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Latest Threads
Life-Long Influenze Immun...
Forum: General Discussion
Last Post: dbrosnahan
11-02-2017, 08:39 PM
» Replies: 0
» Views: 1,001
Ancient Medicine
Forum: General Discussion
Last Post: dbrosnahan
08-09-2017, 05:42 AM
» Replies: 1
» Views: 1,133
Ottawa Heart Failure Risk...
Forum: General Discussion
Last Post: dbrosnahan
06-11-2017, 03:44 PM
» Replies: 0
» Views: 617
Gastric Balloon
Forum: General Discussion
Last Post: dbrosnahan
05-18-2017, 02:33 PM
» Replies: 0
» Views: 462
Titanium-Gold Alloy
Forum: General Discussion
Last Post: dbrosnahan
05-09-2017, 09:53 PM
» Replies: 0
» Views: 374
Modern CT IV Contrast and...
Forum: General Discussion
Last Post: dbrosnahan
02-12-2017, 03:46 PM
» Replies: 0
» Views: 605
Virtual ACEP LLSA
Forum: LLSA and CME Information
Last Post: dbrosnahan
02-10-2017, 04:50 AM
» Replies: 0
» Views: 468
Cavernomas
Forum: General Discussion
Last Post: dbrosnahan
02-10-2017, 04:34 AM
» Replies: 1
» Views: 686
Tranexamic Acid
Forum: General Discussion
Last Post: dbrosnahan
02-10-2017, 04:21 AM
» Replies: 0
» Views: 409
Tyramine and Sulfate
Forum: General Discussion
Last Post: dbrosnahan
01-23-2017, 05:27 AM
» Replies: 0
» Views: 485

 
  Life-Long Influenze Immunity
Posted by: dbrosnahan - 11-02-2017, 08:39 PM - Forum: General Discussion - No Replies

https://www.sciencedaily.com/releases/20...095927.htm

This may be bad news for pharmaceutical companies who like to sell ineffective yearly flu vaccines.

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  Ancient Medicine
Posted by: dbrosnahan - 08-09-2017, 04:58 AM - Forum: General Discussion - Replies (1)

    The Asklepion was a hospital in ancient Greece and Rome. This particular healing temple was located in Pergamon, Turkey.

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  Ottawa Heart Failure Risk Score
Posted by: dbrosnahan - 06-11-2017, 03:44 PM - Forum: General Discussion - No Replies

    http://thesgem.com/2017/03/sgem170-dont-...isk-scale/

The Ottawa Heart Failure Risk Scale (OHFRS) can probably help make disposition decisions by accurately predicting the 30-day rate of serious adverse events in patients with acute heart failure. 

Using a score of ≥ 2 had a similar sensitivity for SAEs when compared to physician judgement (71.2% vs 71.8%), but would have decreased admission rates (57.2 vs 48.3%).

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  Gastric Balloon
Posted by: dbrosnahan - 05-18-2017, 02:33 PM - Forum: General Discussion - No Replies

https://www.orbera.com/how-it-works

I would recommend a minimally invasive gastric balloon over other bariatric surgeries like gastric bypass or gastric sleeve surgeries. The gastric ballon is a silicon balloon filled with 500 ml saline. The size and weight of the balloon takes up space in the stomach and illicits a sensation of fullness.

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  Titanium-Gold Alloy
Posted by: dbrosnahan - 05-09-2017, 09:53 PM - Forum: General Discussion - No Replies

Titanium and Gold mixed 3:1 forms an alloy that is 4 x harder than steel. This new alloy material may serve as prosthetic joints that never wear out.  I am curious if this material would be natively antimocrobial preventing biofilm formation and prosthetic infection.

http://www.engadget.com/amp/2016/07/25/e...old-alloy/
http://news.rice.edu/2016/07/20/titanium...al-joints/
http://advances.sciencemag.org/content/2/7/e1600319

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  Modern CT IV Contrast and Kidney Injury
Posted by: dbrosnahan - 02-12-2017, 03:46 PM - Forum: General Discussion - No Replies

http://newsroom.acep.org/news_releases?i...a849ec6128

Researchers have now concluded that modern IV contrast does not result in kidney injury. Does this mean we no longer need to wait for serum creatinines before we get our contrasted study or angiogram?

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  Virtual ACEP LLSA
Posted by: dbrosnahan - 02-10-2017, 04:50 AM - Forum: LLSA and CME Information - No Replies

Virtual ACEP includes the ACEP review course for the LLSA.  The ACEP LLSA review pretty much provides all the answers for the LLSA test.

http://virtual.acep.org/common/pricing.aspx

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  Tranexamic Acid
Posted by: dbrosnahan - 02-10-2017, 04:21 AM - Forum: General Discussion - No Replies

Tranexamic Acid is a cheap and effective medicine to control bleeding after trauma, during surgery, for epistaxis and for heavy vaginal bleeding. The Crash-2 Trial showed significant decrease in all-cause mortality and death by hemorrhage.  The dose for TXA is 1 gm IV immediately and then 1 gm IV over the next 8 hours.  For epistaxis, nasal packing can be soaked in TXA. For menorrhagia, the dose is 1300 mg daily TID for 5 days.

https://www.ncbi.nlm.nih.gov/pubmed/23477634

While statistically significant, the decrease in all-cause mortality and death from hemorrhage with TXA in the Crash-2 study was only from 16% to 14.5% and 5.7% to 4.9% respectively.

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  Tyramine and Sulfate
Posted by: dbrosnahan - 01-23-2017, 05:27 AM - Forum: General Discussion - No Replies

https://www.ncbi.nlm.nih.gov/pubmed/3051071

Some aged and fermented foods contain high levels of Tyramine.  These foods have been known to raise blood pressure and trigger migraines.  Tyramine sulfate excretion shows a good correlation with depression.  It is my hypothesis that low sulfate levels may be linked to depression and that high Tryamine foods may exacerbate this condition because Tyramine is sulfated by the liver before excretion in the urine. 

High Tyramine foods:

http://www.nclexquiz.com/wp-content/uplo...ramine.png

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  Copper and Skin
Posted by: dbrosnahan - 12-17-2016, 03:31 AM - Forum: General Discussion - No Replies

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556990/

Copper ions seem good for healthy skin.

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