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Be Aware Of Heat Dangers In Young Athletes

Young athleteWith back-to-school time around the corner, the Centers for Disease Control and Prevention has issued a warning about the risk for heat-related illness in young athletes, especially football players, the Los Angeles Times reports.

Coaches and parents should be aware of the signs and symptoms of heat stroke, dehydration and other problems, and fluid replacement formulas should be used during practices and workouts, among other precautions, the LA Times said.

*This blog post was originally published at ACP Internist*

Healing The Spirit: More Profitable Than Healing The Body

Yes, it’s true — most doctors may soon be government employees. No, not the Lasik surgeons, the plastic surgeons, or the dentists — they were clearly more focused on career day. But is it necessarily a bad thing if all of your income comes from federal, state, or local governments?

If your business is caring for the medical needs of the less fortunate, a Medicaid doctor or a VA doctor perhaps, then your luxury box may be something more Thoreau-like, maybe some nice lawn furniture in the backyard. On the other hand, if your business model involves caring for recently-released prisoners or drug addicts, then you are in the financial sweet spot. Read more »

*This blog post was originally published at Dr John M*

Nation’s Largest Tele-Health Network Launched

California launched the nation’s largest tele-health network, a $30 million public/private project to bring broadband access designed to reduce the cost of followup care by 40 percent and overall costs by 6 percent. The network seeks to connect more than 800 California healthcare facilities, including rural, underserved, and Indian health facilities, to a statewide network of healthcare and emergency services. (Healthcare IT News)

*This blog post was originally published at ACP Internist*

The Health Hive: Is It Ready For Primetime?

Maybe not according to this report from the CDC. They studied Internet use with respect to adherence behavior and a number of health-related outcomes. It suggests that folks who diss the doc in favor of the Internet may not do as well as we think.

This quote caught me:

The data also revealed that personal determinants such as neuroticism (reflects anxiety and emotionality) and health-related poorer quality of life differentiated internet-instigated non-adherent respondents from their counterparts.

More plainly put: If you trust your life to an anonymous guy on Twitter with the handle @YourHealthGuru, you might not do as well as if you partnered with a trained professional. Or perhaps I’m reading too much into the study. Read more »

*This blog post was originally published at 33 Charts*

Peer Review And The Internet

Peer review has been the cornerstone of quality control in academia, including science and medicine, for the past century. The process is slow and laborious, but a necessary filter in order to maintain a certain standard within the literature. Yet more and more scholars are recognizing the speed, immediacy, and openness of the Internet as a tool for exchanging ideas and information, and this is causing some to question the methods of peer review. A recent New York Times article discusses this issue.

This issue is very relevant to Science-Based Medicine (SBM) as this is in part an experiment –- an attempt to produce a high quality, editorially filtered, but not peer-reviewed, online journal. Our process here is simple. Outside submissions are reviewed by two or more editors and typically are either accepted with minor revisions or rejected. In addition we have a staff of regular contributors –- those who have a proven track record of producing high quality articles. There is no pre-publication review for their submissions, and they are able to post directly to SBM. Read more »

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

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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