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Can Febuxostat Protect From Contrast Induced AKI?
Contrast induced acute kidney injury is an important concern in patients undergoing percutaneous coronary interventions due the larger volume of contrast needed in comparison to diagnostic studies. It is more likely in patients undergoing primary angioplasty for acute myocardial infarction because of greater hemodynamic instability and lack of chance for protective measures like pre-procedure hydration. A randomized controlled trial evaluated 120 patients with stage 3 chronic kidney disease who underwent PCI for acute coronary syndrome [1]. 60 patients received Febuxostat in addition to intravenous hydration and N-acetylc...
Source: Cardiophile MD - June 2, 2023 Category: Cardiology Authors: Johnson Francis Tags: Coronary Interventions General Cardiology Source Type: blogs

Pencil-on-Paper Wearable Sensor
Researchers at Penn State have developed a low-cost, wearable sensor using pencil-on-paper technology. This approach involves depositing graphite (pencil ‘lead’) on paper that has been treated with sodium chloride, to create a conductive, low-cos...
Source: Medgadget - June 1, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Diagnostics Materials PennState Source Type: blogs

Causes of heart attack and cardiac arrest in teenagers
A heart attack occurs when blood flow to a part of the heart muscle stops. Heart attacks in teenagers can be caused by rare genetic diseases, such as familial homozygous hypercholesterolemia, which increases blood cholesterol levels, and some rare diseases that affect the blood vessels of the heart, such as Kawasaki disease. Cardiac arrest means the heart stops working completely. A heart attack can lead to cardiac arrest. Inherited diseases like Congenital long QT syndrome and Brugada syndrome that cause cardiac arrhythmias and can also cause cardiac arrest in adolescents.
Source: Cardiophile MD - June 1, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

ChatGPT Writes A Blog Post! (P.S. I don ' t think the AI takeover is imminent...)
Conclusion:In a digital age where accurate medical information is crucial, Doctordalai.com emerges as a trusted and valuable resource. Its commitment to providing reliable medical insights, patient empowerment, bridging the gap between medicine and technology, expertise across specialties, and fostering an interactive community sets it apart from the vast sea of health-related websites. Whether you ' re a patient, caregiver, or simply a health-conscious individual, Doctordalai.com invites you to embark on a journey of knowledge, empowerment, and discovery within the realm of modern medicine.
Source: Dalai's PACS Blog - May 31, 2023 Category: Radiology Source Type: blogs

ChatGPT Misses the Mark in Healthcare – What It Needs to Succeed
The following is a guest article by Michael Blum, MD, Cardiologist, Co-founder and CEO at BeeKeeperAI and Former Chief Medical Information Officer at UCSF Medical Center The advent of OpenAI’s ChatGPT3 (GPT3) Artificial Intelligence (AI)-powered chatbot sparked an unprecedented societal appreciation for the power of AI. While AI has been broadly deployed across industries for a decade, it remained mostly hidden from the typical user. The release of GPT3 in late 2022 changed all of that.  Suddenly, a user with minimal computer literacy and no programming or data science training whatsoever could ask an AI-based applicati...
Source: EMR and HIPAA - May 31, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Analytics/Big Data C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System Security and Privacy AI Hallucination BeeKeeperAI Chatbots ChatGPT ChatGPT4 Cyber Risks Generative AI Source Type: blogs

Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief).
I received the following text message with these 3 EKGs (providers text me ECGs all day every day; most are false positives; many are subtle true positives):" Hi Steve, here are 3 EKGs for you (my colleague ' s case).  A 67 yo f developed chest pain this morning. "EKG #1Followed 15 minutes by this #2 EKG:Then the patient received aspirin andDilaudid (hydromorphone, same effect as morphine) and the pain went away and there was this 3rd ECG:Smith comment: hydromorphone will make any pain go away (or improve) without any improvement in the underlying pathology.  Do NOT give it unless you are committed to t...
Source: Dr. Smith's ECG Blog - May 31, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Clinical Examination of Cardiovascular System For Medical Students
Discussion on blood pressure is not included here as a separate topic is dedicated to it. Though the most commonly examined pulse is the radial, to check some of the characteristics, a more proximal pulse like the brachial or carotid needs to be examined. Following parameters of the pulse are routinely documented: 1. The rate: Normal rate in adult is 60-100 per minute. It is higher in children. Younger the child, higher the pulse rate. Rhythm: Regular and irregular rhythms are possible. Mild variation with respiration is called respiratory sinus arrhythmia, with higher rate in inspiration. Respiratory sinus arrhythmia may...
Source: Cardiophile MD - May 30, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Health Equity In The AI And Digital Health Era: Promise or Peril?
This report estimated that poor health reduces global GDP by 15% each year.  On the flip side, equalizing healthcare access and quality has healthful effects on the economy at large. Digital technology could narrow the health equity gap by simplifying complex medical processes and removing travel barriers to healthcare access. Figures indicate that underrepresented and/or disadvantaged (poor, rural, minority, women, LGBTQ, etc) groups have significantly less access to all the cutting-edge solutions digital health offers. Thus the gap is not only not closing, but it’s rather further widening right now. W...
Source: The Medical Futurist - May 30, 2023 Category: Information Technology Authors: Andrea Koncz Tags: TMF Artificial Intelligence in Medicine Health Sensors & Trackers Personalized Medicine Telemedicine & Smartphones digital health literacy health equity digital health equity AI Source Type: blogs

Operation Searchlight: The American-supported Pakistani genocide you probably haven ’ t heard about
BY ANISH KOKA On March 25th, 1971, the Pakistani army launched Operation Searchlight, a military campaign to brutally suppress a Bengali nationalist movement. The roots of the genocide lie in the parting gift British rulers gave to the Indian subcontinent at the time of independence in 1947. British controlled India was separated into Hindu majority India and Muslim majority Pakistan. But because there were two dense non-contiguous Muslim majority areas in British controlled India, the muslim majority country of Pakistan was divided into East and West Pakistan. East and West Pakistan were linked by religion, b...
Source: The Health Care Blog - May 29, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Anish Koka Bangladesh Bengali India Operation Searchlight Pakistan Source Type: blogs

Feeling guilty now, for a past professional crime !
Having retired, find little more time in browsing the academic images lying idle in old computers.It is intresting, still a tiring job to pick any useful learning stuff, from heaps of data hiding in different hard drives. This set of ECGs I could retrive from the year 2011, A 31-year-old male presented to our CCU at 4.50 PM. The treatment was Initiated in 10 minutes and completed in an hour, (Those days cath lab wasn’t functioning 24/7, more importantly, there was no external interference with our professional decision-making process) The ECG was repeated at 7.15 PM I think this case is much rele...
Source: Dr.S.Venkatesan MD - May 26, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs

Can You Take Birth Control Pills With Hypertension?
Navigating birth control options when living with hypertension can be challenging. This comprehensive overview explores the complex relationship between birth control pills and high blood pressure, addressing scientific research, potential risks, and viable alternatives. It underscores the importance of personalized medical advice in making safe and informed contraceptive choices. Quick Summary Combined oral contraceptives can potentially raise blood pressure levels, making them a risk for women already diagnosed with hypertension. Alternatives such as progestin-only pills, IUDs, barrier methods, and contrace...
Source: The EMT Spot - May 25, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Bridging the Gap: La Conexi ón ’ s Impact in the Philippines
Conclusion La Conexión’s journey to Catanduanes, Philippines, was a life-changing experience for our team of volunteers. But beyond that, we believe our commitment to bridging the gap in healthcare access and empowering local providers will be life-changing for the people of Catanduanes. The post Bridging the Gap: La Conexión’s Impact in the Philippines appeared first on DrGreene.com.
Source: Conversations with Dr Greene - May 24, 2023 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog La Conexión Philippines remote care Telehealth Source Type: blogs

Cell Culture Chamber Mimics Mechanical States of Disease
Researchers at the University of Göttingen in Germany have developed a cell culture chamber that lets them culture tissue samples, mimic the mechanical conditions that tissues experience in various disease states, and closely monitor tissue reaction...
Source: Medgadget - May 23, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Medicine Pathology uniGoettingen Source Type: blogs

Reflections on 500 patients, unique cases, and making a difference in health care
As I reflect on my first year of residency, it’s hard to believe that I’ve cared for nearly 500 patients spanning across multiple departments; floor medicine, ICU, ER, neurology, cardiology, and surgery. I’ve had the opportunity to perform one central line placement, three intubations, ran a code blue, and performed CPR in both the ICU Read more… Reflections on 500 patients, unique cases, and making a difference in health care originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 23, 2023 Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

A man in his early 40s with chest pain a " normal ECG " by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?
This study looked at less than 1000 cases, which is not nearly enough (see below for analysis) and they used cardiologists as the gold standard (a very poor gold standard), NOT presence or absence of Occlusion MI (which we have done in all of our ECG studies, and must be ascertained by 1) TIMI 0/2 flow on angiogram or 2) culprit + TIMI 3 flow and very high troponin. So this study is worthless and must be ignored. I have here 38 cases of " Computer Normal " ECGs which were critically abnormal and the vast majority are missed acute coronary occlusions (Missed Acute OMI) and most were recognized ...
Source: Dr. Smith's ECG Blog - May 23, 2023 Category: Cardiology Authors: Pendell Source Type: blogs