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The Potential Risks And Benefits Of Vitamins: A Look At The Evidence

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The discovery of various vitamins – essential micronutrients that cause disease when deficient – was one of the great advances of modern scientific medicine. This knowledge also led to several highly successful public health campaigns, such as vitamin-D supplementation to prevent rickets.

Today vitamins have a deserved reputation for being an important part of overall health. However, their reputation has gone beyond the science and taken on almost mythical proportions. Perhaps it is due to aggressive marketing from the supplement industry, perhaps recent generations have grown up being told by their parents thousands of times how important it is to take their vitamins, or eat vitamin-rich food. Culture also plays a role – Popeye eating spinach to make himself super strong is an example this pervasive message.

Regardless of the cause, the general feeling is that vitamins Read more »

*This blog post was originally published at Science-Based Medicine*

Vaccine For HPV May Prevent More Than Cervical Cancer

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Oropharyngeal cancers caused by the human papillomavirus (HPV) are on the rise in the United States since 1984, as changes in sexual habits further the virus’ spread. But the focus of the HPV vaccine will remain on preventing genital warts and cervical cancer.

Reuters reported one clinician’s opinion that throat cancer linked to HPV will become the dominant cause of the disease, ahead of tobacco use.

To study the issue, researchers determined HPV-positive status among 271 of all 5,755 oropharyngeal cancers collected by the three population-based cancer registries in Hawaii, Iowa and Los Angeles from the Surveillance, Epidemiology, and End Results (SEER) program from 1984 to 2004. Prevalence trends across four calendar periods were estimated by using logistic regression. The study appeared online Oct. 3 in the Journal of Clinical Oncology.

HPV prevalence Read more »

*This blog post was originally published at ACP Internist*

Are Regulations Preventing Hospitalists From Reaching Their Full Potential?

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How many patients should a hospitalist average on any given day?   What do you think?  The Hospitalist asked that question to hospitalists and  421 of them responded.  They were given responses in quintiles of 10 or fewer,  11-15, 16-20, 21-25, and more than 25 total patient encounters per day.

Go check out their results.  I’m not surprised.  But, as they say,  there is no right answer.  The right number is the number that brings WIN-WIN-WIN-WIN to the patient-doctor-hospital-insurance quadrangle.   WIN-WIN-WIN-WIN is possible.  It just takes a great understanding of removing the barriers to efficiency.  Efficiency and quality of care can move in the same direction.  They don’t have to be opposing forces.  You can be better and faster if given the tools, whether those tools are driven by IT support, systems process changes, communication enhancement, physical and structural hospital layout changes or documentation support tools.  There are many others. Read more »

*This blog post was originally published at The Happy Hospitalist*

Improving Research: Device Automates The Process Of Cultivating Cells

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fz2vt9dw Cell cultures form the basis of many types of lab research, however growing these cell cultures has always been a time-consuming, laborious job that is largely done by hand.

That is about to change, with the Fraunhofer Institute and Max Planck Institute having developed a machine that completely automates the process of cultivating cells.

From the press release:

The device consists of an array of modules: One of these is a robot that transports the vessels containing the cell cultures, known as multititer plates, from one place to the next. Dr. Albrecht Brandenburg, group manager at IPM describes another module: Read more »

*This blog post was originally published at Medgadget*

Many Newly Minted Physicians Regret Going Into Medicine

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Sometimes having no end of job prospects, more than one in four new doctors regret going into medicine by their graduation, according to a recruitment firm survey.

Recruiters Merritt, Hawkins asked new doctors if they would study medicine if they had it all to do over again, and 28% said they would select another field, up from 18% in a similar survey in 2008.

Still, the newly minted physicians have plenty to do while they mull other options. About 78% of newly minted physicians received at least 50 job solicitations during their training, and 47% received 100 or more contacts from recruiters.

Despite the heavy rotation of recruiters, residents Read more »

*This blog post was originally published at ACP Internist*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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