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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 38.

Diabetes Drugs: GLP-1 Agonistsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
curious fact that has been known almost since the discovery of insulin is that glucose taken by mouth stimulates insulin secretion to a greater degree than glucose that is injected straight into the bloodstream. Researchers theorized that a hormone might be released by the gastrointestinal tract in response to glucose that was able to stimulate insulin secretion above and beyond that stimulated by glucose alone. This then-undiscovered hormone was called "incretin," since it seemed to stimulate insulin production...
Source: Diabetes Self-Management - September 11, 2009 Category: Diabetes Authors: Mark Marino Source Type: blogs

UK Health News 09/11/2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Child poverty reduced if both parents work – The Guardian 11th September 2009 Both parents in families living below the breadline will be urged to go to work to lift their children out of poverty, one of the ministers responsible for developing the government’s child poverty strategy said yesterday. Conceding that it was now unlikely New Labour’s pledge to halve the number of children living in poverty by 2010 would be met, the financial secretary, Stephen Timms, said the state of the economy had forced the government to rethink how best to fulfil the longer term goal of eradicating child poverty in the U...
Source: Fade Library - September 11, 2009 Category: Medical Librarians Authors: western4uk Tags: Another 15 Minutes ... Health News from Fade Mass Media Source Type: blogs

What’s Really in Supplements?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Regulators and Physicians Raise Alarms About Dangerous Ingredients in Many Herbal Remedies From WSJ.com: When Dan Gerkey was trying to get into better shape a few years ago, he tried out a dietary supplement from a local store that promised to help build his strength. At first, the stuff worked. But after several weeks the police officer, who lives in Fraser, Mich., started feeling exhausted, and his wife noticed a yellowish tinge in his eyes. Soon, Mr. Gerkey’s skin also yellowed, and it itched so fiercely that taking a shower or pulling on his socks became agonizing. Eventually, a liver specialist at Henry Ford Hea...
Source: Renegade Neurologist - A Blog by David Perlmutter, MD, FACN - September 10, 2009 Category: Neurologists Authors: Dr. Perlmutter Tags: Heads Up Source Type: blogs

Phillip Warnell will swallow a pill camera in Copenhagen on Sundayemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Bente and her crew are right now making the last preparations for the next public event here at Medical Museion, viz. Phillip Warnell’s performance ENDO-ECTO on Sunday, 13 September, at 2pm. In front of the audience in the old anatomical theatre, Phillip will swallow a  pill camera — and gastroenterologist Simon Anderson, London, will be our guide on the camera’s journey through Phillip’s gastrointestinal tract. The event is an extension of the theme in one of the rooms in our current temporary exhibition ‘Split+Splice: Fragments From the Age of Biomedicine’, which opened in Jun...
Source: Biomedicine on Display - September 9, 2009 Category: Medical Scientists Authors: Thomas Tags: art and biomed displays/exhibits public outreach recent biomed visualization Source Type: blogs

UK Health News 09/08/2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
‘Not enough NHS beds’ for second swine flu wave – The Guardian 8th September 2009 The NHS may not have enough intensive care beds to cope if a second wave of swine flu hits the country, the Conservative party claims today. Hospitals are already at “breaking point” and having to close critical care beds to new admissions for large parts of the year, shadow health secretary Andrew Lansley says. tags: H1N1, Pandemic, Influenza, Critical Care, Strategic Planning, Demand, Health, News, UHN, The Guardian Additional Stories NHS ‘not ready for second outbreak’ – The Guardian 8th Sep...
Source: Fade Library - September 8, 2009 Category: Medical Librarians Authors: western4uk Tags: Another 15 Minutes ... Health News from Fade Mass Media Source Type: blogs

Inflammation And Infections Accelerate Alzheimer's Disease?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
More evidence that inflammation contributes to the development of Alzheimer's. The study found that people who had respiratory, gastrointestinal or other infections or even bumps and bruises from a fall...
Source: FuturePundit - September 7, 2009 Category: Health Medicine and Bioethics Commentators Authors: Randall Parker Tags: Brain Alzheimers Disease Source Type: blogs

Prescription Acid-Reducing Drugs Produce Heartburn and Dependencyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In a study of acid-suppression drugs, healthy adults with no previous symptoms developed "heartburn, acid regurgitation and dyspepsia" after a course of the drugs. Forty percent of 120 volunteers taking anti-heartburn drugs called proton pump inhibitors (PPIs) had a rebound increase in gastric acid secretion, resulting in acid levels above their starting levels. Study - "Proton-pump inhibitor...
Source: The Fitness Fixer - September 7, 2009 Category: Physicians With Health Advice Authors: Jolie Bookspan, M.Ed, PhD, FAWM Source Type: blogs

Cooling Down Heartburnemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Almost 60% of America at least sometime during the year experience heartburn, according to the American Gastroenterological Association.Contributor: Gerald McLeodPublished: Sep 05, 2009
Source: Most Recent Health Wellness - Associated Content - September 5, 2009 Category: Other Conditions Source Type: blogs

Diabetes Drugs: Alpha-Glucosidase Inhibitorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Alpha-glucosidase inhibitors, a class of drugs also known as “starch blockers,” function by slowing the absorption of certain carbohydrates in the gastrointestinal tract. Two drugs in this class — acarbose (brand name Precose) and miglitol (Glyset) — are approved in the United States, while two others — voglibose (Volix and others) and emiglitate — are available only outside of the United States...
Source: Diabetes Self-Management - September 4, 2009 Category: Diabetes Authors: Mark Marino Source Type: blogs

Some antibiotics can cause double visionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
From LATimes.com: Add one more side effect to the growing list of adverse events associated with the family of antibiotics known as fluoroquinolones: double vision. The powerful drugs are widely used to treat infections, including bacterial or chronic bronchitis, pneumonia, sinusitis, urinary infections and some skin infections. But they have been associated with a wide variety of side effects, including tendinitis (an inflammation of tendons) and tendon rupture, gastrointestinal problems, liver damage, central nervous system problems and skin phototoxicity. Although most of the side effects have been mild and self-limitin...
Source: Renegade Neurologist - A Blog by David Perlmutter, MD, FACN - September 4, 2009 Category: Neurologists Authors: Dr. Perlmutter Tags: Heads Up Source Type: blogs

Horizontal and Vertical Integration of Diagnostics into Healthcare Processesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Integrated diagnostics can be defined as the integration of the diagnostic activities of specialties such as pathology, lab medicine, and pathology into related healthcare processes such as therapeutics (see for example: Siemens' Pursuit of an Integrated Diagnostics Portfolio; The Evolution of Integrated Diagnostics into Integrated Diagnostic Centers). This goal is pursued in order to get beyond the "diagnostic silos" that are the norm today. By this latter term, I mean that the various diagnostic professionals work independently to generate their reports but, of course, frequently refer to the previously pub...
Source: Lab Soft News - September 3, 2009 Category: Pathologists Authors: Bruce Friedman Tags: Anatomic Pathology Clinical Lab Testing Healthcare Solutions Other than Lab Imaging Other Than Pathology Lab Processes and Procedures Surgical Pathology Source Type: blogs

Guideline adherence in the treatment of dyspepsiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Gastroenterologists are more likely than PCPs to comply with best practices in dyspepsia, although compliance remains incomplete in both groups. PCPs harbour more concerns regarding long-term PPI use and these concerns may affect therapeutic decision making. This suggests that best practices have not been uniformly adopted and persistent guideline-practice disconnects should be addressed. As revealed by the study, one of the causes of guideline-practice disconnects is concern over adverse effects. What may be less clear is whether this is appropriate concern or over reaction to hype. Of course PPIs have long te...
Source: Notes from Dr. RW - September 2, 2009 Category: Internists and Doctors of Medicine Source Type: blogs

Let’s Talk About…Vitamin B12email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Have you ever had your vitamin B12 levels checked? Do you know what vitamin B12 is? One of the B vitamins, it’s found in dairy products, meat, fish, and shellfish. It’s an essential part of the human diet because it: nourishes your nerve cells nourishes your red blood cells helps make DNA (genetic material) Vitamin B12 deficiency Without vitamin B12, you can end up with: a poor appetite weight loss tingling or numbness in your hands and feet difficulty walking memory loss irritability depression pallor shortness of breath dimentia Because many of these symptoms can also be signs of other disorders, itR...
Source: A Hearty Life - September 2, 2009 Category: Nurses Authors: Marijke Durning, RN Tags: Diseases & Conditions vitamin B12 deficiency Source Type: blogs

Paternalism and "Patient Beware" Messages Hit DTC Genomic Testingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Or a man told he lacks genes linked to an elevated risk of heart disease might decide to smoke, eat lots of salt and saturated fats, avoid exercise or develop a large paunch, any of which could overcome his supposed genetic protection. “It’s important to separate hope from hype,” Dr. Jennifer House, president of the March of Dimes, said at a recent meeting of its national communications advisory council. “Direct-to-consumer genetic testing is a buyer-beware market. Consumers need to be very, very cautious.”She said that in addition to a possible waste of money — the cost of genetic testing ranges from about $30...
Source: Health Management Rx - September 1, 2009 Category: Health Managers Source Type: blogs

Can Weight Loss Surgery Break Family Cycle?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
It’s not unusual to see that at least one parent of an obese child is obese as well.  While some of this may be environmental (diet and lifestyle), research is pointing to genetic and intra-uterine (during pregnancy) factors as well. An interesting study undertaken by American and Canadian researchers, and will be published in the next issue of Journal of Clinical Endocrinology & Metabolism (JCEM), has found that children of women who were conceived after their mother had weight loss surgery had a lower incidence of obesity than siblings who were born before she had the surgery. The researchers looked at 49 wome...
Source: A Hearty Life - September 1, 2009 Category: Nurses Authors: Marijke Durning, RN Tags: Diseases & Conditions biliopancreatic diversion BPD gastric weight loss surgery obese obsesity Source Type: blogs

New Guidelines for Hoarsenessemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Just about all of us have experienced a hoarse voice at one time or another. Whether it’s from shouting too loud at a party or a bad cold, the hoarseness can run from a husky quality to downright annoying. Many times, being hoarse means not being able to work. If you depend on your voice to work, if you can’t talk, you can’t work. This results in lost income for you and likely for your employer. Safety is another issue. When my children were young, I had a severe case of hoarseness and could barely be heard when there was no background noise, let alone in a crowd. I was shopping with my three young childr...
Source: A Hearty Life - September 1, 2009 Category: Nurses Authors: Marijke Durning, RN Tags: Diseases & Conditions dysphonia hoarse voice hoarseness Rachel-Ray Source Type: blogs

Aspirin not to be routinely taken by the healthyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I have seen local community forums where lay persons are advising others to take aspirin like “multivitamins” to prevent strokes and heart attacks. We do not have sound evidence for doing so in the healthy population. In fact indiscriminately popping low dose aspirin would probably result in seeing more bleeding complications. Recent research from Britain shows that Aspirin does more harm than good in healthy people At a conference for leading doctors, British scientists said they have found that for healthy people taking aspirin does not significantly reduce the risk of a heart attack. At the same time they f...
Source: Malaysian Medical Resources - August 31, 2009 Category: Health Medicine and Bioethics Commentators Authors: Palmdoc Tags: - Health tips - Medical Updates - Palmdoc aspirin bleeding Coronary heart disease gastrointestinal Prevention strokes Source Type: blogs

"A Dose of Controversy": More like a dose of equivocationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study, aided and abetted by truly irresponsible journalism, launched a panic in the U.K. that is only now starting to abate. In the interim, measles, once thought conquered, has become endemic again in the British Isles. In any case, it matters not to the anti-vaccine movement that (1) his study was poorly designed and utterly refuted by later studies; (2) it was revealed that Wakefield received £435,643 in fees, plus £3,910 expenses from lawyers trying to show that the MMR was unsafe; (3) the PCR laboratory that Wakefield used was so poorly run that it apparently had no knowledge of the concept of a negative contro...
Source: Respectful Insolence - August 31, 2009 Category: Surgeons Tags: Entertainment/culture Source Type: blogs

"A Dose of Controversy": More like a dose of hero worshipemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study, aided and abetted by truly irresponsible journalism, launched a panic in the U.K. that is only now starting to abate. In the interim, measles, once thought conquered, has become endemic again in the British Isles. In any case, it matters not to the anti-vaccine movement that (1) his study was poorly designed and utterly refuted by later studies; (2) it was revealed that Wakefield received £435,643 in fees, plus £3,910 expenses from lawyers trying to show that the MMR was unsafe; (3) the PCR laboratory that Wakefield used was so poorly run that it apparently had no knowledge of the concept of a negative contro...
Source: Respectful Insolence - August 31, 2009 Category: Surgeons Tags: Entertainment/culture Source Type: blogs

Good Doc or Nice Docemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I have now escaped the hospital (actually did it about a week ago). The whole 4.5 days I was there, all I really ever wanted was to go home. And I made no bones about it. I showed up in the emergency room, and asked the ED doc for some iv fluids and some zofran, and told her that I didn't need any more than that, I didn't think, and that I would just leave. She offered me some narcs, I declined. She offered me a ct scan, I declined, and then she said, "will you at least please stay for some labs and for me to curbside gi on how to get you in to see someone before next februrary?", and I agreed. Then, she walked away, for a...
Source: Midwife with a Knife - August 30, 2009 Category: Obstetricians and Gynecologists Tags: doctor as patient IBD Me whining prednisone sucks Source Type: blogs

Raw Milk In The Spotlight Againemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
August 29, 2009The Wisconsin Department of Agriculture, Trade and Consumer Protection reported yesterday that thirteen people in the southeastern part of the state have been infected with Campylobacter jejuni, a bacterium that causes gastroenteritis. Victims of Campylobacter jejuni infections occasionally suffer from a secondary infections and other serious complications.All thirteen victims of the current outbreak in Wisconsin became ill between August 14th and August 20th, and reported either consuming unpasteurized milk or were in households where someone else had consumed raw milk and was sick. Additional cases are sti...
Source: eFoodAlert.com - August 29, 2009 Category: Nutritionists and Food Scientists Tags: Campylobacter raw milk food poisoning dairy Source Type: blogs

Critical appraisal of research articlesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
As clinicians, we must be able to screen and then critically appraise research articles that will help us practice evidence-based medicine and, hopefully, take better care of our patients. More importantly, journal editors have a duty to do be diligent in adequately analyzing the papers submitted to them for review. This burden for editors is even more critical for us given the conflict between the limited time available for reading journals and integrating relevant articles for use in one's daily practice, the exploding volume of articles and journals and other new media (like blogs!), and our insufficient tools and s...
Source: The Daily Sign-Out - August 28, 2009 Category: Pathologists Authors: Mark D. Pool, M.D. Tags: Evidence-based medicine Source Type: blogs

Do drug companies and the pharma industry deserve to be villains?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
by Michael Kirsch, MD Demonizing the pharmaceutical industry has become a parlor game for many who enjoy the challenge of shooting at an oversized target. Scapegoating Big Pharma? Now, that takes guts. Never mind the gazillions they spend on research and development to create tomorrow’s treatments for cancer, arthritis, depression, infectious diseases, heart attacks and strokes. I know that drug industry executives are not all eagle scouts whose mission is solely to save humanity. But, they are not an evil enemy that we need to contain like the “swine flu” pandemic. Sure, they make a profit, and they deserve ...
Source: Kevin, M.D. - Medical Weblog - August 28, 2009 Category: Family Physicians Authors: Kevin Tags: Drugs and Pharma Source Type: blogs

Therapeutic Cloning Takes A Big Step Forwardemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Leber’s Hereditary Optic NeuropathyLeigh SyndromeMyoneurogenic Gastrointestinal EncephalopathyWhat do these disorders have in common? They are all mitochondrial diseases.What is a mitochondrial disease? Mitochondria are the parts of a cell that are responsible for generating energy. Mitochondria contain DNA, just like the nucleus does. Mutations in mitochondrial DNA can cause them not to function correctly, and some of these mutations cause the diseases listed above (and others).When a baby is conceived, we think of the baby’s DNA as coming half from the mother and half from the father. That is true for the DNA in the ...
Source: Doctor David's Blog - August 27, 2009 Category: Oncologists Tags: Stem Cell Research General Medicine Ethics Breaking News Source Type: blogs

Update: August 27, 2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
GIDEON what's new: August 23 to August 27, 2009 Infectious Diseases - Outbreaks Dengue Sri Lanka, Vietnam Escherichia coli diarrhea United Kingdom Japanese encephalitis India Infectious Diseases - Diseases Clinical Database Updated Animal bite wound infection Adenovirus infection Belgium Aeromonas & marine Vibrio infx. Haiti, Mexico Animal bite wound infection < Worldwide > Anthrax Argentina, Kyrgyzstan Campylobacteriosis Clinical Notes Crimean-Congo hemorrhagic fever Kazakhstan Cysticercosis Uganda Dengue Cambodia, Sri Lanka, Vietnam Enterovirus infection Greece Escherichia coli ...
Source: GIDEON blog - August 27, 2009 Category: Databases & Libraries Authors: Steve Berger Tags: What's New Source Type: blogs

Obesity Linked to Reflux Diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Do we need yet another reason to lose weight? A new study reveals that obesity is linked to GERD, or gastroesophageal reflux disease. The appearance of GERD has increased steadily over the last few years, just like obesity. Now, almost “1 in 5 people have the disease.” This research makes sense when you consider that the same types of eating contribute to obesity and GERD both. Here’s the kicker, however. Even if you lose weight, it won’t help GERD unless you’re in the earliest stages of the disease. The only true prevention is to not become obese in the first place. However, there are plenty...
Source: A Hearty Life - August 27, 2009 Category: Nurses Authors: Cherie Burbach Tags: Diseases & Conditions causes of reflux disease dangers of obesity gastroesophageal-reflux-disease obesity and gerd Source Type: blogs

Ovarian cancer : GPs accused of murder by gutter pressemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
More of this at "The Natflap"It's enough to make one wish that the Times did "bum and tit" on page three like their red top colleagues. Mind you, it probably won't be long before they do. The Times is not the paper it was, but I have read it ever since the personal adverts were on the front page. It's become a bit like the lavatory. Where else is there to go?Today, on page three, the Times accuses me of negligence, incompetence and, in American terms, culpable homicide. What have I done? I have ignored the symptoms of women who have ovarian cancer.As I drove into work, I could recall two patients of mine, both now dead, wh...
Source: NHS Blog Doctor - August 26, 2009 Category: Health Medicine and Bioethics Commentators Tags: ovarian cancer slagging off GPs gutter journalism Source Type: blogs

Ulcerative Colitis in pregnancyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Inflammatory bowel disease in pregnancy Effects of disease on pregnancy Fertility-fertility isn't affected in quiescent disease.Ulcerative colitis- Fertility is little affected in active disease except for severe diseaseCrohn's - infertility correlates with disease activity. Fetal outcome:First trimester-rates of abortion in patient with pre-existing IBD is similar to general population.Fetal outcome is generally good (80%) in quiescent disease but increased risk of preterm labour & small for gestational birth could occur, especially in active disease. Drug Therapy on fertilityFemale-no effectMale-Sulphasalazine revers...
Source: MRCOG FACTS - August 25, 2009 Category: Obstetricians and Gynecologists Authors: Ravi Source Type: blogs

The Workbook (III).email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A topic that I believe is well suited for The Workbook is suicide. What if we didn’t do anything about suicide? (I won’t even elaborate on what I mean by that, mainly because I’m not sure what all I mean by that.) I am, however, intimidated by the complexity of this subject. My line of work, after all, is that of a psychiatrist, and not that of an ethicist. (But isn’t that interesting in of itself? Should psychiatrists receive more training in ethics? And, no, I’m not referring to the sticky relationships some psychiatrists have had with pharmaceutical companies. Nor am I referring to the few...
Source: intueri: to contemplate - August 25, 2009 Category: Psychiatrists and Psychologists Authors: Maria Tags: Uncategorized Source Type: blogs

Collaborative conversationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
by Dr. Kenneth H. Cohn The purpose of this post is to summarize conversations that I have had with three physicians this summer about healthcare reform. I feel blessed to have a group of friends from medical school who rent a house on Cape Cod every July and to their spouses for making it happen. As baby boomers who still view the practice of medicine as a calling, we recognize that many Gen-Xers do not see the world the same way. As an instructor for the seminar Non-Clinical Careers for Physicians, I can attest that the majority of attendees are Gen-Xers, who are looking for opportunities that provide intellectual stimu...
Source: hospital impact - August 25, 2009 Category: Health Managers Authors: hospitaltony Source Type: blogs

Functional foods play a role in consumer-driven health careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Americans spend nearly $30 billion on functional foods, according to Leveraging growth in the emerging functional foods industry, from PricewaterhouseCoopers (PwC).Functional foods are those that contain supplements beyond food that's consumed for basic nutrition. They incorporate additional ingredients that target specific health benefits.PwC believes that the U.S. represents the largest functional foods market in the world, up to one-half of global sales. 20 companies account for 70% of the U.S. market. Many of these names are very familiar, such as PepsiCo (with Gatorade and Quaker), Coca-Cola (Vitamin Water and Odwalla...
Source: Health Populi - August 25, 2009 Category: Health Managers Source Type: blogs

Can Existing Breast Clinics Evolve into Integrated Diagnostic Centers?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I started blogging about Integrated Diagnostic Centers (IDCs) (see: A Call for the Development of Integrated Diagnostic Centers) as an offshoot of my interest in the merger of pathology, lab medicine, and radiology. Radiologists with clinicians have a long history of developing multidisciplinary diagnostic breast clinics. Michael Legg, one of my hosts at the Health Informatics Conference (HIC) just completed in Canberra, called my attention to the Sydney Breast Clinic which has been in operation since 1978. Its multidisciplinary physician team consists of breast surgeons, breast physicians (i.e, internists), and radiologis...
Source: Lab Soft News - August 25, 2009 Category: Pathologists Authors: Bruce Friedman Tags: Healthcare Business Imaging Other Than Pathology Lab Processes and Procedures Laboratory Industry Trends Surgical Pathology Source Type: blogs

UK Health News 08/25/2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Doctors may refuse swine flu vaccine – The Guardian 24th August 2009 Several studies suggest up to 60% of GPs would oppose being immunised because they are concerned the safety trials will be rushed tags: H1N1, Influenza, Pandemic, Immunisation, Primary Care, Medical Staff, Health, News, UHN, The Guardian Additional Stories One third of doctors do not want swine flu vaccination – Daily Telegraph 25th August 2009 Half of GPs refuse swine flu vaccine over testing fears – Daily Mail 25th August 2009 ‘Dramatic’ breakthrough in MS research – The Guardian 24th August 2009 Scientists find a ...
Source: Fade Library - August 25, 2009 Category: Medical Librarians Authors: western4uk Tags: Another 15 Minutes ... Health News from Fade Mass Media Source Type: blogs

Bad Blogger Mathematics.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
…Alternately entitled We Weren’t Quite Done with The Gastro and THIS Time LS Copped It. Alternately Alternately entitled I Find Above Events Perversely Amusing Because I Am Clearly A Sadist.
Source: Mission: Impossible (or adventures in infertility, pregnancy....parenting?) - August 24, 2009 Category: Infertility Authors: g Tags: Babies I am an ass too Source Type: blogs

Malpractice defense: tPA Administration Leads to Brain Hemorrhageemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In addition to my consulting work and writing the Health Business Blog, I’m chairman of the board of Advanced Practice Strategies, a medical risk management firm that provides litigation support for malpractice defense and an eLearning curriculum focused on enhancing patient safety. Here’s the Advanced Practice Strategies case of the month. For previous examples see Fetal assessment and response,  Stroke after lung surgery and Coronary artery disease vs. medication administration. Illustrated Verdict by APS Every month APS’s Demonstrative Evidence Group shares case examples from our archives to show how a v...
Source: Health Business Blog - August 24, 2009 Category: Health Managers Authors: David E. Williams of the Health business blog Tags: Physicians Source Type: blogs

Wine and Heart Diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This review from Michael Apstein, MD, a gastroenterologist at Beth Israel Deaconess Medical Center in Boston and an assistant professor of medicine at Harvard Medical School, is one of the better reviews I've seen in a while regarding the associations, and proof, of wine's effects on the heart.-WesMusings of a cardiologist and cardiac electrophysiologist.
Source: Dr. Wes - August 24, 2009 Category: Internists and Doctors of Medicine Tags: heart wine Source Type: blogs

Epstein-Barr Virusemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(EBV) is a human gamma herpes virus that is best known for being the causative agent of infectious mononucleosis in man. A fascinating feature of this virus is its ability to persist in the host and it is estimated that more than 95% of adults are carriers of the virus. Importantly, EBV can transform latently infected primary cells from healthy individuals into cancerous ones, thereby causing important human cancers such as B-cell neoplasms (e.g. Burkitt's lymphoma and Post-transplant lymphomas), certain forms of T-cell lymphoma, and some epithelial tumours (e.g. gastric carcinomas). Understanding viral latency, what trig...
Source: Microbiology Blog: The weblog for microbiologists. - August 24, 2009 Category: Microbiology Tags: infectious mononucleosis Epstein Barr Virus EBV Burkitt's lymphoma Source Type: blogs

Why Future Net Negative Impacts of Global Warming Are Overestimated: Response to Conor Clarke, Part IVemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This post responds to the last of Conor Clarke’s comments on my study, “What to Do About Global Warming,” published by Cato. This series started with the imaginatively titled, Response to Conor Clarke Part I, and continued with Cherry Picking Climate Catastrophes and  Do Industrialized Countries Have a Responsibility for the Well-Being of Developing Nations? CONOR said: I think Goklany is a bit picky and choosey with the evidence. … I also like the Goklany paper a lot. [THANK YOU!! I'll take whatever I get.] But in this case it’s hard to resist. [Emphasis in original.] To take one example (of several), G...
Source: Cato-at-liberty - August 23, 2009 Category: Health Medicine and Bioethics Commentators Authors: Indur Goklany Tags: Energy and Environment Regulatory Studies Source Type: blogs

Home Rehabemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Friday we tried Ellie on clear fluids (pedialyte) at a very slow rate of (20 ml and hour) to see how her system would react to something going down for the first time in more than a week. After an overnight at this rate Abby checked her stomach contents and found that she still had 170 ml in her stomach, a sign that things weren't working and a bit of depressing news to us. Checking stomach contents is quite simple with Ellie's g-tube. Simply attach the extension to her g-tube to an empty 60ml syringe, attach the extension to her g-tube and see what comes out. Voila! We can see what has passed, what is still there and what...
Source: The Short Gut News - August 23, 2009 Category: Other Conditions Source Type: blogs

Update: August 23, 2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
GIDEON what's new: August 21 to August 23, 2009 Infectious Diseases - Outbreaks Rocky Mountain spotted fever Mexico Infectious Diseases - Diseases Clinical Database Updated Hendra virus disease Protothecosis and chlorellosis AIDS Clinical Notes Abscess - intraabdominal or pelvic Norway Acanthocephalan worms Malaysia Amoeba - free living Brazil, Pakistan Amoebic abscess Canada Angiostrongyliasis < Worldwide >, Germany, Thailand Ascariasis Serbia and Montenegro California encephalitis group United States Campylobacteriosis Clinical Notes Capillariasis - extraintestinal Malaysia Chikunguny...
Source: GIDEON blog - August 23, 2009 Category: Databases & Libraries Authors: Steve Berger Tags: What's New Source Type: blogs

PS: You're a moron.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Part IDr X: "Why hasn't the Argle-Bargle T380A test been run on my patient yet?"Nurse Jo: "Because it's a timed test that has to be done by the lab. It can't be drawn through a central line."Dr. X: "Why haven't you drawn it yet?"NJ: "Because...it's...timed. As in, it shouldn't be drawn until a...specific time."Dr. X, growing upset: "But you could draw it right now! Out of the central line!"NJ: "No. I can't. It can't be drawn through a central line. The heparin lock we use will screw up the test results, and besides, it's a timed test. It's not due to be drawn until 1630."Dr. X: (incoherent ranting about incompetence of nur...
Source: Head Nurse - August 22, 2009 Category: Nurses Authors: Jo Source Type: blogs

Did the oral polio vaccine cause an outbreak in Nigeria?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
by Matthew Bowdish, MD The World Health Organization (WHO) reports that approximately 180 Nigerian children have become paralyzed by polio as a result of widespread vaccination efforts in Africa’s most populous country. The outbreak is from the use of an oral polio vaccine (OPV) that contains a live-attenuated form of the poliovirus. OPV was initially developed by Albert Sabin in the 1950s. A live-attenuated poliovirus vaccine is ingested and stimulates the lymphatic tissue in the gut to resist future infections since the gastrointestinal tract is the major transmission route for natural poliovirus. The oral vaccine is a...
Source: Kevin, M.D. - Medical Weblog - August 22, 2009 Category: Family Physicians Authors: Kevin Tags: Diagnosis and treatment drugs patient Source Type: blogs

Update: August 21, 2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
GIDEON what's new: August 19 to August 21, 2009 Infectious Diseases - Outbreaks Cholera Democratic Rep. of Congo Gastroenteritis - viral United Kingdom Influenza Monaco, Tuvalu, Zambia Listeriosis Australia Salmonellosis Canada Vaccinia and cowpox < Worldwide >, Czech Republic, France, Germany Infectious Diseases - Diseases Clinical Database Updated Vaccinia and cowpox Amoebic abscess Turkey Angiostrongyliasis China Anthrax India Ascariasis Nigeria Cholera Angola, Democratic Rep. of Congo, Ethiopia, India, Nepal, Nigeria, Somalia, Zimbabwe Dermatophytosis Haiti Enterobiasis Nigeria, T...
Source: GIDEON blog - August 21, 2009 Category: Databases & Libraries Authors: Steve Berger Tags: What's New Source Type: blogs

Doctor as Patientemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
So, I'm having a somewhat interesting experience right now. I ended up in the hospital. This was only partially my fault.So, I've posted elsewhere about my ulcerative colitis. Mostly not a problem, except I've gained 40-50lbs on the prednisone I take for it. Or... took for it. So, given the weight gain, and the fact that every time I've gained a few pounds on it, I've been completely unsuccessful at loosing it, and because of the acne, I tapered and stopped my prednisone. 6 weeks ago. It went perfectly fine until 4 weeks ago. And although I'd started to get sick 4 weeks ago, I sort of figured that it might just get better ...
Source: Midwife with a Knife - August 20, 2009 Category: Obstetricians and Gynecologists Tags: professionalism doctor as patient UC prednisone sucks Source Type: blogs

Private Practice vs Employed Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
With the 2009 NFL season right around the corner, I've been gearing up for another season of fantasy football with my old medical school chums. I know, very uninteresting information. But two of them happen to be primary care physicians in the Cleveland area. One, David Fantelli MD, works as an internist in private practice just south of me. The other, Jeffrey Harhay MD, is an internist employed by the Cleveland Clinic Foundation on the west side of town (and also the defending fantasy league champ). Given the hoopla generated by Dr. Gawande's recent expose' article in the New Yorker on private vs. employed medical practic...
Source: Buckeye Surgeon - August 20, 2009 Category: Surgeons Source Type: blogs

Yeah, I love this. I'm a nerd.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
"The discovery of the gastroliths associated with this plesiosaur specimen were particularly exciting because most plesiosaur gastroliths are found associated with the long-neck morphotype", Dr. Schmeisser explained.(Long-neck morphotype shown.)
Source: Head Nurse - August 19, 2009 Category: Nurses Authors: Jo Source Type: blogs

Update: August 19, 2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
GIDEON what's new: August 15 to August 19, 2009 Infectious Diseases - Outbreaks Anthrax Tajikistan Brucellosis Mexico Crimean-Congo hemorrhagic fever Kazakhstan, Tajikistan Dengue Sri Lanka Escherichia coli diarrhea United Kingdom Influenza Monaco Japanese encephalitis India Infectious Diseases - Diseases Adenovirus infection Germany Amoeba - free living Iran, Italy Anthrax Iran, Tajikistan, United States Bacillus cereus food poisoning Spain Bartonellosis - cat borne France Blastocystis hominis infection < Worldwide >, Brazil Botulism Spain Brucellosis Mexico, Spain Campylobacteri...
Source: GIDEON blog - August 19, 2009 Category: Databases & Libraries Authors: Steve Berger Tags: What's New Source Type: blogs

Gut 2009 (Volume 58 Number 9)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Contents Page Fade Fave: Functional heartburn has more in common with functional dyspepsia than with non-erosive reflux disease Fade Skinny:Identifies the increased prevalence of dyspeptic symptoms in patients with functional heartburn reinforces the concept that functional gastrointestinal disorders extend beyond the boundaries suggested by the anatomical location of symptoms. This should be regarded as a further argument to test patients with symptoms of gastro-oesophageal reflux disease in order to separate patients with functional heartburn from patients with non-erosive reflux disease in whom symptoms are associated ...
Source: Fade Library - August 18, 2009 Category: Medical Librarians Authors: western4uk Tags: Access from Home Access from Work Access in the Library Athens Password Current Awareness E-Journals Gastroenterology Gastroesophageal Reflux Disease Heartburn Non-erosive Reflux Disease Source Type: blogs

Can Type 2 Diabetes Be "Reversed?"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This is a question a lot of my readers ask me. Their doctors may tell them that if they lost weight they'd reverse their diabetes and there are books on the market that claim the same thing. Unfortunately, the concept of "reversing" diabetes doesn't hold up well to scrutiny. The media version is that Type 2 Diabetes is caused by gluttony and sloth and can be prevented or cured by diet and exercise, but the truth is quite different. The research makes it it very clear that overeating doesn't cause diabetes. You can read the documentation for this HERE. This should help you stop blaming yourself for your condition if you hav...
Source: Diabetes Update - August 17, 2009 Category: Diabetes Authors: Jenny Source Type: blogs

The Accountable Care Organization: Not Ready For Prime Timeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Editor’s Note: In the post below, Jeff Goldsmith argues that the concept of accountable care organizations (ACOs) is “not ready for prime time.” In a response, also published today, Aaron McKethan, Mark McClellan, Elliott Fisher, and Jonathan Skinner state that ACOs represent a critical step away from volume-based health care payment and toward better health and better care at lower cost. Everyone from President Obama to Rush Limbaugh seems to agree on one thing about health reform:  the vital importance of containing health costs. Policymakers seem finally to have learned that merely reducing Medica...
Source: Health Affairs Blog - August 17, 2009 Category: Health Medicine and Bioethics Commentators Authors: Jeff Goldsmith Tags: All Categories Health Reform Hospitals Physicians Quality Spending Source Type: blogs