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Total 220 results found since Jan 2013.

Why Nobel prize in medicine is not given for clinical science ?
Why not Nobel prize for clinical  science ? Take Our Poll (function(d,c,j){if(!d.getElementById(j)){var pd=d.createElement(c),s;pd.id=j;pd.src='http://s1.wp.com/wp-content/mu-plugins/shortcodes/js/polldaddy-shortcode.js';s=d.getElementsByTagName(c)[0];s.parentNode.insertBefore(pd,s);} else if(typeof jQuery !=='undefined')jQuery(d.body).trigger('pd-script-load');}(document,'script','pd-polldaddy-loader'));   Nobel prize was constituted  to reward people or organisation  who make a  huge impact on the welfare of man kind. It is given in various categories  for  outstanding contributions in Physics, Chemistry,...
Source: Dr.S.Venkatesan MD - May 23, 2014 Category: Cardiology Authors: dr s venkatesan Tags: bio ethics Cardiology - Clinical Clinical cardiology medical quotes Two line sermons in cardiology alfred noble noble profession medical ethics modern medicine nobel prize for medicine principles of practice of medicine science humanit Source Type: blogs

Nina Teicholz’s Surprise: Fat is good for you
Investigative journalist Nina Teicholz’s new book, The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet, is now available. Nina’s eat-the-fat message fits like hand-in-glove with the Wheat Belly lifestyle. You will especially find her chronology of the historical blunders made along the way to the “low saturated fat for heart health” advice enlightening and liberating. It was, as she discusses, the low total fat and saturated fat mistakes that led us down this more “healthy whole grain” detour, the worst nutritional misjudgements ever made on a worldwide scale. I a...
Source: Wheat Belly Blog - May 19, 2014 Category: Cardiology Authors: Dr. Davis Tags: Fat intake Source Type: blogs

Surprise! Fat is good for you
Investigative journalist Nina Teicholz’s new book, The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet, is now available. Nina’s eat-the-fat message fits like hand-in-glove with the Wheat Belly lifestyle. You will especially find her chronology of the historical blunders made along the way to the “low saturated fat for heart health” advice enlightening and liberating. It was, as she discusses, the low total fat and saturated fat mistakes that led us down this more “healthy whole grain” detour, the worst nutritional misjudgements ever made on a worldwide scale. I a...
Source: Wheat Belly Blog - May 19, 2014 Category: Cardiology Authors: Dr. Davis Tags: Fat intake Source Type: blogs

It’s all connected…
…and this is the crux of the practice of medicine. I just had a Eureka moment while talking on the phone with a patient. We were discussing how to manage her increasingly frequent episodes of atrial fibrillation. She was also dealing with two other major health problems. She asked me: Are these things connected? In other words, was the increase in episodes related to her other problems? Yes. Yes. This is what I’ve been trying to tell anyone who will listen. In the human body, it’s all connected. Some might say I spend my days treating heart rhythm disorders. That’s not accurate. I am treating people...
Source: Dr John M - April 23, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

As Full Disclosure Nears, Doctors’ Pay for Drug Talks Plummets
Some of the nation’s largest pharmaceutical companies have slashed payments to health professionals for promotional speeches amid heightened public scrutiny of such spending, a new ProPublica analysis shows.Eli Lilly and Co.’s payments to speakers dropped by 55 percent, from $47.9 million in 2011 to $21.6 million in 2012.Pfizer’s speaking payments fell 62 percent over the same period, from nearly $22 million to $8.3 million.And Novartis, the largest U.S. drug maker as measured by 2012 sales, spent 40 percent less on speakers that year than it did between October 2010 and September 2011, reducing payments from $24.8 m...
Source: PharmaGossip - March 4, 2014 Category: Pharma Commentators Authors: insider Source Type: blogs

No Needle, but the Damage was Done - A New Example of Suppression of Research about Adverse Effects of Prescription Narcotic Analgesics
This story feels personal, since as a physician who trained starting in the 1970s, figuring out how to manage patients who desperately wanted narcotics, whether to relieve pain, relieve addiction, or relieve financial distress has been a constant challenge.Background  - Treating Pain while Avoiding "the Needle and the Damage Done"Almost as soon as I started clinical training in medical school I came up against the problem of narcotics.  In the 1970s, narcotic addiction was a pressing problem that threw a dismal shadow over society..  In the hospital and emergency room we daily saw overdoses and the complicat...
Source: Health Care Renewal - December 26, 2013 Category: Health Medicine and Bioethics Commentators Tags: conflicts of interest deception Janssen Johnson and Johnson key opinion leaders narcotics suppression of medical research Source Type: blogs

The biggest mistake is not learning from one…
A friend recently asked me why I am so hard on doctors. “You write a lot of negative stuff about us,”  he said. That worries me. I am not a nihilist. I believe in what we do. I put doctoring decidedly in the noble category, right alongside teachers. In fact, my attachment to doctoring is the reason I write about it. Here’s my thinking about confronting negative stuff: One of the major problems with healthcare at this moment is an erosion of trust in doctors. We have a credibility problem. The information age has changed the landscape of medicine in two major ways: First, access to health information is n...
Source: Dr John M - December 15, 2013 Category: Cardiology Authors: Dr John Source Type: blogs

With vaccines…Is there no middle ground, no room for questions?
“We should be as demanding of ourselves as we are of those who challenge us.” Dr. Jerome Groopman, writing in the New Rupublic Writing about the medical decision-making surrounding vaccines proved to be sketchy. Yesterday’s post brought stinging criticism from both sides of the debate. A pediatrician felt the structure of the post was patronizing. Just an hour later, a skeptic sent me the same message–patronizing. This was educational. Criticism is taken seriously here, especially when it comes from both sides of an argument. The reflex: Perhaps its useful to write more on the matter? (It’s f...
Source: Dr John M - December 6, 2013 Category: Cardiology Authors: Dr John Source Type: blogs

New Cardiovascular Prevention Guidelines
What do the new heart disease prevention guidelines mean? The public health impact of cardiovascular disease motivated the American Heart Association and the American College of Cardiology to release updated guidelines for the prevention of heart disease and stroke. The goal is to help Americans reduce risk and live longer healthier lives. The guidelines result from an extensive review of hundreds of clinical research studies by experts in the field of cardiology and public health sponsored by the National Heart, Lung, and Blood Institute. Check out what the new guidelines could mean for you in Eliz’s articles on Ans...
Source: Embrace Your Heart Wellness Initiative - December 4, 2013 Category: Cardiology Authors: Eliz Greene Tags: Award Winning Blog Heart Health American Heart Association cardiovascular risk heart disease prevention Heart Disease Risk Factors Women and Heart Disease Source Type: blogs

How Manipulated Clinical Evidence Could Distort Guidelines - the Case of Statins for Primary Prevention
This study excluded many patient for whom the statins were not contraindicated or warned against: uncontrolled hypertension; type 1 or type 2 diabetes mellitus on insulin or with a HgBA1C at least 10%; and body weight more than 50% "desirable limit for height."  (Based on the official contraindications and warnings for commonly used statins, e.g., see contraindications for Lipitor here, active liver disease, pregnancy for likely to become pregnant, nursing mothers, hypersensitivity to the medicine; and warnings: use of cyclosprine or strong CYP3A4 inhibitors, uncontrolled hypothyroidism, renal impairment.)  Thus ...
Source: Health Care Renewal - December 3, 2013 Category: Health Medicine and Bioethics Commentators Tags: American College of Cardiology American Heart Association clinical trials conflicts of interest evidence-based medicine guidelines manipulating clinical research review articles Source Type: blogs

Statins - John P. A. Ioannidis writes
The American College of Cardiology/American Heart Association (ACC/AHA) guidelines on assessment of cardiovascular risk1 and on treatment of blood cholesterol, which included recommendations for primary prevention with statins,2 came under intense criticism immediately with their release. Main concerns focused on flawed methods (problems with the risk calculation),3 ethics (conflicts of interest),4 and inferences (too many people offered treatment).The ACC and the AHA are among the most experienced organizations in medicine that develop guidelines. Their processes are meticulous, including transparent r...
Source: PharmaGossip - December 3, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Confused Thinking about New Cholesterol Guidelines - Were Conflicts of Interest to Blame?
For years, clinical practice guidelines promulgated by prominent health care organizations have been hailed with accolades as received wisdom.  However, there is increasing reason to be skeptical of such guidelines.  Many guidelines are not based on rigorous application of the principles of evidence-based medicine, and often seem to arise from the personal opinions of their authors.  This is particularly troublesome when those authors  have conflicts of interest, and when the organizations that sponsor guideline development have institutional conflicts of interest.  Back in 2011, an Institute of Me...
Source: Health Care Renewal - November 22, 2013 Category: Health Medicine and Bioethics Commentators Tags: American College of Cardiology American Heart Association conflicts of interest evidence-based medicine guidelines logical fallacies Source Type: blogs

Oopsie, they made a boo boo
Last week, it was announced by those that be in power that many millions more Americans need to take statins to reduce their heart attach risk. I suspected that this might be an evil ploy by pharmaceutical companies to earn a few bucks....Well now it turns out that made a big fat boo boo and the calculator/algorithm that was proposed, doesn't work. They did things like using data from the 1990s when more Americans smoked and drank and all sorts of other basic things. This is an example of why more research is often need to confirm things.So there isn't a  magic pill in statins for millions. Just like there isn't a mag...
Source: Caroline's Breast Cancer Blog - November 18, 2013 Category: Cancer Tags: exercise medications pharmaceutical manufacturers recommendations Source Type: blogs

A normal day at the NHS
Those of us in the US who have been overwhelmed lately by overly excited health care stories in the media look fondly across the Pond. We are confident that we can find a much calmer discourse about these issues in the UK.  After all, a single payer system, well established, and held in fond regard by the populace can’t be very controversial.  Well maybe. Here’s a synopsis of one day’s news coverage about the NHS from The Times and The Daily Telegraph.  Make sure you read all the way to the last one.  My head is spinning.•A hospital trust whose staff were allegedly forced to alter waiting times ...
Source: Running a hospital - November 17, 2013 Category: Health Managers Source Type: blogs