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 'entry'. Sat, 03 Sep 2011 02:12:01 +0100 http://www.medworm.com/index.php?rid=5159207&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F08%2F20%2Fthree-is-a-crowd%2F “Three is a crowd,” my husband told me when I shyly brought up the question of whether we should have more children. Maybe it was the complicated nature of the question or just the wrong timing (dinner), but we managed to get into a long discussion that culminated in an argument. An hour overdue, banana bread in the oven interrupted us with its burnt smell. I don’t even know if I want to have more children, but I have been plagued by the question the last few months. We have two. They are at the age where I can forget about buying mountains of diapers, carrying ten pounds of baby paraphernalia anywhere I go and performing the never-ending gymnastics of helping my kids with every move they make. I am finally becoming just a tad more relaxed, relearning the joy of adult company, uninte... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5159207 Sat, 20 Aug 2011 10:51:49 +0100 5159207 http://www.medworm.com/index.php?rid=5050716&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F07%2F20%2Fthe-psychology-of-a-heat-wave%2F As the U.S. and Canada enter into a heat wave, I get a lot of questions about how heat impacts human behavior and our moods. So three years ago, I wrote a blog entry that reviews the research about weather affects our moods and behavior. It’s still a good overview of the research in this area and worth the read. But it’s nice to highlight a few points from that article, as well as other research, that demonstrates how the weather — and especially hot weather, in this case — can impact our mood. Does a heat wave lead to more violence? Do we have more or less energy during high humidity? What about depression and anxiety? Read on for the answers. Heat waves come and go nearly every year in some part of the world. What makes them especially difficult for indigenous po... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5050716 Wed, 20 Jul 2011 18:32:10 +0100 5050716 http://www.medworm.com/index.php?rid=5036229&cid=t_158205_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-real-world-of-medicine-today%2F2011.07.17 The old joke in medicine goes, ‘don’t get sick on July 1st.’ That’s because it’s the day when new resident physicians, freshly graduated from medical schools across the land, begin their training programs. Although they have spent four years in undergraduate school and four years in medical school, it’s residency where physicians are made from the raw material of knowledge-rich, experience poor high achievers. However, even in residency physicians are seldom told the entire story of how the practice of medicine, and their lives, will look and feel as their careers evolve and they enter the medical work-force. Since our profession changes from year to year and administration to administration, it seems a good time to mention some of the things upcoming young physicians will face... Better Health blogs http://www.medworm.com/rss/comments.php?id=5036229 Sun, 17 Jul 2011 16:00:50 +0100 5036229 http://www.medworm.com/index.php?rid=5018725&cid=t_158205_139_f&fid=38879&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FVirologyBlog%2F%7E3%2F2aql2DLq09Q%2F Hosts: Vincent Racaniello, Rich Condit, Dickson Despommier, Alan Dove, and Matt Evans Matt Evans joins Vincent, Rich, Dickson, and Alan to deconstruct a mouse model for hepatitis C virus infection. Click the arrow above to play, or right-click to download TWiV #141 (117 MB .mp3, 97 minutes). Subscribe to TWiV (free) in iTunes , at the Zune Marketplace, by the RSS feed, by email, or listen on your mobile device with the Microbeworld app. Links for this episode: Mouse model for HCV infection (Nature) Commentary on HCV mouse model (Nature) Matt Evans on the Wall Street Journal Report TWiV on Facebook Letters read on TWiV 141 Weekly Science Picks Matt – Benezra letter to NIH (pdf); (NIH response and Nature commentary) Dickson – The Big Thirst by Charles Fishman Alan – Ea... virology blog blogs http://www.medworm.com/rss/comments.php?id=5018725 Sun, 10 Jul 2011 15:39:17 +0100 5018725 http://www.medworm.com/index.php?rid=4911571&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F08%2Fhow-to-do-great-work-and-a-giveaway%2F When you’re on the job, you might feel like the last thing you’re doing is meaningful work. Like you’re stuck in a rut and just going through the motions. Email? Check. Phone calls? Check. Data entry? Check. Meeting? Check. Lunch? Check. More email. More calls. Home. Whether or not your days feel this mundane, you still might not be involved in exhilarating, engaging work that makes you happy. In Do More Great Work, Canadian coach Michael Bungay Stanier — founder of the company Box of Crayons — helps readers “stop the busywork, and start the work that matters.” Specifically, the book features a variety of exercises, which Stanier calls maps, and thought-provoking questions that help readers figure out what their own meaningful work is and how to do more of it. (It... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4911571 Wed, 08 Jun 2011 10:15:12 +0100 4911571 http://www.medworm.com/index.php?rid=4828851&cid=t_158205_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FEGhpVChcOhQ%2F By Tim LynchAwful ruling handed down by the Supreme Court this morning in a case called Kentucky v. King [pdf].  The case concerns the power to break into a person’s home without the occupant’s consent and without a warrant.  Our homes are supposed to be our castles–so the general rule is that the police must get an independent judge to approve a warrant application before the door can be forced open.  There are a few common sense exceptions to the general rule.  For example, if someone is screaming for help, the police can enter.  Also if the police are in hot pursuit, they can follow the suspect on to private property and into a home under such circumstances.  Today’s ruling expands the exceptions to situations where the police suspect that the occupants o... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4828851 Mon, 16 May 2011 19:14:24 +0100 4828851 http://www.medworm.com/index.php?rid=4794897&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F05%2F06%2Fblurring-sponsorship-advertising-disclosures%2F Many companies sponsor things, and in the world of mental health and psychiatry, those companies tend to be pharmaceutical. Sponsorships help promote a company’s brand (and, indirectly, the products they sell). Since I believe — like most mental health professionals — that most people benefit from a combination of both medications and psychotherapy in the treatment of serious mental disorders, I see the value of many pharmaceutical companies’ products. However, as we putter along in this age of the Internet, I’ve seen a disturbing trend toward blurring the line between editorial content and advertising. And now I see, thanks to a blog entry this week by Dr. Danny Carlat, that this trend is being promulgated by one of the very organizations responsible for over... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4794897 Fri, 06 May 2011 14:30:00 +0100 4794897 http://www.medworm.com/index.php?rid=4560274&cid=t_158205_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fadvice-from-the-emr-trenches%2F2011.03.07 The latest from moi: “Implementing Electronic Medical Records: Advice from the Trenches” in the March/April 2011 issue of HIT Exchange magazine. An excerpt: The news released in late December from the Centers for Disease Control and Prevention that more than half of the nation’s physicians are now using electronic medical records (EMR)—double the adoption rate of just five years ago—is surely worth celebrating. Until, that is, you take a look and realize that just a fourth of office-based physicians have access to a “basic” EMR system including patient history, demographics, problem lists, clinical notes, and computerized physician order entry (CPOE), while just one in 10 has a “fully functional” system, which also includes the communication system required for me... Better Health blogs http://www.medworm.com/rss/comments.php?id=4560274 Mon, 07 Mar 2011 23:00:00 +0100 4560274 http://www.medworm.com/index.php?rid=4414548&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F01%2F30%2F5-steps-to-a-more-resilient-you%2F Resiliency is what makes some people able to bounce back after a particularly traumatic or difficult time or stressor in one’s life, while others fall apart. It is a component of positive psychology, in that researchers try and figure out what makes resilient people different than others. And then seeks to help others learn some simple skills that may be able to help build resiliency in one’s own life. There are no secret short-cuts to building greater resilience in your life. Most skills you can learn to help build resiliency are things that are going to take lots of time and lots of practice. Practice is one of the things people often forget when it comes to changing one’s behavior or one’s life. You didn’t become this way overnight. It took years — a... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4414548 Sun, 30 Jan 2011 11:40:39 +0100 4414548 http://www.medworm.com/index.php?rid=4386301&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F01%2F22%2Funiversities-college-students-and-mental-health%2F With the recent tragedy allegedly perpetrated by suspended college student Jared Loughner in Tuscon, AZ, the role of colleges’ and universities’ student counseling centers has taken center stage. This is a little odd, given that Mr. Loughner attended a community college that lacked a student counseling center. Most community colleges — catering to part-time students who often have families or hold down full-time jobs — don’t seem to have the mental health counseling centers that most traditional universities and colleges have. Dr. Emily Gibson, a family physician who apparently works with students at a college, recently wrote a blog entry about mental illness in the college student. In this entry, she seems to bemoan the fact that students have come to expect ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4386301 Sat, 22 Jan 2011 13:47:23 +0100 4386301 http://www.medworm.com/index.php?rid=4265857&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F12%2F17%2Ffriday-flashback-for-december-17-2010%2F It’s been awhile since I’ve done one of these, but as we head into the holiday season, we slow down a bit here. So enjoy these great golden oldies from days of yore. 15 Years Ago on Psych Central Seek Out Help One of the first things I wrote for the website was an editorial piece about how you should nearly always seek out psychotherapy in addition to medications for treatment of mental health issues (which is even more true today than it was 15 years ago). And I announced a call for articles for a new online mental health magazine called Perspectives. 5 Years Ago on Psych Central At trial, noted cardiologist criticizes Merck’s behavior Talk about the “tip of the iceberg.” In this blog entry from December 2005, I noted how a cardiologist was calling out Merck for... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4265857 Fri, 17 Dec 2010 13:33:02 +0100 4265857 http://www.medworm.com/index.php?rid=3895936&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F08%2F23%2Fobama-kanazawa-endogamy-and-religion%2F A recent blog entry by Satoshi Kanazawa, an evolutionary psychologist, recently came across my desk that made the outrageous claim that one cannot chose one’s religion. If one’s family is a Muslim, you will be too, no matter what you actually practice — genetically speaking. He relates this piece of news by suggesting that Obama cannot choose to be a Christian, because his family was a Muslim. He suggests that, genetically, Obama is a Muslim no matter what he practices. If this doesn’t pass the basic logic smell test for you, then you’re not alone. Like other world religions, Islam not only is a religion but also comprises largely endogamous ethnic groups. When a group of individuals remain largely or entirely endogamous (marry only other members of the group ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3895936 Mon, 23 Aug 2010 16:27:31 +0100 3895936 http://www.medworm.com/index.php?rid=3786158&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F07%2F24%2Fdaniel-carlat-interview-on-nprs-fresh-air%2F Perhaps you missed it, but psychiatrist Dr. Daniel Carlat released his first mainstream book in May criticizing the profession of psychiatry entitled, Unhinged. I’ve read it, enjoyed it, and would recommend it to anyone who wants to get a good understanding of how mainstream psychiatry is practiced throughout the U.S. today. Psychiatrists spend most of their time listening briefly to their patients, checking on how they’re doing on their medications, and send patients on their way, typically after only 10 or 15 minutes every few weeks. Psychotherapy is mostly done by psychologists and other mental health professionals. If you’ve followed the mental health profession for the past decade — and especially with the nonstop disclosures of a number of company’s unet... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3786158 Sat, 24 Jul 2010 17:11:39 +0100 3786158 http://www.medworm.com/index.php?rid=3724382&cid=t_158205_139_f&fid=38879&url=http%3A%2F%2Fmedia.rawvoice.com%2Fpmn_twiv%2Fwww.twiv.tv%2FTWiV089.mp3 Hosts: Vincent Racaniello and Alan Dove On episode #89 of the podcast This Week in Virology, Vincent and Alan review recent findings on the association of the retrovirus XMRV with ME/CFS, reassortment of 2009 pandemic H1N1 influenza virus in swine, and where influenza viruses travel in the off-season. Download TWiV #89 (56 MB .mp3, 78 minutes) Subscribe to TWiV (free) in iTunes , at the Zune Marketplace, by the RSS feed, or by email, or listen on your mobile device with Stitcher Radio. Links for this episode: Conflicting XMRV papers on hold Leak of PNAS paper CDC study on XMRV in CFS patients (Retrovirology) and Science update Where influenza viruses travel in the off season (EurekaAlert! and PLoS Pathogens) NPR article on Ebola siRNA treatment (thanks, Andreas!) Priming mechanism for re... virology blog blogs http://www.medworm.com/rss/comments.php?id=3724382 Sun, 04 Jul 2010 17:03:57 +0100 3724382 http://www.medworm.com/index.php?rid=3403925&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F03%2F25%2Fbending-science-in-service-of-book-promotion%2F Conclusions – People love sex. People love reading about sex. And people really love reading about how everything can be explained by sex or some gender differences. If it’s something about rats, that’s fine… You can gloss over the fact that it’s only been proven in rat studies by simply leaving that to the footnotes or references. Simplicity – You need to get to the point. Nobody’s buying the book to read dry academic studies. So authors make sure they season their book with lots of little anecdotes about small, unpublished classroom studies, or something overheard at a dinner party. People like stories because they’re simple and engaging. Stories have little scientific value, but they will “prove” the points nonetheless, at lea... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3403925 Thu, 25 Mar 2010 16:23:59 +0100 3403925 http://www.medworm.com/index.php?rid=3287419&cid=t_158205_139_f&fid=38879&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FVirologyBlog%2F%7E3%2FKsK0AgKil_M%2F Broad spectrum antibiotics are available that act against a wide range of bacteria, including both gram-positive and gram-negative species. In contrast, our antiviral arsenal is exceedingly specific. Nearly all the known antivirals block infection with one or two different viruses. The discovery of a compound that blocks infection with many different enveloped viruses may change the landscape of antiviral therapy. A small molecule has been discovered that inhibits infection by a wide range of viruses with membranes, the so-called enveloped viruses. The compound, called LJ001, is a derivative of aryl methylene rhodanine. It was discovered in a search for compounds that block the entry of Nipah virus into cells. LJ001 was then found to block infection of cells by a wide variety of enveloped ... virology blog blogs http://www.medworm.com/rss/comments.php?id=3287419 Thu, 18 Feb 2010 22:59:23 +0100 3287419 http://www.medworm.com/index.php?rid=3259026&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F02%2F10%2Fnewsweeks-take-on-antidepressants-more-reactions%2F Since Newsweek published its article on antidepressants last week, we’ve seen a wide range of opinions posted about it online. Psych Central blogger and journalist Christine Stapleton asks, Am I treating my depression with expensive Tic Tacs? She reacted strongly to the main premise of the article — that antidepressants are nothing more than expensive Tic Tacs. It’s a personal but very real reaction from someone who has battled depression and has found relief in antidepressants — like millions of other Americans. Indeed, it echoes my own arguments. Research can inform us about many things in general, but they can never tell us anything about how a specific individual will benefit (or not). Christine posted a followup entry today, Antidepressants: JAMA, Newsweek an... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3259026 Wed, 10 Feb 2010 14:18:19 +0100 3259026 http://www.medworm.com/index.php?rid=3243352&cid=t_158205_139_f&fid=38879&url=http%3A%2F%2Fwww.virology.ws%2F005_W3310_10.mp4 Download: .wmv (386 MB) | .mp4 (131 MB) There are some errors in this lecture – I’ll correct them during the next session. Visit the virology W3310 home page for a complete list of course resources. (Source: virology blog) virology blog blogs http://www.medworm.com/rss/comments.php?id=3243352 Fri, 05 Feb 2010 12:00:41 +0100 3243352 http://www.medworm.com/index.php?rid=3111463&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F12%2F22%2Fhonored-by-postpartum-progress%2F Mothers with postpartum depression are still minimized by many doctors nowadays. “Oh, that’s natural, don’t worry, it’ll clear up in a few days,” is something a physician told my friend after one of her deliveries. Depression as acne, you’ve got to love it. But sadly, I don’t believe such responses are all that uncommon. While we may be a nation of pill poppers, we’re also a nation of minimizing serious concerns such as postpartum depression. I wrote about this issue earlier this year, and I’m honored that Katherine Stone has singled out our blog entry on the topic as one of the “Top Ten Writers on Postpartum Depression.” I also feel a little out of place on a list of such deeply moving stories by moms who’ve had post... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3111463 Tue, 22 Dec 2009 13:04:21 +0100 3111463 http://www.medworm.com/index.php?rid=3092778&cid=t_158205_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FnaQJ3skPWfE%2F “Physician order entry and decision support I believe offer the most chance of improving healthcare delivery. There are a lot of information systems with bells and whistles that don’t focus on physicians’ real needs.” – Neil R. Powe, MD, MPH, MBA, Chief of Medical Services, San Francisco General Hospital source I previously posted about the benefits of EMR interoperability. The above quote touts Physician order entry and clinical decision support as the most likely to improve healthcare. Are these the three most promising features of an EMR or is there something they’re missing? What’s the killer feature of an EMR that will make every doctor implement an EMR whether they like it or not? Related posts:Killer EMR Features According to EMR Vendors I... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3092778 Mon, 14 Dec 2009 16:25:34 +0100 3092778 http://www.medworm.com/index.php?rid=3052184&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F12%2F03%2Fmindfully-break-free-from-procrastination%2F Elisha Goldstein, PhD, writing for our blog, Mindfulness and Psychotherapy, had some tips for beating procrastination that you may have missed… “When it comes to procrastination or inertia to make changes in our lives, it’s important to cultivate an awareness of what it really is. In order to do that, we need to break it down and name what is happening. Once we can name it, we can face it, and when we can face it, we can work with it. Here is a 3 step process to breaking through procrastination: Name it Redirect to physical feeling Return to original intention Continue reading the full blog entry about how to break free from procrastination to get the full picture… (Source: World of Psychology) World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3052184 Thu, 03 Dec 2009 14:20:52 +0100 3052184 http://www.medworm.com/index.php?rid=3039872&cid=t_158205_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2Fz-DuNwHBvNU%2F It’s not quite the world’s oldest profession. More like civilization’s. It predates EHRs, paper, papyrus…even clay. So long as there has been writing, even on stone tablets, there have been scribes. Folks who were trained to commit words or ideas to a more durable medium than fallible memory. Folks who did nothing else besides that special act of translation. Because the movers and shakers who were actually talking, doing, or thinking the important stuff were busy with the important stuff — and were unable to scribe simultaneously, and too busy to learn. Sound familiar? It Sounded Like A Bad Joke, Actually The idea first came to my attention from one of The EHR/EMR Show’s readers in 2008. At the time, I thought it was a step backwards: another layer bet... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=3039872 Mon, 30 Nov 2009 17:00:05 +0100 3039872 http://www.medworm.com/index.php?rid=3023179&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F24%2Fwhats-it-going-to-take-to-make-you-happy%2F Happiness. Ahh, what an enticing word that is. Psychologists call it “subjective well-being” (and even abbreviate it as SWB in their research), but it boils down to the same thing — what makes us more happy? And how can we do more of that special stuff that will lead to greater happiness in our lives? This Emotional Life, a new PBS documentary hopes to help answer that question in three 2-hour shows from January 4 through the 6th, 2010. “Each episode weaves together the compelling personal stories of ordinary people and the latest in brain science research, along with revealing comments from celebrities such as Chevy Chase, Larry David, Elizabeth Gilbert, Alanis Morissette, Katie Couric and Richard Gere.” Sounds like good stuff and we’re happy to help pr... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3023179 Tue, 24 Nov 2009 13:44:22 +0100 3023179 http://www.medworm.com/index.php?rid=3012432&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F20%2Fyear-in-review-your-picks%2F It’s that time of the year again, when we pull together our top picks for mental health and psychology stories in the news in the past year. There’s no magic to our choices, we’re just looking for stories that you believe had the biggest positive or negative impact in this area. For instance, last year the passage of the mental health parity law here in the U.S. was the biggest mental health news story of 2008. One example for this year might’ve been the debate we had surrounding what I thought was a pretty sensible law about postpartum depression. You can take a look at last year’s Year in Review to get a feel for what we’re looking for here. Note your top picks in the comments and we’ll review those and the ones on our own list to come up with ou... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3012432 Fri, 20 Nov 2009 13:13:04 +0100 3012432 http://www.medworm.com/index.php?rid=2995773&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F16%2Fare-we-racially-color-blind-yet%2F This study shows that these transference errors may be more likely in cross-race identifications. Ouch. That means that when it comes to eye-witness identification, whites are twice as likely to mis-identify a black person than a white person. Obviously, this sort of high error rate has significant ramifications for trials and the use of eye-witness accounts. With lower accuracy comes a higher likelihood of error and identifying someone as the perpetrator of a crime when, in fact, they were not. As the researchers noted, context is especially important. “When making an identification, witnesses must not only remember whether they have ever seen a specific individual, but also in what circumstance they encountered that individual.” Just because you recognize a face doesn’... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2995773 Mon, 16 Nov 2009 09:50:01 +0100 2995773 http://www.medworm.com/index.php?rid=2992671&cid=t_158205_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D832 This report should be sending waves of concerns to both hospital and government administrators who are looking to roll out such systems. Perhaps the vendors need to talk more with clinicians and find out how we work and what we need to be more efficient, not less efficient. The same issue has occurred with Victoria’s PMI system which is less efficient for clerical staff than the previous DOS-based system. Why are the software vendors ignoring the needs of users? To help them out, I have just posted screen shots of my version of an Emergency Department Information System (EDIS) which is designed from a clinician’s point of view and places patient safety and clinical efficiency as it’s prime priorities – see here for the screen shots, and note guys all the speed butto... Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=2992671 Sat, 14 Nov 2009 14:32:49 +0100 2992671 http://www.medworm.com/index.php?rid=2726965&cid=t_158205_139_f&fid=38879&url=http%3A%2F%2Fmedia.rawvoice.com%2Fpmn_twiv%2Fwww.twiv.tv%2FTWiV046.mp3 Hosts: Vincent Racaniello and Dick Despommier In episode #46 of the podcast “This Week in Virology”, Vincent and Dick continue virology 101 with a discussion of virus entry into cells, then answer reader email on colony collapse disorder and viruses that confer a benefit to their host. Download TWiV #46 (35 MB .mp3, 50 minutes) Subscribe to TWiV in iTunes, by the RSS feed, or by email Links for this episode: Illustrations of virus entry into cells Nice reference for biological items (thanks Jim!) Colony collapse disorder: PBS program,  descriptive study, metagenomic study, genetic analysis (thanks Swiss compass!) Potato virus Y and Alzheimer’s disease (thanks Jennifer!) A virus in a fungus in a plant (thanks Jennifer!) Weekly Science Picks Vincent PLoS Pearls ... virology blog blogs http://www.medworm.com/rss/comments.php?id=2726965 Sun, 23 Aug 2009 15:12:34 +0100 2726965 http://www.medworm.com/index.php?rid=2678683&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F08%2F07%2Fdsm-v-update-and-transparency%2F Discussion: Is the Risk Syndrome for Psychosis Risky Business?”, this describes in detail the proposal for a new disorder called “Risk Syndrome for Psychosis.” You can access the proposed criteria for the disorder, including the text discussing characteristics, associated features, differential diagnosis, etc…. So far, there are 23 comments posted, constituting a rigorous debate about the pros and cons of the proposal. Whether or not 23 comments constitutes a “rigorous debate” anywhere, I’d point out of the seven work group members featured at the top of this article, only two of them bothered to engage in this live discussion. What’s that say about their interests in engaging in actual, legitimate scholarly discussion? (On a side note, if y... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2678683 Fri, 07 Aug 2009 12:42:50 +0100 2678683 http://www.medworm.com/index.php?rid=2741109&cid=t_158205_139_f&fid=38879&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FVirologyBlog%2F%7E3%2F3ksT5YsXk1A%2F The influenza virus hemagglutinin (HA) is the viral protein that attaches to cell receptors. The HA also plays an important role in the release of the viral RNA into the cell, by causing fusion of viral and cellular membranes. HA must be cleaved by cellular proteases to be active as a fusion protein. The HA on the influenza virion is a trimer: it is made up of three copies of the HA polypeptide. The cleavage site for cell proteases on the HA protein is located near the viral membrane. In the diagram, the globular head of the HA protein, which attaches to cell receptors, is at the top, and the viral membrane is at the bottom. For clarity, only one HA cleavage site is labeled. The uncleaved form of the protein is called HA0; after cleavage by a cellular enzyme, two proteins are produced, ... virology blog blogs http://www.medworm.com/rss/comments.php?id=2741109 Tue, 23 Jun 2009 01:35:10 +0100 2741109 http://www.medworm.com/index.php?rid=2348536&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F04%2F19%2Fguidelines-for-good-listening%2F My publisher, Guilford Press, reminded me to tell you about The Lost Art of Listening: How Learning to Listen Can Improve Relationships, just released in its second edition. The book by Dr. Mike Nichols explores the ways in which poor communication skills have robbed us of the comfort and security that can only come from genuine human interaction. He then offers “a wealth of practical techniques, simple exercises, and easy-to-reference tips for becoming a better listener and establishing solid lines of connection with those around us.” Listening, as I noted recently in a blog entry about improving your communication skills in a relationship, is a core component to a healthy relationship. Many relationships fail simply because one or both partners in a relationship aren’t ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2348536 Sun, 19 Apr 2009 19:46:40 +0100 2348536 http://www.medworm.com/index.php?rid=2249713&cid=t_158205_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2F5JcE2jSa4Sc%2F This is part 3 of a 3-part series: EMR 101. Along with Step 4, Step 5 starts to open the door into EMR 201: Getting Really Good. If EMR 101 is about surviving the day, EMR 201 is about getting efficient, which enables you to think widely and deeply about patient care, as well as proactively. Step 5a: Abstract Abstracting refers to distilling old chart or patient record info directly into your EMR. It differs from scanning those other records, in the same way that data is different from information – one is raw potential, the other is immediately useful. A scanned chart, or hospital discharge summary, is just a snapshot, an image in your medical record reference files. It can be accessed and read, and key info extracted, but until someone actively accesses, reads, and extracts that ... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=2249713 Sun, 08 Mar 2009 17:26:46 +0100 2249713 http://www.medworm.com/index.php?rid=1500067&cid=t_158205_151_f&fid=35824&url=http%3A%2F%2Faddict-4-life.blogspot.com%2F2008%2F06%2F365jobs4ucom-work-from-home-site.html When I was doing my usual forum posting activities last night, I noticed several threads all pointing to 365jobs4u.com. So I followed the link, reviewed the site and check some info about it.365jobs4u is a work from home site offering opportunities for home-based workers: job opportunities like data entry, typing, and surveying jobs. A quick look on the whois information revealed that the domain owner had applied for whois privacy protection. Not that I am against whois privacy protection but it gives added credence if you can see who owns the domain of a business site you are dealing with, especially if you are to be paid by them in the future. So this is red flag #1 for me.The home page of this site reveals one glaring fact:This site is spamming the search engine thru keyword stuffing. A... Addict 4 Life blogs http://www.medworm.com/rss/comments.php?id=1500067 Thu, 05 Jun 2008 06:42:00 +0100 1500067 http://www.medworm.com/index.php?rid=1420398&cid=t_158205_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F05%2Ffree-at-point-of-entry.html Cheaper than calling a taxi"Free at the point of entry" is the Clause IV of the NHS. It is so embedded in NHS culture that it will take someone more persuasive than even Tony Blair to excise it. Trouble is, that which is free is not valued. People who arrive at the point of entry sometimes do so in an ambulance as a result of a 999 call. Such people are, you would think, likely to be suffering from an acute and serious medical problem.A reader points me towards a newspaper article from Wales. There is nothing new in it. Or nothing new to doctors, or to Tom Reynolds. It may be new to you. Before you read the full article, try to guess how much it costs the NHS to provide an emergency ambulance.Paramedics working in Cardiff have revealed a catalogue of unnecessary 999 calls which have taken... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1420398 Mon, 05 May 2008 17:29:00 +0100 1420398 http://www.medworm.com/index.php?rid=1240166&cid=t_158205_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F02%2Fdestroying-british-economy.html Is anyone else old enough to remember those mawkish adverts about keeping your friendly bank manager in a cupboard so that he could pop out at opportune moments to give you sage advice about your home finances? Long gone. All the banks offer now is brylcreamed spivs trying to sell us financial “products”.George Bush still has a prudent bank manager hidden away in the cupboard and now someone has let him out. Meet Dave Walker. Dave has hidden depths. When not indulging in tantric sex, he is a font of fiscal sense A lecture on financial statistics is normally too boring to contemplate. Not from Dave. Persevere. It is worth it.I can summarise it very simply."Annual income twenty pounds, annual expenditure nineteen nineteen six, result happiness. Annual income twenty pounds, annual expendi... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1240166 Tue, 19 Feb 2008 00:02:00 +0100 1240166 http://www.medworm.com/index.php?rid=1160988&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F01%2F18%2Ffriday-flashback-for-january-18-2008%2F Hey, hey! Welcome to our first Friday Flashback on the new year! Never too late to celebrate is our motto, and celebrate we shall. We’re now in our 13th year on the Web and 16th year online, and we’re rarin’ to get it started!! 10 Years Ago on Psych Central Choices: How Do You Make Them? Ten years ago, I was faced with a big decision in my life (although I didn’t talk about the specifics at the time)… To leave a long-term, serious relationship, or to go out on my own and live independently again. It was one of the most difficult decisions I made in my life, and this article was my attempt to try and bring some reason to it. In the end, I made a very emotional decision and went with my gut, and I’ve never looked back in regret. 5 Years Ago on Psych ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1160988 Fri, 18 Jan 2008 21:25:32 +0100 1160988 http://www.medworm.com/index.php?rid=1091320&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2007%2F12%2F13%2Fplaying-armchair-psychologist-with-matthew-murray-and-online-community%2F Everyday, I read probably a half-dozen articles written on the topics of self-improvement, behavior, psychology, and other things that psychologists and other researchers spend entire careers studying and writing about. There’s nothing wrong with writing about these topics from your own personal perspective, or bringing your unique bent on an existing theory or what-not. But I tire of the armchair psychologists, who think they have an answer for every deviant behavior. So when Karoli, aka DrumsNWhistles, writes about the motivations and behaviors she observed after-the-fact in Matthew Murray, my warning bells start to sound. She discovered that Matthew Murray, the man who killed four people at a church and a missionary training center in Colorado earlier this month, was posting to ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1091320 Thu, 13 Dec 2007 14:22:58 +0100 1091320 http://www.medworm.com/index.php?rid=1064202&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2007%2F12%2F01%2Fcomplaining-about-your-psychotherapy%2F Psychotherapy helps some people, and doesn’t do much for others. Just like most psychiatric medications. But you won’t know unless you try, and your experience and success (or lack thereof) in psychotherapy will vary widely according to the therapist you see. You may see two that you don’t seem to click with before you find one that actually seems to help. You may see that perfect therapist the first therapist you find. You just don’t know. But like a car crash I can’t stop watching, I couldn’t help but read an entire recent blog entry from Violent Acres (NSFW), which is a blog that is often entertaining, although it is definitely not family-friendly with a lot of f— and s—- words and similar profanity lacing every entry. The entry in questi... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1064202 Sun, 02 Dec 2007 01:03:12 +0100 1064202 http://www.medworm.com/index.php?rid=1054807&cid=t_158205_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2007%2F11%2F27%2Fa-doctors-disdain-for-medical-googlers%2F Earlier this month, Time magazine published a first-person account of a doctor having to deal with a challenging patient who came to him after having conducted some research via Google. The doctor’s description of his disdain for these kinds of patients, and this particular patient and her child, wasn’t very politically correct, which caught the eye of Tara Parker-Pope, who then wrote about it Thanksgiving week. Even with the holiday, the entry has drawn over 275 comments in a week’s time, suggesting Ms. Parker-Pope has really touched a nerve here. (Too bad Time doesn’t allow comments on its articles, as this discussion probably would’ve occurred on their website, instead of a newspaper’s — ah well.) I couldn’t help but notice that this is a... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1054807 Tue, 27 Nov 2007 21:38:24 +0100 1054807 http://www.medworm.com/index.php?rid=721284&cid=t_158205_109_f&fid=34699&url=http%3A%2F%2Fscienceblogs.com%2Fcorpuscallosum%2Fimages%2FWindTurbineFt.Sumner_000.jpg We are most accustomed to seeing power generation windmills on dry land, here in the USA.  In Europe, some are on land and some are offshore.  They generally are considered eyesores.  Myself, I think they are beautiful.  I love to see them up on a ridge, turning away, churning out megawatts for our energy-hungry populace. Would I want one in my back yard?  Sure.  In fact, there is a fair probability that I will put one there, if it won't alienate my neighbors too much. But there's the rub.  Despite the fact that I think they are aesthetically pleasing,  most people do not.  Now, the Norwegian energy concern, Norsk Hydro, and the German electrical/electronics engineering firm, Siemens, are exploring the possibility of building floating windmill... The Corpus Callosum blogs http://www.medworm.com/rss/comments.php?id=721284 Mon, 09 Jul 2007 17:02:07 +0100 721284 http://www.medworm.com/index.php?rid=611444&cid=t_158205_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2007%2F05%2Fnhs-tesco-and-ten-year-old-children.html Many years ago, more years ago than I care to remember, Wat Tyler (Burning our Money), James Bartholomew (The Welfare State We’re In) and Dr Crippen were at the same College at the same university. This was before blogging, before the internet, before even word processors. Dr Crippen used a typewriter and Snowpaque. Lots of Snowpaque.It is a strange co-incidence – and it is a co-incidence, for there has been no discussion - that many years later there should be a meeting of minds when each of us considers ten years of mismanagement of the NHS, culminating in the recent MTAS debacle.The NHS BLOG DOCTOR position has always been that:A reasonable standard of health care should be available to all within a reasonable period of time without regard to income or status.Nothing controversial t... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=611444 Wed, 16 May 2007 10:17:00 +0100 611444 http://www.medworm.com/index.php?rid=611456&cid=t_158205_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2007%2F05%2Fsomething-wicked-this-way-comes.html The King is dead. Long live the King.The seamless transition from Blair to Brown, punctuated only by an unctuous coronation, is about to begin. Behind the scenes, however, it may already have begun.Doctors have long known that that health care in the UK is rationed, and never more than it has been in the last ten years. Waiting lists, post-code lottery, PCT whim, NICE restrictions – sorry, meta-analyses - and so we go on. The government pretends it is not happening; the government talks of healthcare being “free at the point of entry”. But that famous phrase is meaningless if the door is closed. We know that Gordon Brown has imposed numerous stealth taxes on the country. He is now about to start stealthily rationing health care.To pave the way, there has been a subtle change in polit... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=611456 Wed, 09 May 2007 10:50:00 +0100 611456