MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'change'. Sat, 03 Sep 2011 01:52:37 +0100 http://www.medworm.com/index.php?rid=5181899&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F08%2F31%2F3-fascinating-facts-about-our-brilliant-brains%2F Our brains do a lot of work behind the scenes to help us function and thrive. But we largely know this already. What might surprise you are the details of this work. For instance, as neuroscientist David Eagleman writes in his book Incognito: The Secret Lives of the Brain: Your brain is built of cells called neurons and glia—hundreds of billions of them. Each one of these cells is as complicated as a city. And each one contains the entire human genome and traffics billions of molecules in intricate economies. Each cell sends electrical pulses to other cells, up to hundred of times per second. If you represented each of these trillions and trillions of pulses in your brain by a single photon of light, the combined output would be blinding. The cells are connected to one another in a netw... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5181899 Wed, 31 Aug 2011 15:57:59 +0100 5181899 http://www.medworm.com/index.php?rid=5169561&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F08%2Fthe-challenge-of-obesity.html For those interested in epidemiology, chronic disease, and obesity. This week's edition of the Lancet has a series of four articles and several commentaries that review the economics, epidemiology, social, and policymaking issues affecting obesity that are well worth reading in full. The take away message is that this is an extremely complicated area. There is an emphasis by the authors and commentators that correction of obesity will take government action. Government action in this area tends to resolve around police actions, and taxation. Taxation policies have worked to a significant extent in reducing tobacco consumption in Europe. However, smoking is not a survival necessity whereas eating is. We have to be very careful about the use of police power for public health policy with the ... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5169561 Fri, 26 Aug 2011 17:05:04 +0100 5169561 http://www.medworm.com/index.php?rid=5159196&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F08%2F26%2Fbest-of-our-blogs-august-26-2011%2F I sometimes wonder if our focus on “doing things right” is what causes us more pain, anguish and difficulty than anything else in life. It’s almost as if those red marks on our graded assignments as kids stay with us when we become adults. In fact, our fear of impending negative feedback often grows as we grow older. We hold our vulnerabilities even closer, wrapping them up carefully like we would a glass vase or a precious piece of china. We’re fearful of sharing our feelings. We hold back our laughter, forgetting that as kids we let it all out from our bellies to our mouths. And to shield our pain, instead of crying, confronting or expressing ourselves, we avoid loved ones when they’ve hurt us. Yet, in order to fully live, to feel completely alive, we must f... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5159196 Fri, 26 Aug 2011 10:36:56 +0100 5159196 http://www.medworm.com/index.php?rid=5159085&cid=t_103867_101_f&fid=36535&url=http%3A%2F%2Fbackboardsandbandaids.blogspot.com%2F2011%2F08%2Fhonda-prelude-oil-change.html We're almost conditioned to view the Civic's bold design direction as anything other than a modern European car market increasingly besotted with diesel cars. Expectations had been cranked so high that upon actually getting to grips with the modified honda prelude and batteries are also seriously appealing for the honda prelude dashboard for example. It has a reputation as a means of future transportation.Not as well as Toyota has been widely hailed as one of Honda's brilliant UX-3 gyroscopic robot unicycles. As if driving this battery-powered city car isn't cool enough you can wow bystanders when you get past that swoosh of light and plastic across the mugen honda prelude is positioned on the honda prelude oil change like it could wear over time but the honda prelude pic of the honda prel... Backboards and Bandaids, Papers and Projects... blogs http://www.medworm.com/rss/comments.php?id=5159085 Thu, 25 Aug 2011 20:51:00 +0100 5159085 http://www.medworm.com/index.php?rid=5159082&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F08%2Fhealthy-behaviors-will-help-you-live-longer.html Researchers looked at long-term data from Americans aged 17 and older and found that those who embraced four healthy behaviors -- not smoking, eating a healthy diet, getting regular physical activity and avoiding excessive alcohol use -- were 63 percent less likely to die early from any cause than those with none of those healthy habits. Comment: one more piece of confirmatory data that are health relies more behaviors. The problem is that despite many repeated similar studies of population behaviors do not change. Instead of wasting money repeat the same old research. Why not develop methods to change population? If this is much not possible, which I suspect, perhaps we should stop funding ineffectual research. [http://www.cdc.gov/media/releases/2011/p0818_living_longer.htm ] (Source: Dr.... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5159082 Fri, 19 Aug 2011 15:26:38 +0100 5159082 http://www.medworm.com/index.php?rid=5139626&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F18%2Fsafe-and-sustainable-review-of-childrens-congenital-heart-services-in-england-interim-health-impact-assessment%2F Title: Safe and sustainable: Review of Children’s Congenital Heart Services in England Interim Health Impact Assessment Scan or click to download ‘Safe and sustainable: Safe and sustainable: Review of Children’s Congenital Heart Services in England Interim Health Impact Assessment’ The Skinny: Looks at the impact of moving to Congenital heart networks as the new model of care to ensure that in future care for children and young people with congenital heart disease are better coordinated. Within the new model of care, each network would include a Specialist Surgical Centre, a Children’s Cardiology Centre and District Children’s Cardiology Services. It states that concentrating surgical expertise onto fewer sites and bringing non-surgical care closer to home wi... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139626 Thu, 18 Aug 2011 12:38:06 +0100 5139626 http://www.medworm.com/index.php?rid=5139630&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F17%2Fpct-estate-future-ownership-and-management-of-estate-in-the-ownership-of-primary-care-trusts-in-england-2%2F Title:PCT Estate: future ownership and management of estate in the ownership of Primary Care Trusts in England Scan or click to download 'PCT Estate: future ownership and management of estate in the ownership of Primary Care Trusts in England' The Skinny: Updates and supersedes the FAQs relating to the future ownership and management of PCT-owned estate by aspirant Community Foundation Trusts (CFTs), published on 16 February 2011. Publisher: DH Published: 04/08/11 Size: 27p. Filed under: Ooops Missed Category! Tagged: Cost control, Estate management, Facilities management, Financial Management, Grey Literature, Land, NHS Foundation Trusts, NHS Trusts, Organisational Change, Primary care organisations, Property management, Reorganisation, Structural change (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139630 Wed, 17 Aug 2011 14:49:28 +0100 5139630 http://www.medworm.com/index.php?rid=5139878&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F08%2F17%2F5-quick-facts-about-art-therapy%2F The very words “art therapy” can sound abstract (no pun intended!), and many people have little understanding about its origins, principles and purpose. That can easily create myriad misconceptions. Here, we lay out five facts about art therapy. 1. Art therapy has many uses. According to Cathy Malchiodi in her book The Art Therapy Sourcebook, art therapy is “a modality for self-understanding, emotional change and personal growth.” A vast field, art therapy has been used on a variety of populations, with everyone from young kids to the elderly, war veterans to prisoners and people with physical disabilities to those with psychological disorders. In her own practice, Malchiodi helps clients with everything from processing emotions to gaining personal growth. In her book, she explai... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5139878 Wed, 17 Aug 2011 12:36:16 +0100 5139878 http://www.medworm.com/index.php?rid=5130647&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fthe-functions-of-gp-commissioning-consortia-a-working-document%2F Scan to download 'The functions of GP commissioning consortia: a working document' Title: The functions of GP commissioning consortia: a working document The Skinny: Document that describes the proposed statutory functions of GP consortia to support GPs in establishing consortia (as a summary of the content of the Health and Social Care Bill 2011and providing illustrative examples), it identifies: the proposed key statutory duties of consortia (the ‘must dos’) the proposed key statutory powers (the things consortia have the freedom to do, if they wish, to help meet these duties) illustrative examples of what this could look like in the future Filed under: Ooops Missed Category! Tagged: Audit, Clinical Audit, Commissioning, Grey Literature, Health care, Health servic... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130647 Mon, 15 Aug 2011 15:16:35 +0100 5130647 http://www.medworm.com/index.php?rid=5130664&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fnhs-reforms-in-england-managing-the-transition%2F Scan to download 'NHS reforms in England managing the transition' Title: NHS reforms in England: managing the transition The Skinny: Nuffield Trust report that assesses the 2011/12 Operating Framework for the NHS together with guidance on the operation of Payment by Results (PbR) in 2011/12. Establishes the key challenges associated with managing the transition to a reformed NHS, as envisaged in the White Paper: Equity and Excellence: Liberating the NHS, and proposes ways in which the risks associated with transition might be mitigated. It suggests there is a need for clear guidance on the governance and structural arrangements for emerging GP consortia, to ensure adequate local and national accountability for quality, financial control and value for money. The report also identi... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130664 Mon, 15 Aug 2011 08:16:29 +0100 5130664 http://www.medworm.com/index.php?rid=5130669&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fequity-and-excellence-liberating-the-nhs-managing-the-transition%2F Scan or click barcode to download 'Equity and Excellence: Liberating the NHS - Managing the Transition' Title: Equity and Excellence: Liberating the NHS – Managing the Transition The Skinny: Dear Colleague letter giving an update on transition arrangements with a particular focus on the new commissioning system and providing answers to some frequently asked questions on the Health and Social Care Bill. Particularly relating to: Current performance and planning for 2011/12 Developing the new commissioning system Progress on other aspects of the transition It also refers to the imminent publication of the [download id="8"]. This guidance has been developed to help retain those staff fulfilling business critical roles to sustain business continuity during the transition. Sca... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130669 Mon, 15 Aug 2011 07:17:33 +0100 5130669 http://www.medworm.com/index.php?rid=5119027&cid=t_103867_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2011%2F08%2F12%2Fnot-just-neural-plasticity-health-system-plasticity%2F In chronic pain management there seems to be a pretty consistent pathway for people to finally get to interdisciplinary treatment.  First a referral from the primary care physician or GP to one or more specialist medical people – maybe an orthopaedic surgeon, or a rheumatologist, or a psychiatrist, or a neurologist.  This person will carry out investigations, get the results, make a determination that the problem is “not theirs” – and suggest some kind of management, or a referral to another kind of orthopaedic surgeon, or a rheumatologist, or a psychiatrist, or a neurologist… who will repeat the same. Finally, after many investigations and referrals and consultations, around 3 years later, the person makes it to a chronic pain management centre.  (btw I am... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=5119027 Thu, 11 Aug 2011 20:17:04 +0100 5119027 http://www.medworm.com/index.php?rid=5118676&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F08%2F911-related-ptsd-symptoms-experienced-by-at-least-10000.html In a front-page story, the New York Times reports, "It is impossible to say how many people have 9/11-related" post-traumatic stress disorder (PTSD). New York City's "three official programs do not count people...who use private physicians -- or those who have not been treated at all. " But, "according to figures provided by officials in New York at least 10,000 patients have met the criteria over the last decade, and at least 3,600 of them still have symptoms. Comment: this is just one more diagnosis to add to the current excess of medicalization. While PTSD is a valid diagnosis for specific events the general ionization of this term to anybody who has had even a moment of anxiety about event is way overdone. As a survivor of World War II when I had to run to the air raid shelter nightly ... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5118676 Wed, 10 Aug 2011 15:34:32 +0100 5118676 http://www.medworm.com/index.php?rid=5118571&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F10%2Fpct-estate-future-ownership-and-management-of-estate-in-the-ownership-of-primary-care-trusts-in-england%2F Title: PCT Estate: future ownership and management of estate in the ownership of Primary Care Trusts in England Scan or click to download 'PCT Estate: future ownership and management of estate in the ownership of Primary Care Trusts in England' The Skinny: Updates and supersedes the FAQs relating to the future ownership and management of PCT-owned estate by aspirant Community Foundation Trusts (CFTs), published on 16 February 2011. Publisher: DH Published: 04/08/11 Size: 27p. Filed under: Ooops Missed Category! Tagged: Cost control, Estate management, Facilities management, Financial Management, Grey Literature, Land, NHS Foundation Trusts, NHS Trusts, Organisational Change, Primary care organisations, Property management, Reorganisation, Structural change, Structural changeCost ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5118571 Wed, 10 Aug 2011 06:45:38 +0100 5118571 http://www.medworm.com/index.php?rid=5107552&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F08%2Fprescriptions-for-antidepressants-increasing-among-individuals-with-no-psychiatric-diagnosis.html A new study led by researchers at the Johns Hopkins Bloomberg School of Public Health examines national trends in antidepressant prescribing and finds much of this growth was driven by a substantial increase in antidepressant prescriptions by non-psychiatrist providers without any accompanying psychiatric diagnosis. Nearly four out of every five antidepressant prescriptions are written by non-psychiatrist providers. Between 1996 and 2007, the number of visits where individuals were prescribed antidepressants with no psychiatric diagnoses increased from 59.5 percent to 72.7 percent.  Comment: Medicalization is alive and well. Patients game the system to push doctors to give them what they want from fear of lawsuits and low reimbursement which does not pay for counseling. (Source: Dr. B... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5107552 Mon, 08 Aug 2011 21:37:19 +0100 5107552 http://www.medworm.com/index.php?rid=5103487&cid=t_103867_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2011%2F08%2Fall-nature-sings-his-glory.html Praise flows from the million voices of crickets singing a late summer lullaby.Glory cascades from the yellowest sunset I've ever seen.Skepticism melts in the shadow of a gold harvest half moon.His presence shines from every one of the thousand stars visible tonight.He begs me for these: praise, glory, belief, presence with Him.In everything beautiful, and in everything ugly about this world,there is the shadow and whisper of His holiness.He is making all things new.Even my broken heart and shattered mind. (Source: Turquoise Gates) Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=5103487 Sun, 07 Aug 2011 04:11:00 +0100 5103487 http://www.medworm.com/index.php?rid=5096251&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F08%2Fhandwashing-in-elementary-schools.html This study showed that after pupils clean their hands with alcohol tissues three times a day that absence fears him and school from risk recovery and gastrointestinal infections decreased significantly. The cost of procedure is far less than the cost of absenteeism both to the schools and parents. It should read replicated the US and if reproducible made a policy. American Journal of Infection Control:  Volume 39, Issue 6, August 2011, Pages 450-455 (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5096251 Thu, 04 Aug 2011 16:35:17 +0100 5096251 http://www.medworm.com/index.php?rid=5096252&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F08%2Fwasted-research-funds.html According to a story on research in ScienceDaily today, “With Regular Exercise, People with Inactive Lifestyles More at Risk for Chronic Diseases”. I first read about research on this topic when the Alameda study on behavior among men was published in the 1960s. Similar research has been repeated hundreds of times in the intervening years yet the behaviors with which we are all familiar continue. It is high time that those who fund research stop funding issues that have been confirmed and either direct their funds for transitional research that shows that change in behavioral outcome is possible and effective. There have been many behavioral research studies that have shown the ability to change behavior for a few weeks, none that show long-term changes. It is high time to star... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5096252 Thu, 04 Aug 2011 16:16:56 +0100 5096252 http://www.medworm.com/index.php?rid=5096318&cid=t_103867_107_f&fid=36672&url=http%3A%2F%2Fwww.sciencebase.com%2Fscience-blog%2Fcan-youtube-save-us-from-climate-change.html New media has rapidly become the mechanism by which information is spread quickly in many walks of life from alerting the public to local traffic incidents, terrorist attacks, earthquakes and celebrity deaths. The likes of Twitter and Facebook have become the first responders to almost every event the world over as well as creating the means by which to bring about political change through activist and rebel groups in the Middle East and elsewhere, for instance. Tina Askanius of Lund University, Sweden and Julie Uldam of Richmond the American International University in London, explain that one area in which new media could become rather powerful is in activism against the causes of climate change. They explain that in protesting against climate change, online video, available via popular ... Sciencebase Science Blog blogs http://www.medworm.com/rss/comments.php?id=5096318 Thu, 04 Aug 2011 15:45:23 +0100 5096318 http://www.medworm.com/index.php?rid=5086579&cid=t_103867_175_f&fid=39258&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FInsidePaTraining%2F%7E3%2FrHRnerq5VP0%2Fphysician-associates-or-physician-assistants Should physician assistants become physician associates? Take the poll, then read the article to learn about the effort to make it happen, along with the pros and cons… View This PollMarket Research Juliet: “What’s in a name? That which we call a rose By any other name would smell as sweet.” Romeo and Juliet (II, ii, 1-2) Shakespeare’s star-crossed lover struggled with titles just as the PA profession does.  Unfortunately, Juliet lost that struggle in the end. But would the PA profession have better luck?  The jury is still out, but more PAs than ever working to do away with their dreaded title of assistants in favor of the less less subservient-sounding physician associates.  (If you haven’t already, please check out my recent piece on th... Inside PA Training blogs http://www.medworm.com/rss/comments.php?id=5086579 Mon, 01 Aug 2011 09:35:25 +0100 5086579 http://www.medworm.com/index.php?rid=5062293&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F07%2F25%2Fchange-in-relationships-what-to-do-when-your-partner-changes%2F Your once sort of neat partner becomes a sloppy mess. Or they start spending more time on the golf course. Or worse, when you first met they wanted to have children, but now say they’re not interested. What do you do when your partner changes in small or big ways? Here, Terri Orbuch, Ph.D, clinical psychologist and author of 5 Simple Steps to Take Your Marriage from Good to Great, offers her insight on change in relationships. Myths about Change It’s a myth that people or relationships don’t change, Orbuch said. In fact, it’s inevitable. Relationships go through different developmental stages and situations, such as job loss, health problems, financial issues and family conflict. So it’s natural for changes to occur. Another myth, according to Orbuch, is that change is bad. So m... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5062293 Mon, 25 Jul 2011 11:48:21 +0100 5062293 http://www.medworm.com/index.php?rid=5057949&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FClCpUncmHhg%2F The reality of today’s work environment in not only North America but in many places around the world is that diversity is here to stay. As a result of immigration over the years, we are finding many of our communities more and more diverse each year, which of course is directly related to local businesses. Whether it’s inside offices, factories or on the outside with retail or corporate customers, you will likely encounter more people from different cultures than ever before. Arming yourself with some skills in the form of diversity exposure and education will definitely help you function better in today’s working world. In fact, here are two major benefits you can realize as a result. Diversity Education Includes People Skills Development It is generally accepted in man... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=5057949 Sat, 23 Jul 2011 06:48:20 +0100 5057949 http://www.medworm.com/index.php?rid=5036487&cid=t_103867_133_f&fid=35095&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAutismsEdges%2F%7E3%2F0DhXh1ULSrM%2Fcha-cha-cha-changes.html (Source: Autism's Edges) Autism's Edges blogs http://www.medworm.com/rss/comments.php?id=5036487 Sat, 16 Jul 2011 01:45:00 +0100 5036487 http://www.medworm.com/index.php?rid=5008236&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F07%2Fcdc-fears-rising-treatment-resistant-gonorrhea.html According to to the CDC: Neisseria gonorrhoeae is a major cause of pelvic inflammatory disease, ectopic pregnancy, and infertility, and it can facilitate human immunodeficiency virus (HIV) transmission (1). Emergence of gonococcal resistance to penicillin and tetracycline occurred during the 1970s and became widespread during the early 1980s. More recently, resistance to fluoroquinolones developed. Now Gonorrhea may be losing its susceptibility to cephalosporins, the only available antibiotic class remaining to treat the sexually transmitted infection, the CDC is warning. Comment: when I started medical school in 1947 the medical profession had just started using penicillin to treat gonorrhea and syphilis and mistakenly thought STIs were beaten. Just as with the use of contrace... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5008236 Fri, 08 Jul 2011 16:27:38 +0100 5008236 http://www.medworm.com/index.php?rid=5008237&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F07%2Fhealthy-lifestyle-makes-women-less-likely-to-die-suddenly.html Medpage Today tells us that women who adhered to a healthy lifestyle had as much as a 90% reduction in the risk of sudden cardiac death (SCD) as compared with those with a high-risk profile, data from the Nurses’ Health Study (NHS) showed. The risk of SCD declined linearly as the number of these attributes increased, ranging from a 46% reduction for a woman who had one to 92% for those who had all four. Comment: these results are not surprising as the Alameda study showed more than 40 years ago where health behaviors were studied for some 11 conditions showing a significant increase in longevity for those who followed more than half of them. We have many studies that show that change in behavior can significantly improve health. The problem is we still don’t know how... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=5008237 Wed, 06 Jul 2011 15:28:49 +0100 5008237 http://www.medworm.com/index.php?rid=4992723&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F07%2Fdrug-side-effect-linked-with-increased-health-risks-for-over-65s-1.html More than 13,000 men and women aged 65 and over from across the UK were included in the two-year study from the University of East Anglia. Around half were found to use a medication with potential anticholinergic properties.In the study, each drug taken by the participants was given a ranking based on the strength of its anticholinergic activity, or AntiCholinergic Burden (ACB) - 0 for no effect, 1 for mild effect, 2 for moderate effect and 3 for severe effect.The key findings were:• Twenty per cent of participants taking drugs with a total ACB of four or more had died by the end of the two-year study, compared with only seven per cent of those taking no anticholinergic drugs - the first time a link between anticholinergics and mortality has been shown.• For every additional ACB point ... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4992723 Fri, 01 Jul 2011 19:56:41 +0100 4992723 http://www.medworm.com/index.php?rid=4992725&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F07%2Flet-science-inform-policy.html An editorial in Science today, written by Dr, Anthony Fauci, discusses the value of preventive antiretroviral therapy for non-infected homosexual couples, the value of condoms for males and females and the value of circumcision to prevent the spread of H IV infection. Despite such evidence the City of San Francisco seeks to outlaw circumcision. As State Health Commissioner in the late 1980s I had to help out state legislature avoid testing premarital couples for HIV infection, Luckily the testimony of the scientists on the HIV Advisory committee was accepted by the legislators (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4992725 Fri, 01 Jul 2011 19:53:45 +0100 4992725 http://www.medworm.com/index.php?rid=4960066&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fsuggestions-for-minimizing-spending-in-oncology%2F2011.06.22 Recently the NEJM ran a Sounding Board piece on Bending the Cost Curve in Cancer Care. The author’s take on this problem: Annual direct costs for cancer care are projected to rise — from $104 billion in 2006 to over $173 billion in 2020 and beyond.2…Medical oncologists directly or indirectly control or influence the majority of cancer care costs, including the use and choice of drugs, the types of supportive care, the frequency of imaging, and the number and extent of hospitalizations… The article responds, in part, to Dr. Howard Brody’s 2010 proposal that each medical specialty society find five ways to reduce waste in health care. The authors, from the Divisions of Hematology-Oncology and Palliative Care at Virginia Commonwealth University in Richmond VA, offer two lists: S... Better Health blogs http://www.medworm.com/rss/comments.php?id=4960066 Wed, 22 Jun 2011 21:00:34 +0100 4960066 http://www.medworm.com/index.php?rid=4960094&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F06%2Fthe-war-on-drugs.html This week there have been a number of news stories and assessing the "WAR on drugs" which both at an international and national level has been declared to be a failure, despite the billions of wasted dollars and lives from these programs. Concurrently the FDA is banning certain tobacco products which just moves the temperance league from alcohol to street drugs to tobacco. We never learn from history. It is high time that the DEA and its associated groups were disestablished and that drugs were sold through agents such as pharmacies or alcohol retailers at the manufacturing cost, which is often pennies a dose. This would empty the prisons of those involved using and selling drugs, remove much of the impetus for gang formation, while the cost saved from inappropriate imprisonment and enforc... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4960094 Wed, 22 Jun 2011 19:41:15 +0100 4960094 http://www.medworm.com/index.php?rid=4960281&cid=t_103867_136_f&fid=39026&url=http%3A%2F%2Fcarolinemfr.blogspot.com%2F2011%2F06%2Fchange-and-fda.html Finally, we might have some progress on the standoff in the blame game - insurance companies blame hospitals who blame big pharma on the reasons for high medical costs - or is it vice-versa? I have chemo brain I can't remember but you get the point.Now biotech is trying to work with the FDA to change their mission to help speed up the approval of new drugs. On one hand we have biotech who wants to get things on market faster so they can start making some money - no problem in that. It helps reduce their overhead and makes drugs less expensive to develop. On the other hand, the FDA is cautious about approving drugs too quickly so we don't have more 'Vioxx incidents'. I can understand both sides and I am glad to see that they are taking the stance of we need to change the overall mission of ... Caroline's Breast Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=4960281 Wed, 22 Jun 2011 10:16:00 +0100 4960281 http://www.medworm.com/index.php?rid=4960002&cid=t_103867_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F06%2F22%2Fjournal-of-public-health-2011-vol-33-no-2%2F This article considers the impact of the use of private cars on people’s health and what measures could be initiated to reduce car dependence. (Print subscription held at Fade Library) Filed under: Current Awareness, Journals Tagged: Climate Change, Ecology, Environment, Obesity, Physical Activity, Pollution, Public Health, Transport (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4960002 Wed, 22 Jun 2011 09:32:43 +0100 4960002 http://www.medworm.com/index.php?rid=4953265&cid=t_103867_134_f&fid=35187&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDiabetesDaily%2F%7E3%2Faz_VcpzOnrU%2Fthe-two-prisoners-another-allegory-about-personal-change.php Once upon a time, there was a small prison in which two men were each serving out life sentences for crimes they had not committed. Both men were determined to escape, and very occasionally were able to hold furtive discussions in which they compared plans. The first prisoner had been able to acquire a spoon, which he had sharpened into a small tool. Each night, he spent about an hour slowly scraping mortar from between the bricks of his cell's wall. Progress was very, very slow. The second prisoner had noticed a place where the wall to his cell had been badly cracked. He became convinced that if he could just hurl himself against that section of wall with sufficient force, he could break through it and be instantly free. So, each night, he get as far away from the wall as he could, and ... Diabetes Daily blogs http://www.medworm.com/rss/comments.php?id=4953265 Mon, 20 Jun 2011 02:19:20 +0100 4953265 http://www.medworm.com/index.php?rid=4921394&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FgVc8IeTIlco%2F The objective has changed from protecting civilians to regime change. The war itself has gone on now for as long as the unauthorized war in Kosovo in 1999. Jack Goldsmith concludes: “as the days drag on, and as our deep involvement persists, it becomes harder and harder to represent that this mission is limited in nature, duration, and scope.” Time Running Out in Libya? is a post from Cato @ Liberty - Cato Institute Blog (Source: Cato-at-liberty) Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4921394 Thu, 09 Jun 2011 15:41:38 +0100 4921394 http://www.medworm.com/index.php?rid=4911775&cid=t_103867_136_f&fid=39026&url=http%3A%2F%2Fcarolinemfr.blogspot.com%2F2011%2F06%2Fits-good-for-hospital-but-is-it-good.html This morning I am horrified (is that too much?) that the hospital, Lahey Clinic, where I go for all my treatment might merge with another hospital, Beth Israel Deaconess, buried in downtown Boston (which I avoid like the plague these days). I like Lahey. Its a 10-15 minute drive at most. It is in the suburbs. It is convenient. I can find everything I need there. Don't change it! If I need something, like a test, procedure or other medical adventure, its all in the same place. They do have other offices around the area but they are all within the same 10-15 minutes except the one that is 5 minutes from one of my jobs. I don't have to get a road map to get to my appointments and deal with traffic, stress, and parking. They are only in preliminary talks with BID and it could be some time in t... Caroline's Breast Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=4911775 Wed, 08 Jun 2011 10:32:00 +0100 4911775 http://www.medworm.com/index.php?rid=4911545&cid=t_103867_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F5mAQDLFa_GY%2Fshout-outs.html Grand Rounds continues to be on hiatus.  If you would like to host a future edition of Grand Rounds send an email to Nick Genes (you can find his contact info at here).   The most recent edition can be found here at Medgadget.  Other editions can be found here on the Grand Rounds Facebook page. …………………………… Kim, Emergiblog, is the host of the latest edition of Change of Shift (May 2011)! You can find the schedule and the COS archives at Emergiblog. (photo credit) Welcome to the latest edition of Change of Shift, the nursing blog carnival! …..Let’s get started! ********** Sue Hassmiller is the Robert Wood Johnson Foundation Senior Advisor for Nursing. She is also a volunteer with the Red Cross. Abandonment Guilt, her final blog post fr... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4911545 Tue, 07 Jun 2011 11:15:00 +0100 4911545 http://www.medworm.com/index.php?rid=4893500&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F06%2Fcalif-senate-bans-under-18-use-of-tanning-beds.html California lawmakers voted Wednesday to limit the use of tanning booths by teens, warning that the bronzed glow they create comes from radiation and raises the risk of skin cancer. The state Senate voted 24-9 to ban indoor tanning by anyone under age 18, even if they have permission from an adult. The bill next goes to the Assembly. California already bans the use of tanning booths by those under 14, but older teens could use them with permission from a parent or guardian. Comment: This law needs to be extended nationwide as teens have little self-control when it comes to their skin. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4893500 Thu, 02 Jun 2011 15:32:07 +0100 4893500 http://www.medworm.com/index.php?rid=4862584&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F05%2Fstudy-finds-widening-gap-between-distracted-driving-and-legislation.html The new study, published this month in the American Journal of Preventive Medicine, is the first comprehensive collection and coding of state laws attempting to address the public health risk posed by distracted driving. Cell phone distractions account for more than 300,000 car crashes each year. As a result, most states have put laws in place to limit or prohibit the use of things like cell phones and PDAs while driving. Comment: Seeing drivers with cell phones stick to their ears is a common site as they zoom past police cars. The article fails to note that most of the laws are “secondary” laws that only allow a ticket when the driver is stopped for another reason.  It is the usual practice of legislators to pass feel good-laws without teeth! (Source: Dr. Buttery's Publi... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4862584 Wed, 25 May 2011 13:27:41 +0100 4862584 http://www.medworm.com/index.php?rid=4862630&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F05%2F24%2Ftwitter-chat-tonight-on-mental-health-in-older-adults-mhsm%2F I’ll be hosting my first Tuesday night #mhsm chat on twitter tonight, on the topic of mental health in older adults. I blogged about this issue earlier this month, and we recently started a whole blog about getting older, Boomers on the Rise: Aging Well. Older adults have the same human needs, wants and desires as the rest of us (as we’ll all find out first-hand soon enough). Sometimes loneliness and depression is a factor for seniors, and sometimes seniors feel forgotten in life, as they watch their children grow up, move away, and have lives quite independent of their parents. It is a time of change, a time of recognition that our bodies often can’t do all the things they once could, but also a time of new discovery and reinvention. Much of an older adult’s mental... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4862630 Tue, 24 May 2011 18:55:22 +0100 4862630 http://www.medworm.com/index.php?rid=4847981&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F05%2Fsteep-price-for-high-rates-of-unintended-pregnancy.html Two new studies taking different methodological approaches arrive at the same conclusion: Unintended pregnancy costs U.S. taxpayers roughly $11 billion each year. Both estimates are conservative in that they are limited to public insurance costs for pregnancy and first-year infant care, and both studies conclude that the potential public savings from reducing unintended pregnancy in the United States would be huge. A related new study provides first-ever estimates of unintended pregnancy for each state, and a starting point for future efforts to monitor states’ progress toward reducing unintended pregnancy. Comment: Yet, as usual, most politicians are blind to data and many want to cut funding for Planned Parenthood! (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4847981 Fri, 20 May 2011 15:46:55 +0100 4847981 http://www.medworm.com/index.php?rid=4841483&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fdrlindagalloway.files.wordpress.com%2F2011%2F05%2F1031747_hospital.jpg At one time, a hospital would be called a 24-hour institution but now it’s a business. Within this business are shift workers that include nurses, technicians, clerical staff and even hospital employed doctors who are now called hospitalists.  In a teaching hospital resident physicians also work in shifts so the responsibility of patient care is always being transferred from one group of healthcare providers to another. Do they always communicate effectively? Regrettably, “no.” Sign-outs, handoffs, shift changes, nurses’ report. These are the multiple names for the process where a departing  provider is responsible for letting the arriving provider know what’s going on with the patient.  According to statistics, 80% of medical mistakes occur during shift changes and 50 to 60% ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4841483 Wed, 18 May 2011 16:00:13 +0100 4841483 http://www.medworm.com/index.php?rid=4841749&cid=t_103867_123_f&fid=39036&url=http%3A%2F%2Fpediatricinc.wordpress.com%2F2011%2F05%2F18%2Fhow-can-you-become-a-change-agent-in-your-medical-practice%2F The other day I was catching up with a friend of mine. He was telling me that he was a bit frustrated at work because the people he works with aren’t as efficient as he’d like them to be. He went on to say that management wasn’t open to making improvements, listen to new ideas or open to change. I told him that he was describing a classic leadership (you don’t have to be in charge to be a leader) problem; which is, getting people to change. It seems that whether you’re on the employee side or the employer, fundamentally, if you’re a leader, you’re always in this predicament. I shared with him that despite running our own business, we still face the “change” challenge; except this time around, it comes directly from our employees. They resist change sometimes. On my way ho... Pediatric Inc blogs http://www.medworm.com/rss/comments.php?id=4841749 Wed, 18 May 2011 15:23:27 +0100 4841749 http://www.medworm.com/index.php?rid=4841587&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F05%2F17%2Fbest-of-our-blogs-may-17-2011%2F Do you feel it in the air? It’s change. Every season has an end. And with any end comes fear, uncertainty and sometimes sadness. Even if ends bring new beginnings like a marriage, a baby or a new career, the loss of what we know can feel earth shattering. Instead of embracing change, we grasp on, holding desperately to what was instead of what will be. Does that sound like you? How are you continuing to do things that don’t serve you or your new life out of fear of change? Maybe you need to take the time to grieve for your old self and your old life so that you can embrace your new one. It’s something important to contemplate this week as we get closer to summer. It also fits with one of our posts on transitions. Have a great week and enjoy! Seven Rules of Mindful Eating ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4841587 Tue, 17 May 2011 13:50:25 +0100 4841587 http://www.medworm.com/index.php?rid=4828935&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F05%2Fas-time-goes-by-it-gets-tougher-to-remember-new-information.html ScienceDaily:  The older we get, the more difficulty we seem to have remembering things. We reassure ourselves that our brains' "hard drives" are too full to handle the new information that comes in daily. But a neuroscientist now suggests that our aging brains are unable to process this information as "new" because the brain pathways leading to the hippocampus become degraded over time. As a result, our brains cannot accurately "file" new information. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4828935 Sat, 14 May 2011 14:18:32 +0100 4828935 http://www.medworm.com/index.php?rid=4789669&cid=t_103867_180_f&fid=38619&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FALifeCoachsBlog%2F%7E3%2FV-9n4mfmcac%2F Whenever I do an interview I almost always request that the interviewer does not send me the questions in advance. And if they do, I seldom do any more than glance at them. The reason being that if I try and rehearse answers I sound stilted and awkward and I find myself trying to remember what I planned to say, rather than just trusting myself to answer the question. My belief is that Continue reading... (Source: Life Coach Blog: The Discomfort Zone :) Life Coach Blog: The Discomfort Zone : blogs http://www.medworm.com/rss/comments.php?id=4789669 Wed, 04 May 2011 13:33:23 +0100 4789669 http://www.medworm.com/index.php?rid=4780310&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fconfessions-of-a-former-child-with-diabetes-and-unusual-eating-habits%2F2011.05.03 Growing up, we had these large, potted plants in our dining room, within throwing distance from the dining room table.  (Stick with me – this is an important detail.)  The plants were big and had wide, draped leaves and they made the corner of the dining room look like a veritable jungle. Also, these suckers were really convenient for hiding food. When I was little, the “diabetic diet” school of thought was based on the exchange program.  This meant that my meals were structured around my calorie needs and the needs of my (then) peaking insulin doses.  An average dinner would include one meat exchange, two starch exchanges, a dairy exchange, a fat exchange, and a fruit exchange.  (Exchange, exchange, exchange.)  When I was on insulins like Regular, NPH, and Lente, I... Better Health blogs http://www.medworm.com/rss/comments.php?id=4780310 Tue, 03 May 2011 18:00:28 +0100 4780310 http://www.medworm.com/index.php?rid=4775624&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FGv54_O3X8lM%2F “Whatever we are waiting for – peace of mind, contentment, grace, the inner awareness of simple abundance – it will surely come to us, but only when we are ready to receive it with an open and grateful heart.” ~Sarah Ban Breathnach A mind shift is a change of focus and perception. It can have extraordinary power to make relationships more positive and healthy; to improve your focus and rate of success; and to build self-esteem and overall happiness. A mind shift is an “ah ha” moment on steroids. It’s the movement of the tectonic plates in your psyche, opening your mind to entirely new ways of thinking and acting. Author, speaker, and coach extraordinaire, Steve Chandler, writes about mind shifting in his book Shift your Mind: Shift the World. He su... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4775624 Tue, 03 May 2011 04:20:00 +0100 4775624 http://www.medworm.com/index.php?rid=4768017&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fstrengthening-the-regulation-of-herbal-medicines-in-europe.html To protect consumers, the European Parliament and Council adopted the Traditional Herbal Medicinal Products Directive, 2004/24/EC on March 31, 2004. The Directive requires all herbal medicinal products to meet standards of quality, safety, and efficacy before they can be registered and marketed in the European Union (EU).  Comment: It is high time for the U.S. to follow Europe’s lead with all the scams foisted on us by ‘herbal’ and complementary medical advocates. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4768017 Sat, 30 Apr 2011 15:47:15 +0100 4768017 http://www.medworm.com/index.php?rid=4768019&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fwhen-a-salad-is-not-a-salad-why-are-dieters-easily-misled-by-food-names.html Dieters are so involved with trying to eat virtuously that they are more likely than non-dieters to choose unhealthy foods that are labeled as healthy, according to a new study. It seems dieter focus on food names can work to their disadvantage. COMMENT: There is not limit to the way the English language is mutilated by lawyers and industry to misinform the public and sell their products.  Caveat Emptor is still alive. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4768019 Sat, 30 Apr 2011 15:29:19 +0100 4768019 http://www.medworm.com/index.php?rid=4758896&cid=t_103867_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FrMtJkcIids8%2F I may be the only person I know who can be emotionally inspired by a segment on Nightline. (And I know I’m the only person I know who actually watches Nightline with any regularity. I learned this habit from my parents, who used to stay up “late” with Ted Koppel when I was in high school, and the sound of it always was and still is oddly comforting to me.) But last night it was just current host Bill Weir and me. Ever heard of Tom Shadyac? Probably not, and no one could blame you for that. But I’m guessing you’ve heard of a few of the movies he’s directed. Any of these sound familiar? Ace Ventura: Pet Detective, Liar, Liar, The Nutty Professor, Bruce Almighty, Patch Adams, and I Now Prounounce You Chuck and Larry. Now, these works of art may not be Shake... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=4758896 Wed, 27 Apr 2011 21:20:47 +0100 4758896 http://www.medworm.com/index.php?rid=4753667&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F_ey1ICD1Z5g%2F By Justin LoganThe Belgian painter René Magritte is famous in part for the painting pictured below. What’s surprising is how much Magritte can tell us about our war in Libya. To recap where we are in Libya, our military objective is to “protect civilians” in that country. Except there’s this paragraph opening the recent New York Times article on the war: WASHINGTON — NATO planners say the allies are stepping up attacks on palaces, headquarters, communications centers and other prominent institutions supporting the Libyan government, a shift of targets that is intended to weaken Col. Muammar el-Qaddafi’s grip on power and frustrate his forces in the field. The Times also runs these quotes from officials in charge of the war: “Now we are going after his rear e... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4753667 Tue, 26 Apr 2011 19:06:14 +0100 4753667 http://www.medworm.com/index.php?rid=4742371&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FprR3B0AowNA%2F By Andrew J. CoulsonA group of CEOs called on the nation’s governors this week to raise U.S. business standards. Speaking at the National Press Club in Washington, DC, the CEOs declared that state governments have been misleading consumers about the quality of the goods they’re buying. One retired Fortune-500 CEO declared that: America’s standing as the most innovative and prosperous nation on earth depends on our ability to boost business’ productivity. As business leaders, we are pledging to stand with governors who commit to high production and product quality standards in scientific and technological fields. Even today, most readers probably recognize the preceding paragraphs as satirical (I hope!). The idea that it would be helpful to have bureaucrats set productio... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4742371 Fri, 22 Apr 2011 14:54:18 +0100 4742371 http://www.medworm.com/index.php?rid=4734207&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F04%2F20%2Fstages-of-change-and-motivation%2F In my tutoring for SAT preparation, I have come across themes and variations on the essay questions. One of the most common SAT essay questions is the topic of change and motivation. In one phrasing or another, the SAT asks if we believe that change can come from external sources or if true change comes only from within. Change, motivation, perception of reality — they are all cousins. At my husband’s work as a milieu therapist at a psychiatric hospital, he evaluates patients on their “stage of change” in order to gauge their insight into their condition. The vast majority of the people he runs into are in “pre-contemplation;” they don’t know why they’re in the hospital at all. They create wild confabulations about how the tortured cat deserved it, how they were framed,... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4734207 Wed, 20 Apr 2011 12:43:11 +0100 4734207 http://www.medworm.com/index.php?rid=4734063&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FOJ5BsPWZczg%2F By George Scoville Please join us this Thursday, April 21 at 4:00 p.m. Eastern for a book forum and debate on “green energy” policy, following the recent release of the Cato book The False Promise of Green Energy. On Thursday, University of Alabama Professor of Law and Business Andrew P. Morriss (one of the book’s authors) and Center for American Progress Vice President for Energy Policy Kate Gordon will debate the merits of the “green” economic agenda, moderated by Cato Institute Senior Fellow Jerry Taylor. Complimentary registration is required of all attendees by noon TOMORROW, Wednesday, April 20. We hope you can join us in person and for the reception following the event–if you cannot attend in person, we hope you’ll tune in online or on Faceb... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4734063 Tue, 19 Apr 2011 14:29:37 +0100 4734063 http://www.medworm.com/index.php?rid=4734477&cid=t_103867_134_f&fid=35179&url=http%3A%2F%2Fscottsdiabetes.com%2F2011%2F04%2Fscott-process%2F I have been working with Ginger at Living In Progress for over thirty eight weeks now, and my weekly coaching sessions have become very important to me.  I need them as bad as I need my basketball and exercise time.  I need them almost as bad as I need my insulin and CGM. Through all of this time, and all of the little steps we are making towards my goals, we have recognized a “change process” that I unconsciously follow. Scott notices a “problem” in his lifestyle or habits that he knows logically he “should” want to change. As Scott considers what it would entail to actually make these changes in his life, he gets overwhelmed or intimidated by the idea of making such drastic changes. He knows he should for the sake of his health and happiness, but he doesn’t want t... Scott's Diabetes Blog blogs http://www.medworm.com/rss/comments.php?id=4734477 Tue, 19 Apr 2011 13:07:12 +0100 4734477 http://www.medworm.com/index.php?rid=4734709&cid=t_103867_180_f&fid=38604&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmakeitgreat%2F%7E3%2FgecgnPKS3ZE%2F As of 8 AM on April 19th, 2011, I am officially part of the team at Turning Minds, and I will serve as the Marketing Technology Strategist, doing many of the same things I’ve done on my own for much of the past 6 years. Don’t worry, I’m not giving up my dream of being an entrepreneur. I’ve simply decided I can help my clients achieve more by working with a small nimble team, and there are TONS of reasons I’m excited to work with the team at Turning Minds. Here are a mere 5 reasons I’m excited to be joining Turning Minds 1) Working with a team – One of the things I enjoyed about corporate America was working on a team of like-minded individuals. I worked by myself for much of the last 11 months since I left corporate America full-time, and there were times I got lonely. That... Phil Gerbyshak blogs http://www.medworm.com/rss/comments.php?id=4734709 Tue, 19 Apr 2011 13:00:00 +0100 4734709 http://www.medworm.com/index.php?rid=4734700&cid=t_103867_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2011%2F04%2F19%2Festablishing-routines-and-baselines-baseline-recording%2F One of the problems novice clinicians often complain about is that journals and research papers rarely examine or provide practical approaches to daily problems that are encountered when working with people who have chronic pain. It can take a lot of work to locate suitable approaches to things like: ways to help a person who is not accepting that a cure for chronic pain is unavailable ‘motivating’ a person to engage in activities that are anticipated to increase pain how to develop a baseline and establish an appropriate rate of progression how to establish a daily routine It’s tempting to think that in the absence of evidence-based approaches, the clinical skills are artistic rather than scientific, but I’m not so sure about that.  Maybe it’s more a case ... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=4734700 Tue, 19 Apr 2011 06:11:03 +0100 4734700 http://www.medworm.com/index.php?rid=4734711&cid=t_103867_180_f&fid=38607&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fsuccessbeginstoday%2FBHWQ%2F%7E3%2Fa0SRPTq2BxY%2F I just got back from a Caribbean cruise for creatives that was one of the highlights of my life. I met some very interesting people, heard great speakers, and had a chance to share ideas and brainstorm. I also had a chance to climb a waterfall and experience a foreign marketplace. When I got back home, I was on a creative high like no other. My mind was racing with ideas, and I couldn’t wait to get started on some new projects. Then reality hit. I went back to work to find problems. I bent over to tie my shoe and threw out my back. Unexpected expenses on a variety of things came up one after the other I went to fill up my car and gas had gone up over 4 dollars a gallon. A Variety of depressing and painful things. Things we all face. But why does the pendulum have to swing from positi... Success Begins Today blogs http://www.medworm.com/rss/comments.php?id=4734711 Mon, 18 Apr 2011 12:41:01 +0100 4734711 http://www.medworm.com/index.php?rid=4724293&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FEe4jYxmNUSY%2F Your friend texts you about their frustrating day, your taxes have to be filed, the radio spouts news of another disaster somewhere, and you still haven’t taken your car in for its oil change.  With the wonders of technology and high-speed interaction between us all, we’re finding it more and more difficult to keep our mental machinery chugging away at optimum performance.  What you need is scheduled maintenance. Just like your car, your brain needs fuel and regular care to perform like you need it to.  If you drive your Ferrari too many miles without adding gasoline, it will sputter and quit on you.  If you go months without replacing oil and tires and hoses and belts, your Maserati will eventually respond with sluggishness or even more catastrophic ends.  Your brain is prec... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4724293 Mon, 18 Apr 2011 04:16:22 +0100 4724293 http://www.medworm.com/index.php?rid=4723872&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fdartmouth-researchers-release-report-on-end-of-life-care.html The New York Times (4/12, A22,) reports, "At the end of life, people with chronic diseases like cancer get more aggressive medical care in the New York area than anyplace else in the country, continuing a trend going back decades, according to a report released on Monday by researchers at Dartmouth College." The researchers, who "looked at federal data from 2007, the most recent year available, found that 46 percent of chronically ill patients in the Manhattan hospital region, which also covers most of Brooklyn and Staten Island, were being treated at hospitals when they died, as opposed to dying at home or in hospices or nursing homes. That rate was the highest in the country." (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4723872 Sun, 17 Apr 2011 22:00:41 +0100 4723872 http://www.medworm.com/index.php?rid=4723873&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fchildhood-obesity-peaks-between-ages-7-and.html The key finding of a new study by researchers from shows that British children are most susceptible to becoming overweight and obese during mid-late childhood (age seven to 11 years). The researchers tracked the body weight and height of nearly 5,000 children taking part in the Avon Longitudinal Study of Parents and Children from birth until the age of 15. They found that the number of children who changed from a healthy weight to being overweight and obese was much higher between the ages seven to 11. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4723873 Sun, 17 Apr 2011 21:57:25 +0100 4723873 http://www.medworm.com/index.php?rid=4723874&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fnearly-20-of-lung-cancer-patients-continue-smoking-1.html HealthDay reported, "Many patients diagnosed with lung cancer -- as well as their family caregivers -- continue to smoke," according to a study sponsored by the National Cancer Institute and published in Cancer Epidemiology, Biomarkers & Prevention. The researchers reviewed data on "742 cancer patients and caregivers at multiple sites and found that 18 percent of smokers with lung cancer failed to quit after their diagnosis." (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4723874 Sun, 17 Apr 2011 21:54:22 +0100 4723874 http://www.medworm.com/index.php?rid=4723958&cid=t_103867_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2011%2F04%2F17%2Fthe-psychological-situation-of-climate-change%2F Situationist friend, Daniel Gilbert, Professor of Psychology, describes the psychological impulses that make it difficult for humans to confront the threat of global warming. Related Situationist posts: Dan Gilbert on Why the Brain Scares Itself “Dan Gilbert To Speak at Harvard Law School,” “Dan Gilbert on the Situation of Our Decisions,” “Dan Gilbert on the Situation of Psychology,” “The Situation of Climate Change,” “The Heat is On,” “The Situation of Happiness,” and “Conversation with Dan Gilbert.” (Source: The Situationist) The Situationist blogs http://www.medworm.com/rss/comments.php?id=4723958 Sun, 17 Apr 2011 16:54:35 +0100 4723958 http://www.medworm.com/index.php?rid=4724067&cid=t_103867_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-in-the-classroom%2Fhomeopathic-adhd-treatments-time-to-make-a-change-and-really-help-your-child-to-cope.php It is unbelievable that the most popular treatment for ADHD to-day is still based on amphetamine like drugs. In addition, nobody knows exactly how they work, what their long term effects are and there are certain health risks. As regards the latter, there are over 7,000 pages on the Internet which deal with sudden deaths caused by Ritalin! Finally, the effects of these drugs seem to wear off after two or three years. So, when homeopathic ADHD treatments are criticized by the supporters of these drugs, you can understand why I get a little overheated! After all, let us face it, homeopathic ADHD treatments are not harmful to health, there are no side effects and work for many ADHD children. The fact that we are dealing with extremely diluted quantities of naturally sourced ingredients need n... Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=4724067 Sat, 16 Apr 2011 23:00:00 +0100 4724067 http://www.medworm.com/index.php?rid=4714726&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2Fnj_4KnPBahk%2F By George Scoville One thing is clear after President Obama’s speech yesterday: He envisions a smaller national debt, but a much bigger government. One percent is better than nothing, but it’s still pretty close to nothing. One thing is clear about climate change: it’s causing a rising tide of red ink in Washington. See the forthcoming book Climate Coup: Global Warming’s Invasion of Our Government and Our Lives and join us for the accompanying book forum, featuring MIT meteorologist Richard Lindzen and American Meteorological Society fellow Bob Ryan, on Wednesday, May 4 at 4:00 p.m. Eastern. Complimentary registration is required of all attendees by 12:00 p.m. Eastern on Tuesday, May 3. If you cannot join us in person, we hope you’ll watch live online. One can... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4714726 Thu, 14 Apr 2011 14:23:25 +0100 4714726 http://www.medworm.com/index.php?rid=4704627&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F37Y-u-NanmY%2F By Gene HealyThat’s the topic of my Washington Examiner column this week. In it, I discuss last week’s budget battle and the failure of “policy riders” designed to rein in the Obama EPA’s attempts to regulate greenhouse gases without a congressional vote specifically authorizing it. The Obama team believes it has the authority to implement comprehensive climate change regulation, Congress be damned. Worse still, under current constitutional law–which has little to do with the actual Constitution–they’re probably right. Thanks to overbroad congressional delegation, “the Imperial Presidency Comes in Green, Too.” At home and abroad, the legislative branch sits on the sidelines as the executive state makes the law and wages war, despi... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4704627 Tue, 12 Apr 2011 12:59:32 +0100 4704627 http://www.medworm.com/index.php?rid=4704691&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fnearly-20-of-lung-cancer-patients-continue-smoking.html HealthDay (4/8, Leighty) reported, "Many patients diagnosed with lung cancer -- as well as their family caregivers -- continue to smoke," according to a study sponsored by the National Cancer Institute and published in Cancer Epidemiology, Biomarkers & Prevention. The researchers reviewed data on "742 cancer patients and caregivers at multiple sites and found that 18 percent of smokers with lung cancer failed to quit after their diagnosis." Notably, among a subset of "smokers with colorectal cancer...12 percent of the patients continued smoking." Patients' family caregivers also kept "smoking -- 25 percent of those caring for lung cancer patients and 20 percent of those caring for colorectal cancer patients." Continued smoking "increases the likelihood of developing a secondary cancer,... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4704691 Mon, 11 Apr 2011 18:27:21 +0100 4704691 http://www.medworm.com/index.php?rid=4704692&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F04%2Fhookah-use-widespread-among-college-students-study-reveals-mistaken-perception-of-safety-in-potentia.html ScienceDaily Despite a growing number of cities instituting smoking bans across the country, hookah bars are cropping up everywhere -- from chic downtown cafes to locations near college campuses, where they've found a loyal customer base in young adults. Hookah Use Widespread Among College Students; Study Reveals Mistaken Perception of Safety in Potential Gateway Drug  The researchers found that 40.3 percent -- more than one-third of the students surveyed -- reported having ever smoked tobacco from a hookah, while only a slightly higher percentage (46.6) reported having ever smoked a cigarette. Nearly 25 percent of students reported being current smokers of cigarettes, and 17.4 percent said they actively use hookahs. Also.freshmen and males were more likely to use hookahs, and that th... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4704692 Mon, 11 Apr 2011 18:23:50 +0100 4704692 http://www.medworm.com/index.php?rid=4693395&cid=t_103867_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-research%2Fattitude-change-and-adhd.php http://www.articlesbase.com/mental-health-articles/attitude-change-and-adhd-3393654.html</ Read More (Source: Life With ADHD) Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=4693395 Thu, 07 Apr 2011 23:00:00 +0100 4693395 http://www.medworm.com/index.php?rid=4676789&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fare-emrs-the-key-to-improving-hand-offs-from-the-er-to-the-pcp%2F2011.04.04 Improving handoffs from the emergency room back to the primary care physician will require changing how electronic health records are used, better reimbursement to both the hospital and ambulatory doctors, and malpractice reform, according to a study. The rising use of hospitalists and larger primary care practice sizes has contributed to the difficulties faced when an ER doctors tries to reach a physician who best knows the patient. Haphazard communication and poor coordination can undermine effective care, according to a new research conducted by the Center for Studying Health System Change. Researchers conducted 42 telephone interviews between April and October 2010 with 21 pairs of emergency department and primary care physicians, who were case-matched to hospitals so the perspective o... Better Health blogs http://www.medworm.com/rss/comments.php?id=4676789 Mon, 04 Apr 2011 12:00:00 +0100 4676789 http://www.medworm.com/index.php?rid=4664507&cid=t_103867_180_f&fid=38619&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FALifeCoachsBlog%2F%7E5%2FOI4tNNoV-Yg%2FOd-TB2-01b.mp3 Following my post Can You really Banish A Self Limiting Belief In An Hour? and the guest post from Morty Lefkoe, Change Doesn’t have To Be Difficult I decided to throw caution to the wind and record a coaching session in which Morty weaves his belief changing magic on me to banish a self limiting belief of my own. After we spent the time on undermining and expelling my belief I put a few questions to Morty about the process, how he came up with it and what it can be used for. I have to say that I was really impressed with his skill and genuinely do believe that even if I haven’t completely eradicated that belief, it is at the point now where it is tenuous enough to not hold me back. I intend to do some playing about with this with clients and on myself because in my opinion it’s too ... Life Coach Blog: The Discomfort Zone : blogs http://www.medworm.com/rss/comments.php?id=4664507 Thu, 31 Mar 2011 13:34:38 +0100 4664507 http://www.medworm.com/index.php?rid=4642632&cid=t_103867_101_f&fid=38970&url=http%3A%2F%2Fwvmedicgirl.blogspot.com%2F2011%2F03%2Fslow-and-steady.html Weight loss is hard. End of story. I have been working on this for a while now and am trying to keep the blog updated with it among other things. Tonights weigh-in is 284.7! Still heading in the right direction. I have been doing my best to get to the gym and watch what I eat, but there are lazy days and days I just eat what I want instead of what I should...I suppose moderation is key... Check back in later for more updates! (Source: Stephanie's Blog) Stephanie's Blog blogs http://www.medworm.com/rss/comments.php?id=4642632 Mon, 28 Mar 2011 02:28:00 +0100 4642632 http://www.medworm.com/index.php?rid=4636679&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FJ-hkBqeSBMg%2F What do the iPad, the band Nirvana, and the Fosbury Flop have to do with your professional and personal well-being? They certainly don’t represent anything just a little different or just a little better. They all represented radical change — they operated, sounded and looked completely different than anything that came before them. Their creators didn’t settle for incremental change — slow, steady improvement — but instead radically changed the rules. It wasn’t about doing a few things better. It was about throwing out what was considered “normal” and doing something ridiculously different. The good news is that if you feel stagnant or need to see massive improvement in some area of your life, then you, too, can use radical change to dramati... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4636679 Sat, 26 Mar 2011 06:55:05 +0100 4636679 http://www.medworm.com/index.php?rid=4636463&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F03%2Fassociation-of-episodic-physical-and-sexual-activity-with-triggering-of-acute-cardiac-events.html In JAMA today a meta-analysis is reported that seems appropriate considering all the ads about the dangers of sexual activity and death. Comment: like most meta-analyses the various studies have significant differences, definitions and methodologies. The results from these limited studies suggest that the absolute risk increase associated with 1 hour of additional physical or sexual activity per week was estimated as 2 to 3 per 10 000 person-years for MI and 1 per 10 000 person-years for sudden cardiac death. These outcomes for any individual are rare. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4636463 Fri, 25 Mar 2011 15:37:13 +0100 4636463 http://www.medworm.com/index.php?rid=4636464&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F03%2Fobesity-problems-fuel-rapid-surge-of-type-2-diabetes-among-children.html The KFF reports, "As recently as the mid-1990s, type 2 diabetes was almost exclusively a disease of adults." Now, "apparently fueled by the childhood obesity epidemic, cases in people younger than 20 have ramped up from virtually zero to tens of thousands in the United States in little more than a decade." In fact, "today, about 3,700 Americans [under] 20 receive a diagnosis annually of what used to be called 'adult-onset' diabetes, according to the Centers for Disease Control and Prevention." This is a disturbing trend, because diabetes "costs the US health-care system $174 billion a year, according to the National Institutes of Health." (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4636464 Fri, 25 Mar 2011 15:32:33 +0100 4636464 http://www.medworm.com/index.php?rid=4636465&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F03%2Fobesity-gastric-bands-lagb-may-cause-more-complications-than-weight-loss.html From the Archives of Surgery as “Based on a follow-up LAGB for  12 years or longer nearly 1 out of 3 patients experienced band erosion, and nearly 50% of the patients required removal of their bands (contributing to a reoperation rate of 60%), LAGB appears to result in relatively poor long-term outcomes.“.  Comment: while larger studies are needed, this small study suggests that gastric bands and probably other interventions for weight loss should be limited in time and that personal behavioral modification should be emphasized so weight loss can be continued after bands are removed. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4636465 Fri, 25 Mar 2011 15:24:25 +0100 4636465 http://www.medworm.com/index.php?rid=4627044&cid=t_103867_180_f&fid=38619&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FALifeCoachsBlog%2F%7E3%2FARWAVUowAlw%2F If you read the previous post guest Change Doesn’t Have To Be Difficult you’ll know that I am going to record a belief busting session with the originator of the Lefkoe Method, Morty Lefkoe this Friday and then I’ll upload it here next week. Morty is one of the self development industries most respected change experts and I’d really like to know if you’ve any questions that you would like me to ask him? If you do, drop it in the comments and I’ll do my best to oblige. —————— What The Life Coach Learned From The Golf Coach About 20 years ago I started playing golf again after a decade of not even picking a club up. I’d played in fits and starts as a junior, but then when I hit my late teens other things started to take up what little cash I ... Life Coach Blog: The Discomfort Zone : blogs http://www.medworm.com/rss/comments.php?id=4627044 Wed, 23 Mar 2011 23:05:38 +0100 4627044 http://www.medworm.com/index.php?rid=4615461&cid=t_103867_180_f&fid=38607&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fsuccessbeginstoday%2FBHWQ%2F%7E3%2FMWS6tum-sDE%2F When I look back at my life and examine the things that have come along and made a real difference, I’m amazed at how simple most of them have been. When I distill down what actually made a difference, it usually comes down to a phrase, a quote, or a simple action. For example, back in 2004, I heard a speaker at a conference speak four little words that changed my life forever. Four little words made all the difference. I saw a demonstration at a leadership conference on video, that spoke to me in thousands of words. The demonstration was so simple, yet so profound. The result was a life changing shift in the way I do things. I decided one day to clean off my desk for good. I tried a simple exercise that really made a difference. It took a whole five minutes to do, but resulted in a... Success Begins Today blogs http://www.medworm.com/rss/comments.php?id=4615461 Mon, 21 Mar 2011 13:21:39 +0100 4615461 http://www.medworm.com/index.php?rid=4615469&cid=t_103867_180_f&fid=38619&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FALifeCoachsBlog%2F%7E3%2F713VTSyHaEQ%2F In my last post I asked if it were possible to banish a self-limiting belief in an hour? And after spending way less than an hour talking to Morty Lefkoe, the man that pioneered the Lefkoe Method, I concluded it is. I’m still unsure if this will work for every person, every time, but I’m convinced that it’s a very cool technique that offers a tremendous amount of value to anybody that wants to use it, not just Life Coaches. With than in mind I invited Morty to write a guest post so he could share his ideas directly with you and explain the process in more detail. On Friday I will be speaking with Morty and setting myself up as the Guinea Pig as he runs me through the process again and exposes another limiting belief I didn’t know I had! I’m hoping to post that next week, so i... Life Coach Blog: The Discomfort Zone : blogs http://www.medworm.com/rss/comments.php?id=4615469 Sun, 20 Mar 2011 23:09:40 +0100 4615469 http://www.medworm.com/index.php?rid=4615142&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F03%2Fbenefits-of-bariatric-surgery-may-outweigh-risks-for-severely-obese-study-suggests.html Bariatric surgery is a viable option for patients who are severely obese and are safe surgical candidates who have failed medical therapy for losing weight. When indicated, bariatric surgery often leads to long-term weight loss and significantly improved health. While there are risks, bariatric surgery is considered a relatively safe procedure, especially in centers that perform many of the procedures (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4615142 Sun, 20 Mar 2011 16:21:48 +0100 4615142 http://www.medworm.com/index.php?rid=4615144&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F03%2Fhigh-volume-portable-music-players-may-impair-ability-to-clearly-discriminate-sounds.html Listening to loud music through earphones for extended periods in noisy surroundings can cause neurophysiological changes related to clear discrimination of sounds, even if the hearing threshold is normal, new research shows. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4615144 Sun, 20 Mar 2011 16:16:53 +0100 4615144 http://www.medworm.com/index.php?rid=4615467&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FIJ82NFfkvWw%2F Getting people to jump in and support a new internal organizational can be difficult, especially if the idea creates change.  Most of the time the person you are asking to change wants to know why they should do what you are asking them to do, and how it makes their jobs easier than the way they are doing it now. One way to get people to buy in to your idea is to encourage them to use your new, great concept, in a way that will win over their hearts and minds.  And of course if they resist you can always go authoritarian and push what you want in a top down approach as a method of compliance (which in some cases is necessary). But the honey, not the vinegar, will get you farther in the long run until, even when all other options are extended. The natural reaction can be to force complian... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4615467 Sat, 19 Mar 2011 21:04:40 +0100 4615467 http://www.medworm.com/index.php?rid=4611006&cid=t_103867_151_f&fid=35805&url=http%3A%2F%2Ftwelvestepfacilitation.com%2Fhierarchy-of-recovery%2F According to psychologist Abraham Maslow, clients progress through a hierarchy of needs that begins with physiological needs and ends with self-actualization. According to author Robert Helgoe, the process of recovery from alcoholism and addiction follows the same hierarchy. Clients enter recovery because they need to survive. When they maintain recovery because they wish to thrive, they have taken an important step toward self-actualization.Hierarchy of Recovery explores these principles in an engaging discussion. Tools such as personal inventories and checklists help you pinpoint where your clients are within the hierarchy. By knowing this, you know how to help them achieve the next level.In this age of accountability, measuring progress scientifically instead of subjectively is essentia... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=4611006 Fri, 18 Mar 2011 15:19:00 +0100 4611006 http://www.medworm.com/index.php?rid=4605826&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-surprising-discovery-and-the-value-of-the-physical-exam%2F2011.03.17 I’ve remarked in the past how rarely I ever learn anything useful from physical exam. It’s one of those irritating things about medicine — we spent all that time in school learning arcane details of the exam, esoteric maneuvers like pulsus paradoxus, comparing pulses, Rovsing’s sign and the like. But in the modern era, it seems like about half the diagnoses are made by history and the other half are made by ancillary testing. Some people interpreted my comments to mean I don’t do an exam, or endorse a half-assed exam, which I do not. I always do an exam, as indicated by the presenting condition. I just don’t often learn much from it. But I always do it. The other day, for example, I saw this elderly lady who was sent in for altered mental status. There w... Better Health blogs http://www.medworm.com/rss/comments.php?id=4605826 Thu, 17 Mar 2011 23:00:00 +0100 4605826 http://www.medworm.com/index.php?rid=4600814&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FY3TbcGMSH6I%2F Since graduating from high school, I have spent the last fourteen years on the “right track” for my big transition into adulthood. I moved out, went to college, found a good job, and bought a house. I did everything I was expected to do. I worked long hours, chasing promotions and raises I didn’t care about. I dutifully planted myself in front of the television in the rare moments I was home, and filled my existence with all the normal stuff of modern life—debt, clutter and stress. I just wanted my parents to be proud of me. So I chased what I had been told success looked like. Instead of finding what I was searching for, I discovered a constant stream of excess—too much work, too much stress, too much stuff—and I was drowning in it. In the stillness of the night, blanketed by ... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4600814 Wed, 16 Mar 2011 06:55:47 +0100 4600814 http://www.medworm.com/index.php?rid=4570296&cid=t_103867_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2011%2F03%2Ffind-sleep-as-you-spring-forward-for.html (Source: Sleep Education) Sleep Education blogs http://www.medworm.com/rss/comments.php?id=4570296 Thu, 10 Mar 2011 22:48:00 +0100 4570296 http://www.medworm.com/index.php?rid=4570522&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FPc_OKJPdstk%2F By Patrick J. MichaelsThe Current Wisdom is a series of monthly posts in which Senior Fellow Patrick J. Michaels reviews interesting items on global warming in the scientific literature that may not have received the media attention that they deserved, or have been misinterpreted in the popular press. The Current Wisdom only comments on science appearing in the refereed, peer-reviewed literature, or that has been peer-screened prior to presentation at a scientific congress. **********  The recent publication of two articles in Nature magazine proclaiming a link to rainfall extremes (and flooding) to global warming, added to the heat in Russia and the floods in Pakistan in the summer of 2010, and the back-to-back cold and snowy winters in the eastern U.S. and western Europe, have gotten a ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4570522 Thu, 10 Mar 2011 21:26:05 +0100 4570522 http://www.medworm.com/index.php?rid=4570547&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbehavior-vs-disease-a-new-way-to-look-at-health%2F2011.03.10 What is the leading cause of death in the United States? Heart disease? Cancer? No, it’s smoking. Smoking? Yes, depending on how you ask the question. In the early 90s, McGinnis and Foege turned the age-old question of what people die of on its head by asking not what diseases people die of but rather what the causes of these are. Instead of chalking up the death of an older man to say lung cancer, they sought to understand the proximate cause of death, which in the case of lung cancer is largely smoking. Using published data, the researchers performed a simple but profound calculation — they multiplied the mortality rates of leading diseases by the cause-attributable fraction, that proportion of a disease that can be attributed to a particular cause (for example, in lung can... Better Health blogs http://www.medworm.com/rss/comments.php?id=4570547 Thu, 10 Mar 2011 16:00:06 +0100 4570547 http://www.medworm.com/index.php?rid=4566354&cid=t_103867_167_f&fid=38271&url=http%3A%2F%2Frebeccascritchfield.wordpress.com%2F2011%2F03%2F09%2Fkudos-from-clients-this-is-why-i-love-my-job%2F Here’s a lovely message I received from a client today. Hello my Registered Dietitian Just wanted to remind you how much I appreciate you and all the passion and dedication you have for your profession! I am a healthier me b/c of you and I (along with my fiance my family and friends) THANK YOU SOOOOO MUCH!! What makes you so special is that you are so much more than any other RD … you have the ability to connect on a personal level (at least that’s what I have experienced). I will forever be grateful for you knowledge, support, care and commitment to my health. I just love my job so much. To be able to help people change their own lives is the most wonderful feeling. (Source: Balanced Health and Nutrition Rebecca Scritchfield's Blog) Balanced Health and Nutrition Rebecca Scritchfield's Blog blogs http://www.medworm.com/rss/comments.php?id=4566354 Wed, 09 Mar 2011 23:02:06 +0100 4566354 http://www.medworm.com/index.php?rid=4549750&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhard-water-is-it-hard-on-your-skin%2F2011.03.04 Hard water is tap water that’s high in minerals such as calcium and magnesium. Hard water isn’t harmful, except the minerals prevent your soap from sudsing. Some people think that hard water is more likely to cause a rash than soft water. Take a recent patient of mine: He moved his family to San Diego from the East Coast (good move this winter, no?) After they moved here, they noticed their skin became dry and itchy. He blamed San Diego’s notoriously hard water and installed a water softener in the main water line. It was costly, but did it improve their skin? A recent study from the UK looked at this question: Does hard water worsen eczema? The answer was no, it doesn’t. Water hardness did not seem to have any impact on eczema, the most common skin rash. What’s more important t... Better Health blogs http://www.medworm.com/rss/comments.php?id=4549750 Fri, 04 Mar 2011 22:00:50 +0100 4549750 http://www.medworm.com/index.php?rid=4532257&cid=t_103867_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F02%2F28%2Fmoving-in-the-right-direction-my-new-role-at-psych-central%2F Oprah Winfrey told the 1997 graduating class of Wellesley College that failure is God’s way of saying “Excuse me, you’re moving in the wrong direction.” She also said that when you are doing what you were created to do, it should feel like breathing. The talk show host was spot on with me because the last six months as a strategic communications consultant (whatever the hell that is) at a large consulting firm felt like 175 days of suffocation. The more I tried to fit in with all the Harvard MBAs, the more awkward I felt (as a theology major). The more I studied the various models of change management and how to direct a government agency from vision to implementation, the greater gap I felt between who I was and what I was doing for a steady paycheck. I didn’t ma... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4532257 Mon, 28 Feb 2011 17:45:58 +0100 4532257 http://www.medworm.com/index.php?rid=4528025&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2F7xtIHNGvsxc%2F Do you want to change your life but struggle to make it happen? There’s a reason it’s so difficult, and the recent unrest in the Middle East provides us a glimpse in to the challenges we face when we try to improve our lives. The president of Egypt, Hosni Mubarak, recently stepped down after presiding over the country for nearly 30 years. Thousands of protesters took to the streets to denounce his power. They threw rocks and shouted for his resignation. Apparently after three decades, the people had had enough. Uprisings have also started in Libya, Morocco, Tunisia and other countries. While I’m not going to pretend to understand what this means for U.S. relations or the stability of the Middle East, I can tell you how these revolutions illustrate why it’s so hard f... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4528025 Mon, 28 Feb 2011 06:32:08 +0100 4528025 http://www.medworm.com/index.php?rid=4522318&cid=t_103867_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2011%2F02%2F26%2Fearthquake-aftermath%2F Dear Readers I have had many, many expressions of concern since the earthquake struck Christchurch again on Tuesday 22 February 2011.  I’m glad to say that me and my family have escaped relatively unscathed from this traumatic event – I can’t say how badly hit my home city has been though.  While the earthquake on 4 September last year was certainly awful, this one has been so much more devastating in terms of the physical damage, not to mention the human cost in loss of life and both physical and emotional damage.  The infrastructure in Christchurch is incredibly damaged – I live in New Brighton, and we are expected to not have power for several weeks; we have no water or sewerage; the roading is terribly broken up with huge holes and smelly, sewage-contaminated... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=4522318 Fri, 25 Feb 2011 21:52:26 +0100 4522318 http://www.medworm.com/index.php?rid=4501768&cid=t_103867_136_f&fid=39026&url=http%3A%2F%2Fcarolinemfr.blogspot.com%2F2011%2F02%2Frepeat-after-me-change-is-coming.html If we fight change, we make it worse. We have to accept change is for the good - nothing was wrong before but maybe times have changed and we need to adapt to survive. This is similar to Darwin's theory - animals needed to adapt to survive.The health care system is changing - I don't care what your politics are - but change is coming. Doctors will have different pay structure. The focus is changing to accountability and look at the overall health of the patient. It won't be about volume of patients and procedures that are permitted by the insurance companies.Why is this happening?- The current model isn't working. Insurance companies are telling doctors what to do and patients are going broke paying for their treatments or dying because they cant- We are faced with an aging population and ... Caroline's Breast Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=4501768 Mon, 21 Feb 2011 12:54:00 +0100 4501768 http://www.medworm.com/index.php?rid=4498289&cid=t_103867_107_f&fid=36672&url=http%3A%2F%2Fwww.sciencebase.com%2Fscience-blog%2Ffive-picks-from-the-science-news.html Fix your H, increase citations and get more grant money – Citations have become the currency of science, which is used to reward scientists and scientific institutions. Small variations in citation scores can make millions of pounds difference in the financial outcomes of national Research Assessments . Therefore keeping your citation record updated is of critical importance. First February Alchemist – Something for the Alchemist to get his teeth into this week with chiton dental work offering new insights for biomimetic materials. Also, this week a sight unseen with calcite crystals revealing little but their invisibility prowess. Breath tests based on determination of acetone could be useful in sports science and training as well as diabetes monitoring. There's also a pl... Sciencebase Science Blog blogs http://www.medworm.com/rss/comments.php?id=4498289 Sat, 19 Feb 2011 17:00:07 +0100 4498289 http://www.medworm.com/index.php?rid=4489699&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F02%2Fobesity-and-knee-osteoarthritis-shorten-healthy-years-of-life.html Boston, MA - An estimated 10 million Americans suffer from knee osteoarthritis (OA), making it one of the most common causes of disability in the US. Due to obesity and symptomatic knee OA, Americans over the age of 50 will together lose the equivalent of 86 million healthy years of life, concluded researchers at Brigham and Women’s Hospital (BWH), who investigated the potential gains in quality and quantity of life that could be achieved averting losses due to obesity and knee OA. These findings are published in the February 15 issue of Annals of Internal Medicine. Comment:  Is it not the obesity that leads to osteoarthritis? Was this research or a need to publish for tenure? (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4489699 Thu, 17 Feb 2011 16:03:27 +0100 4489699 http://www.medworm.com/index.php?rid=4489701&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F02%2Fhigh-fiber-diet-may-reduce-risk-of-dying-from-chronic-diseases.html a study reported online in the Archives of Internal Medicine, based on data from "388,000 adults," who participated in a study conducted by NIH and AARP, found that people who met the national dietary guidelines for fiber intake "were less likely to die during a nine-year follow-up period."  the 20% who "ate the most fiber (29.4 grams per day for men and 25.8 grams for women) had a 22% lower risk of dying compared with those who ate the least amount (12.6 grams per day for men and 10.8 for women)." Diets high in fiber were linked with a "lower risk of death from all causes, as well as death from cardiovascular disease, infectious diseases and respiratory diseases in men and women. ( Arch Intern Med. Published online February 14, 2011) (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4489701 Thu, 17 Feb 2011 15:57:26 +0100 4489701 http://www.medworm.com/index.php?rid=4482756&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhat-womens-tears-do-to-men%2F2011.02.16 Humans are the only living things that cry when they are overcome with emotion. Why do we do this? A study by Noam Sobel and colleagues at the Weizmann Institute provide part of the answer, at least as it relates to women. The scientists showed that when men get a whiff of women’s tears, they experience a temporary, generalized loss of libido and a dip in testosterone. Really. (And you thought that red, runny nose was the turn off, didn’t you?) Scientists have known for decades that the chemical composition of “emotional tears” differs from tears shed due to simple irritation. But now, it appears that some of the chemicals contained in the former are actually pheromones; biological substances that create behavioral changes in others who are exposed to them. Such chemicals were kno... Better Health blogs http://www.medworm.com/rss/comments.php?id=4482756 Wed, 16 Feb 2011 15:00:32 +0100 4482756 http://www.medworm.com/index.php?rid=4482815&cid=t_103867_107_f&fid=36672&url=http%3A%2F%2Fwww.sciencebase.com%2Fscience-blog%2Fheptastic-science-news.html The full list: The Twitter 100 – Its 200 million users share 110 million messages a day – and if you don't know who rules the twittersphere, you don't understand the 21st-century world. This guide is a definitive who's who of the UK's tweet elite. Although for some reason they included me on the list (at #47, same as Armando Ianucci). Why haven’t we cured cancer yet? – How many times have you been asked this question, how many times have you asked this question yourself? The answer boils down to the fact that cancer is not a single disease, it's hundreds of different diseases. Asking that question is like asking, "why haven't we cured viral infection?" or "why haven't we cured car accidents?". Even if we can cur... Sciencebase Science Blog blogs http://www.medworm.com/rss/comments.php?id=4482815 Tue, 15 Feb 2011 17:00:17 +0100 4482815 http://www.medworm.com/index.php?rid=4460198&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2F5sEV5jTSDqE%2F This post is inspired by another blog post – by Catherine Caine at Cash and Joy. In that post, an (imaginary) therapist and client are having a conversation, which goes in part like this: ‘And what’s the worst thing that could happen if you don’t follow that dream?’ ‘Nothing.’ ‘Which is scarier?’ ‘The nothing.’ And I looked at that, and thought, “There’s a mission for me. Help people to see that the nothing is scarier than following your dream.” Change is simple, but it isn’t easy The thing about personal development and personal change is that it’s simple. There are really no magic bullets. There are a few tips and tricks, some things that make it easier, definitely, but the basic idea is simpl... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4460198 Thu, 10 Feb 2011 06:55:14 +0100 4460198 http://www.medworm.com/index.php?rid=4450279&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FPnQYX822xdQ%2F By Ilya ShapiroAs Congress debates cap-and-trade, new fuel standards, and subsidies for "green" companies, some still feel that political solutions to global warming are not moving fast enough. In the present case, American Electric Power Co. v. Connecticut, eight states and New York City sued several public utilities (including the federal Tennessee Valley Authority), alleging that their carbon dioxide emissions contribute to global warming. This is the third major lawsuit to push global warming into the courts (another being Comer v. Murphy Oil USA, in which Cato also filed a brief). All of these suits try to use the common law doctrine of nuisance—which, for example, lets you sue your neighbor if his contaminated water flows onto your land and kills your lawn—to attack carbon emitt... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4450279 Tue, 08 Feb 2011 15:22:34 +0100 4450279 http://www.medworm.com/index.php?rid=4445802&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fcan-your-avatar-affect-the-way-you-live%2F2011.02.07 If you own a Nintendo Wii, have played World of Warcraft, or seen James Cameron’s cinematic spectacle, then you probably know what an avatar is. And because an avatar is simply a representation of yourself that you design, your avatar’s attributes could be as similar or different to you as you wish. [This editor's avatar is 6' 8", has six-pack abs, wears only fine European clothing, and has the voice of YouTube sensation Ted Williams.] Do online avatars have any influence on their real-world counterparts? Researchers at the new Virtual Human Interaction Lab (VHIL) at Stanford University think so. According to VHIL, while avatars tend to be idealized versions of their users, evidence has suggested one’s virtual avatar does indeed influence a person. In one experiment, a fe... Better Health blogs http://www.medworm.com/rss/comments.php?id=4445802 Mon, 07 Feb 2011 20:00:16 +0100 4445802 http://www.medworm.com/index.php?rid=4445781&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F4cufxDvt22I%2F By Patrick J. MichaelsThe Current Wisdom is a series of monthly posts in which Senior Fellow Patrick J. Michaels reviews interesting items on global warming in the scientific literature that may not have received the media attention that they deserved, or have been misinterpreted in the popular press. The Current Wisdom only comments on science appearing in the refereed, peer-reviewed literature, or that has been peer-screened prior to presentation at a scientific congress. *********** It seems like everyone, from exalted climate scientists to late-night amateur tweeters, can get a bit over-excited about short-term fluctuations, reading into them deep cosmic and political meaning, when they are likely the statistical hiccups of our mathematically surly atmosphere. There’s been some major... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4445781 Mon, 07 Feb 2011 19:28:32 +0100 4445781 http://www.medworm.com/index.php?rid=4436764&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F02%2Fthree-lifestyle-changes-may-significantly-reduce-cancer-rates.html Approximately "340,000 cancer cases" in the US could be prevented "each year if more Americans ate a healthy diet, got regular exercise and limited their alcohol intake," according to the World Cancer Research Fund. The WCRF said such lifestyle changes could lead to "significant reductions in particularly common cancers such as breast (38% fewer cases per year), stomach (47% fewer) and colon (45% fewer). ... 'Physical activity is recommended for people of all ages as a means to reduce risks for certain types of cancers and other non-communicable diseases,'" said Dr. Tim Armstrong of World Health Organization. The research "was released Feb. 3 to mark World Cancer Day." Comment: This might give second thought to activists who want to blame the environment for disease rather than their own b... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4436764 Fri, 04 Feb 2011 15:14:35 +0100 4436764 http://www.medworm.com/index.php?rid=4429018&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-food-culture-change-is-upon-us%2F2011.02.02 As a pediatric endocrinologist, I am on the frontline of the childhood obesity epidemic. In fact, I am now seeing 100-pound two year olds and 150-pound three-year-old kids in my clinic and I am concerned. The obesity epidemic is perpetuated by a processed food-culture that lacks healthier local whole foods.    Diets dominated by processed foods (refined carbohydrates with high fat- and/or high-sugar content and artificial ingredients) over whole foods (fruits, vegetables, whole grains) spur more obesity and diabetes, and have even been shown to negatively change gene expression of the offspring during pregnancy. All-processed ingredients reflect the balance of desirable factors in the modern way of life such as shelf life (long), taste (sweet), texture (fat) convenience (high), and pric... Better Health blogs http://www.medworm.com/rss/comments.php?id=4429018 Wed, 02 Feb 2011 21:00:50 +0100 4429018 http://www.medworm.com/index.php?rid=4399546&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F01%2Fthe-high-risk-of-energy-drinks.html a commentary in JAMA, today, suggests that regular (nonalcoholic) energy drinks might pose just as great a threat to individual and public health and safety at alcohol and other addictive drugs. Energy drinks are beverages that contain modest to relatively high levels and concentrations of caffeine. Energy drink use is highly prevalent, constituting a $5.4 billion market in 2006 in the United States alone. Most concerning is the possibility that caffeine's neuropharmacologic effects might play a role in the propensity for addiction. Comment: almost any TV program today will contain ads for using energy drinks. There's no data to show in fact that these energy drinks produce energy, the data given with them shows only three or 4 Cal per drink. All these drinks can do is make you feel like y... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4399546 Wed, 26 Jan 2011 17:44:35 +0100 4399546 http://www.medworm.com/index.php?rid=4399832&cid=t_103867_151_f&fid=35818&url=http%3A%2F%2Frecoveryissexy.com%2F10-reasons-for-change-stagnation%2F Image via Wikipedia“We must become the change we want to see.” Mahatma GandhiTop Ten Reasons for Change Resistance, Rebellion or Objection. In alcoholics, addicts or co-dependents these may be deliberate or subconscious – part of the denial syndrome.THE RISK OF CHANGE IS SEEN AS GREATER THAN THE RISK OF STANDING STILLPEOPLE FEEL CONNECTED TO OTHER PEOPLE WHO ARE IDENTIFIED WITH THE OLD WAYPEOPLE HAVE NO ROLE MODELS FOR THE NEW ACTIVITYPEOPLE FEAR THEY LACK THE COMPETENCE TO CHANGEPEOPLE FEEL OVERLOADED AND OVERWHELMEDPEOPLE HAVE A HEALTHY SKEPTICISM AND WANT TO BE SURE NEW IDEAS ARE SOUNDPEOPLE FEAR HIDDEN AGENDAS AMONG WOULD-BE REFORMERSPEOPLE FEEL THE PROPOSED CHANGE THREATENS THEIR NOTIONS OF THEMSELVESPEOPLE ANTICIPATE A LOSS OF STATUS OR QUALITY OF LIFEPEOPLE GENUINELY BELIEVE T... Recovery Is Sexy.com blogs http://www.medworm.com/rss/comments.php?id=4399832 Tue, 25 Jan 2011 15:28:00 +0100 4399832 http://www.medworm.com/index.php?rid=4394508&cid=t_103867_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FxuBfZUw5MzQ%2Fshout-outs_25.html Dr. Bryan Vartabedian, 33 charts, is the host for this week’s Grand Rounds! You can read this week’s edition here. . ………… …………………………… Kim, Emergiblog, is the host of the latest edition of Change of Shift (Vol 5, No 15)! You can find the schedule and the COS archives at Emergiblog. (photo credit) Welcome to Change of Shift! This is a miniature edition! The quantity is tiny, the quality is superb! Grab some coffee, kick back Change of Shift is in da house! ********** Editor’s Pick: At the AJN Off the Charts blog, Juliana Paradisi pens a fantastic post on privacy, both personal and for patients, in Nurses, Hospitals and Social Media: It Depends What Business You’re In.  ….. ……………….…………. Dr. Itzhak Brook, My Voice, s... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4394508 Tue, 25 Jan 2011 15:24:53 +0100 4394508 http://www.medworm.com/index.php?rid=4389308&cid=t_103867_134_f&fid=35187&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDiabetesDaily%2F%7E3%2Ffi0Yw8Qtl7o%2Fa-non-rolling-stone-an-allegory.php This is a lightly edited republishing of an entry that first appeared on my older blog on 7/18/10. It's not my intent to republish much, but this one fits with my previous post, I've been thinking about it lately, and, well, I rather like it.Once upon a time, there was a man who, while on a certain part of his journey, found his path blocked by a large stone. The man first tried to go around the stone, but the stone lay against a high cliff on one side and a steep cliff on the other. He also found that climbing over the stone was impossible. So, the man dedicated himself to pushing the stone off his path. But, try as he might, he wasn't strong enough. Day after day, he pushed against the stone with no movement. Every few days, he was able to summon a little extra strength and move t... Diabetes Daily blogs http://www.medworm.com/rss/comments.php?id=4389308 Mon, 24 Jan 2011 07:33:24 +0100 4389308 http://www.medworm.com/index.php?rid=4377570&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhos-more-pessimistic-about-healthcare-reform-physicians-or-patients%2F2011.01.20 While public opposition to healthcare reform has diminished since its passage, physician opinions are still negative, especially among specialists who see their value to the healthcare system decreasing as reform emphasizes primary care. A survey reports that 65 percent of nearly 3,000 physicians in all specialties said the quality of healthcare in the country will deteriorate in the next five years. Seventeen percent of respondents believe the quality of healthcare will stay the same and 18 percent believe it will improve. Meanwhile, 30 percent of healthcare consumers believe that the quality of healthcare will improve. Physicians cited as reasons for their pessimism personal political beliefs, anger at insurance companies and a lack of accurate planning in the reform act. Other reas... Better Health blogs http://www.medworm.com/rss/comments.php?id=4377570 Thu, 20 Jan 2011 18:00:00 +0100 4377570 http://www.medworm.com/index.php?rid=4377754&cid=t_103867_136_f&fid=39026&url=http%3A%2F%2Fcarolinemfr.blogspot.com%2F2011%2F01%2Flook-out-change-ahead.html First - mental note to self - it may look like water on the road but it could be ice, which is slippery and will cause you to fall on your butt and cause bruises later on.We have change ahead and of course there are protests - even though the changes should prove good in the long term. The FDA wants to change the way medical devices are approved. The current system was started in 1976. Times have changed since then. Any system based on information that is 35 years old probably does need a tune/upgrade/replacement. Think of it this way, if your kitchen was 35 years old with no upgrades in the meantime, you might need some new appliances and a coat of paint to say.But of course the big drug companies are protesting the change. Their lobbying group said: 'they would make device reviews longer... Caroline's Breast Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=4377754 Thu, 20 Jan 2011 11:00:00 +0100 4377754 http://www.medworm.com/index.php?rid=4372268&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FN0O8WGQEaGQ%2F I saw Secretariat last night. Believe it or not, the movie saved my life. It could save yours too, but only if you keep reading. The love of my life, my horse Payday, physically broke me more than once in 2006, with one accident so severe it left me nearly paralyzed. Though we’d taken Ohio by storm the prior year, placing third in the state with a rookie rider and a horse that was new to the area, most people would’ve sold him without a second thought. I still thank him every single day. My divorce made 2006 one of the darkest years of my life. Riding Payday fueled the illusion that I was happy.  If he hadn’t broken me physically, I would’ve no doubt lost what was left of me emotionally. I’m reduced to tears every time I think of Payday’s emotional burden as he grounded me an ... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4372268 Wed, 19 Jan 2011 16:07:16 +0100 4372268 http://www.medworm.com/index.php?rid=4394517&cid=t_103867_107_f&fid=36672&url=http%3A%2F%2Fwww.sciencebase.com%2Fscience-blog%2Feven-more-science-news.html Science news snippets from the net meanderings of David Bradley Sir David King on climate change – King said, “We hear enough from the climate change skeptics that I have to repeat some fundamentals that you’ve probably heard before.” Fifty-five million years ago, atmospheric CO2 concentrations stood at about 1,000 ppm and global temperatures were much higher and ocean levels were about 110 m higher than they are today. Large mammals developed on Antarctica because the climatic conditions on all of the other continents were inhospitable to such development.<br /> <br /> In the past 500,000 years, every ice age was characterized by atmospheric CO2 concentrations around 200 ppm; every short interglacial period by concentrations around 285 ppm, which was a... Sciencebase Science Blog blogs http://www.medworm.com/rss/comments.php?id=4394517 Wed, 19 Jan 2011 10:00:06 +0100 4394517 http://www.medworm.com/index.php?rid=4355740&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F01%2Ftaking-more-steps-every-day-can-help-ward-off-diabetes.html ScienceDaily (Jan. 14, 2011) — Simply taking more steps every day not only helps ward off obesity but also reduces the risk of diabetes, finds a study published on the British Medical Journal website. While several studies have shown that physical activity reduces body mass index and insulin resistance -- an early stage in the development of diabetes -- this is the first study to estimate the effects of long-term changes in daily step count on insulin sensitivity.  A popular guideline is to do 10,000 steps every day, though a more recent recommendation is 3,000 steps, five days a week.  The research, by the Murdoch Childrens Research Institute, Melbourne, involved 592 middle aged adults who took part in a national study to map diabetes levels across Australia between 2000 a... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4355740 Sun, 16 Jan 2011 16:19:28 +0100 4355740 http://www.medworm.com/index.php?rid=4355741&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F01%2Fwhy-coffee-protects-against-diabetes.html Researchers discover molecular mechanism behind the drink's prophylactic effect. Coffee, that morning elixir, may give us an early jump-start to the day, but numerous studies have shown that it also may be protective against type 2 diabetes. Yet no one has really understood why. Now, researchers at UCLA have discovered a possible molecular mechanism behind coffee's protective effect. A protein called sex hormone-binding globulin (SHBG) regulates the biological activity of the body's sex hormones, testosterone and estrogen, which have long been thought to play a role in the development of type 2 diabetes. And coffee consumption, it turns out, increases plasma levels of SHBG. Comment: there have been numerous studies about the dangers and value of coffee over the years, most which were based... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4355741 Sun, 16 Jan 2011 16:13:28 +0100 4355741 http://www.medworm.com/index.php?rid=4352734&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F01%2Fcdc-health-disparities-and-inequalities-report-united-states-2011.html Since 1946, CDC has monitored and responded to challenges in the nation's health, with particular focus on reducing gaps between the least and most vulnerable U.S. residents in illness, injury, risk behaviors, use of preventive health services, exposure to environmental hazards, and premature death. We continue that commitment to socioeconomic justice and shared responsibility with the release of CDC Health Disparities and Inequalities in the United States -- 2011, the first in a periodic series of reports examining disparities in selected social and health indicators. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4352734 Sat, 15 Jan 2011 17:53:11 +0100 4352734 http://www.medworm.com/index.php?rid=4331035&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2011%2F01%2Fevidence-lacking-for-widespread-use-of-costly-antipsychotic-drugs-study-suggests.html (ScienceDaily January 7, 2011) Many prescriptions for the top-selling class of drugs, known as atypical antipsychotic medications, lack strong evidence that the drugs will actually help, a new study has found. Yet, drugs in this class may cause such serious effects as weight gain, diabetes and heart disease, and cost Americans billions of dollars. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4331035 Tue, 11 Jan 2011 14:29:29 +0100 4331035 http://www.medworm.com/index.php?rid=4331050&cid=t_103867_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F0r_g8nPhecA%2Fshout-outs_11.html FDAzilla blog is the host for this week’s Grand Rounds!   You can read this week’s edition here. When when I read the posts from this week’s grand rounds, I am astounded at how advanced, how intense, how personal, how vast, and also how amazingly complicated health care here in America is.  It’s so complicated that probably only the most astute health care observers will even understand every post below. As you read through the best posts from the medical blogosphere for the week, just think about how amazing all of this is -  health care leads to all kinds of misconceptions, frustrations, discoveries, inspiration, opportunities, tragedy, and humor. ………… …………………………… Kim, Emergiblog, is the host of the latest edition of Change of... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4331050 Tue, 11 Jan 2011 13:26:01 +0100 4331050 http://www.medworm.com/index.php?rid=4318310&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FmpXSjggRUJo%2F By Patrick J. MichaelsThe Current Wisdom is a series of monthly posts in which Senior Fellow Patrick J. Michaels reviews interesting items on global warming in the scientific literature that may not have received the media attention that they deserved, or have been misinterpreted in the popular press. The Current Wisdom only comments on science appearing in the refereed, peer-reviewed literature, or that has been peer-screened prior to presentation at a scientific congress. Better Model, Less Warming Bet you haven’t seen this one on TV:  A newer, more sophisticated climate model has lost more than 25% of its predicted warming!  You can bet that if it had predicted that much more warming it would have made the local paper. The change resulted from a more realistic simulation of the wa... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4318310 Thu, 06 Jan 2011 19:36:06 +0100 4318310 http://www.medworm.com/index.php?rid=4309883&cid=t_103867_180_f&fid=38619&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FALifeCoachsBlog%2F%7E3%2FO2IyBvjRUe4%2F There’s an old saying you maybe familiar with that suggests: “If nothing changes, nothing changes” It’s an interesting and useful expression even if it’s completely and utterly bogus. The reality of the matter is everything is changing all the time and there is no way to stop that. It’s part of life and the fact that most people resist change and feel uncomfortable with it is just one in a long line of life’s ironies. Even during the few seconds it has taken you to read the first few lines your body has waved goodbye to some dead cells and welcomed aboard some new ones. People have been born and some other people have died. Somebody, somewhere has just lost their job whereas somebody else has received the letter telling them they got the new one they wanted. But where... Life Coach Blog: The Discomfort Zone : blogs http://www.medworm.com/rss/comments.php?id=4309883 Tue, 04 Jan 2011 20:54:28 +0100 4309883 http://www.medworm.com/index.php?rid=4309659&cid=t_103867_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2Fa3nCNhiRJcQ%2Fshout-outs.html Pizaazz is the host for this week’s Grand Rounds!   You can read this week’s edition here. Several key health care bowl games will be played in 2011. Their outcomes will affect the health and well-being of a hundred million Americans and help determine the timing of the nation’s inevitable economic double-dip. They’ll also help health insurance CEOs decide whether to re-decorate their offices with fur or linoleum, and who knows? They may even help Mrs. Farquhar find a PCP.  ………… …………………………… My first thought when I read Dr Rich’s title was in regards to HIPAA and privacy violations.   What about you?  Fugitive Busted By His Pacemaker (And His Doctor) In Durango, Florida the week before Christmas, the FBI arrested fu... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4309659 Tue, 04 Jan 2011 13:20:03 +0100 4309659 http://www.medworm.com/index.php?rid=4309881&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2F5zsz8pKgtNw%2F Photo credit: Vaida Petereikiene You know what the real enemy to happiness is? It’s not sadness, or failure or fear… its complacency. It’s becoming so comfortable with just being comfortable that we stop trying to make things better. We stop even trying to make things different. We go on and on, satisfied with being good enough, and we don’t realize that nothing is really all that good until we wake up one day and find ourselves miserable. Sometime before we reach that point, there are chances, windows that can be thrown open to let in some fresh air and sunlight. Changing your life doesn’t always mean turning your entire world upside down, sometimes it’s just about getting a new perspective on yourself, or the world around you. Change your body We spend our entire lives in t... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4309881 Tue, 04 Jan 2011 06:40:10 +0100 4309881 http://www.medworm.com/index.php?rid=4294940&cid=t_103867_136_f&fid=37858&url=http%3A%2F%2Fdessertyears.wordpress.com%2F2010%2F12%2F28%2Fi-don%25e2%2580%2599t-make-new-year%25e2%2580%2599s-resolutions%2F Year’s end is neither an end nor a beginning but a going on, with all the wisdom that experience can instill in us. ~Hal Borland While I know zillions of folks are in the midst of their annual ponderings of “How can next year be different?” or “Oh! I want to (fill in the blank).” or “Is this year the year for (fill in the blank)?” — I am not. Resolutions — ala New Year’s Eve — are the same as sentencing yourself to Performance Prison. That place which confines you to a year sentence of constant performance. Where your value is completely based on how well you perform and achieve and run faster — and faster! Running faster and imposing unrealistic expectations in order to “be all you can be” is a dead end road. In fact, it will probably only get you as far as, o... The Dessert Years . . . (the sequel) blogs http://www.medworm.com/rss/comments.php?id=4294940 Tue, 28 Dec 2010 17:56:15 +0100 4294940 http://www.medworm.com/index.php?rid=4285368&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FPqFIS_QF-AI%2F What would YOU do for someone you loved? I’d do just about anything. It’s true – in fact it’s my greatest weakness. I struggle to set boundaries. I put myself last. And quite frankly, I enjoy ignoring my own untended messes in order to help others clean theirs, leaving my own life in occasional (okay, steady) disarray. But guess what? Loving to help is also my greatest strength (and yours too). You have an unlimited capacity to give. Though, many people don’t recognize this capacity. They fear that they don’t have enough to give. That they’re not important enough to change anyone’s life. They are wrong. Random Acts Of Kindness If you don’t practice, and understand, the simple power of a random act of kindness, then you are setting limits on your life. T... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4285368 Thu, 23 Dec 2010 07:19:00 +0100 4285368 http://www.medworm.com/index.php?rid=4265791&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2010%2F12%2Fe-cigs-less-dangerous.html ScienceDaily (Dec. 16) — In a new report that bucks the concerns raised by the Food and Drug Administration, a Boston University School of Public Health (BUSPH) researcher concludes that electronic cigarettes are much safer than real cigarettes and show promise in the fight against tobacco-related diseases and death. The review, which will be published online ahead of print this month in the Journal of Public Health Policy, is the first to comprehensively examine scientific evidence about the safety and effectiveness of electronic cigarettes, also known as e-cigarettes, said Michael Siegel, professor of community health sciences at BUSPH. “Taking these products off the market would force thousands of users to return to cigarette smoking," Siegel said. "Why would the FDA and the... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4265791 Fri, 17 Dec 2010 19:21:20 +0100 4265791 http://www.medworm.com/index.php?rid=4266089&cid=t_103867_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FypwyaXVAGxs%2F photo: Brennan Cavanaugh By Brennan Cavanaugh This story begins with my killing several of my Facebook friendships last holiday season. In one of my “let’s fix the world we’ve ruined” moments, I updated my FB status thusly: “So let me get this straight. We celebrate the supposed virgin birth of Jesus by cutting down a tree, only to throw it out a couple weeks later? Maybe this year we try decorating a cactus instead, or a chair, or a bike?” Subtle, right? But I forgot: You can’t mess with people’s unquestioned rituals and traditions. The crazies came out of the firewall calling me a Scrooge, wishing me a Merry Christmas, fa la la la la, dripping with sarcasm, and accusing me of self-righteous over-stepping. One woman actually told me to &#822... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=4266089 Thu, 16 Dec 2010 18:48:07 +0100 4266089 http://www.medworm.com/index.php?rid=4266324&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FLjVjoZTqJ_M%2F The fabric of your relationships is fragile. The words you use either sew the stitches tighter together, or loosen the seams until the fraying threads can barely hold themselves together. The wrong words can rip people apart and make them wonder if they ever had anything in common at all, the right ones can draw people closer and make them wonder how they ever lived apart. Your words are potent; used well, they can prove your argument, make others look up to you, and help you get what you want most from life. Used in anger or malice, they can cause more long term damage than a physical beating. Even the blackest bruises one day fade; a scarred soul is torn forever. Being able to control the language you use, regardless of setting, is a guaranteed way to become a more powerful, more con... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4266324 Thu, 16 Dec 2010 16:37:48 +0100 4266324 http://www.medworm.com/index.php?rid=4258911&cid=t_103867_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2Fbf9th7DpZZk%2Fshout-outs_14.html John Mandrola, M.D., Dr John M, is the host for this week’s Grand Rounds! You can read this week’s edition here. Hey all. Welcome to another edition of Grand Rounds, a collection of writings from medical bloggers, the world-wide. Here are this week's posts, collated into four chapters, with just a little commentary and a few selected images. ………. …………………….. A really nice piece at EP Monthly by Dr. Greg Henry:  The ED as Political Safe Zone  ………..Now if you believe that the ED is that bastion of neutrality, free of all political bias, I have a bridge in lower Manhattan that heads to Brooklyn that I’d like to sell you. The reality is that politics are everywhere. The question is, how do we rein them in so that we can give out reasonably co... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4258911 Tue, 14 Dec 2010 12:46:00 +0100 4258911 http://www.medworm.com/index.php?rid=4258842&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2Fju0qZPSZcWg%2F This study provides an elegant solution to one of the two key ice sheet instability problems” noted by the United Nations in their last (2007) climate compendium.  “It turns out that, contrary to popular belief, Greenland ice sheet flow might not be accelerated by increased melting after all,” he added. I’m not so sure that those who hold the “popular belief” can explain why Greenland’s ice didn’t melt away thousands of years ago.  For millennia, after the end of the last ice age (approximately 11,000 years ago) strong evidence indicates that the Eurasian arctic averaged nearly 13°F warmer in July than it is now. That’s because there are trees buried and preserved in the acidic Siberian tundra, and they can be carbon dated.  Where there is no forest today—because it... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4258842 Mon, 13 Dec 2010 20:04:58 +0100 4258842 http://www.medworm.com/index.php?rid=4253414&cid=t_103867_136_f&fid=39212&url=http%3A%2F%2Fbahtocancer.com%2F2010%2F12%2Fits-not-as-cold-as-i-thought%2F Joy and Hope go for a walk every morning, before Joy goes to school. This requires Joy to rally half an hour earlier than she used to, and despite all of the teasing she gets about her inability to get up in the morning, she does it without fail and without complaint. (We think it’s funny that she’s managed to get a dog that is not a morning person either. Hope often bolts for Joy’s bedroom when she sees her coat and lead coming out.) This morning, I went for a walk with them. It was dark and quiet, and chilly. Well, I thought it was chilly. Joy pointed out that, as she and Hope have been crunching their way through snowy mornings where the temperature is well into the minuses, it felt quite mild to her, and we got to talking about how experience recalibrates your idea of what’s no... Bah! to cancer blogs http://www.medworm.com/rss/comments.php?id=4253414 Mon, 13 Dec 2010 09:55:32 +0100 4253414 http://www.medworm.com/index.php?rid=4241962&cid=t_103867_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2010%2F12%2F08%2Fa-few-moments-of-beauty%2F Thought of You from Ryan J Woodward on Vimeo. Amazing huh?! Filed under: health, off topic, Relaxation, Resilience, wellness Tagged: change, dancer, health (Source: HealthSkills Weblog) HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=4241962 Wed, 08 Dec 2010 09:16:11 +0100 4241962 http://www.medworm.com/index.php?rid=4225248&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fsome-things-about-medicine-will-never-change%2F2010.12.03 I just can’t imagine life today as a medical student. Every medical publication in the palm of your hand. The capacity to create an audience and publish at your own will.  Real-time dialog between students, faculty, anyone. Global reach from your phone. It’s mind-boggling really. This is in stark contrast to my experience. My world was centered on index cards, textbooks and pens with different colors. We communicated via Post-it notes on the door of the student lounge. There were no apps and our only game was foozball. As a first year I scheduled time to compose H&Ps on the library’s only Macintosh II computer. This was plugged into the new Apple LaserWriter with WYSIWYG. Hi tech we were. We thought. Being distractible and restless, I’m going to guess that if I had a... Better Health blogs http://www.medworm.com/rss/comments.php?id=4225248 Fri, 03 Dec 2010 19:00:17 +0100 4225248 http://www.medworm.com/index.php?rid=4220462&cid=t_103867_151_f&fid=35805&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftwelvestepfacilitation%2FwAgT%2F%7E3%2FAkreI4Vn5yg%2F Phases of Alcoholism RecoveryThe recovery process in Alcoholics Anonymous includes several general phases that people may pass through. These are not time related but are usually dependent on the persons particular circumstances.Initial SobrietySurrenders to alcohol – accepts alcoholismBegins humble search for selfRestoration of physical health beginsRestoration of memory beginsRestoration of mental functions beginsBegins to practice self-honestyIs pre-occupied with sobrietyGrowth of open-mindednessLessening of needless guiltFreely discusses alcohol and its problemsMild depression and anxiety lessensMental functions are more alertLearning SobrietyAccepts and owns their alcoholismLoss of freedom acknowledged and acceptedAlibis replaced by sound reasons for sobrietySocial pressures to ... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=4220462 Mon, 29 Nov 2010 19:56:20 +0100 4220462 http://www.medworm.com/index.php?rid=4214177&cid=t_103867_107_f&fid=36672&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSciencebaseScienceBlog%2F%7E3%2Fl3o0iZ_2UKY%2Fclimate-change-digital-music.html Information technology has a carbon footprint, that’s beyond doubt. Now, writing in a special issue of the Journal of Industrial Ecology, Christopher Weber, Jonathan Koomey and Scott Matthews in the US in work supported by grants from Microsoft Corporation and Intel Corporation have calculated that purchasing music digitally reduces the energy and carbon dioxide emissions associated with delivering music to customers by between 40% and 80% from the best-case physical CD delivery, depending on whether a customer then burns the files to CD (it’s five times better if they don’t). They point out that digital media services, such as subscription and streaming systems, like Spotify, last.fm and Pandora have higher energy usage than direct downloads, such as iTunes, Zune, amazon... Sciencebase Science Blog blogs http://www.medworm.com/rss/comments.php?id=4214177 Mon, 29 Nov 2010 17:00:54 +0100 4214177 http://www.medworm.com/index.php?rid=4205980&cid=t_103867_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2010%2F11%2F27%2Fwarming-world-or-just-world%2F From UCBerkeley News: Dire or emotionally charged warnings about the consequences of global warming can backfire if presented too negatively, making people less amenable to reducing their carbon footprint, according to new research from the University of California, Berkeley. “Our study indicates that the potentially devastating consequences of global warming threaten people’s fundamental tendency to see the world as safe, stable and fair. As a result, people may respond by discounting evidence for global warming,” said Robb Willer, UC Berkeley social psychologist and coauthor of a study to be published in the January issue of the journal Psychological Science. “The scarier the message, the more people who are committed to vi... The Situationist blogs http://www.medworm.com/rss/comments.php?id=4205980 Sat, 27 Nov 2010 04:48:29 +0100 4205980 http://www.medworm.com/index.php?rid=4220464&cid=t_103867_151_f&fid=35805&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftwelvestepfacilitation%2FwAgT%2F%7E3%2FY6OqkALBvcs%2F What They Want: Motivation and Treatment Choice in Non-treatment-Seeking Substance AbusersAlthough a variety of therapies exist for the treatment of substance use disorders, little emphasis is placed on allowing individuals to choose their own treatment trajectories. Considering the preference of a person for the type of substance abuse treatment; he or she would want to be made to feel important and in allowing the person to feel autonomous, which may impact the overall motivation for substance abuse behavior change.The investigators assessed 51 country detention facility inmates recently arrested on drug-related or alcohol-related charges, examining the motivational factors and treatment preference when presented with 2 hypothetical treatments.The findings showed that the group was relat... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=4220464 Thu, 25 Nov 2010 23:55:00 +0100 4220464 http://www.medworm.com/index.php?rid=4197096&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2010%2F11%2Fstudy-finds-daily-pill-lowers-risk-of-hiv-infection.html         On its front page, the New York Times (11/24, A1, McNeil) reports, "In the study, published Tuesday by the New England Journal of Medicine, researchers found that the men taking Truvada, a common combination of two antiretroviral drugs, were 44 percent less likely to get infected with the virus that causes AIDS than an equal number taking a placebo." The "results are the best news in the AIDS field in years, even better than this summer's revelation that a vaginal microbicide protected 39 percent of all the women testing it and 54 percent of those who used it faithfully." Comment: the biggest problem with access to this drug is a several thousand dollar cost per your which will put it outside the means of many of those infected with HIV. It is unf... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4197096 Wed, 24 Nov 2010 17:44:36 +0100 4197096 http://www.medworm.com/index.php?rid=4197098&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2010%2F11%2Fgonorrhea-rate-in-2009-hits-lowest-level-since-1941.html USA Today reports, "One of the nation's most common forms of sexually transmitted diseases has fallen to its lowest level ever recorded, but there's still improvement needed," according to data released on Monday by the Centers for Disease Control and Prevention. In fact, the "annual report card on sexually transmitted diseases (STDs) found that the gonorrhea rate in 2009 -- the most recent year for which figures are available -- was at its lowest level since 1941." the rates for chlamydia and syphilis continue to rise, syphilis infection rates among women, however, declined. (Source: Dr. Buttery's Public Health BLOG) Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4197098 Tue, 23 Nov 2010 15:43:21 +0100 4197098 http://www.medworm.com/index.php?rid=4172094&cid=t_103867_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FKIviecnF9WU%2Fshout-outs_16.html Kim, Emergiblog,  is the host for this week’s Grand Rounds! You can read this week’s edition here (photo credit). Welcome to the Doctor Who edition of Grand Rounds! We’ll travel through the medical blogosphere of 21st century Earth, where we will find that Grand Rounds can be found on Twitter (@grandrounds) and on a website known as Facebook (Grand Rounds). Our spaceship/time-machine, the TARDIS (Time And Relative Dimensions in Space), is standing by. “All of time and space; everywhere and anywhere; every star that ever was. Where do you want to start?” – the Eleventh Doctor The adventure begins……. ………………………………………. Kim, Emergiblog, is the host of the latest edition of Change of Shift (Vol 5, No 10)! You can find the schedule an... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4172094 Tue, 16 Nov 2010 14:48:15 +0100 4172094 http://www.medworm.com/index.php?rid=4162938&cid=t_103867_99_f&fid=35342&url=http%3A%2F%2Fblog.vcu.edu%2Fcbuttery%2F2010%2F11%2Fyoung-unsupervised-children-most-at-risk-for-dog-bites-study-shows-dogs-often-target-a-childs-face-a.html ScienceDaily (Nov. 9, 2010) — As dog bites become an increasingly major public health concern, a new study shows that unsupervised children are most at risk for bites, that the culprits are usually family pets and if they bite once, they will bite again with the second attack often more brutal than the first. The study, the largest of its kind, was done by Vikram Durairaj, MD, of the University of Colorado School of Medicine, who found that dogs usually target a child's face and eyes and most often it's a breed considered 'good' with children, like a Labrador retriever. Durairaj said. "The onus is on parents to recognize aggressive breeds as well as behaviors and never allow their young children to be left unsupervised around any dog." Comment: it is also worth reading today's editor... Dr. Buttery's Public Health BLOG blogs http://www.medworm.com/rss/comments.php?id=4162938 Fri, 12 Nov 2010 20:24:28 +0100 4162938 http://www.medworm.com/index.php?rid=4151747&cid=t_103867_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FgKhRO7iRgbM%2F By Patrick J. MichaelsNovember’s Scientific American features a profile of Georgia Tech atmospheric scientist Judith Curry,  who has committed the mortal sin of  reaching out to other scientists who hypothesize that global warming isn’t the disaster it’s been cracked up to be.  I have personal experience with this, as she invited me to give a research seminar in Tech’s prestigious School of Earth and Atmospheric Sciences in 2008.  My lecture summarizing the reasons for doubting the apocalyptic synthesis of climate change was well-received by an overflow crowd. Written by Michael Lemonick, who hails from the shrill blog Climate Central, the article isn’t devoid of the usual swipes, calling her a “heretic,, which is hardly at all true.  She’s simply another hardworking sci... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4151747 Wed, 10 Nov 2010 17:48:35 +0100 4151747 http://www.medworm.com/index.php?rid=4152279&cid=t_103867_151_f&fid=35805&url=http%3A%2F%2Ftwelvestepfacilitation.com%2F10-things-known-about-addiction%2F . If you were asked: ‘What are the most important things we know about addiction?’ what would you say? This paper brings together a body of knowledge across multiple domains and arranged as a list of 10 things known about addiction, as a response to such a question. Editors note; These things apply equally to addiction, alcoholism, compulsive gambling, co-dependency and all such afflictions. The 10 things are: addiction is fundamentally about compulsive behaviour; compulsive drug seeking is initiated outside of consciousness; addiction is about 50% heritable and complexity abounds; most people with addictions who present for help have other psychiatric problems as well; addiction is a chronic relapsing disorder in the majority of people who present for help; different psychoth... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=4152279 Mon, 08 Nov 2010 16:58:03 +0100 4152279 http://www.medworm.com/index.php?rid=4142747&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmedical-devices-daylight-savings-time-and-y2k-nostalgia%2F2010.11.07 Remember that cold December in 1999 when we all thought that planes would soon be dropping out of the sky, nuclear power plants were to be melting down, and the world was going to end? This weekend Health Canada is giving clinicians across the country (and really all of North America) an opportunity to feel the anxiety, fear, and excitement all over again. In 2007, the dates for switching between Standard and Daylight Saving time were changed, and the authorities, three years into the new schedule, have issued a warning for this weekend’s one hour rollback: Medical equipment manufactured prior to 2007 may not function optimally if the equipment has not been updated by manufacturers to compensate for the new dates. To date, Health Canada has not received any reports of device malfunct... Better Health blogs http://www.medworm.com/rss/comments.php?id=4142747 Sun, 07 Nov 2010 22:00:13 +0100 4142747 http://www.medworm.com/index.php?rid=4139508&cid=t_103867_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2Fyv-8TYh_jFE%2F Would you be happy if you won the lottery? How about if George Clooney or Monica Belluci asked you to spend the night? What if you were taller, thinner, faster, smarter or simply better at every thing you did? Truth is, many people wait for happiness to happen to them, and end up squandering all the millions of seconds they could be using to make themselves truly happy, inside and out. Most people don’t believe that we have the power to actively change their state from miserable and morose to happy and satisfied. And the kicker is, it doesn’t too much effort to change states naturally. The real challenge is having the faith to try. 1. You’re putting off doing things that would make you feel better until you feel better. It’s a vicious circle – you don’t like the way you loo... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4139508 Fri, 05 Nov 2010 16:22:44 +0100 4139508 http://www.medworm.com/index.php?rid=4139238&cid=t_103867_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-clocks-tick-tock-and-our-tickers%2F2010.11.05 With the daylight savings fall-back date for 2010 rapidly approaching (remember: “Spring forward, fall back” — which is this Sunday, November 7th, 2010), I’m reminded of some research I read a few years back suggesting a link between daylight savings and heart attack risk. The research suggested the Monday effect of increased heart attacks was not related to stress, but rather the sleep cycle. When looked at from the daylight savings fall-back perspective, the research suggests the extra hour of sleep we gain from the November 7th, 2010 daylight savings fall-back date will be protective against heart attack risk. Good to know, especially if you’re the cardiologist on call the week following either date. *This blog post was originally published at T... Better Health blogs http://www.medworm.com/rss/comments.php?id=4139238 Fri, 05 Nov 2010 12:00:00 +0100 4139238