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All posts; Tags Include "Medical Ethics"

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  • July 11, 2011
  • 06:30 AM

The American Journal of Clinical Nutrition's recent peer review failure.

by Yoni Freedhoff in Weighty Matters

There's got to be a better way than peer review, because if papers like this one can make it through, the system is broken.The paper's entitled, Dairy attenuates oxidation and inflammatory stress in metabolic syndrome, and it's written by Renee Stancliffe, Teresa Thorpe and Michael Zemel.The paper's aim was to study the impact of dairy on oxidative and inflammatory biomarkers in individuals with metabolic syndrome, following 12 weeks of being randomized to different levels of dietary dairy. The........ Read more »

  • July 5, 2011
  • 07:30 AM

Dextrose 10% or 50%: EMS Research Episode 10

by Rogue Medic in Rogue Medic

1. Is 50% dextrose as safe as 10% dextrose?

2. Is 50% dextrose as efficacious as 10% dextrose?

3. Is 50% dextrose as affordable as 10% dextrose?... Read more »

  • June 30, 2011
  • 06:30 AM

Amazing, shocking, unbelievable news about type 2 diabetes and diet!

by Yoni Freedhoff in Weighty Matters

Have you caught the amazing, shocking, unbelievable news that type 2 diabetes can be managed through weight loss and lifestyle change?I sure did.Um, I first caught it in medical school nearly 20 years ago and see it virtually daily in my office. I'm guessing if you've got type 2 diabetes, you caught that news from your doctor. In fact I'd be shocked to learn if there were a single type 2 diabetic on the planet who wasn't told at diagnosis that weight loss and/or lifestyle change could reverse t........ Read more »

  • June 29, 2011
  • 07:30 AM

Definitely Certain

by Rogue Medic in Rogue Medic

Too often we will look at just the rare, but well publicized error. We ignore all of the otherwise overwhelming accuracy. We are frequently far less accurate at assessment than those we condemn.

If we do not measure what we are doing, we probably will be wildly inaccurate in our estimation of our performance.
... Read more »

  • June 27, 2011
  • 06:30 AM

The deleterious impact of snacking on journalistic integrity

by Yoni Freedhoff in Weighty Matters

It's been a bad few weeks for obesity related press releases.The first was that press release from CIHI, where its headline and first paragraph served here in Canada, to lead journalists to declare that all that's necessary to combat obesity are 15 minutes of exercise a day, and a diet rich in fruits and vegetables (and consequently anyone who's obese is lazy and eats Ding Dongs for supper).Now there's this one.It came from the University of North Carolina at Chapel Hill, and it was released in ........ Read more »

  • June 23, 2011
  • 12:00 PM

Reiki is practiced in an NHS breast cancer ward

by Ben Good in B Good Science

  In the foothills of Mount Kurama a man meditates. He has been there for 21 days. Suddenly, he has a revelation. From this quiet beginning in 1922 the practice of reiki was born. Since then, it has evolved and found itself keeping company with treatments such as homeopathy and acupuncture in modern complementary medicine. … Read more... Read more »

  • June 23, 2011
  • 12:00 PM

Reiki is practised in an NHS breast cancer ward

by Ben Good in B Good Science

  In the foothills of Mount Kurama a man meditates. He has been there for 21 days. Suddenly, he has a revelation. From this quiet beginning in 1922 the practice of reiki was born. Since then, it has evolved and found itself keeping company with treatments such as homeopathy and acupuncture in modern complementary medicine. [...]... Read more »

  • June 21, 2011
  • 10:33 AM

Limiting Debt May Be Good For Your Mental Health

by William Yates, M.D. in Brain Posts

The relationship between financial status and risk for medical and mental disorders is complex. Premorbid functioning (level of function prior to the onset of a condition) may influence cognitive performance, motivation and the social interaction skills necessary for gaining employment and career success. Failure to obtain (or maintain) a rewarding job can contribute to increased stress and possible reduced access to treatment for medical or mental health conditions. Two recent studies examin........ Read more »

Jenkins R, Bhugra D, Bebbington P, Brugha T, Farrell M, Coid J, Fryers T, Weich S, Singleton N, & Meltzer H. (2008) Debt, income and mental disorder in the general population. Psychological medicine, 38(10), 1485-93. PMID: 18184442  

Lang, I., Llewellyn, D., Hubbard, R., Langa, K., & Melzer, D. (2010) Income and the midlife peak in common mental disorder prevalence. Psychological Medicine, 41(07), 1365-1372. DOI: 10.1017/S0033291710002060  

  • June 20, 2011
  • 06:30 AM

Obesity's contagious, or is it? A sober second look at obesity and social networks.

by Yoni Freedhoff in Weighty Matters

Right off the top let me say I'm not well versed enough in statistics to know who's right.On one side of the fence are the findings of Christakis and Fowler, famously published in the New England Journal of Medicine that posited obesity is socially contagious. Non-statistically, their paper didn't sit right with me, but as far as stats go, I'm no maven.On the other side of the fence is a new paper published by Russel Lyons who posits that Christakis' and Fowler's work is a great example of stat........ Read more »

  • June 16, 2011
  • 07:30 AM

The impact of a standardised intramuscular sedation protocol for acute behavioural disturbance in the emergency department – Part I

by Rogue Medic in Rogue Medic

What the emergency department needs to treat, EMS also needs to treat.

We can pretend otherwise.

We can pretend that just driving fast while wrestling with a patient is in some way safe.

These are delusions just as much as what is going on in the head of the patient with acute behavioural disturbance.
... Read more »

  • June 14, 2011
  • 07:30 AM

ED procedural sedation of elderly patients: is it safe

by Rogue Medic in Rogue Medic

Compared with the patients receiving propofol alone, patients receiving propofol with an opioid had a much more dramatic drop in the dose of propofol given as their age increased.

Were there differences between the rates of hypotension among those only receiving propofol and those receiving propofol with an opioid? Among all patients? More among elderly patients? Less among elderly patients?... Read more »

Weaver CS, Terrell KM, Bassett R, Swiler W, Sandford B, Avery S, & Perkins AJ. (2011) ED procedural sedation of elderly patients: is it safe?. The American journal of emergency medicine, 29(5), 541-4. PMID: 20825829  

  • June 13, 2011
  • 01:53 AM

Akiskal and the Bipolar Spectrum

by The Neurocritic in The Neurocritic

In the last post, we learned that the Editor-in-Chief of the Journal of Affective Disorders has published 165 papers in the journal, 155 of these since becoming editor in 1996. Excluding commentaries and editorials, that makes for a grand total of 142 articles thus far during his tenure as editor.The two major themes of Dr. Hagop Akiskal's papers are (1) the bipolar spectrum, and (2) temperament as the basis of mood, behavior and personality (e.g., Lara et al., 2006). Clearly, I cannot begin to ........ Read more »

  • June 12, 2011
  • 01:36 AM

Radiation and Sex Odds

by Paige Brown in From The Lab Bench

Disclaimer: Living near a nuclear power plant is not the answer to increasing the odds of you men out there fathering a baby boy, the boy you so eagerly want to teach how to spit and play baseball. While it may seem that way, the effects of ionizing radiation reach far beyond disturbing sex odds. In February of this year, a study revealed a cause-and-effect relationship between ionizing radiation and disturbed sex odds, in other words a higher number of male infants born compared to females.... Read more »

  • June 9, 2011
  • 07:30 AM

Allow Me To Manipulate.. I Mean Immobilize Your Spine – Part I

by Rogue Medic in Rogue Medic

We aren't immobilizing patients to protect them from injury. We are immobilizing patients to protect ourselves, our bosses, our medical directors, and our organizations from the people we are supposed to be protecting - our patients.

We claim that it is unethical to do otherwise.

Could we come up with a better way of demonstrating that we do not have a clue about ethics?... Read more »

Hauswald M, Ong G, Tandberg D, & Omar Z. (1998) Out-of-hospital spinal immobilization: its effect on neurologic injury. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 5(3), 214-9. PMID: 9523928  

  • June 5, 2011
  • 04:33 PM

Cambridge BioResource - donating your DNA to science

by Elaine Westwick in The Stuff of Life

Last week I contributed a finger of blood to the Cambridge BioResource project. The DNA extracted from my sample will live in a 96 well plate alongside the genetic material from 10 000 other local donors. Together, we form a smorgasbord of genetically distinct volunteers from which researchers investigating human health can pick and choose. In this post I will explore science behind the resource, discuss the ethics of returning data to participants and reveal what bit of my DNA I'd really l........ Read more »

  • June 5, 2011
  • 03:26 PM

Kidney Markets - Epic Fail

by in Living Donors Are People Too

An article popped up on my google alerts recently regarding an Indian (dot, not feathers as Robin Williams' character would say in "Good Will Hunting") who answered a solicitation for a kidney, sold said kidney and has now been screwed and abandoned by his recipient/buyer. A couple of days later, another article appeared, this one about a seventeen year old Chinese boy sold his kidney to a black market broker so he could afford to buy an ipad 2. As per the first story, once the kidney was safely........ Read more »

  • June 3, 2011
  • 07:59 AM

Seven steps to cure healthcare privacy problems

by sciencebase in Sciencebase Science Blog

If we have learned anything from the recent hackings – Sony, Google Mail, PBS – in which vast amounts of data for millions of users have been compromised, it is that precious data is rarely entirely secure and certainly barely private. It is time to tighten up. Nowhere is this more important than in healthcare [...]Seven steps to cure healthcare privacy problems is a post from: Sciencebase Science Blog
... Read more »

Yair Babad, & Avishai Lubitch. (2011) Ethical and legal issues of privacy and patient rights in the application of information healthcare delivery systems. Int. J. Healthcare Technology and Management, 12(3/4), 230-249. info:/

  • May 29, 2011
  • 11:53 PM

Health effects from chemical exposures – not just a modern phenomenon

by Ashartus in exposure/effect

When we think about exposures to chemicals causing adverse effects on human health, there is a tendency to view this as a product of modern industrial societies. To some extent this is true – there are certainly potentially hazardous chemicals we are exposed to as a result of our lifestyles, such as volatile chemicals in [...]... Read more »

  • May 27, 2011
  • 07:30 AM

Fentanyl in the out-of-hospital setting: variables associated with hypotension and hypoxemia

by Rogue Medic in Rogue Medic

We do not have enough information to determine what effect fentanyl has on blood pressure in these patients, but we no longer have a good reason for expecting that fentanyl will produce hypotension.

There are many possible side effects of fentanyl, but even in hypotensive patients we should not expect any sudden deterioration in blood pressure with judicious administration of fentanyl by competent EMS personnel.

The real surprise was in the rate of hypoxemia.... Read more »

Kanowitz A, Dunn TM, Kanowitz EM, Dunn WW, & Vanbuskirk K. (2006) Safety and effectiveness of fentanyl administration for prehospital pain management. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 10(1), 1-7. PMID: 16418084  

  • May 23, 2011
  • 10:03 AM

Neuroethics: The Brain and Political Beliefs

by William Yates, M.D. in Brain Posts

Article first published as Brain Science and Political Belief on Technorati.Brain science is providing some important insights into the mechanisms involved in a variety of beliefs including political, religious and moral beliefs. Dr. Jordan Grafman, Ph.D. currently with the Kessler Foundation has led some of the key research initiatives in this area of brain research. He recently presented at the May, 2011 Warren Frontiers in Neuroscience lecture series in Tulsa, Oklahoma. I previ........ Read more »

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