line pharmacological treatment for depression for most older adults. Psychological and drug treatment is as effective in older as in y...
Source: Clinical Cases and Images - Blog - January 10, 2012 Category: Professors and Educators Tags: Geriatrics Depression BMJ Source Type: blogs

Blogging is good for you - and for most people who read blogsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From The Economist: "Academic papers cited by bloggers are far more likely to be downloaded. Blogging economists are regarded more highly than non-bloggers with the same publishing record. The back-and-forth between bloggers resembles the informal chats, in university hallways and coffee rooms, that have always stimulated economic research, argues Paul Krugman, a Nobel-prize winning economist who blogs at the New York Times. But moving the conversation online means that far more people can take part. Despite the low barriers to entry, blogs do impose some intellectual standards. Errors of fact or logic are spotted, rid...
Source: Clinical Cases and Images - Blog - January 9, 2012 Category: Professors and Educators Tags: Blogging Research Source Type: blogs

Dodgy questionnaires and dubious projects: Wellbeing part 2Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Wellbeing sounds good, but a lot of money is being spent on things that won’t improve it. If you universities really wanted to improve wellbeing they would listen to Michael Marmot, and stop disempowering their employees. (Source: DC's goodscience)
Source: DC's goodscience - January 9, 2012 Category: Professors and Educators Authors: David Colquhoun Tags: antiscience Wellbeing happiness Source Type: blogs

Academic integrity in the A&P courseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
How do you prevent cheating in your A&P class?  Or do you even think about it?One of my favorite "teaching" books is What the Best College Teachers Do.  After examining diverse "master teachers," the author (Ken Bain) lists some of the characteristics most often seen in such individuals.  One of them is that master teachers do not fret much about cheating in their courses.  Instead, they seem to focus more on developing a culture in each learning community that naturally discourages dishonesty by building trust and integrity.That revelation changed the way I look at cheating in my courses.  Rat...
Source: The A and P Professor - January 7, 2012 Category: Professors and Educators Authors: Kevin Patton Source Type: blogs

Why Mayo Clinic is a power user of social media: "Our patients are doing it, so this is where we need to be"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mayo Clinic's first-ever Social Media Residency took place October 20-21, 2011. At the end of the first day, the attendees went out on a video interview assignment. Check out some of the videos they returned with. The best interest of the patient is the only interest to be considered The Mayo Clinic CEO pointed out recently that Mayo intends to be the leader in social media in healthcare but this is not about competitive advantage, it is about the patient. The best interest of the patient is the only interest to be considered. Social media makes the union of forces more broadly practical than at any time in human history...
Source: Clinical Cases and Images - Blog - January 6, 2012 Category: Professors and Educators Tags: Mayo Clinic Video Social Media Source Type: blogs

"The online version is the official journal of record, not the print edition". Start a blog in 2012Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
"The online version is the official journal of record", wrote the Editor-in-Chief and the editorial staff of Pediatrics, the official journal of the the American Academy of Pediatrics: "As we start 2012, and welcome the more than 6 million annual visitors to our journal's Web site, we remind our readers that the online version, not the shorter print edition, is the official journal of record. Is it time to do away with the print version? Probably not just yet, but it may not be long until we are heading in that direction. If you are thinking, “there are so many options to peruse and so little time!” you will find so...
Source: Clinical Cases and Images - Blog - January 3, 2012 Category: Professors and Educators Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Social Media Pediatrics New Medical Blog Source Type: blogs

Free bookmarks for your students!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As you begin another term of A&P, don't forget to stock up on those FREE eyeball bookmarks for your students!These unique "anatomically correct" first-day-of-class gifts for your students include information for your students on how to access my blog The A&P Student.  This blog has a continuously updated library of study tips for A&P, shortcuts, links to learning resources, and more.These bookmarks are available in packs of 50 to qualified A&P instructors.  And if you act now, you'll also get some fun freebies for yourself!Get your free bookmarks here: my-ap.us/99NNTx (Source: The A and P Professor)
Source: The A and P Professor - January 3, 2012 Category: Professors and Educators Authors: Kevin Patton Source Type: blogs

The demise of quackademia. Progress in the last 5 years leaves Michael Driscoll and Geoffrey Petts isolated.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jump to follow-up Since writing about anti-scientific degrees in Nature (March 2007), much has been revealed about the nonsense that is taught on these degrees. New Year’s day seems like a good time to assess how far we’ve got, five years on. At the beginning of 2007 UCAS (the universities central admission service) offered 45 different BSc degrees in quackery, at 16 universities. Now there are only 24 such degrees. If you exclude chiropractic and osteopathy, which all run at private colleges, with some sort of "validation" from a university, there are now only 18 BSc/MSc courses being offered in ei...
Source: DC's goodscience - January 1, 2012 Category: Professors and Educators Authors: David Colquhoun Tags: Academia acupuncture antiscience aromatherapy badscience BPP University CAM Central Lancashire Chinese medicine chiropractic College of Medicine corporate craniosacral Edinburgh Napier University Freedom of Information Act Ge Source Type: blogs

Paget's disease - NHS Choices videoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From the NHS Choices YouTube channel: An expert describes the various areas of the body that can be affected by Paget's disease - a condition in which the normal cycle of bone growth is disrupted. The earliest references to journal clubs are in the memoirs and letters of Sir James Paget, a British surgeon, who described a group at St. Bartholomew’s Hospital in London in the mid-1800s as “a kind of club … a small room over a baker’s shop near the Hospital-gate where we could sit and read the journals.” Sir Paget (11 January 1814 – 30 December 1899) is best remembered for Paget's disease and is considered, toge...
Source: Clinical Cases and Images - Blog - December 26, 2011 Category: Professors and Educators Tags: Rheumatology Video NHS Source Type: blogs

George Michael, still breathless after pneumonia and tracheotomy, plans a show for his doctors (video)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Video: George Michael: This has been the worst month of my life. ShowBiz411. A thin and visibly weak George Michael (48) told reporters outside his home in London that he wasn't supposed to speak for very long and was still recovering from a tracheotomy: "I got streptococca-something... It's a form of pneumonia and they spent three weeks keeping me alive basically," Michael said of the doctors in the Austrian hospital where the singer has been receiving treatment since he fell ill in November. He added that he also wanted to hold a special show for the Austrian doctors who treated him. "I've spent the last 10 days since ...
Source: Clinical Cases and Images - Blog - December 23, 2011 Category: Professors and Educators Tags: People Video Critical Care Infectious Diseases Media Pulmonology Source Type: blogs

How to Stay Active With Osteoarthritis: "Motion is Lotion"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. Daniel Montero, a sports-medicine physician within the Department of Orthopedics at Mayo Clinic in Florida discusses what kind of exercises are you should take part in if you suffer from joint pain. Remember, "motion is lotion", says Dr. Montero. Exercises you may need to avoid if you have moderate or severe osteoarthritis of the knee or hip include: - Running and jogging. The difference between how much force goes through your joints jogging or running, as opposed to with walking, is sometimes more than 10-fold your whole body weight - Jumping rope - High-impact aerobics - Any activity where, at any time,...
Source: Clinical Cases and Images - Blog - December 22, 2011 Category: Professors and Educators Tags: Mayo Clinic Rheumatology Video Orthopedics Source Type: blogs

The "Five Second Rule" doesn't workEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In case you had any doubts, the "Five Second Rule" doesn't work, says Dr. Susan Rhem, an infectious disease specialist from the Cleveland Clinic: A common superstition, the five-second rule states that food dropped on the ground will not be contaminated with bacteria if it is picked up within five seconds of being dropped (Wikipedia). Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - December 20, 2011 Category: Professors and Educators Tags: Infectious Disease Video Cleveland Clinic Source Type: blogs

Mick Jagger (68) on staying fit: "Don’t look at the clouds of tomorrow through the sunshine of today"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mick Jagger on staying fit: "You watch what you eat, you exercise, you have a bit of fun. You keep on going forward. Don’t stop. Do what makes you happy. Don’t look at the clouds of tomorrow through the sunshine of today. That’s it." In other news, you can do anything with a blog (full website and all) - the launch site of Mick Jagger's supergroup SuperHeavy is basically a blog: http://www.superheavy.com Their new hit "Miracle Worker" plays with medical terminology: "You have a medical condition. In an emergency I'm very well prepared My scalpel, mask and gloves; don't ever get too scared. No need for anesthetic...
Source: Clinical Cases and Images - Blog - December 19, 2011 Category: Professors and Educators Tags: Music Video Exercise Source Type: blogs

Controversies in COPD treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic obstructive pulmonary disease (COPD) is a chronic disorder with high mortality rates (one of the top 5 causes of death).COPD is expected to rise to the third leading cause of death worldwide by 2030. More than 25% of COPD patients have never been smokers.Some important controversies in COPD management still exist:- The classic way to define COPD has been based on spirometric criteria, but more relevant diagnostic methods are needed that can be used to describe COPD severity and comorbidity- Initiation of interventions earlier in the natural history of the disease to slow disease progression is debatable- There are ...
Source: Clinical Cases and Images - Blog - December 16, 2011 Category: Professors and Educators Tags: COPD Source Type: blogs

Open access, peer review, grants and other academic conundrumsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions We should be thinking about the following changes, Limit the number of papers that an individual can publish. This would increase quality, it would reduce the impossible load on peer reviewers and it would reduce costs. Limit the size of labs so that more small groups are encouraged. This would increase both quality and value for money. More (and so smaller) grants are essential for innovation and productivity. Move towards self-publishing on the web so the cost of publishing becomes very low rather than the present extortionate costs. It would also mean that negative results could be published easily and tha...
Source: DC's goodscience - December 16, 2011 Category: Professors and Educators Authors: David Colquhoun Tags: Academia George Monbiot Mark Walport Onora O'Neill open access peer review publishing Uncategorized acupuncture Public interest Source Type: blogs

Stress fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From a 2011 review in the journal American Family Physician:Stress fractures are common injuries in athletes and military recruits. These typically affect lower extremities.Symptoms of stress fracturesStress fractures should be considered in patients who present with tenderness and/or edema after a recent increase in activity or repeated activity with limited rest.The Barefoot Professor says barefoot running could minimize injuries although this approach is still experimental:The differential diagnosis of stress fractures includes:- tendinopathy- compartment syndrome- nerve or artery entrapment syndrome- medial tibial stre...
Source: Clinical Cases and Images - Blog - December 14, 2011 Category: Professors and Educators Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Rheumatology Orthopedics Source Type: blogs

Best Tweets - Selection of Twitter FavoritesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Being a SuperHero has its drawbacks RT @Bongi1: Just about to fly to cape town just to turn around and fly back.— GruntDoc (@gruntdoc) December 13, 2011This is amusing: Amy Chua's "Battle Hymn of the Tiger Mother" was sold in China as "Being an American Mom." bit.ly/vI0zNo #hardcore— Heidi N. Moore (@moorehn) December 11, 2011Chickens' water keeps freezing. I propose adding vodka to it. I have been overruled. Something about killing them.— Robert Silge, MD (@DoctorMac) December 10, 2011Walked by a minor car accident earlier & a cop said to passersby: "Nothing to TWEET here, move along now."— Nick Bilton (@nickb...
Source: Clinical Cases and Images - Blog - December 14, 2011 Category: Professors and Educators Tags: Twitter Source Type: blogs

Factors that Promote Positive Adaptation to Stress and AdversityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The phenomenon of resilience reflects positive adaptation despite contexts of risk, adversity, or trauma.Factors that promote positive adaptation to stress and adversity include the following:- self-esteem- optimism- internal control- coping aimed at acceptance- coping aimed at seeking emotional support- social contactsTips for managing stress (2-minute BBC video):- Take a few deep breaths- Get plenty of exercise- Socialize - don't stress alone, talk to someone and have a laugh- Get out - go to the parkRead more: http://www.bbc.co.uk/scotland/brainsmartReferences:Psychological and Social Factors that Promote Positive Adapt...
Source: Clinical Cases and Images - Blog - December 13, 2011 Category: Professors and Educators Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Psychology Stress Source Type: blogs

Headache subtypes: 30-year prospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This BMJ study included 590 people aged 19-20 from a cohort of 4,500 residents of Zurich, Switzerland, interviewed 7 times across 30 years of follow-up.The one-year prevalence of subtypes of headache were:- 1% (female:male ratio of 2.8) for migraine with aura- 11% (female:male ratio of 2.2) for migraine without aura- 11% (female:male ratio of 1.2) for tension-type headacheThe cumulative 30-year prevalence of headache subtypes were:- 3% for migraine with aura- 36% for migraine without aura- 29% for tension-type headacheDespite the high prevalence of migraine without aura, most cases were transient and only 20% continued to ...
Source: Clinical Cases and Images - Blog - December 2, 2011 Category: Professors and Educators Tags: Neurology BMJ Source Type: blogs

Wardround 2xii11Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Our Topic for discussion this week was Driving and Medical illness with regard to the DVLA medical regulations. It was instructive to look how these would impact on patients on the ward.One way to bring driving history into our routine assessments is to regard driving as part of our ambulation/motility questions. If it is missed during initial clerking it should then come up as we approach discharge planning.The DVLA has its at a glance guide which can be easily assessed but a good aide memoire for fitness to drive at patient.co.uk.I missed the discussion about avoiding finding yourself out of your dept...
Source: MJM Wardrounds - December 2, 2011 Category: Professors and Educators Source Type: blogs

Cleveland Clinic calls "Code Lavender" to improve patient satisfactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From the WSJ:How patients feel they were treated has always colored their opinions of a hospital. Now, those feelings are being factored into how hospitals get paid.The Cleveland Clinic CEO, Dr. Cosgrove, says that in his own days as a top cardiac surgeon, he focused so intently on reducing complications from cardiac procedures that he gave little thought to the feelings or experiences of patients.Times have changed dramatically since then. The Cleveland Clinic has launched a program known as HEART - for hear the concern, empathize, apologize, respond and thank—that empowers employees to handle patient concerns from the ...
Source: Clinical Cases and Images - Blog - November 29, 2011 Category: Professors and Educators Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Video Cleveland Clinic Source Type: blogs

Caffeine strengthens synapsesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Can caffeine help us learn A&P (or anything else)?  Can it improve our memory?Recent research published in Nature Neuroscience this week suggests that the answer may be yes.  In animal studies, caffeine strengthened synaptic connections in the hippocampus of the brain.  That's not enough to demonstrate that caffeine will be an effective learning enhancer . . . but is does suggest the possibility.We've been talking about synapses and memory in our A&P 1 course recently, so I thought you might also.  And perhaps want to drop in this tidbit about the latest research.Next time our students ask how t...
Source: The A and P Professor - November 29, 2011 Category: Professors and Educators Authors: Kevin Patton Source Type: blogs

Acute altitude illnessesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This summary is based on a recent BMJ review:Acute altitude illnesses include:- high altitude headache- acute mountain sickness- high altitude cerebral edema- high altitude pulmonary edemaTypical scenarios in which such illness occurs include:- a family trek to Everest base camp in Nepal (5,360 m)- a fund raising climb of Mount Kilimanjaro (5,895 m), shown in the map below- a tourist visit to Machu Picchu (2,430 m)View Larger MapHigh altitude headache and acute mountain sickness often occur a few hours after arrival at altitudes over 3,000 meters.Occurrence of acute mountain sickness is reduced by slow ascent. Severity can...
Source: Clinical Cases and Images - Blog - November 28, 2011 Category: Professors and Educators Tags: BMJ Source Type: blogs

The cruelty of the Burzynski Clinic must be stopped. Come on, Marc Stephens, make my dayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jump to follow-up The offering of quack cancer treatments at an exorbitant price is simple cruelty. The nature of the Burzynski clinic has been known for some time. But it has come to a head with some utterly vile threatening letters sent to the admirable Andrew Lewis, because he told a few truths about Stanislaw Burzynski’s despicable outfit. Please read his original post, The False Hope of the Burzynski Clinic. I have to add by two-pennorth worth to the row that has blown up in the blogosphere at the outrageous behaviour of Burzynski. I hope other bloggers will do the same. There is safety in numbers. We need a St...
Source: DC's goodscience - November 26, 2011 Category: Professors and Educators Authors: David Colquhoun Tags: Burzynski CAM cancer Cancer act fraud alternative medicine antiscience badscience defamation FDA quackery Source Type: blogs

Wardround 25xi11Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reading for TuesdayHow to Handle Being Out of Your Depth: 6 Tips from a Con ManCan be found on website www.artofmanliness.comTwo minute talks for FridayIf each of the patients on today’s wardround had asked “can I drive when I go home?” what would be the answer?Have a look at the DVLA guidance on driving and tell us what you have learnedClinical QuestionHow common are serious infusion reactions with Infliximab and how should they be managed?Review and Expert Opinion on Prevention and Treatment of Infliximab-related Infusion Reactions. Medscape. LLA Lecluse, et alAudit questionIf patients have a condition that would r...
Source: MJM Wardrounds - November 25, 2011 Category: Professors and Educators Source Type: blogs

Mind/Shift Post: Read, Hear, or Create a Story: Apps for Traveling with Kids", plus a few interesting links!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Today is Thanksgiving, and one of the things I'm thankful for is the opportunity to share interesting ideas and links with readers of this blog! (Cross-posted on the Interactive Multimedia Technology... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TechPsych)
Source: TechPsych - November 24, 2011 Category: Professors and Educators Authors: Lynn V. Marentette Source Type: blogs

Linaclotide for treatment of constipation - minimally absorbed peptide agonist of guanylate cyclase C receptorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Linaclotide is a minimally absorbed peptide agonist of the guanylate cyclase C receptor. It consists of 14 amino acids. The sequence is:H–Cys1–Cys2–Glu3–Tyr4–Cys5–Cys6–Asn7–Pro8–Ala9–Cys10–Thr11–Gly12–Cys13–Tyr14–OHTwo randomized, 12-week trials included 1,300 patients with chronic constipation (NEJM, 2011). Patients received either placebo or linaclotide once daily for 12 weeks.The incidence of adverse events was similar among all study groups, with the exception of diarrhea, which led to discontinuation of treatment in 4.2% of patients in linaclotide groups.Linaclotide reduced bowel and abdo...
Source: Clinical Cases and Images - Blog - November 23, 2011 Category: Professors and Educators Tags: Gastroenterology Source Type: blogs

A blog can help your career - and even if it doesn't, it's still good for youEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From CNN:There is strong evidence that people who use their blog as a career tool do better. In 2005, a Pew survey found that people who blog are generally higher earners. People who use social media end up finding jobs that are a better fit.Changing your career and skipping entry-level positions can be easier if you have a blog.Most importantly, a blog is a great platform for networking. Just look at this picture from the annual CME meeting Essentials of EM 2011.A blog is a good way to meet other people who think like you do and who are in your field. It helps you to make real connections with them based on ideas and pass...
Source: Clinical Cases and Images - Blog - November 22, 2011 Category: Professors and Educators Tags: Blogging Career Source Type: blogs

Touch sense is enhanced by deafness geneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Voltage-gated K+ channel protein KCNQ4We recently discussed the role of ion channels in membrane potentials of excitable cells in my A&P class.  I don't think my students believe me when I say that ion channels are a "hot area" of neuroscience research and that understanding them better will lead to all kinds of new insights about how our nervous system works.Well, today in Nature Neuroscience researchers reveal that a gene for a protein in voltage-gated potassium channels in sensory cells that is mutated in a form of progressive deafness is also responsible for helping us sense vibration in the skin.  W...
Source: The A and P Professor - November 21, 2011 Category: Professors and Educators Authors: Kevin Patton Source Type: blogs

"Family practitioners in the US are facing extinction. In their place must come nurse-practitioners" - The LancetEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From the Lancet review of the University of Pennsylvania nursing school:Family practitioners in the US are facing extinction. In their place must come nurse-practitioners. Nurses are better educated to navigate and refer patients to specialists. They don't have any illusions about managing complex illness. Their lower threshold for referral means less risk of missing diagnoses or delaying expert care.This is one vision for nursing to be found at the University of Pennsylvania's extraordinary School of Nursing. I'm not sure if this is the best model for primary care in the U.S. What do you think?References:Offline: Nursing,...
Source: Clinical Cases and Images - Blog - November 18, 2011 Category: Professors and Educators Tags: Lancet Source Type: blogs