Archive for ‘Uncategorized’

July 7, 2018

Mini Quiz: Panic Disorder | Psychiatric Times

Benzodiazepines may have a long-term tolerability edge over the SSRIs, SNRIs, and TCAs, as they do not cause weight gain or sexual dysfunction. Generally, high-potency, shorter half-life benzodiazepines are preferable because of their more predictable pharmacokinetics and simpler metabolism. Regular dosing (vs PRN) is recommended to achieve optimal anxiolysis. >
> http://www.psychiatrictimes.com/quizzes/mini-quiz-panic-disorder?rememberme=1&elq_mid=2211&elq_cid=1758157 >

July 7, 2018

Primary Care and the Opioid-Overdose Crisis — Buprenorphine Myths and Realities | NEJM

“In part, the overdose crisis is an epidemic of poor access to care. One of the tragic ironies is that with well-established medical treatment, opioid use disorder can have an excellent prognosis. Decades of research have demonstrated the efficacy of medications such as methadone and buprenorphine in improving remission rates and reducing both medical complications and the likelihood of overdose death.1 Unfortunately, treatment capacity is lacking: nearly 80% of Americans with opioid use disorder don’t receive treatment.2 Although access to office-based addiction treatment has increased since federal approval of buprenorphine, data from the Drug Enforcement Administration (DEA) reveal that annual growth in buprenorphine distribution has been slowing, rather than accelerating to meet demand (see graph). To have any hope of stemming the overdose tide, we have to make it easier to obtain buprenorphine than to get heroin and fentanyl.”

https://www.nejm.org/doi/full/10.1056/NEJMp1802741?query=featured_home

July 1, 2018

BBC News: Seeing the same doctor over time ‘lowers death rates’

“The benefits applied to visits to GPs and specialists and were seen across different cultures and health systems.University of Exeter researchers said the human aspect of medical practice was “potentially life-saving” but had been neglected.
GPs’ leaders said they recognised the value of patients seeing “their own” doctor.
Because of intense workforce pressures, however, this could mean waiting even longer for an appointment, the Royal College of GPs said.”

Seeing the same doctor over time ‘lowers death rates’_102243589_gettyimages-689956326.jpgContinuity of care really is a matter of life and death, a review of studies suggests.

June 8, 2018

Hypochondriapp: British GP Humor

British GPs feel squeezed by online medical consultation app “Babylon” and Copperfield, one of the regular contributors on their website, Pulse, describes what GPs do and suggests another app, cleverly named “Hypochondriapp”.

“It also reinforces the completely wrong notion that symptoms inevitably and algorithmically lead to a diagnosis. When does that ever happen? The reality is that symptoms result in a spaghetti junction of confusion and contradiction which we GPs manage with clever time-passing manoeuvres such as umming and aahing, or arranging unnecessary blood tests, until they resolve spontaneously, as they usually do.”

“Because there’s definitely a market for an app which recognises this by inviting punters to enter their symptoms, type in their feared diagnosis and accept the advice: ‘Forget it.’ This is my idea, I already have a name for it (Hypochondriapp).”

> http://www.pulsetoday.co.uk/views/copperfield-/forget-babylon-im-pitching-the-hypochondriapp/20036841.article#.Wxlt5QhVd3I.email >

May 29, 2018

Intuition is Underappreciated

“Intuition or gut feelings are also the result of a lot of processing that happens in the brain. Research suggests that the brain is a large predictive machine, constantly comparing incoming sensory information and current experiences against stored knowledge and memories of previous experiences, and predicting what will come next. This is described in what scientists call the “predictive processing framework”.”

Should you trust your gut feelings?p06808sm.jpgWe live in an age of rational, analytical thinking. But your emotional responses are not as fallible as some would have you believe, says neuroscientist Valerie Van Mulukom.
Disclaimer: The BBC is not responsible for the content of this email, and anything written in this email does not necessarily reflect the BBC’s views or opinions. Please note that neither the email address nor name of the sender have been verified.

May 22, 2018

“Missing microbes ’cause’ childhood cancer” (BBC NEWS)

Acute lymphoblastic leukemia is more common where children are exposed to fewer bacteria

Missing microbes ’cause’ childhood cancer_101658923_f0173874-destruction_of_leukaemia_blood_cell_illustration-spl.jpgEarly exposure to microbes may help protect children against a type of leukaemia, says a UK scientist.
Disclaimer: The BBC is not responsible for the content of this email, and anything written in this email does not necessarily reflect the BBC’s views or opinions. Please note that neither the email address nor name of the sender have been verified.

May 5, 2018

NYTimes: The Best Medicine = Meaningful to Our Patients

Another sensitive medical piece in the newspaper, this one about grasping our patients’ goals for their treatment and their lives. Living your own life well can teach you that:

“I can’t imagine a better reason to be treated as an outpatient than a daddy-daughter dance,” I told them. “Whatever it takes, we’ll find a way to make it happen.”

As we get older and spend more years practicing medicine, doctors and nurses tend to get better at identifying the subtleties of illness, and our decisions and recommendations become more accurate. But more important than that, because we’ve lived more of our own lives, I hope we also recognize when what’s meaningful to our patients trumps anything medical that we can offer.

https://www.nytimes.com/2018/05/03/well/live/doctor-patient-medicine-cancer-treatment-leukemia-meaning.html?smprod=nytcore-ipad&smid=nytcore-ipad-share

May 1, 2018

More Bad News About Carbohydrates

A diet high in refined carbohydrates is associated with earlier menopause, whereas one high in good fats like omega-3 is linked to much later menopause than an average diet.

How your diet could influence the age of your menopause_101103529_pasta_gettyimages-945098118.jpgA study finds a diet rich in oily fish may help to delay natural menopause, while carbs hasten it.
Disclaimer: The BBC is not responsible for the content of this email, and anything written in this email does not necessarily reflect the BBC’s views or opinions. Please note that neither the email address nor name of the sender have been verified.

April 28, 2018

BBC News: Five things you might be surprised affect weight

The BBC posted a nice review of some of the reasons behind rising obesity rates in our cultures: From gut microbes to the real reason eating dinner late causes weight gain.

Five things you might be surprised affect weight_100945010_twinsfacing.pngWhy do some struggle more to lose weight than others?
Disclaimer: The BBC is not responsible for the content of this email, and anything written in this email does not necessarily reflect the BBC’s views or opinions. Please note that neither the email address nor name of the sender have been verified.

March 9, 2018

Food Preservative for Schizophrenia? | Psychiatric Times

http://www.psychiatrictimes.com/schizophrenia/food-preservative-schizophrenia/?rememberme=1&elq_mid=512&elq_cid=1758157&GUID=2364CC00-4E85-4481-8890-98987D3FED4E