Neuro Cranial Integration Demo — West Hills, CA Chiropractor – Neurological Changes – Video

28-12-2011 02:39 Dr. Ross presented Neuro Cranial Integration at the Dr. Michael Johnson Neuro Metabolic Super Conference in Orlando, FL. After explaining the basics of this powerful Cranial Dural technique a volunteer from the audience was brought up. He was examined by a Neuro Diplomate, Dr. Andy Barlow of Tupelo, MS and a doctor trained in Applied Kinesiology, Dr. Michael Clancy. The following video shows the powerful neurological changes that occurred in this demonstration and in NCi doctor's offices around the country. For more information go to http://www.NeuroCranialIntegration.com or call 916-780-0555. 6700 Fallbrook Ave. Suite 170, West Hills, CA 91307 (818) 515-9685 ? wellness22.com http://www.youtube.com

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Neuro Cranial Integration Demo -- West Hills, CA Chiropractor - Neurological Changes - Video

The Rise of the ePatient – presentation by Pew Internet Project

Director Lee Rainie presented at Providence St. Joseph Medical Center in Burbank, California on January 12, 2012 on understanding social networking and online health information seeking:

Link via via e-patients.net

Here is how to facilitate the Rise of the ePhysican who works hand in hand with the ePatient:

References:

Social media in medicine: How to be a Twitter superstar and help your patients and your practice

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"Doctors make mistakes. Can we talk about that?" ED physician Brian Goldman’s TED talk

Dr. Goldman asks if you know your surgeon's "batting average" of operations with good outcomes. He mentions the three words you never want to hear: "Do you remember?" It's a good TED talk:

Every doctor makes mistakes (just like everyone does). But, says Dr. Goldman, medicine's culture of denial (and shame) keeps doctors from ever talking about those mistakes, or using them to learn and improve. Telling stories from his own long practice, he calls on doctors to start talking about being wrong.

Here are some simple steps to avoid medical errors from a patient's perspective (source: CNN):

1. Say: "My name is Mary Smith, my date of birth is October 21, 1965, and I'm here for an appendectomy."
2. Say: "Please check my ID bracelet."
3. Say: "Please look in my chart and tell me what procedure I'm having."
4. Say: "I want to mark up my surgical site with the surgeon present."
5. Be impolite (this particular piece of advice is obviously controversial).

References:

CNN video: Steps to avoid medical errors

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Neurology: Alzheimer’s Disease (Understanding Disease Series by Focus Medica) – Video

26-01-2012 01:45 Get the facts on Alzheimer's disease with this 100%-accurate animated video. Part of Focus Apps' Understanding Disease: Neurology series, the Alzheimer's Disease app explains the function, anatomy, and disease of the brain. It also describes in detail the various forms of the disease, diagnostic procedures, and treatment options. It also lists patient-care guidelines for caretakers and for those who are coping with the disease. focusappsstore.com

The rest is here:
Neurology: Alzheimer's Disease (Understanding Disease Series by Focus Medica) - Video

Neurology: Diabetic Neuropathy (Understanding Disease Series by Focus Medica) – Video

26-01-2012 01:59 Get the facts on Diabetic Neuropathy with this 100%-accurate animated video. Part of Focus Apps' Understanding Disease: Neurology series, the Diabetic Neuropathy app explains a family of nerve disorders associated with diabetes. Diabetic neuropathy affects all peripheral nerves: pain fibers, motor neurons, and autonomic nerves. Relatively common conditions that may be associated with diabetic neuropathy as a result of long-term nerve damage include numbness, pain, or tingling. Explore associated complications, various forms of diabetic neuropathy, and treatment options. focusappsstore.com

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Neurology: Diabetic Neuropathy (Understanding Disease Series by Focus Medica) - Video

Views From the Summit – Seward Rutkove , MD, Associate Professor of Neurology, Harvard – Video

20-01-2012 01:11 RESEARCH NEWS-Tune in to "Views from the Summit" for an important interview about ALS research, hosted by NBC's Jinah Kim. In this segment, Seward Rutkove , MD, Associate Professor of Neurology, Harvard, discusses his Prize4Life award from his research at the 2011 California ALS Research Summit at UCLA.

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Views From the Summit - Seward Rutkove , MD, Associate Professor of Neurology, Harvard - Video

Art in Science: How Innovative Images Led to a ‘Miraculous’ Revolution in Neurology – Video

23-01-2012 15:37 Complete video at: fora.tv Carl Schoonover, author of Portraits of the Mind: Visualizing the Brain from Antiquity to the 21st Century , describes the "miraculous" revolution that occurred in neural imaging during the late 19th century.

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Art in Science: How Innovative Images Led to a 'Miraculous' Revolution in Neurology - Video

How to avoid hidden sodium – a Johns Hopkins dietitian walks through the aisles of a grocery store with you (video)

Join Johns Hopkins registered dietitian, Arielle Rosenberg, as she walks through the aisles and offers suggestions on how to lower salt intake -- but not compromise flavor.

Cutting U.S. salt intake by just half a teaspoon (3 grams) a day would prevent up to 92,000 deaths, 99,000 heart attacks, and 66,000 strokes -- a benefit as big as smoking cessation. A 3-gm per day reduction in salt (1,200 mg of sodium) will result in 6% fewer new cases of heart disease and 3% fewer deaths.

The average U.S. man gets about 10.4 grams a day and the average U.S. woman gets about 7.3 grams a day.

77% of the salt in the American diet comes from processed food. Only 6% is shaken out at the table, and only 5% is sprinkled during cooking.

Once people cut back on salt -- whether or not they know they are doing it -- they begin to prefer less salt in their food. This happens in a matter of weeks.

References:

"Cutting Salt as Good as Quitting Smoking"

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Premenstrual syndrome and premenstrual dysphoric disorder (review)

Premenstrual syndrome

Premenstrual syndrome is defined as recurrent psychological and physical symptoms that occur during the luteal phase of menses and resolve with menstruation. It affects 20-30% of premenopausal women.

Premenstrual dysphoric disorder

Premenstrual dysphoric disorder includes affective or somatic symptoms that cause severe dysfunction in social or occupational activity. It affects 3-8% of premenopausal women.

Proposed etiologies (causative factors) include:

- increased sensitivity to normal cycling levels of estrogen and progesterone
- increased aldosterone and plasma renin activity
- neurotransmitter abnormalities, particularly serotonin

The Daily Record of Severity of Problems is one tool with which women may self-report premenstrual symptoms.

Symptom relief is the goal, and there is limited evidence for the use of:

- calcium
- vitamin D
- vitamin B6 supplementation

Serotonergic antidepressants (SSRIs) (citalopram, escitalopram, fluoxetine, sertraline, venlafaxine) are first-line pharmacologic therapy.

References:

Premenstrual syndrome and premenstrual dysphoric disorder. Biggs WS, Demuth RH. Am Fam Physician. 2011 Oct 15;84(8):918-24.

Image source: OpenClipArt.org, public domain.

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Blogging is good for you – and for most people who read blogs

From The Economist:

"Academic papers cited by bloggers are far more likely to be downloaded. Blogging economists are regarded more highly than non-bloggers with the same publishing record.

The back-and-forth between bloggers resembles the informal chats, in university hallways and coffee rooms, that have always stimulated economic research, argues Paul Krugman, a Nobel-prize winning economist who blogs at the New York Times. But moving the conversation online means that far more people can take part.

Despite the low barriers to entry, blogs do impose some intellectual standards. Errors of fact or logic are spotted, ridiculed and corrected. Areas of disagreement are highlighted and sometimes even narrowed."

Similar dynamics are in work on many medical blogs authored by physicians.

WIN-WIN, as the author of the blog "The Happy Hospitalist" likes to say.

References:

Economics blogs. A less dismal debate. The Economist, 01/2011.

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Depression treatment is as effective in older (over 65) as in younger adults

Depression in later life, traditionally defined as age older than 65, is associated with disability, increased mortality, and poorer outcomes.

Compared to younger adults with depression:

- cognitive and functional impairment and anxiety are more common in older adults

- older adults with depression are at increased risk of suicide

Depression is associated with cognitive impairment and an increased risk of dementia.

A selective serotonin reuptake inhibitor (SSRI) should be the first line pharmacological treatment for depression for most older adults.

Psychological and drug treatment is as effective in older as in younger adults

References:

Depression in older adults. Rodda et al. BMJ, 2011.

Image source: Vincent van Gogh's 1890 painting At Eternity's Gate. Wikipedia, public domain.

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94% of Americans score at “poor” level on at least one of the 7 factors defining ideal cardiovascular health

More than 90% of Americans score poorly on at least one of the American Heart Association’s 7 factors defining ideal cardiovascular health.

The 7 factors (with lack of a diagnosis of heart or blood vessel disease) include:

- smoking status
- weight
- physical activity
- healthy diet
- cholesterol concentration
- blood pressure
- fasting glucose concentration

The new data by CDC and NIH show that 94% of US adults score at a “poor” level on at least one of those factors and that 38% have at least 3 factors at a poor level.

References:

US citizens score poorly on ratings of cardiovascular risk factors. BMJ 2012; 344 doi: 10.1136/bmj.e22 (Published 4 January 2012).

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