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April 22nd, 2012 posted by Paul Rega, MD, FACEP April 22, 2012 @ 2:22 pm

The Nation’s Weather Map: up to the minute……

 

 

 

 



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 1:54 pm

Health Insurance Status Change and ER Use

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http://archinte.ama-assn.org/cgi/content/short/archinternmed.2012.34

Health Insurance Status Change and Emergency Department Use Among US Adults

Adit A. Ginde, MD, MPH; Robert A. Lowe, MD, MPH; Jennifer L. Wiler, MD, MBA

Arch Intern Med. Published online March 26, 2012. doi:10.1001/archinternmed.2012.34

 Recent changes in health insurance status for newly insured adults and for newly uninsured adults were associated with greater ED use. As policy and economic forces create disruptions in health insurance status, new surges in ED use should be anticipated.

 



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 1:52 pm

Combining troponin with copeptin

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http://www.ncbi.nlm.nih.gov/pubmed/22505543

 
Clin Chem Lab Med. 2012 Jan 6;50(2):243-53. doi: 10.1515/cclm-2011-0845.
 
Considerations for early acute myocardial infarction rule-out for emergency department chest pain patients: the case of copeptin.
Lippi G, Plebani M, Di Somma S, Monzani V, et al.

Abstract

 The utility of combining troponin with copeptin might be cost-effective due to the high negative predictive value of the latter biomarker in the rule-out of an acute coronary syndrome. Moreover, in the presence of a remarkably increased concentration (e.g., more than 10 times the upper limit of the reference range), to reveal the presence of acute life-threatening conditions that may not necessarily be identified with the use of troponin alone. 



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 12:35 pm

Bhorja flight B4 213

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http://aviation-safety.net/database/record.php?id=20120420-0

“….A Boeing 737 passenger plane was destroyed in an accident near Islamabad, Pakistan. Initial reports indicate that all 121 passengers and six crew members were killed.
Bhorja flight B4 213 departed Karachi (KHI) on a domestic flight to Islamabad (ISB). This was Bhoja Airlines’ inaugural flight on that route.
The airplane crashed, broke up and burned in a rural area close to the Islamabad Express Highway. Based on the accident location, it seems likely that the airplane was approaching runway 30 at Islamabad at the time of the accident.
Weather reported about the time of the accident (18:40 LT/13:40 UTC) was poor with limited visibility, thunderstorm and rain….”



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 12:27 pm

Cases of cryptosporidiosis at Duluth resort

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Minnesota Public Radio

Health officials confirm parasite outbreak at water park

by Jon Collins, Minnesota Public Radio

April 19, 2012

 

St. Paul, Minn. — “Ninety-seven people have reported cases of cryptosporidiosis since last month’s outbreak at Edgewater Resort and Water Park in Duluth, according to the Minnesota Department of Health. Twenty-two of those cases have been confirmed in laboratories.

Minnesota Department of Health (MDH) epidemiologist Trisha Robinson said the confirmed cases probably only represent a fraction of people who were actually sickened by the parasite. The investigation of the outbreak is still in progress….”



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 12:22 pm

Kala Azar Disease Stalks South Sudan

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VOA

April 19, 2012

Deadly Kala Azar Disease Stalks South Sudan

Hannah McNeish | Juba, South Sudan

“In newly independent South Sudan, deadly Kala Azar disease is still raging in some of the most remote areas lacking basic health services……Three percent of patients died in Old Fangak last year, but the clinic has already treated 1,800 people with Kala Azar this year……”

WHO

Kala azar (Visceral Leishmaniasis ) is a deadly disease caused by parasitic protozoa Leishmania donovani, transmitted to humans by the bite of infected female sandfly, Phlebotomus argentipes. It lowers immunity, causes persistant fever, anemia, liver and spleen enlargement, loss of body weight and if left untreated, it kills. The vector thrives in cracks and crevices of mud plastered houses, poor housing conditions, heaps of cow dung, in rat burrows, in bushes and vegetations around the houses.

 



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 12:11 pm

3 car wreck in Midtown Manhattan injures at least 10

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NY Times

April 21, 2012, 11:53 pm

Pedestrians Injured After Three-Car Wreck Spills Onto Sidewalk in Midtown

By THOMAS RIVAS

“At least 10 people were injured Saturday night after a three-vehicle accident at the intersection of 42nd Street and Avenue of the Americas in Midtown…….[S]hortly after 9 p.m. a black Jaguar heading westbound on 42nd Street struck a gray Chevrolet Impala waiting at the traffic light. The impact caused the Impala to swerve into a taxicab with two people inside. The Jaguar then lost control, careering into a bustling sidewalk, striking at least four pedestrians before rolling onto its side and hitting a tree…..”



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 12:07 pm

Mumps outbreak in Winnepeg school

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http://www.winnipegfreepress.com/local/mumps-outbreak-infected-11-at-city-school-148365115.html

Mumps outbreak infected 11 at city school

By: Nick Martin

Posted: 04/21/2012 1:00 AM

Winnepeg Free Press

“EIGHT students and three adults at one Winnipeg school contracted mumps in an unusual outbreak this winter that resulted in more than 200 people being immunized.

The Winnipeg Regional Health Authority is using the outbreak to draw attention to Immunization Awareness Week next week…..”

 



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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 11:58 am

(Audio) The exploding sewers of Guadalajara, 4/22/1992

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April 22nd, 2012 posted by Paul Rega, MD, FACEP @ 11:54 am

FEMA SitRep-4/22/2012

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