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Now For Mobile + Web: Control of Communicable Diseases Manual

Unbound Medicine has teamed up with the American Public Health Association (APHA) to release a mobile and web version of Control of Communicable Diseases Manual (CCDM).

Like other Unbound titles, CCDM is available on most popular mobile phone platforms and is optimized for the unique nature of each device type.

Control of Communicable Diseases Manual for Mobile + Web includes Medline Journals, which allow users to view citations and abstracts from the latest issues in selected journals such as the American Journal of Public Health, the Journal of Tropical Medicine, and the Bulletin of the World Health Organization (WHO), then link to full-text articles.

CCDM for Mobile + Web also includes RSS news feeds from relevant sites such as APHA, WHO, and the Centers for Disease Control and Prevention (CDC). Read more »

*This blog post was originally published at Medgadget*

In The News: Boosting Disease Prevention And Unethical TV Doctors

An article in the New York Times this week looks at a raft of new public health initiatives passed by Congress that are aimed at boosting disease prevention. Examples include requiring restaurants with at least 20 locations to include nutrition information on their menus and mandating employers with at least 50 employees to allow new mothers to express breast milk at work. In addition, Medicaid will now cover smoking cessation counseling for pregnant women and Medicare beneficiaries will be eligible for an annual physical. The initiatives are expected to eventually save money by decreasing the country’s chronic disease burden. (New York Times)

Researchers from Johns Hopkins University recently did a study applying physicians’ ethical codes to the conduct of the fictional doctors on “Grey’s Anatomy” and “House, M.D.” Perhaps to no one’s surprise, TV doctors are behaving very badly. As the abstract of the study states, both shows feature “egregious deviations from the norms of professionalism and contain exemplary depictions of professionalism to a much lesser degree.” (Philadelphia Inquirer, Journal of Medical Ethics)

*This blog post was originally published at ACP Internist*

Topical Medications And Bathing: A Source Of Water Pollution

I have written two posts in the past on proper disposal of unused medications, and I have always been mindful of the medicines as a source of environmental water pollution. This past week the American Chemical Society reminded (head-slapped me) that topical medications are a source of environmental water pollution from their active pharmaceutical ingredients (APIs). Yes, the simple act of bathing washes hormones, antibiotics, and other pharmaceuticals down the drain into the water supply.

Ilene Ruhoy, M.D., Ph.D. and colleague Christian Daughton, Ph.D. looked at potential alternative routes for the entry into the environment by way of bathing, showering, and laundering. These routes may be important for certain APIs found in medications that are applied topically to the skin — creams, lotions, ointments, gels, and skin patches. These APIs include steroids (such as cortisone and testosterone), acne medicine, antimicrobials, narcotics, and other substances. Read more »

*This blog post was originally published at Suture for a Living*

Controlling Infectious Disease: A Handwashing Dilemma

So I’m at work the other day and I see this Glade bathroom air freshener sitting in a bathroom and it hits me: What’s the appropriate bathroom air freshener protocol? I know everyone should always wash their hands when they use the restroom to help control infectious disease, but having a touchable canister of bathroom air freshener instead of an automatic air freshener made me think:

Should I wash my hands before I spray the bathroom air freshener or should I spray the air freshener before I wash my hands?

You just never know what’s on the spray nozzle of these manual  bathroom air fresheners. So do you wash your hands and then spray the air freshener out of common courtesy for others and not trust that others have done the same and then wash your hands again? What’s the protocol for this? Take the Bathroom Air Freshener Poll and put the controversy to rest once and for all. The world wants to know.

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

Patient Privacy In Haiti: “She Has AIDS” Via A Secret Note

I can’t get the stories of Haiti out of my mind. A patient showed up at the Port au Prince hospital ward with a massive left sided paralysis: an obvious stroke. This 48-year-old woman had collapsed the day before and was now accompanied by her three grown daughters, who were most attentive and worried. I examined her in the bed with other patients and families gathered around. (There is no sense of privacy and even an exam seems to be everyone’s business in Haiti). One daughter spoke broken English, but I had a good translator that helped me get the information I needed. It was a sad story. Read more »

*This blog post was originally published at EverythingHealth*

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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