Mon.Jul 10, 2023

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The Study of the Week Looks Back and Asks One Question

Sensible Medicine

I am worried about the state of medical science and our journals. At the risk of sounding naive, I want to believe that people who choose academic medicine do so to answer important scientific questions. I’ve traveled the world and met academics. Many of them impress me as serious people trying to advance the field. But that observation is hard to square with some of the studies that make it into big journals—and then into the lay press.

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The return of marketing hype for “whole body scans”…with AI!

Science Based Medicine

Two decades ago, I cut my skeptical teeth countering advertising for whole body scans by companies making extravagant promises for their products. This particular medical fad faded for a while, but now it's back with a vengeance.with AI! Looking at these products, what I see is basically the quackery that is functional medicine on steroids and powered by AI.

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Fiber Probes to Investigate Brain-Gut Relationship

Medagadget

Engineers at MIT have developed a microelectronic probe that can measure and influence the behavior of neurons involved in the brain-gut axis. Neural communication between the brain and GI tract has been implicated in a range of conditions as varied as autism and Parkinson’s disease. However, studying the interplay between these neurons was difficult, until now.

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Prostate cancer: definition, causes, symptoms, diagnosis and treatment

Emergency Live

Adenocarcinoma, a particular type of prostate cancer, is a malignant growth that develops in the gland of the same name, an integral part of the male reproductive system The post Prostate cancer: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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The Latest in Critical Care, 7/10/23 (Issue #8)

PulmCCM

Continuous meropenem infusion for critically ill patients with sepsis Antibiotics have a time-dependent effect on bacteria; maintaining bacteriocidal concentrations of antibiotics should help subdue infections better than intermittent dosing. A 2018 meta-analysis reviewed here suggested that prolonged infusion of antipseudomonal beta-lactams reduced mortality by 30% compared with shorter infusions, and more observational data has accumulated since that time.

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Microfluidic Chip Aids Tuberculosis Diagnosis

Medagadget

Researchers at the University of London have collaborated with QuantuMDx, a medtech company based in the UK, to develop a microfluidic diagnostic device for tuberculosis. The CAPTURE-XT chip is designed to concentrate and purify Mycobacterium tuberculosis from suspected tuberculosis patients, particularly in areas that lack access to routine diagnostic technologies.

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Bacterial vaginosis, how to defend yourself?

Emergency Live

Bacterial vaginosis is part of vaginitis, i.e. infections affecting the female reproductive organ, and is characterized by an alteration of the normal vaginal pH The post Bacterial vaginosis, how to defend yourself? appeared first on Emergency Live.

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Placebos/ Journals are Failing/ Cancer Screening

Sensible Medicine

Listen now (83 min) | Placebos/ Journals are Failing/ Cancer Screening

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Education Day – Wed 19th July, 2023

Greater Sydney Area HEMS

Visit the post for more.

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Polio

Don't Forget the Bubbles

There have been several news reports about cases of polio in the United States (New York State), Ukraine, sub-Saharan Africa, and India. In most of these countries, poliomyelitis was thought eradicated, with no cases reported for years, mainly due to successful vaccination campaigns. So why is it now being diagnosed again in both children and grown-ups?

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The Electronic Trauma Flow Sheet: What Does(n’t) Work – Part 1

The Trauma Pro

There are two major problem areas using an electronic trauma flow sheet (eTFS): the front end and the back end. Today, I’ll discuss the front-end data entry problems. Trauma activations are very data-intensive events. Before the patient arrives, there are registration activities so the electronic health record (EHR) can begin accepting other information about the patient.

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Gender Medicine: Women and Lupus (Erythematosus)

Emergency Live

Lupus 'bites' and in the grip of its 'jaws remain imprisoned' especially young women. The male/female ratio affected by the disease is, in fact, 1 to 9 and, focusing only on the fairer sex, in 8 cases out of 10, the patient is aged between 15 and 45 The post Gender Medicine: Women and Lupus (Erythematosus) appeared first on Emergency Live.

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A 60 year old with chest pain

Dr. Smith's ECG Blog

A 60 year old with chest pain: what do you think? The medics came to me worried about hyperacute T-waves. But these are not HATW and I immediately said so. Why? The ST segment is too flat, resulting in a narrow base for the T-wave even though the QT interval is quite long (QTc Hodges = 464 and a lot longer by Bazett). T-wave hyperacuteness is due to area under the curve, which is height + width + straightness of the ST segment.

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