November 29, 2014

Reviving Penmanship: "Ink is forever"

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From DW: "Handwritten texts are experiencing a boom. A Berlin startup offers invitations, cards and love letters written by hand: it's more personal and original. And calligraphers who copy famous people's handwriting or important documents are more in demand than ever."

November 21, 2014

Leading causes of death in 2030, if we continue down the current path

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This CDC video provides information about the leading causes of death in the U.S. and where we may be in 2030, if we continue down the current path. It suggests small steps that providers can take now to make a difference in the future health of our nation.

November 20, 2014

Police officers’ risk of sudden cardiac death is 34-69 times higher during restraints or altercations

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This BMJ study found that police officers’ risk of sudden cardiac death (SCD) was 34 to 69 times higher during restraints or altercations; 32 to 51 times higher during pursuits; 20 to 23 times higher during physical training; and 6 to 9 times higher during medical or rescue operations, as compared with routine or non-emergency activities. The researchers also found that SCD accounts for up to 10% of all U.S. on-duty police deaths.



References:

Law enforcement duties and sudden cardiac death among police officers in United States: case distribution study. BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g6534 (Published 18 November 2014).
http://www.bmj.com/content/349/bmj.g6534
November 18, 2014

Around the table - National Geographic video

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Chefs and authors discuss the importance of the communal meal:



The Future of Food. Chefs Jose Andres and Barton Seaver talk about the importance of food as a resource and how we can save it:



November 17, 2014

Windows 10 With The Latest Technical Preview Build

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If you've been keeping tabs on Microsoft's Windows 10 Technical Preview then you should really focus in here for a second. Microsoft has been consistently tweaking its Windows 10 Preview with new builds loaded with new features. These builds have been coming out pretty regularly with the first one debuting on October 1. The next iteration, which was known as Build 9860, came out around three weeks ago and Microsoft has just released the newest build, Build 9879. But why are these new builds so important?

With Windows 8 failing to attract customers like Windows 7 did so, naturally, Microsoft is under a lot of pressure to make sure that Windows 10 releases to as much fanfare as possible. In that respect, Microsoft has opened up a Windows Insider Preview Program, the purpose of which is to encourage people to download and install Windows 10 and share their opinions with Microsoft in order for the company to see if it is making the right choices. By keeping up with the latest builds you ensure that your feedback is relevant and up to date.

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In order to be up to date you have to be running the latest build, but how do you make sure that you're doing so? If you're not already running the Windows 10 Technical Preview then you can download it on your PC, though that isn't recommended unless you plan on doing so on a separate, spare computer. You can download it as an ISO file and then copy that file to a DVD or USB drive in order to install it on another PC, in a separate partition or as a virtual machine on your current computer.

Ok so if you've done all that or already have Windows 10 running it's time to get the latest build. And here's how to do it:
  • If you're using Windows 10, click the Start button and then click the option for PC settings. 
  • On the PC settings screen, click the Update and Recovery setting.
  • On the Update and Recovery screen, click the option for Preview Builds.
  • On the Preview Builds screen, click the button to Check Now. 
Once you do all this, Windows will tell you if a new build is available and display a Download Now button. If there are no new builds then another message appears alerting you that there are no new Preview Modes found. If a new build is found then:
  • Click the Download Now button. Windows will begin downloading and then installing the new build. 
  • Once the build is installed Windows will prompt you to restart your PC. 
  • Restart your  PC, log back in and the new build will be ready and waiting. 

You can then confirm that you are running the newest build by looking at the lower right portion of your desktop. There you will see the label Windows Technical Preview Evaluation Copy followed by the number of the build. At the moment, the latest build number is 9879. The next time you run this process you should see a higher build process number.

Now you are able to mess around with new build to see what you like, what works and what doesn't. Microsoft's OneDrive, for example, is not working in the current build. As Microsoft unleashes new builds, new features and new bugs will be noticed. In order to send feedback, click the Start Button and then click the Windows Feedback tile. At the Windows Feedback page you can select a specific category and feature to see feedback from other users or add your own.

Microsoft already has certain plans for Windows 10 and how it will tweak and shape things for the final build, though the company is definitely relying on the feedback it is receiving from users of the Technical Preview builds. If you were less than thrilled with Windows 8 then this is your chance to make Windows 10 the operating system you've always wanted.

November 17, 2014

Top medicine articles for November 2014

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A collection of some interesting medical articles published recently:

'To Burn Off Calories in This Soda, Walk 5 Miles' - new label http://buff.ly/1vzbCKH

Two new medications for IPF: Pirfenidone (Esbriet) affects scarring, Nintedanib (Ofev) is a kinase inhibitor http://buff.ly/1psam6m

80% of people have at least 1 distressing symptom in a given month, yet fewer than 1 in 4 persons sees a doctor. At least one third of common symptoms do not have a clear-cut, disease-based explanation. History and physical examination alone contribute 73% to 94% of the diagnostic information. The patient's history alone yields 75% of the diagnostic information. Most patients have multiple symptoms rather than a single symptom. Symptoms become chronic or recur in 20% to 25% of patients. http://buff.ly/1yf7S0w

A Small Practice's Fight to Stay Independent: Can It Work? Walk-ins only mornings work for this Chicago practice. 40% of patients seen at convenience clinics do not have a "medical home" or regular primary care physician http://buff.ly/1yfa87N

9 Brain Boosters to Prevent Memory Loss http://buff.ly/1ps8VVn

History and physical examination alone contribute 73% to 94% of the diagnostic information http://buff.ly/1yf7cIk

New 2-in-1 diabetes pill approved, Xigduo XR once-daily combines SGLT2 inhibitor dapagliflozin and metformin http://buff.ly/1ujxOtN

Running is a Life-Saver, Study Finds - running even as few as 5 to 10 minutes each day is fine http://buff.ly/10mYFrV

Fixing the EHR Beast: Old, Unfriendly, Decentralized, and Incompatible - by Medscape editor-at-large http://buff.ly/10mZGjy

How to Make Published Research True: many published research findings are false/exaggerated, 85% of resources wasted http://buff.ly/10n1Ekc

Men often don't appreciate their fathers until it's too late - Telegraph http://buff.ly/1tQDZp0

The articles were selected from Twitter and my RSS subscriptions. Please feel free to send suggestions for articles to clinicalcases AT gmail.com and you will receive acknowledgement in the next edition of this publication.
November 13, 2014

How to Teach Teens to Drive Safely - WSJ video

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Along with parking and steering, parents also need to teach teenagers how to spot crash hazards. WSJ's Sue Shellenbarger and Tanya Rivero discuss some tips.

November 12, 2014

Adrenal insufficiency - 2014 Lancet review

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Adrenal insufficiency is the deficient production or action of glucocorticoids, with or without deficiency also in mineralocorticoids and adrenal androgens.

It is a life-threatening disorder that can result from:

- primary adrenal failure
- secondary adrenal disease due to impairment of the hypothalamic—pituitary axis

Prompt diagnosis and management are essential.

The clinical manifestations of primary adrenal insufficiency result from deficiency of all adrenocortical hormones, but they can also include signs of other concurrent autoimmune conditions.

In secondary or tertiary adrenal insufficiency, the clinical picture results from glucocorticoid deficiency only, but manifestations of the primary pathological disorder can also be present.

Diagnostic investigation can be challenging, especially in patients with secondary or tertiary adrenal insufficiency.

References:

Adrenal insufficiency : The Lancet http://buff.ly/1r18eER

A company called I Heart Guts makes a whole range of plush toys and lapel pins based on anatomical organs:

November 07, 2014

Why use Twitter - tips from Mayo Clinic's social media director

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In this video, Dr. Timimi discusses the quiet revolution of Twitter in healthcare, including how it can be used in practice and in education. Of time spent online in the US, one in six minutes is spent in a social network. Of the popular social networks, Twitter is one of the best introductory platforms, with one in five adult Internet users in the United States maintaining a presence on Twitter.

November 07, 2014

Understanding Drug Resistance - video by National Institute of Allergy and Infectious Diseases

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Resistance to antimicrobial drugs is a growing public health concern. Watch this NIAID video to learn more about how antimicrobial resistance develops and what scientists are doing to fight it.

November 04, 2014

Trying to Walk After the New York City Marathon (video)

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After completing the 2014 New York City Marathon, participants fight through fatigue and physical exhaustion on the streets of Manhattan. Produced by: Deborah Acosta for The New York Times.

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