14 Mayıs 2012 Pazartesi

Best of Medical Blogs - weekly review, blog carnival

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The “Best of Medical Blogs - weekly review, blog carnival” is a weekly summary of the best posts from medical blogs. Feel free to send your suggestions to my email at clinicalcases@gmail.com. Best of Medical Blogs is published every Tuesday, just like the old Grand Rounds.

Social Networks for Doctors: Are We There, Yet?

Twitter can be as inane, or as useful, as the accounts you follow. Sure, doctors use Facebook like everyone else, but – by and large – they haven’t tapped into the educational potential that online social networks offer. Once viewed as a trivial hobby by more eminent researchers and writers, blogs now serve as the elder statesmen of social media - and they can act as a base of operations for social networking. An excellent summary by Shiv Gaglani & Nicholas Genes: http://goo.gl/9DVbI

A Twitter Primer for Physicians (aka Twitter 101 for Docs)

Here are Dr. Ryan Madanick's suggestions: http://goo.gl/gNS5d. Dr. Madanick is a gastroenterologist at the University of North Carolina School of Medicine, as well as the Program Director for the GI & Hepatology Fellowship Program.

1. Consider starting with a private account.

2. Start following some accounts: Specialty societies and journals, let Twitter suggest some accounts, search for accounts with similar interests.

3. Listen to what others are saying.

4. Decide what to tweet.

5. Find a hashtag.

The incredible frailty of life

Realizing the incredible frailty of life and the battle to avoid irrational exuberance: a journey into the NICU as a Med-Peds uncle. This is a heartfelt article by Dr. Moises Auron from Cleveland Clinic: http://goo.gl/KvUbN

The NYTimes gets it wrong on ECG screening of young athletes

Dr. John Mandrola, a cardiac electrophysiologist, comments on a NYTimes article that included numerous inaccuracies and failed to tell important facts about the complexities of widespread screening of athletes. http://goo.gl/siEEp

How one patient uses Social Media

"Personally.. I don’t want to be a patient.. It’s totally the last thing I want to be…Before my diagnosis I shamefully has no idea what Rheumatoid arthritis (RA) was or what the consequences were of having a Chronic Illness. Patients and Doctors will find a solution together." A guest post at Dr. Ronan Kavanagh's blog. Dr. Kavanagh is rheumatologist from Ireland: http://goo.gl/daRfd

Krokodil is a devastating homemade opiate

Krokodil (or crocodile) refers to homemade batches of the opiate desomorphine (currently available without a prescription in Russia), and ingredients such as gasoline, paint thinner, hydrochloric acid, iodine, and red phosphorous. When injected, this highly impure mixture often causes skin to turn greenish grey and scaly, which may explain the drug’s name. Another explanation is that subsequent ischemia, gangrene and amputation has the same effect as a crocodile biting off a victim’s limb. From The Poison Review: http://goo.gl/VAq28

How to straighten a guidewire with one hand

The Australian blog Life in the Fast Lane is one of the best blogs focused on emergency medicine. Here is one of their shorter posts: How to straighten a guidewire with one hand http://goo.gl/mC9zY

GruntDoc: It’s my 10th Blogging Anniversary http://goo.gl/TkBc7 - Congratulations! A great reflection on a long journey.

10 Bad Assumptions Patients Make - a post by Dr. Rob http://goo.gl/EpmUO

All papers at PLoS Medicine now reflect the public Twitter debate | Medical Museion http://goo.gl/Xmu5Y

Caffeine and Sleep In Kids: It is a good rule of thumb to avoid soda entirely | Craig Canapari, MD http://goo.gl/W5HGS

Using fruit to improving anaphylaxis care - use your expired injectable epinephrine on an orange, an allergists suggest http://goo.gl/AQIxw

Are we too concerned with confidentiality? Former BMJ editor provides a personal example: http://goo.gl/0J3dp

Comments from Twitter:

John Mandrola, MD @drjohnm: Thx 4 shout out. Wow, lots of other great posts.

Mike Cadogan @sandnsurf: Concise, pithy and diverse - great read

Craig Canapari @DrCanapari:  Honored to be included

Diary-Writing Has Psychological Benefits - Journal of Happiness Studies

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Writing has long been used as a coping strategy and has been applied to improve psychological well-being. One study found that suicidal poets used more first-person singular pronouns (I, me, my) than the control group of poets.

This study from Taiwan, published in the Journal of Happiness Studies, investigated the psychological displacement paradigm in diary-writing (PDPD) and its supposed psychological benefits.

Study participants were randomly assigned to write about their recent negative life experiences two times a week for 2 weeks in PDPD group (diary-writing), or comparison group (no diary-writing).

The diary-writing group (PDPD) showed a decrease in negative emotion and an increase in positive emotion immediately after each writing session (short term effect).

They also had an increase in psychological well-being for at least 2 weeks (long term effect).

References:

The Psychological Displacement Paradigm in Diary-Writing (PDPD) and its Psychological Benefits. Jen-Ho Chang, Chin-Lan Huang and Yi-Cheng Lin. JOURNAL OF HAPPINESS STUDIES 2012, DOI: 10.1007/s10902-012-9321-y

Comments from Google Plus and Twitter:

Lin W: I guess blog writing might have the same effect?

Ves Dimov, M.D.: It depends on the type of blogging you do, but yes, blogging can be a positive experience too.

Dr. Amal Hasan @DrFloona: Diary-Writing Has Psychological Benefits bit.ly/wwMDmr” Until someone else reads it

Dean Giustini @giustini: Diary-Writing Has Psychological Benefits bit.ly/wwMDmr [Isn't this why we blog Ves?]

@DrVes: Well, I'm not sure. I don't blog about "negative experiences". Blog = archive for me

Dermatology Art Contest by Mayo Clinic shows that art can be seen in every aspect of life

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A Mayo Clinic dermatology art contest shows beauty really is skin deep. From Mayo Clinic News blog:

A hair follicle or skin specimen that doesn’t look like much of anything to the naked eye can become a complex, colorful work of art under a microscope. The winner of the Mayo dermatologists’ first art contest in 2011 was “Hair Follicle Triplet”. Alexander Meves, M.D., used fluorescent dyes to highlight proteins. The inaugural winners of the art contest appeared in the May issue of the Journal of Cutaneous Pathology.

“Every single day, dermatopathologists get to see beautiful images under the microscope, and most people never have the opportunity to see that. So I thought it would be a nice way to show not only the science of dermatopathology, but also the art,” says the contest’s creator, Dr. Lehman, a Mayo Clinic dermatopathologist.



Dr. Lehman hopes medical societies will run with the idea and hold similar competitions to highlight aesthetics in their specialties. People in other lines of work can also celebrate the beauty of what they do each day, she says.

Editor's note: Allergists should do something similar. We already highlight beautiful pollen allergens on the monthly covers of the ACAAI journal.

“Art can be seen in every aspect of life,” Dr. Lehman says. “You just have to have an open mind and be looking for it.”

References

Dermatology Art Shows Beauty Really Is Skin Deep. Mayo Clinic News.

Healthcare social media - top articles

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Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Healthcare social media is a moral obligation

Healthcare social media is a 'moral obligation', says Farris Timimi, M.D., medical director for the Mayo Clinic Center for Social Media. Social media needs to be grown and nurtured for patients. "Our patients are there. Our moral obligation is to meet them where they're at and give them the information they need so they can seek recovery," Timimi said. "You've got to be ready for it. You build it for the patients; not for yourself. "This is not marketing," he added. "This is the right thing to do." http://goo.gl/BHzKf

The New World Of Medical Tweeting

300 million users generate 300 million messages every day, and doctor are part of it. 38% of tweets are conversational - transferring information and spreading content. Twitter can be a strong educational tool.

The American Medical Association has released a public statement about professionalism in social media:

“Participating in social networking and other similar internet opportunities can support physicians’ personal expression, enable individual physicians to have a professional presence online, foster collegiality and camaraderie within the profession, provide opportunity to widely disseminate public health messages and other health communication." http://goo.gl/K2QtK

Guidelines for social media use by Federation of State Medical Boards (FSMB) describe in detail what NOT to do: http://goo.gl/Raq2e

Digital Strategies for Healthcare Organisations http://goo.gl/PZtWl

Use of Social Media by Western European Hospitals: Longitudinal Study shows that SoMe awareness is growing http://goo.gl/l41tz

Doctors can risk lawsuits when writing about patients - amednews points to books about patients as examples http://goo.gl/QhqFS

GruntDoc: It’s my 10th Blogging Anniversary http://goo.gl/TkBc7 - Congratulations! A great reflection on a long journey.

The articles were selected from my Twitter and Google Reader streams.

Top articles in medicine in May 2012

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Here are my suggestions for some of the top articles in medicine in May 2012 so far:

Is Geriatric Medicine Terminally Ill? asks Annals of Internal Medicine http://goo.gl/J4jMU

Low vitamin D (below 50 nmol/L (20 ng/mL) increases risk for clinical disease among older adults http://goo.gl/tBXS4

Senior physicians keep working, putting off the R-word - 20% of U.S. physicians are older than 65 http://goo.gl/Dxgip

Many young doctors worried about future of medicine - amednews http://goo.gl/r61lW

"One of the greatest risks of social media is ignoring social media" says chief integrity officer of Cleveland Clinic. Patients want to use social media tools to manage health care http://goo.gl/9SAry

Doctors can risk lawsuits when writing about patients - amednews points to books about patients as examples http://goo.gl/QhqFS

Coffee is the most complex food known to man. It has 1200 flavor components. The nearest comparison is red wine with 450 chemical compounds in the flavor make-up. In most commercial blends there are 10 to 12 different coffees, from different farms. http://goo.gl/m2LwD

Guidelines for social media use by Federation of State Medical Boards (FSMB) describe in detail what NOT to do: http://goo.gl/Raq2e

Prevention of acute knee injuries in adolescent female football (soccer) players: warm-up could help http://goo.gl/dBgSS

Is It Possible To Walk And Work At The Same Time? Kaiser Permanente tries walking meetings http://goo.gl/cRu8l

Corneal transplantation - 2012 state of the art review in The Lancet http://goo.gl/JBAag

Towards an optimum strategy in rheumatoid arthritis: For RA patients who fail initial methotrexate treatment, add-on disease-modifying antirheumatic drugs are appropriate http://goo.gl/ONq6u

Time Spent Behind the Wheel May Increase Heart Health Risks, linked to less time spent exercising http://goo.gl/NUYX7

Recipe For Safer Drinking Water (from bacteria)? Add Sun, Salt And Lime http://goo.gl/kU2ZK

The articles were selected from my Twitter and Google Reader streams.

Fire Chief Brian L. Cummings Returns From Harvard Kennedy Executive Leadership Seminar

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LAFD Fire Chief Brian L. CummingsLos Angeles Fire Department's Fire Chief Brian L. Cummings, returns today after attending the John F. Kennedy School of Government at Harvard University (also known as Harvard Kennedy School). The Harvard Kennedy School is a public policy and public administration school, and one of Harvard's graduate and professional schools.
Chief Cummings attended this week long program (April 2nd through April 9th, 2012) that is designed to help senior managers work with their peers across sectors to best position themselves and their organizations to successfully manage unexpected crisis.

For over 30 years, the Harvard Kennedy School has brought together experienced professionals, a world-class faculty, and a dynamic curriculum in a setting where the common denominator is a shared commitment to public value. Participating leaders focused on practical solutions for real-world problems.

Chief Cummings said, "The diversity within the class, from the stand points of discipline, country of origin, type of training, organizational background and level of experience was impressive. The week was an outstanding learning and networking opportunity. I highly recommend this course to any senior level executive."

HARVARD Kennedy School - video


Submitted by Erik Scott, Spokesman
Los Angeles Fire Department

Will Spring Cleaning Force You To Call 9-1-1?

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Click to learn more about Spring Cleaning safely... While your parents may have paralleled cleanliness as telltale to other things, your Neighborhood Firefighters can say that getting your household clean will often - but not always - makes things safer.

Having seen many of our neighbors needlessly injured while performing seasonal chores, the Los Angeles Fire Department suggests you take a few simple steps to prepare for spring cleaning tasks.

It's easier - and more important than you think!

Like firefighters, we suggest you first consider the tools, training and logistics necessary to get the job done safely and efficiently.

While you may be tempted to use a cigarette lighter on a leaky pipe - or your least favorite screwdriver as a chisel, know that others once had the same thought... shortly before the LAFD arrived to extinguish their house fire or take them to the hospital.

So what do we suggest?

Your very first trip to the Do-It-Yourself Store should be for one or more of these items:

- Goggles or Safety Glasses
- Sturdy Leather Work Gloves
- Disposable Latex Gloves (for handling paints, pesticides, cleaners)
- Disposable Face Masks (for non-toxic dust)
- Earplugs or Earmuffs (for hearing protection)
- Sturdy Work Shoes with non-skid soles
- Knee or Elbow Pads
- Flashlight or Safety Lamp
- First Aid Kit
- Fire Extinguisher
- ...and Instructional Literature!

When it comes to tools, we suggest E-M-S: Examine, Maintain and properly Store. Now is the best time to find, clean and inspect your tools, as well as to store them and all of your household cleaning products safely.

Replacing a frayed power cord, retiring that once-favorite hammer with the loose handle, or locking caustic cleaners away from children is something you can do today. Now is also a good time to review the safety instructions and warning labels on gadgets, tools and household chemicals to be certain that you're always using the right product the right way. To learn more, visit:

www.safetyathome.com/home-safety

Submitted by Brian Humphrey, Spokesman
Los Angeles Fire Department

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