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Rhinovirus Replicates Best in the Nasal Cavity
It's that time of year, eh?  Cold and flu season.  And this week we have news from researchers giving us a bit more insight into the rhinoviruses that cause the common cold.The unsurprising new discovery is that rhinoviruses replicate more efficiently—and therefore cause colds more effectively—in the nasal cavity than in the lungs because of a temperature difference.  In mice, the animals used in the recent study, the immune mechanisms that fight off rhinoviruses work better in the warmer environment of the lung than in the cooler environment of the nasal cavity.This phenomenon may be why a cold generall...
Source: The A and P Professor - January 6, 2015 Category: Physiology Authors: Kevin Patton Source Type: blogs

What Doctors are Thinking
Ever wonder what your doctor is thinking while taking your history? If we’re doing it right, we’re looking at you instead of a computer. We’re making appropriate eye contact while displaying welcoming body language. And we’re letting you tell your story with as few interruptions as possible. Clearly we are listening intently, but did you ever wonder what’s going through our minds while you’re speaking? I’ve been thinking about this lately in the context of teaching medical students about history-taking. They’re being taught all the right questions to ask and how to ask them (...
Source: Musings of a Dinosaur - December 31, 2014 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

Teachers Are Being Mandated To Get the Flu Vaccine or Wear a Mask and Gloves
Conclusion Many of us who choose not to vaccinate used to trust the vaccines until they harmed us or someone we love. Teachers’ concerns are understandable and they are discussing the start of a teacher’s union to help give them a voice because these mandates can negatively affect their overall health or cause discrimination in the workplace. If you decline the vaccine and cannot get around the mandate, maybe your students can help you decorate your mask with pride. Perhaps this will lead to a new trend when they learn why you didn’t vaccinate.   References http://www.cdc.gov/…/pr...
Source: vactruth.com - December 14, 2014 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Top Stories CPCC Board Federal Advisory Commission on Childhood Vaccines (ACCV) Flu Vaccine Mandatory Vaccination Title VII of the Civil Rights Act of 1964 Vaccine Adverse Events Reporting System (VAERS) Source Type: blogs

Ebola, the Perfect Political Pathogen
Though more of a bacterial man, I have written about viruses in the past, and now feels like a good time to write about one again. An enveloped, filamentous virus with a negative stranded RNA genome is doing the rounds in a distant part of the world. Spread by close bodily contact, this mode of transmission poses an impediment to the virus’ dissemination, in spite its high viral titres. Cultural practices and poor health infrastructure were the only allies of the virus in West Africa. Despite its difficulty in transmitting, ebola hysteria has been blown completely beyond any rational proportion. Ebola essentially represe...
Source: Life in the Fast Lane - November 11, 2014 Category: Emergency Medicine Authors: Jarrad Hall Tags: Microbiology Pathology Ebola Source Type: blogs

Microhippie
I have five minutes before I leave for the dentist, where I will be scrupulously honest about exactly how often I floss, so this is going to be what the young'uns call a microblog. I just wanted to record a few recent observations about life atHippie Do As You Please School.Charlie is learning to weld. A parent brings in, I don't know, a travel forge or something, sets it up in a convenient alcove, and...teaches kids to weld. On welding days Charlie comes home incandescent with happiness, full of stories of what thing he welded to what other thing. (The stories...are kind of short: Rod, rod. Bolt, plate. Piece of m...
Source: a little pregnant - October 1, 2014 Category: Child Development Authors: Julie Tags: Charles in charge Source Type: blogs

Building a Better Mortality Prediction Rule
You will often hear the lament from people within and outside of the hospice and palliative care fields, that doctors are pretty bad at making effective prognostication. Patients and families frequently search for a predictable road map to understand the course they are likely on, and even when they cede the understandable uncertainty to the physician, the doctors will often reply with an unhelpful retorts like, “I don’t know what may happen. There is only one person who does.” I doubt all of those physicians are referring to Dr. Mark Cowen, but they may want to take notice of what he and his colleagues at St. Joseph...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 22, 2014 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs

The why and how of public distrust of vaccines…Surely, questions worth asking
One of the biggest changes in healthcare in recent times is the emphasis on decision-making. Patients and doctors now work with big menus. It’s mostly a good thing, but a certainty with increased choice is increased conflict. As a doctor who works in a field–electrophysiology–that is almost exclusively preference-sensitive, I’ve grown increasingly interested in why and how humans choose things. After twenty years of bearing witness to medicine’s wins and loses, I’ve come to realize how little I know about this central theme of doctoring. The list of mysteries I think about is a long one:...
Source: Dr John M - April 28, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Deadly Medicines and Organised Crime: a review
This is a web version of a review of Peter Gotzsche’s book. It appeared in the April 2014 Healthwatch Newsletter. Read the whole newsletter. It has lots of good stuff. Their newsletters are here. Healthwatch has been exposing quackery since 1989. Their very first newsletter is still relevant. Most new drugs and vaccines are developed by the pharmaceutical industry. The industry has produced huge benefits for mankind. But since the Thatcherite era it has come to be dominated by marketing people who appear to lack any conscience. That’s what gave rise to the Alltrials movement. It was founded in January 2013...
Source: DC's goodscience - April 16, 2014 Category: Science Authors: David Colquhoun Tags: Academia badscience Big Pharma blogosphere Martin Keller Peter Gotzsche Pharmaceutical Industry Richard Eastell Source Type: blogs

Transcript of podcast interview with Juliette Kayyem, candidate for Governor of Massachusetts
This is the transcript of my recent podcast interview with Juliette Kayyem, Democratic candidate for Governor of Massachusetts. Visit the original post to listen to the podcast and read a summary. This is part of a series of interviews with all nine candidates for Governor. The full schedule is available here. David E. Williams: This is David Williams from the Health Business Blog. I’m speaking today with Juliettte Kayyem, candidate for Governor of Massachusetts. Juliette, thanks for your time today. Juliette Kayyem: Thanks for having me, David. Williams: Juliette, does Chapter 224 represent the right approach to ...
Source: Health Business Blog - March 13, 2014 Category: Health Managers Authors: David Williams Tags: Podcast Policy and politics community hospitals election Governor health care health care reform health information technology healthcare Juliette Kayyem Massachusetts Source Type: blogs

It's coming. It's coming for all of us.
At this point, it doesn't matter whether it's a mismatch between this year's flu shot and this year's virus, or a secret government plot, or just plain crappy luck: everybody I know, practically, has the flu.We have nine full-time nurses in our unit. Two of them have pneumonia. A third is out for another week, until the Tamiflu and chicken soup kick in. The remaining half-dozen of us are bathing in alcohol foam, refusing to get too close to each other (I swear; it's like Sweden up in there), and running away from anybody with the slightest hint of a cough. I myself have taken to bathing daily in boiling bleach and wrapping...
Source: Head Nurse - February 5, 2014 Category: Nurses Authors: Jo Source Type: blogs

Sunday Funnies: Shots, Schmots...
Just another day for us PWDs (people with diabetes)... No one needs to teach us PWDs about having thick skin when it comes to getting shots. Hope everyone's staying healthy during this flu season!And thanks to cartoonist Terry Keelan, a fellow ...
Source: Diabetes Mine - January 19, 2014 Category: Endocrinology Authors: Amy Tenderich Source Type: blogs