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January 9th, 2012 posted by Paul Rega, MD, FACEP January 9, 2012 @ 5:08 am

‘Britons told to “stay off drink for two days a week”‘. Britons start vast migration to Ireland.

http://www.reuters.com/article/2012/01/09/us-britain-alcohol-idUSTRE8080EB20120109

Britons told to “stay off drink for two days a week”

“……”We suggest that, if daily guidelines are retained, the Government consider simplifying the guidelines so that, as is the case in Scotland, all individuals are advised to take at least two alcohol-free days a week,” the report said.

“This would enforce the message that drinking every day should be avoided, and would helpfully quantify what “regular” drinking means to the public,” it added…..”



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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:58 am

NOAA: Today’s Weather Map

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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:55 am

Chikungunya fever outbreak in parts of Indonesia

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http://www.thejakartapost.com/news/2012/01/07/depok-faces-chikungunya-fever-outbreak.html

Depok faces Chikungunya fever outbreak

The Jakarta Post | Sat, 01/07/2012 2:19 PM
DEPOK: “Residents and health officials fumigated parts of Limo, Depok, on Friday after Chikungunya fever infected at least 200 people in the past month.

The outbreak was attributed to poor sanitation and poor awareness of the mosquito-borne disease…..”



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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:40 am

WHO: Top 10 Causes of Death Around the World

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The top 10 causes of death

Fact sheet N°310
Updated June 2011

The 10 leading causes of death by broad income group (2008)

http://www.who.int/mediacentre/factsheets/fs310/en/index.html

Low-income countries Deaths in millions % of deaths
Lower respiratory infections 1.05 11.3%
Diarrhoeal diseases 0.76 8.2%
HIV/AIDS 0.72 7.8%
Ischaemic heart disease 0.57 6.1%
Malaria 0.48 5.2%
Stroke and other cerebrovascular disease 0.45 4.9%
Tuberculosis 0.40 4.3%
Prematurity and low birth weight 0.30 3.2%
Birth asphyxia and birth trauma 0.27 2.9%
Neonatal infections 0.24 2.6%

 

Middle-income countries Deaths in millions % of deaths
Ischaemic heart disease 5.27 13.7%
Stroke and other cerebrovascular disease 4.91 12.8%
Chronic obstructive pulmonary disease 2.79 7.2%
Lower respiratory infections 2.07 5.4%
Diarrhoeal diseases 1.68 4.4%
HIV/AIDS 1.03 2.7%
Road traffic accidents 0.94 2.4%
Tuberculosis 0.93 2.4%
Diabetes mellitus 0.87 2.3%
Hypertensive heart disease 0.83 2.2%

 

High-income countries Deaths in millions % of deaths
Ischaemic heart disease 1.42 15.6%
Stroke and other cerebrovascular disease 0.79 8.7%
Trachea, bronchus, lung cancers 0.54 5.9%
Alzheimer and other dementias 0.37 4.1%
Lower respiratory infections 0.35 3.8%
Chronic obstructive pulmonary disease 0.32 3.5%
Colon and rectum cancers 0.30 3.3%
Diabetes mellitus 0.24 2.6%
Hypertensive heart disease 0.21 2.3%
Breast cancer 0.17 1.9%

 

World Deaths in millions % of deaths
Ischaemic heart disease 7.25 12.8%
Stroke and other cerebrovascular disease 6.15 10.8%
Lower respiratory infections 3.46 6.1%
Chronic obstructive pulmonary disease 3.28 5.8%
Diarrhoeal diseases 2.46 4.3%
HIV/AIDS 1.78 3.1%
Trachea, bronchus, lung cancers 1.39 2.4%
Tuberculosis 1.34 2.4%
Diabetes mellitus 1.26 2.2%
Road traffic accidents 1.21 2.1%
 

 



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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:38 am

Detecting Brain Injuries in the Field

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http://www.propublica.org/article/new-technologies-in-the-works-to-detect-brain-injuries

New Technologies in the Works to Detect Brain Injuries

by Lena Groeger
ProPublica, Jan. 5, 2012, 10:48 a.m

“…..In the past month, two handheld devices that use light to detect bleeding in the brain have inched toward availability. The FDA just approved the InfraScanner, a battery-powered device developed by the Office of Naval Research (ONR). Also, a team of scientists at the National Institute of Health  (NIH) and the Center for Neuroscience and Regenerative Medicine  recently published a paper on their own detector. Both devices would allow medics to administer basic tests in the field, identifying soldiers who needed further testing. …..

The devices work because pools of blood in the brain absorb and reflect light differently than normal brain tissue. By shining a particular wavelength of light — near infrared — onto different parts of the head, the device can spot life-threatening bleeds, or hematomas.

The InfraScanner has been used in Europe for several years, and detects about 75 percent of all hematomas picked up by a CT scan……”



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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:32 am

The Young Obese

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http://www.nytimes.com/2012/01/08/health/young-obese-and-getting-weight-loss-surgery.html?_r=1&nl=todaysheadlines&emc=tha23

January 7, 2012
 
Young, Obese and in Surgery
By

“……..Along with the obesity epidemic in America has come an explosion in weight-loss surgery, with about 220,000 operations a year — a sevenfold leap in a decade, according to industry figures — costing more than $6 billion a year. And the newest frontier is young patients ……….But the long-term effectiveness of weight-loss surgery, particularly stomach banding…… is still in question. And the push toward surgery on the young has brought some resistance from doctors who say it is too drastic to operate on patients whose bodies might still be developing and who have not been given much time to lose pounds on their own…….”



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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:30 am

Vitamin D & Depression

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http://www.medicalnewstoday.com/releases/239992.php

MNT

Low Vitamin D Levels Linked To Depression, UT Southwestern Psychiatrists Report

 

Article Date: 07 Jan 2012 – 0:00 PST

“”…….Low levels of vitamin D already are associated with a cavalcade of health woes from cardiovascular diseases to neurological ailments. This new study – published in Mayo Clinic Proceedings – helps clarify a debate that erupted after smaller studies produced conflicting results about the relationship between vitamin D and depression. Major depressive disorder affects nearly one in 10 adults in the U.S……UT Southwestern researchers examined the results of almost 12,600 participants from late 2006 to late 2010.

Dr. Brown and colleagues from The Cooper Institute found that higher vitamin D levels were associated with a significantly decreased risk of current depression……. Low vitamin D levels were associated with depressive symptoms, particularly those with a history of depression, so primary care patients with a history of depression may be an important target for assessing vitamin D levels. The study did not address whether increasing vitamin D levels reduced depressive symptoms……..”



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January 9th, 2012 posted by Paul Rega, MD, FACEP @ 4:27 am

Knife wound management: Surgery or watch and wait?

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http://www.medpagetoday.com/Surgery/GeneralSurgery/30544?utm_medium=email&utm_campaign=DailyHeadlines&utm_source=WC&email=ndmsmd@aol.com&eun=g380841d0r&userid=380841&mu_id=

By Charles Bankhead, Staff Writer, MedPage Today
Published: January 06, 2012

O.R. No Longer Obvious End of Knife Fights

“Penetrating abdominal wounds are increasingly being managed with nonsurgical treatment, with a concomitant reduction in the rate of nontherapeutic laparotomy, analysis of a large U.S. trauma database showed.

Almost 30% of 25,700 abdominal gunshot and stab wounds were initially managed without surgery from 2002 to 2008. The rate of nonoperative management increased significantly over the time period (P<0.001)…..”

 



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