May 31st, 2011 by RyanDuBosar in News, Research
Tags: ABI, Ankle-Brachial Index, Cardiovascular Risk, Easy Test, Internal Medicine, Internist, Not Used, PAD, Peripheral Arterial Disease, Screenings
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Despite poor awareness and a lack of training on handling peripheral artery disease, internists can and should be able to recognize the symptoms and manage 95% of such cases. Experts advise using the ankle-brachial index as a quick and effective diagnostic method.
But internists often don’t. As was reported in ACP Internist‘s previous cover story on the subject, the ankle-brachial index can be a major part of preventing peripheral artery disease, itself a major predictor of strokes and heart attacks, over and above the Framingham risk score.
The ankle-brachial index is the ratio of the ankle to the arm systolic pressure. A ratio of 0.90 or less indicates peripheral artery disease. Its sensitivity is 79% to 95%, and its specificity is 95% to 100%. It takes less than five minutes to perform in the office.
Yet, among the 85 respondents, 36 (42.35%) said “It’s a quick and easy test.” Another 27 (31.76%) thought, “It’s difficult to fit into the standard visit.” The final 22 (25.88%) said, “I don’t use the ABI to screen patients for PAD.” Read more »
*This blog post was originally published at ACP Internist*
May 29th, 2011 by Berci in News
Tags: Blog Post, Blogger, Cancer, Colorectal Cancer, Dead, Dead Blogger, Post-Mortem
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There is a really moving story on CNN.com about a blogger who left a post mortem message on his blog after his battle with cancer. I’ve seen many blogs which just became archives after the blogger (mainly cancer patients) passed away. This is the first time in my experience when the blogger made this transition himself.
“Here it is. I’m dead,” read the last internet post of Derek K. Miller, who died last week after more than four years of blogging about his struggle with colorectal cancer.
“In advance, I asked that once my body finally shut down from the punishments of my cancer, then my family and friends publish this prepared message I wrote — the first part of the process of turning this from an active website to an archive,” he wrote on his blog, penmachine.com.
*This blog post was originally published at ScienceRoll*
May 28th, 2011 by Glenn Laffel, M.D., Ph.D. in News
Tags: Bara Vada, Eric Topol, Ezra Klein, health care, IPAB, Mark Schwartz, Newt Gingrich
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“The combined profits of the Fortune 500 increased by 81% this year, the third largest gain in history. Compare that to the unemployment rate, which fell by just 8% over the past 12 months.” Ezra Klein, while analyzing last week’s jobs report by the Federal Government.
“Why would I listen to ‘lub dub’ when I can see everything?” Eric Topol, a cardiologist in San Diego who carries a portable ultrasound device with him in lieu of a stethoscope. The device lets him and his patient see the heart muscle and valves, and blood flow into and out of the organ.
“There probably is not a whole lot that we can do at the pipeline level to dramatically improve the number of students choosing primary care. Where the money is, is where the money is.” Mark Schwartz, an associate professor at the NYU School of Medicine, discussing a study showing that high medical school debt and low compensation are driving people away from General Internal Medicine.
“It sounds like a new Apple product.” Bara Vada, describing IPAB, the Independent Payment Advisory Board, a controversial panel tasked by the Affordable Care Act to make binding recommendations to reduce Medicare spending. Read more »
*This blog post was originally published at Pizaazz*
May 27th, 2011 by Iltifat Husain, M.D. in News
Tags: Anesthesiology, App, ECEM, Electrical And Computer Engineering In Medicine, Heart Rate, Inexpensive, iPhone, PART, Pediatric Anesthesia Research Team, Phone Oximeter, Pulse Oximeter, Safety, SpO2, Surgery, Vital Signs
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The Electrical and Computer Engineering in Medicine (ECEM) research group in collaboration with the Pediatric Anesthesia Research Team (PART) at the University of British Columbia have developed a mobile solution to measuring key vital signs — called the “Phone Oximeter”.
The Phone Oximeter uses a traditional FDA approved pulse oximetry sensor, but researchers have modified it to interface with a phone, in this case, your iPhone. Currently the setup is being interfaced with an iPhone for trial studies, but is compatible with Android, and other mobile operating systems.
What makes the Phone Oximeter special is its ability to capture SpO2 (blood oxygen saturation), heart rate, and respiratory rate — then dynamically comprehend the variables using the decision support software, giving medical staff or even laymen individuals key help in making decisions on medical care.
So how would a device like this be useful in the medical setting? Read more »
*This blog post was originally published at iMedicalApps*
May 27th, 2011 by Toni Brayer, M.D. in Health Policy, News
Tags: Cancer Screening, CDC, Greatest Public Health Achievements, Heart Disease Prevention, Infectious Disease, Lead, Maternal Health, Motor Vehicle Safety, Occupational Safety, Tobacco Control, Vaccines
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The Center for Disease Control published the top ten public health achievements from 2001-2010, the first decade of the 21st century. In no order they are:
- Vaccine-preventable Diseases – new vaccines for herpes zoster, pneumonia, HPV and rotavirus have saved thousands of lives When you add in the older vaccines for diptheria, pertussus, tetanus and measles/mumps millions of lives have been saved around the world. (I saw diptheria in Haiti and it is horrible)
- Tobacco Control- We have been battling tobacco since 1964 but there is finally progress with more states enacting smoke-free laws and raising cigarette taxes. By 2010, the FDA banned flavored cigarettes and established restrictions on youth access. We have a long way to go. Smoking costs us all about $193 billion a year on medical costs and loss of productivity.
- Motor Vehicle Safety –Enforcing seat belt and child safety legislation has reduced deaths from crashes. Teen drivers have new policies too.
- Cardiovascular Disease Prevention-During the past decade, age-adjusted heart disease and stroke deaths declined. What worked? Treating hypertension, elevated cholesterol and smoking…along with improved treatment and medication. Read more »
*This blog post was originally published at EverythingHealth*
But internists often don’t. As was reported in ACP Internist‘s previous cover story on the subject, the ankle-brachial index can be a major part of preventing peripheral artery disease, itself a major predictor of strokes and heart attacks, over and above the Framingham risk score.
