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 'hours'. Sat, 03 Sep 2011 02:01:45 +0100 http://www.medworm.com/index.php?rid=5158990&cid=t_112258_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fcan-decision-fatigue-lead-to-medical-errors%2F2011.08.26 This article adds to that understanding: Our decision-making abilities appear to be powerfully affected by the demands of repeated decision making as they interact with depleted blood glucose levels. That fatigue mounts over a day of making decisions and as blood glucose levels fall between meals. In response, we tend to either make increasingly impulsive decisions without considering the consequences or to make no decisions at all. Tierney describes a study analyzing 1,100 parole decisions by judges over the course of a year:  “Prisoners who appeared early in the morning received parole about 70 percent of the time, while those who appeared late in the day were paroled less than 10 percent of the time.” The effects reported in the article were (more…) *This blog post ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5158990 Fri, 26 Aug 2011 12:00:44 +0100 5158990 http://www.medworm.com/index.php?rid=5118641&cid=t_112258_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbeing-a-doctor-is-a-lot-like-being-a-parent-you-cant-tap-out%2F2011.08.11 The American College of Graduate Medical Education has enacted further restrictions on resident work hours.  No more than 80 hours per week of work for resident physicians, averaged over one month.  And no more than 16 hours of continuous work for first year residents (24 after that), which includes patient care, academic lectures, etc. Whenever they do this sort of thing, everyone seems excited that it will make everyone safer.  After all, residents won’t be working as much, so they’ll be more rested and make much better decisions.  It’s all ‘win-win,’ as physicians in training and patients alike are safer. I guess.  The problem of course is that after training, work hours aren’t restricted.  There is no set limit on the amount of work a physician can be expected to do, ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5118641 Thu, 11 Aug 2011 18:05:30 +0100 5118641 http://www.medworm.com/index.php?rid=5118653&cid=t_112258_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FW-aNiA8dkQc%2F The trailer for the documentary '24 hours in the ER' - this looks like one thats not to be missed. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5118653 Thu, 11 Aug 2011 06:33:20 +0100 5118653 http://www.medworm.com/index.php?rid=4997521&cid=t_112258_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fare-sleep-deprived-medical-residents-more-likely-to-make-mistakes%2F2011.07.04 As of this writing, 5 air traffic controllers have been found asleep at the switch. By the time this piece is posted, several others may have joined the slumber party. Keep in mind, there’s a lot more snoozing in the towers than we’re aware of. We don’t know the denominator here. Our wise reactive government has recently issued orders that airport control towers must not be manned by only one individual. Somehow, prior to NappingGate, our bloated and inefficient government that is riddled with redundancy, thought that one sole guy watching the radar at night was sufficient. There are some jobs where nodding off poses no risk. Let me test my readers’ acumen on this issue. Which of the following professions would not be at risk if an unscheduled siesta occurred? A race car driver A ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4997521 Mon, 04 Jul 2011 12:00:00 +0100 4997521 http://www.medworm.com/index.php?rid=4968576&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F26%2Fdont-have-enough-time-7-practical-steps-to-try%2F Some mornings Theresa Daytner spends hours hiking. She also goes on trail rides, used to weight-lift twice a week with a trainer, reads nightly, watches her favorite TV show, enjoys massages, gets her hair done and planned a huge surprise birthday party for her husband, with people arriving from all over the country. And she sleeps at least seven hours a night. Oh, and as journalist Laura Vanderkam writes in her book, 168 Hours: You Have More Time Than You Think, Daytner is busier than most. She’s the owner of a seven-figure revenue company and the mother of six children, including twins! She also coaches soccer and regularly attends her kids’ games, is helping her 21-year-old plan a wedding and is expanding her business. I barely have time to clean my room, do one load of laundry, coo... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4968576 Sun, 26 Jun 2011 10:20:10 +0100 4968576 http://www.medworm.com/index.php?rid=4734206&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F04%2F20%2Fdigital-detox-week-on-sort-of-staying-away-from-technology%2F Photo Credit: .:AR:. (Flickr) Happy Digital Detox Week! This week, I’m joining Adbusters in celebrating seven days away from technology — television, video games, and internet included. Wait. What was that last one? Did I just say “internet”? Yeah, internet. That internet thing…that thing that I’m on right now. Did I just out myself as a failure at my own little project? It’s only the third day of my week-long experiment and already I’m a hypocrite — but with good reason. Computers and the internet have invaded my life to such a great extent that I can’t completely disconnect. Not even if I wanted to. Here’s why: I work in an office. Every aspect of my day job, unfortunately, is performed in front of the big bright computer ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4734206 Wed, 20 Apr 2011 19:51:34 +0100 4734206 http://www.medworm.com/index.php?rid=4414549&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F01%2F29%2Fan-interview-with-author-tim-farrington%2F This week I have the honor of interviewing Tim Farrington, the acclaimed novelist of Lizzie’s War, “The California Book of the Dead,” “Blues for Hannah,” as well as the New York Times Notable Book of 2002, “The Monk Downstairs.” Guess what? He’s one of us! And he articulates his journey through the hell of depression in a beautifully crafted memoir of sorts called “A Hell of Mercy: A Meditation on Depression and the Dark Night of the Soul.” Since that topic surfaces often on Beyond Blue, I thought I’d ask Tim to share his thoughts on both (depression and the dark night) with us. Hi Tim, and welcome! 1. Let me skip to the end (sorry, I like to eat dessert first), when you write “It is in surrender, in the embrace of ou... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4414549 Sat, 29 Jan 2011 11:40:25 +0100 4414549 http://www.medworm.com/index.php?rid=4399849&cid=t_112258_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FggsQz_dA0rM%2F How much time do you waste, every day? You probably don’t try to, or mean to. But if you work for a typical company, you’re probably losing hours of productive time every single day. Maybe a typical day looks something like this: You get into the office, make a coffee, chat to the person who sits next to you. You check your emails, and end up getting distracted by a link to an interesting new piece of research in your field. You get back on task for a bit, working on that important report. Phone calls come in, and colleagues stop by to ask questions. You make another coffee. You need to print out some documents, but the printer’s acting up again. It takes you the best part of half an hour to sort it out. During the afternoon, you’re in a two hour meeting. It starts... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=4399849 Wed, 26 Jan 2011 07:28:50 +0100 4399849 http://www.medworm.com/index.php?rid=4298589&cid=t_112258_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F12%2Fnejm-editorial-proposes-surgeons-disclose-sleepwork-hours-patients%2F An editorial published in this week’s New England Journal of Medicine is proposing that surgeons not be allowed to perform elective cases if they are sleep-deprived or, at minimum, they must disclose to their patient that they are such. Lead author Dr. Charles A. Czeisler comments. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4298589 Thu, 30 Dec 2010 01:39:41 +0100 4298589 http://www.medworm.com/index.php?rid=4219790&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F12%2F01%2Fsearching-for-true-meaning-during-the-holiday%2F How would you feel if I were to tell you that there are many children suffering in the world today? How about if I were more specific and told you that over 30,000 children under age 5 are suffering from hunger and preventable diseases? Does this resonate within the depths of your heart? Sweet, innocent babies die every day from a preventable disease in an indigenous country. That number could be considered huge by some, or perhaps quite small, depending on your perspective. If you are referring to population size, however, that is the size of a small city. In regard to time, 30,000 seconds is actually only a little over eight hours. Or 30,000 children could be like 30 large elementary schools disappearing from the face of the earth on Monday … and again on Tuesday … and so on. What&#8... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4219790 Wed, 01 Dec 2010 20:53:16 +0100 4219790 http://www.medworm.com/index.php?rid=4151879&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F11%2F08%2F10-tips-to-make-the-rest-of-the-semester-work%2F Midterms are over and you are now confronted with the state of your grades. Maybe you did okay or even more than okay but it was high stress all the way. Or maybe you didn’t do as well as you could or as well as you need to if you are to be competitive for grad school or the job you want after graduation. Either way, it may be time to rethink the way you are doing college. It doesn’t have to be so high stress. If you were bright enough to be admitted, you’re bright enough to earn decent grades. But it may require a major shift in your schedule, your attitude, and your work ethic to get there. Here are some tips to make the second half of the semester go smoothly for you… 1. Recommit. If you got a string of C-minuses or lower, resist the tendency to give up. However discouraged ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4151879 Mon, 08 Nov 2010 20:05:55 +0100 4151879 http://www.medworm.com/index.php?rid=4139233&cid=t_112258_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdoctors-and-work-life-boundaries-keeping-an-emr-in-its-place%2F2010.11.05 I’ve had a longstanding policy in my office that routine prescription refills will only be addressed during regular office hours. No evenings; no weekends; if you need a refill of your long-term chronic medications, you need to call during regularly scheduled office hours, five days a week. You can leave a message if you like, but you should not expect us to call in the medication until the office is open. The main reason for this policy has always been medical: prescription medication requires appropriate monitoring. From the moment I hung out my shingle, I’ve made it my habit always to write enough refills on your medication to last until the next time I need to see you. In all likelihood if you need a refill, what you really need is a visit. The logical reason for the policy is the ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4139233 Fri, 05 Nov 2010 22:00:44 +0100 4139233 http://www.medworm.com/index.php?rid=3983430&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F09%2F20%2F8-ways-to-ruin-your-relationship%2F While most of the time we try and stay positive here on World of Psychology, every now and again reality sucker-punches us back to our senses (although not personally affecting me). The fact remains that despite our wise advice over the years, we haven’t budged the divorce rate in the U.S. (not that we thought we could!). Most relationships fail — there’s simply no way to argue with it. So maybe it would help some of our readers to catch sign of their failing relationship before it’s too late. Sure, we all would like to think that we could see the end of our relationship coming from a mile away. But truth is, many of us need a little help. To that end, here are 8 ways you can bet you’re ruining your relationship and heading to splitsville. 1. Take your partn... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3983430 Mon, 20 Sep 2010 10:10:29 +0100 3983430 http://www.medworm.com/index.php?rid=3822674&cid=t_112258_146_f&fid=38266&url=http%3A%2F%2Fsleepeducation.blogspot.com%2F2010%2F08%2Fstudy-shorter-medical-resident-shifts.html (Source: Sleep Education) Sleep Education blogs http://www.medworm.com/rss/comments.php?id=3822674 Wed, 04 Aug 2010 20:16:00 +0100 3822674 http://www.medworm.com/index.php?rid=3813032&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F08%2F02%2Ftired-on-mondays-sleep-more-on-weekends%2F If you’re feeling especially tired today — and it’s Monday — it may be because you didn’t get your normal recharge of sleep this past weekend. So says a new study published in the journal Sleep by David Dinges and his colleagues. Researchers came to this conclusion after analyzing the results of a sleep deprivation study on 159 healthy, middle-aged adults. A group of 142 participants were sleep-deprived by allowing them only four hours of sleep for 5 consecutive nights. But before the sleep deprivation, these subjects were first given two nights of 10-hour sleep periods, to ensure all participants started at similar sleep levels. They were then allowed randomized doses of recovery sleep ranging from zero hours to 10 hours for per night. The other 17 partici... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3813032 Mon, 02 Aug 2010 20:18:23 +0100 3813032 http://www.medworm.com/index.php?rid=3671698&cid=t_112258_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhy-primary-care-doctors-leave%2F2010.06.16 There’s little question that the workplace environment for doctors is deteriorating. Especially in primary care, where physicians are arguably needed the most. That’s why is so disheartening to read this Newsweek essay from pediatrician Karen Li, explaining why she left the field. Much of her piece can be attributed to the bad old days of managed care, where doctors were frustrated by the bureaucratic impediments placed before them. (more…) *This blog post was originally published at KevinMD.com* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3671698 Wed, 16 Jun 2010 20:00:15 +0100 3671698 http://www.medworm.com/index.php?rid=3658900&cid=t_112258_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F06%2Fkevinmd-editorial-looming-residency-work-hour-restrictions%2F Kevin Pho, MD, author of the popular blog KevinMD.com has a thoughtful editorial in the USA Today about the looming (even more) restricted residency work hours. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3658900 Mon, 14 Jun 2010 04:10:47 +0100 3658900 http://www.medworm.com/index.php?rid=3612076&cid=t_112258_160_f&fid=36189&url=http%3A%2F%2Fwww.skinmdblog.com%2F137%2Fhow-to-choose-the-best-dermatologist-for-you%2F Finding the best dermatologist starts with your schedule.  Doctors that do not offer weekend or evening hours are becoming a thing of the past. Most of us work crazy schedules.  Taking time off to see a “skin doctor” might be frowned upon.  So first you want to find someone with hours that fit into your schedule. Location is another important consideration.  If you have plenty of money, you might consider flying to Michigan to see Nicholas Perricone or flying to New York to see Dennis Gross.  But, you had better call the office first.  Those famous guys might not be taking any new patients. For most of us, taking a flight to have someone evaluate our skin problems is just not realistic.  Ideally, you would choose a location within an hour’s drive of your home.  Some procedure... Skin MD blogs http://www.medworm.com/rss/comments.php?id=3612076 Sun, 30 May 2010 12:32:03 +0100 3612076 http://www.medworm.com/index.php?rid=3603651&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F05%2F27%2Fdo-you-think-you-smell-olfactory-reference-syndrome%2F Do you think you smell? Well, if we assume for a moment that you actually don’t smell or emit some sort of stinky odor, you’re like most people. In this modern world where many don’t think twice about showering each and every day, our bodies often have little chance to work up any kind of odor. However, if you’re amongst a small group of people who think they smell even when they don’t, then you might be suffering from Olfactory Reference Syndrome. Olfactory Reference Syndrome is a “new” syndrome coined by researchers who’ve discovered that amongst people who think they smell bad — even when they don’t — suicidal thinking and behavior is rampant. And it’s no wonder — if you think you smell bad and others are not... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3603651 Thu, 27 May 2010 13:37:40 +0100 3603651 http://www.medworm.com/index.php?rid=3581559&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F05%2F20%2Fthe-national-health-service-performers-lists-directions%2F Title: The National Health Service (Performers Lists) Directions Skinny: These directions have been issued to PCTs to review procedures for managing Performers Lists within three months and to implement any changes by the end of the financial year 2010/11.  This follows the recent GP Out of Hours report and the inquest into the death of David Gray These directions need to be read in conjunction with the National Health Service (Performers Lists) Regulations 2004 (Statutory Instrument 2004 No 585) and subsequent amendment. Publisher: DH Size of Publication: 3p. Published: 23/03/2010 Filed under: Clinical Governance, Legislation, NHS, Primary Care, Quality Tagged: Clinical Governance, Directions, Legislation, Out of Hours, Primary Care, Professional Discipline, Quality, Regulations (Sourc... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3581559 Thu, 20 May 2010 03:45:42 +0100 3581559 http://www.medworm.com/index.php?rid=3567893&cid=t_112258_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fromance-rx-take-one-date-night-a-week%2F2010.05.15 Is there anything more wonderful than date night with the one you love?  Jan and I went out last night. It was a cold rainy May evening, and we drove down the dark highway in my truck. The bench seat is wonderful, because she can sit right next to me, where she has been for nearly 26 years now. We were in jackets, and asked to sit next to the fire at the restaurant. Exhausted from a crazy weekend, we exhaled and ordered chips and cheese dip, then dined on soup.  When we finished we sat awhile longer, our drinks refilled by our attentive waiter. And we reflected, planned, laughed and told stories. We discussed the year past and the year to come. We basked in one another as we basked in the warmth. (more…) *This blog post was originally published at edwinleap.com* (Sour... Better Health blogs http://www.medworm.com/rss/comments.php?id=3567893 Sat, 15 May 2010 14:00:33 +0100 3567893 http://www.medworm.com/index.php?rid=3448801&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F04%2F08%2Fthe-use-of-overseas-doctors-in-providing-out%25e2%2580%2593of%25e2%2580%2593hours-services-fifth-report-of-session-2009%25e2%2580%259310-report-together-with-formal-minutes-oral-and-written-evidence%2F Title: <!– The use of overseas doctors in providing out–of–hours services: Fifth Report of Session 2009–10: Report, together with formal minutes, oral and written evidence Skinny: Report that: Criticises legislation which prevents the GMC from assessing either the clinical or language skills of EEA doctors. Notes it cannot be taken for granted that EEA doctors have appropriate clinical skills since the standards expected of general practice in the UK do not necessarily correspond with those of other European countries. Identifies the key role for PCTs vital in carrying out thorough checks on the clinical and language skills of EEA doctors and that these have not been consistently applied nationaly. Identifies a persormance management failiure on the part of SHAs to ensure P... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3448801 Thu, 08 Apr 2010 06:59:52 +0100 3448801 http://www.medworm.com/index.php?rid=3415988&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Femergency-medicine-journal-2009-vol-27-no-1%2F Emergency Medicine Journal 2009 (Vol. 27, No. 1) content page Fade Fave: How have changes to out-of-hours primary care services since 2004 affected emergency department attendances at a UK District General Hospital? A longitudinal study Fade Skinny: The changes to the provision of out-of-hours primary care have been associated with an increase in patients with non-traumatic attendances presenting to our emergency department. This effect is most marked outside of office hours. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Accident and Emergency Departments, Athens Password, Current Awareness, E-Journals, Out of Hours, Primary Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415988 Mon, 29 Mar 2010 10:54:02 +0100 3415988 http://www.medworm.com/index.php?rid=3403848&cid=t_112258_87_f&fid=36050&url=http%3A%2F%2Fblisstree.com%2Flive%2Ftodays-poll-work-woes%2F In a recent episode of NBC’s “The Office,” visiting big boss Jo (ingeniously portrayed by Kathy Bates) guilts the Scranton employees into staying late on St. Paddy’s Day. It’s a common workplace dilemma: If you leave at five or six o’clock you like a slacker, even if you’ve been productive and are more than ready to call it a day. How often do you feel guilty for leaving work before midnight? Take our poll. #MicroPollDiv_243085 { width: 250px; margin: 0px auto; } Post from: BlissTree Today's Poll: Work Woes (Source: Breastfeeding 1-2-3) Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=3403848 Thu, 25 Mar 2010 15:39:03 +0100 3403848 http://www.medworm.com/index.php?rid=3358925&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F12%2Fbmj-2010-vol-340-no-7742%2F Contents page Fade Fave: Primary care trusts are told to tighten regulation of out of hours services Fade Skinny: The government has introduced a raft of measures to make primary care trusts in England more accountable for the out of hours services they commission, including checking doctors’ clinical and language skills, after a review found “totally unacceptable” differences in the way trusts currently implement regulations. (NHS Athens is required to access this article online) Filed under: Athens Password, Currently Watching, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, Out of Hours, Primary Care Trusts (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3358925 Fri, 12 Mar 2010 11:57:48 +0100 3358925 http://www.medworm.com/index.php?rid=3354249&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F11%2Fcommissioning-gp-out-of-hours-services%2F Title: Commissioning GP out-of-hours services The Skinny: Briefing that summarises recommendations made to PCTs following the conclusion of the inquest into the death of out-of-hours (OOH) patient David Gray. DH performers list interim guidance – Department of Health has issued interim guidance which highlights a list of English language qualifications PCTs could use to assess applicants’ suitability for inclusion.  Reminds PCTs that they are responsible for checking doctors have the necessary skills and experience to be admitted to performers lists. General Practice Out-of-Hours Services Project to consider and assess current arrangements report recommends reviewing performance management increasing the frequency of contractual and quality review meetings with providers if nece... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3354249 Thu, 11 Mar 2010 05:12:52 +0100 3354249 http://www.medworm.com/index.php?rid=3316249&cid=t_112258_151_f&fid=35818&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FRecoveryIsSexycom%2F%7E3%2F33CR1WSBNbE%2F Large Print Since 1954, Twenty-Four Hours a Day has become a stable force in the recovery of many alcoholics throughout the world. With over six and a half million copies in print (the original text has been revised), this “little black book” offers daily thoughts, meditations, and prayers for living a clean and sober life. A spiritual resource with practical applications to fit our daily lives. “For yesterday is but a dream, and tomorrow is only a vision” is part of the Sanskrit proverb quoted at the beginning of the book which has become one of the basic building blocks for a life of sobriety. In addition to a thought, meditation and prayer for each day of the year, this handy, pocket-sized volume also contains the Serenity Prayer and the 12 Steps and 12 Tradit... Recovery Is Sexy.com blogs http://www.medworm.com/rss/comments.php?id=3316249 Sun, 28 Feb 2010 05:04:47 +0100 3316249 http://www.medworm.com/index.php?rid=3248515&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Fgeneral-practice-out-of-hours-services-project-to-consider-and-assess-current-arrangements%2F Title: General practice out of hours services: project to consider and assess current arrangements Skinny: Review of the local commissioning and provision of out-of-hours services in primary care. Requires: reviewing the existing National Quality Requirements in order to develop a stronger set of national, minimum standards with which all out-of-hours providers will be required to comply; developing a new national model contract for out-of-hours provision, based on the new national minimum standards, to be introduced by the end of the year to reflect the characteristics of existing high quality provision stronger performance management by SHAs, tightening existing controls to ensure PCTs are meeting their legal obligations through commissioning and contracting arrangements and that pr... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3248515 Sat, 06 Feb 2010 20:20:16 +0100 3248515 http://www.medworm.com/index.php?rid=3248517&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F06%2Fdelivering-quality-in-primary-care-performers-lists-language-knowledge%2F Title: Delivering Quality in Primary Care: Performers Lists – Language Knowledge Skinny: Interim guidance to PCTs in England to assist in making decisions about whether or not a doctor has sufficient knowledge of English to be included on the local performers list. Publisher: DH Size of Publication: 11p. Published: 04/02/2010 Filed under: Grey Literature, Medical Education, Medical Staff, NHS, Primary Care, Quality Tagged: Communication, Grey Literature, Medical Staff, Out of Hours, Primary Care, Quality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3248517 Sat, 06 Feb 2010 20:13:27 +0100 3248517 http://www.medworm.com/index.php?rid=3231838&cid=t_112258_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FyFY49DLNW3c%2F Image courtesy of vhm-alex @ deviantART What’s your guilty reality TV pleasure? The Bachelor? Survivor? America’s Got Talent? Of course, the granddaddy of them all — American Idol — just started a new season. Some 30 or 40 million fans have been waiting six months for American Idol to kick off. If this season is anything like last season, expect at least 50 hours of American Idol on your TV. No, that’s not a typo. Last year I gave you a few ideas on what you could have done with those 50 hours instead of watch American Idol. For example, you could earn an extra $1,000, read several books, start writing your own book, burn 43,000 calories jogging, learn the waltz, and others. But, who am I kidding? If you like the show, you’re not going to listen to me. Heck, I’m not even ... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=3231838 Tue, 02 Feb 2010 05:46:35 +0100 3231838 http://www.medworm.com/index.php?rid=3208732&cid=t_112258_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2Fr8yw105WynQ%2F Is it possible that you are (at least partially) responsible for your hectic, over-scheduled, and downright crazy schedule? Some of your time pressure is legitimate. You have HOA meetings to attend, kids that need a ride to soccer practice, household chores that need to be finished, and a host of other responsibilities. But studies show that we have more leisure time now than we have in the past. While you may have more “leisure” time now than before, it won’t feel like it if you fill your free time with activities that aren’t enriching. Still, the challenge is freeing up more time in an environment where it feels like there are more and more demands on your time. If you look closely at how you spend your time and discover that you may be your own worst enemy, try t... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=3208732 Tue, 26 Jan 2010 16:21:00 +0100 3208732 http://www.medworm.com/index.php?rid=3189454&cid=t_112258_180_f&fid=38612&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpickthebrain%2FLYVv%2F%7E3%2FkkipwYy9tK8%2F Image courtesy of Photoshop Art @ Flickr Getting too much sleep is hazardous to your health — it may lead to higher risk for obesity, diabetes, and premature death. We’ve been brainwashed to think we need 8 hours of sleep a night, but sleep requirements vary greatly by age, stress level, and health. In fact, research suggests 7 hours might be the ideal amount of sleep the average adult needs per night, and getting 8 or more hours can lead to increased mortality — even more so than too little sleep! All this talk about how we are sleep deprived and how we need more sleep is enough to, well, put me to sleep. Many experts have pounded the table that “improving job performance may be as easy as getting a good night’s sleep” and that “getting a good nig... PickTheBrain | Motivation and Self Improvement blogs http://www.medworm.com/rss/comments.php?id=3189454 Tue, 19 Jan 2010 20:53:59 +0100 3189454 http://www.medworm.com/index.php?rid=3153330&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F08%2Fgp-extended-opening-hours%2F Title: GP Extended Opening Hours Skinny: Dear Collegue letter informing PCTs they are to continue to progress extended opening hours in GP practices, particularly for patients of practices who are not offering this service. The current DES rolls forward in 2010/11 and PCTs are asked to submit plans saying how they will make full use of the resources available for extended opening. Publisher: DH Size of Publication: 2p. Published: 07/01/2010 Posted in Grey Literature, Primary Care Tagged: Dear Colleague Letters, Grey Literature, Out of Hours, Primary Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3153330 Fri, 08 Jan 2010 04:14:14 +0100 3153330 http://www.medworm.com/index.php?rid=3100733&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F18%2Fout-of-hours-training-for-gp-registrars%2F Title: Out of hours training for GP registrars Skinny: Dear Chief Executive letter from Clare Chapman dated 17 December 2009.  It draws attention to PCTs’ responsibility to commission increased GP Out of Hours (OOH) training to reflect the recent extension of training undertaken in GP practices from 12 to 18 months. Following this extension, the capacity for OOH training effectively needs to be increased by 50%, but GP Directors are reporting this increase has not been realised. Publisher: DH Size of Publication: 2p. Published: 17/12/2009 Posted in Grey Literature, Medical Education, Primary Care Tagged: Capacity, Commissioning, Grey Literature, Medical Education, Out of Hours, Primary Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3100733 Fri, 18 Dec 2009 12:00:13 +0100 3100733 http://www.medworm.com/index.php?rid=2883188&cid=t_112258_136_f&fid=39014&url=http%3A%2F%2Fredhheadedbaldchic.blogspot.com%2F2009%2F10%2F24-hours-of-booty-newsletter.html I was asked to write an article for the 24 Hours of Booty newsletter talking about my recent experience at the Columbia event. Here is a reprint of the newsletter.October 2009 Newsletter Moving the Mission Forward- Alli WardAlli Ward is a 24 Hours of Booty participant and cancer survivor. She donned the coveted number 24 at this year’s Columbia Event. After meeting Alli, and listening to her story, we asked her to write a little bit about her experience at the event.In the summer of 2007 I was diagnosed with Stage 4 metastatic ovarian cancer. After months of chemotherapy and radiation, the cancer continued to spread and the prognosis was not good. I started a clinical trial at Johns Hopkins and the treatment held the cancer at bay for several months. Last year, I learned about 24 Hours o... Redheaded Bald Chic blogs http://www.medworm.com/rss/comments.php?id=2883188 Sun, 11 Oct 2009 19:14:00 +0100 2883188 http://www.medworm.com/index.php?rid=2871511&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F07%2Fout-of-hours-ooh-primary-care-services-pcts-contract-and-performance-management-arrangements-2009%2F Title: Out of hours (OOH) primary care services: PCTs’ contract and performance management arrangements Skinny: ‘Dear Colleague’ letter to primary care trusts in relation to the Care Quality Commission (CQC)  independent enquiry into Take Care Now’s (TCN’s) provision of out-of-hours GP services. CQC’s enquiry is considering a number of issues including commissioning arrangements by the PCT’s that contract with TCN to provide out-of-hours servuices for their patients, and performance management of these. CQC report expected in 2010. Publisher: DH Size of Publication: 2p Published: 02/10/2009 Posted in Grey Literature, Primary Care Commissioning Tagged: Commissioning, GP Practices, Out of Hours, Performance Management (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2871511 Wed, 07 Oct 2009 15:40:23 +0100 2871511 http://www.medworm.com/index.php?rid=2820392&cid=t_112258_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2FjHKqq4Vu7E0%2F Although being tired and run down doesn’t cause colds, research has backed up the long-time belief that being tired can help reduce your defenses, increasing your risk of developing a cold if exposed to a virus. This belief is that sleep is supposed to be restorative. It gives your body a chance to settle down, lower its blood pressure and replenish – so to speak – its reserves for another day of living. If you don’t sleep, you can be vulnerable to many illnesses. Researchers in the United States studied a group of 153 healthy men and women who had no signs or symptoms of a cold. The participants kept track of how long and well they slept over a two-week period. After the two weeks, the group was quarantined and exposed to a cold virus through a nasal spray. The fin... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=2820392 Tue, 22 Sep 2009 02:34:14 +0100 2820392 http://www.medworm.com/index.php?rid=2778365&cid=t_112258_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2009%2F09%2Fgoing-to-devil.html I rise briefly from my slumbers to spring to the defence of the Devil, whose most recent post has caused a furore and even resulted in one of his devoted followers saying:A blog too far for me I'm afraid. I though most of your rants were good but the standard recently has been dropping and this is one is just shite. Deleting your RSS feed from Firefox. Poor, timorous soul. It is precisely this sort of balanced writing that first attracted me to the Devil's Kitchen. Long may it continue.  Connoisseurs of the Devil, like Dr Crippen, have long know that it is instructive to look at the time of publication of the DK's articles. Those written in the early hours of the morning, when the DK is well into his second cup of Ovaltine, are particularly rewarding.++++++++++And see the always relia... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=2778365 Wed, 09 Sep 2009 09:59:00 +0100 2778365 http://www.medworm.com/index.php?rid=2561179&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F06%2F30%2Fgp-patient-survey%2F Title: GP Patient Survey The Skinny: Looks at patient satisfaction with GP services, headline results include. 70% of patients reported that they were either very satisfied or fairly satisfied with their ability to get through to their doctor’s surgery on the phone. 84% of patients who tried to get a quick appointment with a GP said they were able to do so within 48 hours. 76% of patients who wanted to book ahead for an appointment with a GP reported that they were able to do so. 77% of patients who wanted to book an appointment with a particular doctor at their GP surgery said they were able to do so all of the time or a lot of the time. 82% of patients responded that they were either very satisfied or fairly satisfied with the hours their GP surgery was open. 91% of patients reporte... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2561179 Tue, 30 Jun 2009 12:05:28 +0100 2561179 http://www.medworm.com/index.php?rid=2517280&cid=t_112258_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2FvWYrm_uv3v0%2F So many of us don’t get enough sleep. And we need it. Research shows that sleep helps boost immunity, maintain weight, and even contributes to heart health. Just an additional hour tremendously. But how much do you need? It varies as we age. MSN Health offers from recomendations: • Toddlers 12-14 hrs • Preschoolers 11-13 hrs • School-age children 10-11 hrs • Adolescents 9-10 hrs • Adults 7-9 hrs With busy lives, it seems that the first thing that falls by the wayside is sleep. We cut into our nightly zzz’s just to get more done. Where do you rate on this scale? Image: sxc.hu. Share and Enjoy: Post from: Blisstree How Many Hours of Sleep Do You Need? (Source: A Hearty Life) A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=2517280 Thu, 25 Jun 2009 19:15:52 +0100 2517280 http://www.medworm.com/index.php?rid=2313538&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F04%2F07%2Fwine-hope-and-autism%2F What most people who have a mental or developmental disorder want is something that’s hard to dole out — hope. We just want to know that it’s going to be okay, someday, and that we have a chance of finding “normal.” That’s why it touched my heart to read about a bunch of winemakers in Japan (not typically known for its wine). But these winemakers were different — the staff is made up of more than 100 developmentally disabled and autistic individuals. Not only do they work at the winery, they live there too, and there’s a school there as well. This comprehensive, 360 degree approach is hope-giving. It provides people who society otherwise does not give a chance a place to feel special and like they belong. And belong they do: Hiromitsu Watan... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2313538 Tue, 07 Apr 2009 20:14:19 +0100 2313538 http://www.medworm.com/index.php?rid=2063320&cid=t_112258_117_f&fid=38158&url=http%3A%2F%2Famericanacupuncture.blogspot.com%2F2008%2F12%2Fshorter-residency-hours-weakens-patient.html RESIDENT WORK SCHEDULES LIGHTENED The current residency training programs are creating a legion of shift-worker physicians who leave when the clock strikes a certain hour rather than when the job has been completed. In 2003 the Accreditation Council for Graduate Medical Education (ACGME), which accredits U.S. medical training programs, instituted rules for resident work hours, sometimes called "the eighty-hour workweek.  The new rules limit residents' duty hours to no more than eighty hours a week. Besides ensuring excellent medical treatment for patients, the ACGME work rules are intended to keep residents alert so that they could fully engage in the work and education needed to become fine physicians. COMPLIANCE TO THE NEW RULES These rules govern the working conditions of the 100,000 y... Dr. Needles Medical Blogs blogs http://www.medworm.com/rss/comments.php?id=2063320 Tue, 23 Dec 2008 00:08:00 +0100 2063320 http://www.medworm.com/index.php?rid=2522972&cid=t_112258_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fhemodynamics%2F%7E3%2FYVqerY3o_Ak%2Fvariation-on-theme-romance-of-long.html written post-call after a long ICU shift, which after I wrote it I realize is a reworking of some things I've written beforeI used to work at a public health job, working for the city, with good benefits, and time to go to the gym before going home to make myself dinner. When I started talking about becoming a doctor, a lot of people said that was nuts, most of all some doctors who looked back on their experience bitterly. Others were more encouraging, and I chose medicine. I have no idea what my life would have been like if I hadn't chosen medicine; but what I usually tell people is that although I've sometimes been exhausted or miserable or depressed or discouraged, I've almost never been bored. I hated being bored at work. Now I'm not bored. But aside from medical training being totally... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=2522972 Fri, 12 Dec 2008 02:18:00 +0100 2522972 http://www.medworm.com/index.php?rid=1998920&cid=t_112258_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F11%2F29%2Fgladwells-outliers-is-an-outlier-itself%2F If you want a nice beach read (in November) that’s filled with light anecdotes, lots of “truthiness” and Wikipedia-based references, then I highly recommend Malcolm Gladwell’s new Outliers: The Story of Success. In it, you’ll learn such bold proclamations as: Talent takes practice (and lots of it) Success takes luck Success also takes access to social advantages Emotional intelligence (or, as Gladwell calls it, “practical intelligence”) is more important than IQ So if you wanted the summary of the McDonald’s version of these McLite insights, there you have it. I just saved you $17, because Gladwell adds little to these observations other than stories that nicely highlight his points. There’s little critical thinking here, or ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1998920 Sat, 29 Nov 2008 10:38:49 +0100 1998920 http://www.medworm.com/index.php?rid=1990666&cid=t_112258_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F11%2Fencouraging-lower-standard-of-care.html The Jobbing Doctor talks, with frustration, about doing a “Gordon Surgery”. In other words, his practice has jumped through the hoops to get the extra money from the government for doing extended hours.I have been doing what I will call a “Crippen” surgery for several years. I started when Gordon was ensconced in Number 11 spending his day telling the inhabitant of Number 10 how to do his job. Now Gordon is in Number 10 spending his working day telling the inhabitant of Number 11 how to do his job.Nothing changes.My “Crippen” surgery runs from 6.00 pm until 8.00 pm, usually on Wednesday evening. I book 16 patients at seven and a half minute intervals. When I started in my current practice, the elderly partners (three over 65) all offered five-minute appointments. With all the e... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1990666 Tue, 25 Nov 2008 15:44:00 +0100 1990666 http://www.medworm.com/index.php?rid=1829069&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F09%2F26%2Fnot-just-a-matter-of-time-a-review-of-urgent-and-emergency-care-services-in-england%2F is a service review from the Healthcare Commission to give an in-depth assessment of the performance of NHS organisations in delivering services relating to particular aspects of healthcare.  They aim to provide accountability and assurance to patients and the public that services are of high quality and give value for money, and to help trusts improve services for patients and obtain better value for money. This review considered urgent and emergency care from the point that the need for care is identified up to the point that this need is resolved, by treatment, reassurance, or admission to hospital. Follow up measures were also looked at (e.g. arranging for a falls assessment for an older person who has fallen at home). It included within its scope: urgent primary care services (prov... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1829069 Fri, 26 Sep 2008 07:21:30 +0100 1829069 http://www.medworm.com/index.php?rid=1720555&cid=t_112258_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F369987944%2F In a bid to cut legal costs, Pfizer is creating a stir among lawyers after selecting just one law firm to handle almost all of its employment-related litigation. Moreover, the drugmaker is reportedly pioneering a capped-fee arrangement for the outside legal work, according to Corporate Counsel. The winning law firm, Jackson Lewis, gets paid a certain sum each month, but has agreed to forgo billable hours. Pfizer, meanwhile, gets to recoup any money left over at the end of the year, based on a monthly accounting of time the firm spends on Pfizer legal work. “Jackson Lewis got it because they recognized that we needed to find some alternative to billing by the hour. They actually brought it up before we did,” Maggie Madden, who heads Pfizer’s employment law group, tells Co... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1720555 Wed, 20 Aug 2008 13:34:20 +0100 1720555 http://www.medworm.com/index.php?rid=1531138&cid=t_112258_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F06%2Flooking-after-patients-with-dementia-4.html The Visual Dictionary of the Human Body, Dorling Kindersley, 1991Carrying on about the dementia saga, the plot thickens. I see that the government’s “new” dementia strategy includes plans to assign every patient with dementia a ‘dementia care advisor' who can be their single contact throughout diagnosis and treatment.The care advisor could bea GP a nurse or even a charity worker.Healthcare RepublicWide range of skills there. This is an incredible attack on the role of the family doctor who has hitherto fulfilled that role for all his patients. I can’t wait for the phone calls from the “concerned” charity worker who, having just read the Dorling Kindersley "PoP Up Book of Dements", wants to suggest a change in medication.Health minister Ivan Lewis said that the strategy woul... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1531138 Fri, 20 Jun 2008 18:45:00 +0100 1531138 http://www.medworm.com/index.php?rid=1388884&cid=t_112258_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F04%2F21%2Finterim-guidance-on-directed-enhanced-service-extended-opening-hours%2F is intended to help PCTs implement arrangements for GP practices to extend their opening hours, and arrangements for monitoring progress.  This in line with The Operating Framework for the NHS 2008/09 and is issued with the Dear Colleague Letter from Ben Dyson - Extended Opening Hours. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1388884 Mon, 21 Apr 2008 18:17:56 +0100 1388884 http://www.medworm.com/index.php?rid=1375055&cid=t_112258_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F04%2Fdumbing-down-out-of-hours-service.html New Labour out of hours HCPOver ten years ago I was heavily involved in setting up a GP co-operative to rationalise and manage the out of hours on call committment. We had active support from the government including access to and meetings with both Norman Lamont and Virginia Bottomley. The co-operatives were a cost efficient method of ensuring that patients received quality out of hours care form local experienced family doctors.We started our co-operative from nothing. I remember when I and one other colleague opened the first bank account with a float of a couple of thousand pounds raised by approaching other local GPs. We drew up a business plan and approached the bank manager for help. We needed to rent premises, buy or rent half a dozen cars, purchase expensive radio equipment and ab... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1375055 Wed, 16 Apr 2008 08:27:00 +0100 1375055 http://www.medworm.com/index.php?rid=1300282&cid=t_112258_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F03%2Fopening-hours-scam-illusion-of-health.html The government's top down, didactic approach to the extended opening-hours fraud that is being foisted on GPs on your behalf and at your expense shows the characteristic features of New Labour's approach both to the medical profession and to the (ab)use of taxpayers money.Patients want easier access to doctors at a time of their choosing, particularly early in the morning, late in the evening and at weekends. Let us leave on one side for a moment the question as to whether it is possible or reasonable to accede to all these demands. Reasonable or not, the government is telling the patients that they are going to get what they want.This is yet another expensive governemnt fraud. GPs are going to get yet another wadge of taxpayer's money for hitting another meaningless target. The government... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1300282 Thu, 13 Mar 2008 15:00:00 +0100 1300282 http://www.medworm.com/index.php?rid=1292329&cid=t_112258_151_f&fid=36047&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FADozenSteps%2F%7E3%2F249146695%2F Though he quoted it from the Twenty-Four Hours a Day Book from Hazelden, Fr. Martin isn’t the author of the: Sanskrit Proverb Look to this day, For it is life, The very life of life, In its brief course lies all The realities and verities of existence, The bliss of growth, The splendor of action, The glory of power. For yesterday is but a dream, And tomorrow is only a vision. But today well lived, Makes every yesterday A dream of happiness And every tomorrow A vision of hope. Look well, therefore, To this day. Tags: Fr. Martin, Sanskrit Proverb, Today, Twenty-Four HoursShare This (Source: A Dozen Steps) A Dozen Steps blogs http://www.medworm.com/rss/comments.php?id=1292329 Mon, 10 Mar 2008 22:51:56 +0100 1292329 http://www.medworm.com/index.php?rid=853177&cid=t_112258_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2F154057619%2F The study, published in the journal Hypertension, revealed women who slept five hours or less were twice as likely to suffer from hypertension as women who slept seven hours or more a night. There was no difference between those men sleeping less than five hours and those sleeping seven hours or more. Well great! You want know how much more sleep my husband gets than me almost every night? Probably over 2 hours. I think on the average that women sleep a heck of a lot less than men due to the demands of children and most “part time” work being swing shift or night shift for childcare purposes. The definition of hypertension used in the study was a BP of over 140/90 or if the subject took regular blood pressure medication. The study was actually fairly large with over 6500 applic... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=853177 Sun, 09 Sep 2007 02:52:04 +0100 853177 http://www.medworm.com/index.php?rid=786724&cid=t_112258_87_f&fid=34867&url=http%3A%2F%2Fwww.thediabetesblog.com%2F2007%2F08%2F08%2Floss-of-sleep-may-lead-you-to-eat%2F This study may hint at reasons behind the dubious freshman fifteen for a lot of college students. Can the body adapt to being up all night studying and snacking without jolting the counter regulatory response of metabolism?Read | Permalink | Email this | Linking Blogs | Comments (Source: The Diabetes Blog) The Diabetes Blog blogs http://www.medworm.com/rss/comments.php?id=786724 Wed, 08 Aug 2007 04:00:00 +0100 786724 http://www.medworm.com/index.php?rid=693008&cid=t_112258_87_f&fid=34867&url=http%3A%2F%2Fwww.thediabetesblog.com%2F2007%2F06%2F24%2Fi-port-tm-injection-port-reduces-skin-punctures%2F Filed under: Type 1, Childhood, Adult Onset, SupportType 1 diabetics need to inject insulin several times a day. 'Several' can add up to 12 to 15 injections daily. The new I-Port (TM) Injection Port was invented by Catherine "KK" Patton, diagnosed with type 1 diabetes in 2001 while pregnant with her first child. Inspiration for the product grew from KK's dissatisfaction with both daily injections and a stint with insulin pump therapy (she found the pump a hindrance to her active lifestyle). The I-Port (TM) is inserted once every 72 hours, allowing for multiple, painless injections. I did a little searching and found the Children With Diabetes website reported two adult volunteers tried the I-Port (TM), one with numbing cream and one without. They highly recommend a numbing cream to dull p... The Diabetes Blog blogs http://www.medworm.com/rss/comments.php?id=693008 Sun, 24 Jun 2007 04:00:00 +0100 693008 http://www.medworm.com/index.php?rid=637746&cid=t_112258_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2007%2F05%2Fmother-died-after-eight-gps-failed-to.html The stark headline in The Times, with the photograph of the unfortunate Penny Campbell holding her young son, is enough to put the fear of God into anyone feeling unwell during the evening and at weekends.The headline should have read, “Mother died after a consultant surgeon and eight GPs failed to spot septicemia” but that would have confused the issue. The current media and government mission statement is to slag off overpaid, lazy GPs. And indeed that is exactly the mission that is being pursued in The Times today:Failings in out of hours GP care will claim more victimsAnd some commentators on NHS BLOG DOCTOR seem to feel the same:Dr C - why didn't EIGHT DOCTORS, highly intelligent, trained individuals spot this woman's problem? She DIED. EIGHT DOCTORS! Why?The answer is in the ques... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=637746 Sat, 26 May 2007 08:44:00 +0100 637746 http://www.medworm.com/index.php?rid=612010&cid=t_112258_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F05%2F15%2Fyour-friends-for-life-helps-with-just-about-everything%2F Filed under: All Cancers, ServicesThere are those rare few people who give simply to give. Diane Welter of Your Friends for Life is one of those gems. Welter began Your friends for Life, a non-profit organization, after working for years in different support groups with local cancer patients and their families. In January of 2007 she teamed with the 24 Hours of Aspen Foundation to start a program that would support her own vision of what cancer patients and their families need. The mission of Your Friends for Life is to help in any way a family may need. What suits one family during a time of crisis might not help another family. Welter has a community of people who are always on call to make an extra helping of dinner so that a family dealing with cancer can have a night off from kitchen ... The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=612010 Tue, 15 May 2007 04:00:00 +0100 612010 http://www.medworm.com/index.php?rid=579297&cid=t_112258_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F04%2F30%2Fthought-for-the-day-ordinary-miracle%2F Filed under: All Cancers, Thought for the DayIn response to the post Thought for the Day: These Small Hours, a song by Matchbox 20's Rob Thomas, reader Mary H. shares the name of another beautiful song by artist Sarah McLachlan. The song, Ordinary Miracle, is from the Charlotte's Web movie soundtrack and for Mary -- and me too -- it evokes an inspiring live-for-the-moment type of message.Think about this: It's not that usual when everything is beautiful It's just another ordinary miracle today The sky knows when its time to snow You don't need to teach a seed to grow It's just another ordinary miracle today Life is like a gift they say Wrapped up for you everyday Open up and find a way To give some of your own Isn't it remarkable? Like every time a raindrop falls It's just another ordinary... The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=579297 Mon, 30 Apr 2007 04:00:00 +0100 579297 http://www.medworm.com/index.php?rid=545824&cid=t_112258_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F04%2F16%2Fthought-for-the-day-these-small-hours%2F Filed under: All Cancers, Thought for the DayI don't watch music videos much anymore. My two little boys keep me too busy with all sorts of activities. Watching TV is not one of them.This morning I had a moment to flip through the TV stations while my boys were splashing in puddles in the back yard. And I landed on the perfect station, playing the perfect song and video by Rob Thomas -- the guru behind the band Matchbox 20. The music was uplifting. The words were inspiring. And as always, I interpreted my own version of reality from what I heard. Of course, it involved cancer.What a perfect start to a rainy Florida day.Think about this: let it go, let it roll right off your shoulder don't you know the hardest part is over let it in, let your clarity define you in the end we will only just ... The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=545824 Mon, 16 Apr 2007 04:00:00 +0100 545824