Wednesday, December 30, 2009

MEDICAL IMAGING PHYSICS By WILLIAM.R.HENDEE

Book overview This comprehensive publication covers all aspects of image formation in modern medical imaging modalities, from radiography, fluoroscopy, and computed tomography, to magnetic resonance imaging and ultrasound.  It addresses the techniques and instrumentation used in the rapidly changing field of medical imaging.  Now in its fourth edition, this text provides the reader with the tools necessary to be comfortable with the physical principles, equipment, and procedures used in diagnostic imaging, as well as appreciate the capabilities and limitations of the technologies.

Medical Imaging Physics covers all aspects of image formation in modern medical imaging modalities, from radiography, fluoroscopy, and computed tomography, to magnetic resonance imaging and ultrasound.

Medical Imaging Physics addresses the techniques and instrumentation used in the rapidly changing field of medical imaging.

Topics covered include:

* Digital x-ray imaging
* Doppler ultrasound
* Helical CT scanning
* Accumulation and analysis of nuclear data
* Experimental radiobiology
* Radiation protection and safety
* and contains over 200 figures

Medical Imaging Physics provides the reader with the tools necessary to be comfortable with the physical principles, equipment, and procedures used in diagnostic imaging, as well as appreciate the capabilities and limitations of the technologies.

Contents

1. Imaging in Medicine
2. Structure of Matter
3. Radioactive Decay
4. Interactions of Radiation
5. Production of X Rays
6. Radiation Quantity and Quality
7. Interaction of X and y Rays in the Body
8. Radiation Detectors for Quantitative Measurement
9. Accumulation and Analysis of Nuclear Data
10. Computers and Image Networking
11. Probability and Statistics
12. Instrumentation for Nuclear Imaging
13. Radiography
14. Fluoroscopy
15. Computed Tomography
16. Influences of Image Quality
17. Analytic Description of Image Quality
18. Visual Perception
19. Ultrasound Waves
20. Ultrasound Transducers
21. Ultrasound Instrumentation
22. Doppler Effect
23. Fundamentals of Magnetic Resonance
24. Magnetic Resonance Imaging and Spectroscopy
25. Magnetic Resonance Imaging: Instrumentation, Bioeffects, and Site Planning
26. Experimental Radiobiology
27. Human Radiobiology
28. Protection from External Sources of Radiation
29. Protection from Internal Sources of Radiation
30. Future Developments in Medical Imaging

Appendixes:

* Review of Mathematics.
* Fourier Transform.
* Multiples and Prefixes.
* Masses in Atomic Mass Units for Neutral Atoms of Stable Nuclides and a Few Unstable Nuclides

Index

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Monday, December 28, 2009

A Typical ER Visit

Mom, dad and two-year old child. The child is the patient. He has a runny nose, mild cough, congestion, stuffy, cranky and intermittent fever. You know. A cold. I really try not to be impatient with parents. I figure they are doing the best they can and it’s hard taking responsibility for another human being, especially a tiny one. But this too falls into the category of “really?” Do you really think this needs to be seen in an emergency room at 10 pm?

I guess I was even more irritated because about two minutes after meeting this family, I discover they already went to their own doctor a day and a half earlier (almost exactly 36 hours.) Their doctor put the child on an antibiotic already. So they were seen, examined, evaluated and treated. But it has been a whopping 36 hours and omigod! The baby is not fully well and omigod! What should we do!

So let me tell you, from this small encounter, a few things that are wrong with our American health care system.

1. First off, medically speaking, this child did not need antibiotics. No way. No how. Wrong, wrong, wrong. This child had a cold, plain and simple. Colds are viruses. Viruses are not bacteria, so an antibiotic, which is another way of saying anti-bacterial, is utterly ineffective. Another time we will talk about the actual negative implications of taking antibiotics when not necessary. The implications are huge.

2. Their doctor undoubtedly put the patient on antibiotics for one of two reasons. Probably he was hurried, and it is so, so, so much quicker to write a ’script than talk to the patient, especially if the entire family does not speak English. Or he took the path of least resistance. Many if not most patients do not believe a doctor who says that antibiotics (or x-rays, or CT, or MRI or blood tests etc) are not indicated. So we doctors learn it is less painful to not have our knowledge base continually trivialized by patients. (I have been asked at least a thousand times in my career: “How do you know it is a cold?” Or similar.) Not to mention keeping the customer happy, even if it is not good for the customer. We Americans have decided that customer satisfaction is an important variable in health care. And customers want tests and prescriptions.

3. The other reason the doctor may have prescribed antibiotics is that the doctor has already internalized such a risk-averse view of the American healthcare environment, that s/he cannot even think competently anymore in this regard. Many doctors now practice as if the 1% chance of something is the likeliest possibility. As in “there may be a 1% chance this is bacterial, so I should treat it as such.” That’s pretty much how it goes, and it is hard to tease out anymore what the doctor really thinks is going on clinically, from his perception and fears about malpractice and patient satisfaction. The doctor is pretty unaware that these factors have wormed their way into his clinical judgment. Because after all, most doctors know a cold when they see it. Except apparently when they are wearing their own white coat!

4. No ordinary, typical people who have to pay actual money to go see the doctor would normally wasted their own time and money like this. In the rest of their lives, normal people make “normal” decisions, taking into account the time and money factor. But these days the norm is to make abnormally ridiculous decisions, which is to run to the doctor. In fact, if people hesitate to run to the doctor, their friends and family are quick to criticize. “Have you gone to the doctor?” So the over-utilization of really expensive resources, which the ER is, is rampant and “normal.” Literally, only one generation ago people did not act like this. Up until the mid-1980’s people did not do this. But then the law changed, and people have internalized that as the new “normal.” More about that law in another post.

[Via http://theerdoctor.wordpress.com]

The Virtual Visit May Expand Access to Doctors

Last time I posted something about technology that helps (?) nurses so this time I posted something about technology that makes access to physicians easier for the general public.  I think I like this, but I will have to think about it more.  I can see that this could have a practical application for minor illnesses and would save time and money for most people.  I can also see the doctor’s position–that there is no actual relationship with a patient and that they are reluctant to treat without face-to-face interaction.

However, the future is here with us now and we may all have to rethink our biases and our ideas of what health care is and is not.

——————————————————————————————————————————————————————————–

By CLAIRE CAIN MILLER Published: December 20, 2009


SAN FRANCISCO — Americans could soon be able to see a doctor without getting out of bed, in a modern-day version of the house call that takes place over the Web.

Enlarge This Image

Mark Graham for The New York Times

Dr. Christopher Crow conducting a simulated online exam in Plano, Tex.

Enlarge This Image

Mark Graham for The New York Times

A screen shot of that exam, which is not of an actual patient. Dr. Crow says the NowClinic system allows him to pick up on nonverbal cues, similar to an in-person visit.

OptumHealth, a division of UnitedHealth Group, the nation’s largest health insurer, plans to offer NowClinic, a service that connects patients and doctors using video chat, nationwide next year. It is introducing it state by state, starting with Texas, but not without resistance from state medical associations.

OptumHealth believes NowClinic will improve health care by ameliorating some of the stresses on the system today, like wasted time dealing with appointments and insurance claims, a shortage of primary care physicians and limited access to care for many patients.

But some doctors worry that the quality of care that patients receive will suffer if physicians neglect one of the most basic elements of health care: a physical exam.

“This is a pale imitation of a doctor visit,” said David Himmelstein, a primary care doctor and associate professor at Harvard Medical School. “It’s basically saying, ‘We’re going to give up any pretense of examining the patient and most of the nonverbal clues that doctors use.’ ”

Others, including Rashid Bashshur, director of telemedicine at the University of Michigan Health System, say online medicine is a less expensive way of providing routine care.

“The argument that you need the ‘laying on of hands’ to practice medicine is an old and tired argument that simply has no credibility,” he said. “There are two constants in medicine: change and resistance to change.”

Christopher Crow, a family physician in Plano, Tex., who used the system during its test period, said, “NowClinic gives you the ability to have that gut feel if something is wrong, in tone or facial expression or body language, that you have when you walk in the door with a patient.”

Many patients who do not have primary care physicians nearby use the emergency room for routine problems. Wait times for patients needing immediate attention have increased 40 percent, in part because of overcrowding, according to a study by Harvard Medical School and Cambridge Health Alliance.

In Texas, 180 counties do not have enough physicians, 70 percent of patients cannot obtain a same-day visit with their primary care doctor, and 79 percent of emergency room visits are for routine problems, according to OptumHealth.

“We are, through this technology, replenishing the pool of physicians and making them available to patients,” said Roy Schoenberg, chief executive of American Well, which created the system that OptumHealth is using.

For $45, anyone in Texas can use NowClinic, whether or not they are insured, by visiting NowClinic.com. Doctors hold 10-minute appointments and can file prescriptions, except for controlled substances. Eventually they will be able to view patients’ medical histories if they are available.

The introduction of NowClinic will be the first time that online care has been available nationwide, regardless of insurance coverage.

American Well’s service is also available to patients in Hawaii and Minnesota, through Blue Cross Blue Shield, and to some members of the military seeking mental health care, through TriWest Healthcare Alliance.

Some hospitals and technology companies provide similar services on a smaller scale, including Cisco, the networking equipment maker, which uses its videoconferencing technology to remotely connect employees with doctors. It is working with UnitedHealth Group to offer the service more broadly.

The service has encountered resistance in states where it is already available. Texas law requires that before doctors consult with patients or prescribe medicine online or over the phone, they form a relationship through means like a physical examination.

The Texas Medical Board, which regulates doctors in the state, is evaluating its telemedicine policies in light of new technologies. But Mari Robinson, executive director of the board, said that an online or telephone exam was inadequate if doctors and patients had not met in person and was “not allowed under our rules.”

After American Well’s service began in Hawaii last year, lawmakers passed legislation that allowed doctors and patients to establish a relationship online, though the Hawaii Medical Association opposed the bill.

“From our perspective, we still are a little bit concerned that a relationship can be established online with no prior relationship,” said April Troutman Donahue, the association’s executive director.

American Well and OptumHealth predict that health care professionals will adapt. “This is new technology, so you have a lot of code written that doesn’t take these medical technologies into account,” said Rob Webb, chief executive of OptumHealth Care Solutions.

Many patients seem ready to embrace the new technology. In a recent study, a Harvard research team at Beth Israel Deaconess Medical Center found that patients were comfortable with computers playing a central role in their health care and expected that the Web would substitute for face-to-face doctor visits for routine health problems.

You can view the original article here

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Friday, December 25, 2009

Merry Christmas: the same in any language

In any language, Merry Christmas means the same.  The reason for the season is the birth of a child in a manger. For Christians, this marks the day remembered as the birth of the Savior, Jesus, the Son of God.  For us all, let us seek to have a new year filled with love, tempered with common sense and belief in values.  Merry Christmas to all . . . obi jo and jomaxx

In those days a decree went out from Caesar Augustus that all the world should be enrolled. This was the first enrollment, when Quirinius was governor of Syria. And all went to be enrolled, each to his own city. And Joseph also went up from Galilee, from the city of Nazareth, to Judea, to the city of David, which is called Bethlehem, because he was of the house and lineage of David, to be enrolled with Mary, his betrothed, who was with child. And while they were there, he time came for her to be delivered. And she gave birth to her first-born son and wrapped him in swaddling cloths, and laid him in a manger, because there was no place for them in the inn.

- The Bible, Luke John 1:12

聖誕快樂     Vrolijke Kerstmis     Joyeux Noël     Frohe Weihnachten     Χαρούμενα Χριστούγεννα

Feliz Natal     즐거운 성탄     Buon Natale     メリークリスマス     С Рождеством Христовым     Feliz Navidad

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Wednesday, December 23, 2009

NHS Prescription / Homeopathy Remedies for Cold and Flu

昨日、バスから追い出され、雪の中を半時間歩いたせいか、ひきかけの風邪が悪化した。鼻がぐずぐずしてひどい鼻声になり、しょっちゅう鼻をかんでいる。風邪薬を買いに行きがてら、薬局で先日もらった処方箋薬も受け取る(上は以前使用しなかった処方箋)。イギリスでは、処方箋薬は無料。だから特に指定がなければ、価格の安いジェネリック医薬品が処方される。薬代は無料でも、処方箋料(NHS prescription charges)を一回につき£7.20払わなければいけない。なので、成分や薬効が変わらなれば、値段の安い、処方箋の要らない市販薬を勧められることもある。

少し前に街角でもらったフリーペーパー、The Epoch Times(大紀元:法輪功関連の新聞だそうだ。知らなかった!読んだのは英語版)に載っていた、新型インフルエンザに効くというホメオパシー・レメディーをBoots(ブーツ)で買っておいたので、風邪にも効くかなと使ってみた。ホメオパシーが盛んなイギリスでは、ブーツ等の普通の薬局で手に入る。最初に少しの喉の痛みを感じてから、風邪やインフルエンザのひきはじめに効くというAconite(Aconitum napellus:アコナイト、トリカブト/£4.99)を使用。その後数日間は、レメディーのせいか安静にしていたからかどうか分からないけれど、症状は悪化しなかった。風邪がひどくなった今日から、新型の初期流行に最も効果的だったというArsen alb(Arsenicum Album:アーセニカム、砒素/£4.99)が、鼻水を伴う風邪にも効くというので試している。

ホメオパシーは、科学的にその効果が証明されておらず、プラセボ効果以上に効き目はないと言われているのだが、イギリスでは£4000億の市場規模を誇るビジネス。レメディーを売っているブーツ自身、効果はさておき、売れるから取り扱っていると認めている。Mは超科学信奉者なので、ホメオパシーや代替療法は一切信用しない。共に薬剤師である両親も然り。私はというと、プラセボ効果でも何でも、効けばラッキーぐらいに思っている。また他に効果的な治療法や薬がなければ、民間療法でも何でも、すがりたくなる気持ちも分かる。さて、今使っているレメディーの効果はいかに?でも、あんまり効果がない場合に備えて、一応市販の風邪薬も買ってある。

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Probably because I was kicked out from the bus and forced to walk in snow for half an hour yesterday, my cold got worse. My nose is runny and my voice has changed, and I have been blowing my nose  all the time. So I went to a pharmacy to buy a cold medicine, and picked up my prescription drug as well (the prescription above is the unused one I got in the past). In UK, a prescription drug is free, but you pay NHS prescription charges for £7.20 (price from April 2009 to now). and usually a cheap generic medicine is given if you don’t choose others. A pharmacist often recommend to buy over-the-counter drug, if it is cheaper than prescription charge and if the ingredients and effectiveness are more or less the same with the prescription medicine.

I bought two homeopathy remedies from Boots, which supposedly effective for Swine flu, after I read the Epoch Times‘ (free paper founded by practitioners of the Falun Gong – I didn’t now it) article about it. First I had used Aconite (Aconitum napellus) , which can be helpful at the first sign of flu and cold symptoms. My condition had been the status quo for few days – I don’t know because of the effect of Aconite, or because I had been at home kept myself warm. Now my symptoms got worse and I started to take Arsen alb, which is “the most commonly indicated remedy for the H1N1 virus outbreak of early 2009,” as I read that it works for a blocked nose as well.

Homeopathy is not supported by modern scientific research, and it is said that there is little evidence the remedies work other than as a placebo. But homeopathy is £40 million industry in the UK, and Boots admits that they sell homeopathic remedies because “they sell, not because they work“. M believes only science, not homeopathy or alternative medicines – so do my parents who are both pharmacists. I myself don’t mind to try anything as long as it works and safe. I also understand people who find a hope in alternative medicines if there is no other cure. Let’s see if my homeopathic remedy works for me. I bought usual cold medicine as well, in case it doesn’t work at all.

下のビデオは、これを書いている時に偶然見た、グラクソ・スミスクライン社のBeecham(ビーチャム)風邪薬のTVコマーシャル。ちなみに、去年のHSBC銀行の広告でも相撲力士が起用された。肌色を濃くして、目を切れ長に修正した白人がモデルのこの広告が、日本人に対する侮辱的だと在住日本人の間でひんしゅくを買っているとの記事があったが、私個人としては,そんなに目くじらたてる程のことでもないと思うんだけれど。多かれ少なかれ、外国人の描き方にステレオタイプが入るのは仕方ないことだし、Mも日本のバラエティ等で「ガイジン」が面白おかしく取り上げられているのが不愉快だと言っている。文句を言う人は、人の振り見て我が振り直せ、というところですね。

The video below is the TV commercial of Beechams, the GlaxoSmithKline owned cold and flu remedy, that I happened to see on TV while I waswriting this entry. HSBC bank also used Sumo wrestler for their advertising last year. But HSBC was under fire as the campaign uses the image of a western man whose skin tone has been darkened and that make-up has been applied that appears to narrow his eyes, and it has upset Japanese living in UK, according to the Guardian article. Personally I don’t think it is a big deal – a portrayal of a foreigner is more or less based on a stereotype, not only Japanese. M complains that some Japanese TV programs make fun of ‘Gaijin’, foreigners in Japanese. At the end of the day, I think any country does the same, or otherwise it would be very boring if everything is goody-goody.

[Via http://everydaylifestyle.wordpress.com]

Monday, December 21, 2009

The Ear Infections Epidemic - The Truth Every Parent Needs to Know!


Dr. Maj adjusting young Samantha

Dr. Stephanie Maj answers the most pressing question in her pediatric practice: What is the cause of ear infections and what can we do to heal them without drugs or surgery?

Chicago-Ask any parent about ear infections, and you will likely hear one horror story after another. Ear infection or Otitis Media, is the most common reason for visits to the pediatrician’s office. In fact, visits to the pediatrician’s office for ear infections have increased over 150% from 1975 to 1990. It is estimated that over 30 million visits are made every year in an attempt to deal with this problem.

In my practice, we have an effective, safe solution to the problems plaguing parents. What we find is most parents fail to understand what is happening with these infections.

Otitis Media is the general name for several conditions affecting the middle ear. The most common symptoms are earache, a feeling of pressure, and perhaps difficulty hearing due to increased amounts of fluid. Teething often produces similar symptoms, therefore, the child should be carefully observed before jumping to any conclusions.

Historically, the treatment for ear infections has been antibiotics. This method of treatment has come under severe attack over the past several years for many reasons. One of the reasons, the overuse and over prescription of these antibiotics, has led to what is termed “antibiotic resistant bacteria”. These bacteria have “evolved” and changed so that the antibiotics no longer affect them. Because of this phenomenon, stronger and stronger antibiotics are being used, which is leading to more and more resistance. (http://tinyurl.com/yep3y33)

Another reason use of antibiotics has come under fire is because study after study has demonstrated that they are not effective. In other words, they do not work! This is why so many children are on one antibiotic after another, stronger and stronger each time. Sure, many times the infection will go away, but it quickly returns with a vengeance, and so begins the antibiotic roller coaster.

The reasons they continually reoccur is two-fold: First, antibiotics kill off most bacteria in the body including the helpful “good” bacteria our bodies need. This depletes our children’s natural immune system, making them vulnerable to many more infections of varying types.

Secondly, antibiotics merely attempt to treat the symptoms of ear infections, they do not address the actual cause and therefore the infections return.

The real question then is what is the cause of ear infections? The reality is that ear infections themselves are merely a symptom of a greater problem. The vast majority of them are secondary to a cold or another infection, which may be due to a depressed immune system.

The other more physical reason children suffer from ear infections is because of the actual anatomy of the young ear.

In children, the Eustachian tube is nearly horizontal, gradually acquiring a near 45-degree angle. This often slows draining of these tubes and with stagnant fluid, infection may appear.

The obvious question from most parents now is: what can we do? The answer lies in a new level of thinking.

As a chiropractor, my primary objective is to address the root cause of health problems. Treating symptoms, as mentioned earlier, has been proven unsuccessful at best. When dealing with your children and ear infections, my goal is to correct the actual cause, and to allow the body to function at its optimal potential. (http://tinyurl.com/ybqlymw)

There is a direct link between the nerves in the neck (the superior cervical ganglion), the muscles of the Eustachian tubes (tensor veli palatini) and the middle ear.

Let me explain: The middle ear drains any fluid through the Eustachian tubes. These tubes open and close through the action of a muscle and that muscle is controlled by a nerve. This nerve originates in the neck. When this nerve is not functioning normally, the tensor veli palatini muscle may go into spasm, which constricts the Eustachian tube, restricting drainage and causing fluid buildup in the middle ear. This fluid, combined with a stressed immune system, may result in an ear infection.

Ultimately then, this “nerve interference” can cause your children to suffer as they do. My job as a chiropractor is to detect this nerve interference called subluxation, and correct it. A subluxation is a misalignment of a bone in the spine that pinches, stretches or twists a nerve resulting in interference.

By correcting this interference, the child’s body is given the potential to heal and be well. With proper chiropractic care, your child will be able to live a life free from nerve interference, and free from unnecessary medications and antibiotics.

Chiropractic adjustments for children are very gentle and differ tremendously from the adult version. Imagine you are putting a contact in your eye or testing a tomato to see if it is ripe, that is the extent of the pressure used in these treatments. There is no twisting, popping or pulling involved.

Through advances in technology such as Surface EMG and Thermal Scans, a chiropractor can easily detect these subluxations and monitor their correction as well. This enables chiropractors to be accurate and objective, allowing you the best care possible.

A promising study published in the Journal of Clinical Chiropractic Pediatrics now indicates that there is a strong correlation between chiropractic adjustments and the resolution of ear infections. 332 children with chronic ear infections participated in the study. Each child, ranging in age from 27 days to 5 years, was given a series of chiropractic adjustments. The results show that close to 80% of the children in this study experienced NO ear infections within the six-month period following their initial visits. The six-month period included maintenance treatments every four to six weeks.

Correcting the cause through chiropractic has been shown to help over 80% of all children with ear infections.

Treating the symptoms of ear infections with antibiotics has proven to be ineffective. Give your children a fighting chance with chiropractic; it could change your lives!

ABOUT THE AUTHOR
Dr. Stephanie A. Maj has been helping children and adults experience life at their maximum potential through Chiropractic for over 14 years. She is the author of the book, “You Can Be Well” and lectures throughout Chicago on a variety of health issues, and may be contacted at 773.528.8485. Community Chiropractic is located at 1442 W. Belmont, 1E Chicago, IL 60657. Her website is www.communitychiropractic.net.

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Friday, December 18, 2009

Anti-depressants 'up stroke risk'

Aspirin is prescribed for high cholesterol,it also causes intestinal bleeding.
Pain killers cause serious after effects.
Scans increase the risk to cancer.
Diuretics damage kidneys.
Cancer inducing genes identified now;yet we have already cured it.
Caffeine was perceived to be carcinogenic;now it reduces cancer risk also prevents heart disease.
Take any medicine, you have the same ambivalence.
Or take any prognosis-as many number of opinions as that of specialists.
Is Medicine a Science?
Post menopausal women who take anti-depressants face a small – but statistically significant – increased risk of a stroke, research suggests.
The US study was based on 136,293 women aged 50 to 79, who were followed for an average of six years.
Anti-depressant users were 45% more likely to have a stroke than women not taking the drugs.
The data, published in Archives of Internal Medicine, is taken from the Women’s Health Initiative Study.
When overall death rates were examined, those on anti-depressants were found to have a 32% higher risk of death from all causes during the study than non-users.
The researchers stressed that the overall risk of a stroke was relatively small. Even for women on anti-depressants, it was less than one in 200 chance in any given year.

You have to weigh the benefits that you get from these anti-depressants against the small increase in risk that we found in this study
Dr Sylvia Wassertheil-Smoller
Albert Einstein College of Medicine
However, they said that because so many women were taking anti-depressants the effect would be significant across the entire population.
It is not clear whether taking anti-depressants is solely responsible for the increased risk of a stroke.
Depression itself is known to be a risk factor for cardiovascular problems.
The researchers tried to take this into account in their analysis of the data – but could not rule out the possibility that it influenced the final results.
The study found no difference in stroke risk between the two major classes of anti-depressants, selective serotonin reuptake inhibitors (SSRIs) or tricyclic anti-depressants (TCAs).
However, the SSRIs did appear to convey a higher risk of hemorrhagic stroke caused by a bleed in the brain.
Lead researcher Dr Sylvia Wassertheil-Smoller, of Albert Einstein College of Medicine, stressed that treatment for depression was important, and that women should not stop taking prescribed medication without first consulting their doctor.
She said: “You have to weigh the benefits that you get from these antidepressants against the small increase in risk that we found in this study.”
Known links
The researchers said follow-up studies were needed before any firm conclusions could be drawn.
Dr Jordan Smoller, of Harvard Medical School, who also worked on the study, said: “We need to study this association more to determine exactly what it signifies.”
Joanne Murphy, for The Stroke Association stressed the study showed that overall risk for women taking anti-depressants was relatively small.
She said “We are already aware of links between depression and the risk of stroke and we are currently funding further studies to look into this.
“Everyone can help reduce their risk of stroke by making lifestyle changes, such as reducing their blood pressure, giving up smoking, reducing alcohol intake, improving their diet and getting plenty of exercise.”
Ellen Mason, of the British Heart Foundation, said: “Severe depression can be debilitating and even fatal, so it is important to weigh up any small increase in the risk of stroke with the benefits of treating depression.”
Bridget O’Connell, from the mental health charity Mind, said antidepressants produced a range of side effects that affected people in different ways.
She said: “Many people can experience huge benefits from taking antidepressants and it’s important they work with their GP to identify both the plus points and the drawbacks, and weigh up what treatment is best for them.”
http://news.bbc.co.uk/2/hi/health/8408783.stm

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Wednesday, December 16, 2009

Pengmabuk

Bismillah

O you who have believed, indeed, intoxicants, gambling, [sacrificing on] stone alters [to other than Allah ], and divining arrows are but defilement from the work of Satan, so avoid it that you may be successful.

Al-Ma’idah 5:90

I read a very interesting post on alcohol in iLuvislam.com… Actually I wanted to talk about it to last week, but somehow I forgot about it… -.-’

I’m writing this for my Muslim friends who are drinking… I wish that they are reading this, but I highly doubt it…

Every Friday I’ll have a class on ‘Complex Nutrition in Sportsmen’… The whole course deals about how to ensure that athletes get enough nutrients depending on the type of sports… For example, we’re told about what’s good for endurance sportsman/woman and what’s good for power sports… We are also taught about diet, doping and drinking regimes… Which is very interesting, because I never thought that food and also drinks play a very very important (I knew they are important, but not as important as stressed in the class) role in sports… They even design the diet programs to be used from months before and up to 30 minutes before the competition!

And when talking about drinks, being in Czech Republic, of course they will mention about alcohol somewhere along the course… It’s to be expected, since Czech Republic is one of the countries with the highest alcohol consumption per-capita in the world (1st in terms of beer)… And as expected, the professor mentioned about the merits and demerits of alcohol… The presentation also mentioned that beer is a good thirst quencher… I couldn’t help but chuckle during the class…

Half full or half empty? Regardless, it’s the best thirst quencher…

If you want to know more about how can alcohol be bad to your health, please read the article I mentioned above… I won’t mention them here, as that would be unjust to the writer… Honestly, the article mentioned about Blood Brain Barrier, Fetal Alcohol Syndrome, which I think is impressive…

However the harm that drinkers are causing to their brains and livers are only part of the problem… Ever heard about secondary smokers? For alcohol, there are also secondary drinkers… Who are they? They are the people who died when hit by a drunk driver… They are the people who got to clean up the mess (puke, urine or whatever) in the bus next morning… They are the victims of household violence by people under the influence… They are the newborns born with cravings for alcohol…

With that, let’s all stay sober…

For those who love Google Earth, and want to see the effects of alcohol on the world, download this file (got from New Scientist.com)

[Via http://taknakbagitengok.wordpress.com]

Monday, December 14, 2009

Blood-sucking union

Literally.

At a time of year when blood donations are at their lowest levels and are the most urgently needed, the International Brotherhood of Teamsters, SEIU’s sister union and member of Burger’s Change to Win labor coalition, took advantage of the opportunity to go on strike on December 4th against the American Red Cross Blood Services Penn-Jersey Region. Local 929 initiated the strike at midnight just as their contract expired. Hours later, the Red Cross was forced to take legal action when some strikers illegally blocked one blood delivery in particular
“the Red Cross says it had to inform union members that a two-year-old child’s life depended on our blood delivery before they would allow a Red Cross vehicle to exit the yard to get the necessary blood products to the hospital.”

[Via http://jeffreyquick.wordpress.com]

Shaken: Journey into the Mind of a Parkinson’s Patient

See how Deep-brain Stimulation works:

‘Most people know that Parkinson’s disease is a crippling neurodegenerative disorder. But what do Parkinson’s patients actually have to go through day after day? And what do such procedures as deep-brain stimulation (DBS)—currently the most effective surgical treatment for the disease—involve?

‘Shaken: Journey into the Mind of a Parkinson’s Patient answers these questions. The documentary follows Paul Schroder, who was diagnosed with the disease when he was in his 30s and who, after growing increasingly debilitated, decided to undergo DBS. The film is now airing nationally on public television stations and is available on DVD through the Lila Films Web site’ www.lilafilms.com/shakendvd.htm. -Sci Am

[Via http://pochp.wordpress.com]

Friday, December 11, 2009

Update from Las Vegas!

Things are going very well at the Annual Congress on Anti-Aging Medicine and Regenerative Biomedical Technologies in Las Vegas!  The show has been very active, with many doctors showing interest in our equipment!  Quite a few of our products have been sold already.

As this is the first purely medical trade show that Lypossage has participated in, we were very pleased with the response!  Not only has the booth generated a great deal of interest, but many attendees have heard of Lypossage, and were very excited to see our presence at the show!

Below are some pictures from the show, and there are even more after the jump!

Katie Wiltsie & Charles W. Wiltsie III at the booth in Las Vegas, Nevada

Katie demonstrating our equipment on the Lypossage model

Katie demonstrating Lypossage equipment at the booth in Las Vegas

[Via http://lypossage.wordpress.com]

Desperate dad's Google delivery

Advantage of Technology.Sometimes, most of the information on the same subject are contradictory, for example refer excessive lactation-diet.Under the circumstances it is prudent to call in the Doctor and browsed information must be kept for reference after cross verification.

FRANTIC father Leroy Smith resorted to Google with the request “how to deliver a baby” when his wife went into labour.

When wife Emma suddenly started to give birth at home, he opted to use the internet. Mr Smith called a midwife for advice, but before she arrived Emma, 25, began having powerful contractions.

So the 29-year-old father of three grabbed hold of his BlackBerry, accessed the internet, and sought help from search engine Google for step-by-step instructions.

After following the guidance from internet encyclopedia Wikipedia, Mr Smith helped his wife give birth to daughter Mahalia Merita Angela Smith.

“I was very, very nervous. I never thought I’d actually have to do it. The BlackBerry told me that when I saw the head, I had to support it,” Mr Smith said.

Proud mum-of-four Emma, of Leytonstone, East London, said: “It’s incredible that Leroy delivered our first daughter. The other three are boys.

“And thank God for the BlackBerry, I’m never going to moan at Leroy about being on the phone again.”
http://www.news.com.au/couriermail/story/0,23739,26470820-5013016,00.html

[Via http://ramanan50.wordpress.com]

Monday, December 7, 2009

it was a good thing (he knew CPR)

the morning after
december’s first snowfall i
woke up in clear eyes,
borrowed pajamas and with a
chest bruised
from where the
doctors had pumped wild
air back into lips and
lungs that for too
long had tasted only
salt.

[Via http://arspoetica.wordpress.com]

Friday, December 4, 2009

The Scientific American Day in the Life of Your Brain

The Scientific American Day in the Life of Your Brain by Judith Horstman

RC 341 .H67 2009

“A 24-Hour Journal of What’s Happening in Your Brain as You Sleep, Dream, Wake Up, Eat, Work, Play, Fight, Love, Worry, Compete, Hope, Make Important Decisions, Age, and Change”–cover.

“The Scientific American Day in the Life of Your Brain reveals what’s going on in there while you sleep and dream, how your brain makes memories and forms addictions, and why we sometimes make bad decisions. The book also offers intriguing information about your emotional brain and what’s happening when you’re feeling love, lust, fear, and anxiety–and how sex, drugs, and rock and roll tickle the same spots.

Based on the latest scientific information, the book explores your brain’s remarkable ability to change, how your brain can make new neurons even into old age, and why multitasking may be bad for you.

Your brain is uniquely yours–but research is showing that many of its day-to-day cycles are universal. This book gives you a look inside your brain and some insights into why you may feel and act as you do.”–book jacket.

[Via http://scclibrary.wordpress.com]

Wednesday, December 2, 2009

Plan for today

1. Get out of bed
2. Jump into the shower
3. Get dressed and all
4. Walk to Asda and buy “niste”
5. Head so over to the library and catch up with Ida and Magda (If Magda has got there by that time)
6. Do some epic sketchbook work
7. Edit essay a bit (This is a maybe, I might concentrate on the sketchbook bit)
8. Take my medicine
9. Meet my boyfriend
10. Eat something and drink something
11. Check Facebook from time to time
12. Go home and go to bed

These things can occur in a random order.

[Via http://dougielee.wordpress.com]

When She Gains a Few Pounds: Walking Through a Minefield in Relationships and Marriage

Cold weather and “the holidays” are here, at least in the Northern Hemisphere, and many of us tend to over-feast and are about to develop that inconvenient layer of winter fat and we’re already wondering how many extra trips to the gym it will take to get rid of it. And it’s not just winter fat, either. Stress, pregnancy, etc., can put a major whammy on women, who are especially troubled in the Southern Hemisphere right now because bikini season is here! What do you do when she gains a few pounds? Inquiring minds want to know, at least if they ever hope enjoy being married again…
The holidays are here, and that means good food and parties. It also means a lot of scrambling around trying to do holiday shopping and eating out for lack of time, not to mention family gatherings, etc. That means that unless your wife is extremely disciplined or has an extremely high metabolism, she’s going to pick up a few pounds, and like it or not, you’re going to have to deal with it.
Sounds like a no-win situation, huh? It’s tricky for sure, but not impossible. Here’s a typical letter about this most common problem, and a very sticky one to say the least. Meet Tia:
Dear David,
I need your help. The past few months I have put on a few extra pounds due to a medication that I have to take for my asthma. Everybody tells me that they don’t notice it and I look good, but to me I feel like the Goodyear blimp and have no desire to be intimate with my husband at all because I’m embarrassed over having curves in places that were flat. The more he tries to tell me I look sexy the more his advances just make me feel pressured, and I hate feeling under pressure this way. It has nothing to do with not loving him or not wanting to enjoy each other the way we always have. We have always been very in touch with each other and being together in the bed was always one of the best parts.
I was hoping you could give me some advice as to how I could bring this up with him. I want him to understand just how awful I feel I look and how it has nothing to do with him at this point.
Thank you,
Tia
Tia, I’m going to make this really easy for you, because it’s such a great question. Just print this and let him read it, because I’m going to tell him and all the other men about this. He won’t know it’s you unless you tell him because I’ve changed the name to protect your privacy.
Get ready guys! Pay close attention, take notes, and make sure you fully understand what you’re about to read. This is some of the most critical information to ever appear in this newsletter and you need to get this down pat and cold, right now, because sooner or later, EVERY woman will experience a bit of weight gain that makes her uncomfortable with her appearance, and consequently, with YOU. There is both medical and emotional/psychological/relationship information and advice here, and I promise you it will be worth your while to spend a couple extra minutes reading it. It may not only help save your marriage, it may help save your or your spouse’s life.
If you’ve read “THE Man’s Guide to Great Relationships and Marriage,” you know about the difference in the male and female brain structure. Aside from making our communications styles and methods grossly different, it also makes women visualize and dramatize to the extreme compared to males.
You also must remember that nearly all of the advertising in the fashion and beauty industries is designed to prey upon a woman’s sense of competitiveness to make her feel insecure about her appearance so she’ll buy their products even if she doesn’t need them. Women are literally bombarded with this crap everywhere they look, and while you or I probably wouldn’t even notice a little weight gain until we had to loosen our belt a notch or sew a button back on our trousers that had popped off, to them a pound or two can be nearly or entirely traumatic, especially if they’ve taken pride in a flat stomach for a long time.
We often respond to this by telling them that they look “fine,” “sexy,” “hot,” etc., and that is precisely the wrong thing to do. Why?
She knows what she sees in the mirror, and thinks that you see what she sees in the mirror. If she thinks she looks fat and you say she looks sexy, all that says to her is that either you’re lying to suck up to her or your standards are really, really low. Don’t go there, even if you really think she looks better with a couple of extra pounds because you like the curves, and whatever you do, DON’T tell her you like the new curves! That can get you killed, because in her ears, that’s, “But honey, I like you better when you’re fat like this.” (Ladies, you are cordially invited to write and tell the men just that – I’ll reprint your letters so the men will know just how serious an issue this is.)
And this is getting to be a more and more pervasive problem, especially in the United States. In the 1980’s some moron at the FDA decided that Americans might get too much iodine in their diet, and told manufacturers to replace the potassium iodide that was added to flour and other things as an anti-caking agent with potassium bromide, which attaches to the same receptors in the thyroid as iodine but does not create thyroid hormones, the chemicals that keep your metabolism up to a healthy level, because they are based on iodine. They also advised against the iodizing of salt. This resulted in slowed metabolism and “brominated thyroid,” a condition wherein the thyroid is inundated with bromine, which renders it dysfunctional or even non-functional.
Concurrently, women started trying to add career aspirations to motherhood and running a household, which added stress. Stress causes the over-production of hydrocortisone, a.k.a., “cortisol,” by the adrenal glands, which causes your body to store fat for hard times (in normal amounts it actually helps you keep weight off because it is what transports the T3 thyroid hormone that regulates your metabolism into the cells where it causes your mitochondria to burn glucose to do whatever each cell is designed to do, the core of the human metabolism).
Then we have another idiot at the FDA who determined that a high-carbohydrate, low-fat or fat-free diet was healthy, overloading all of us with carbohydrates and making us insulin-resistant and consequently further slowing our thyroids (high blood glucose level impedes the conversion of T4, a thyroid hormone that is mostly inert and used to store iodine to T3), making us fatter and often diabetic.
Incidentally, prolonged stress causes fatigue of the adrenal glands, and when this happens, sufficient hydrocortisone to get the T3 hormone into the cells is not produced. This creates many of the symptoms of hypothyroidism, but obviously treating adrenal fatigue with thyroid hormone doesn’t fix the problem; indeed, it makes it worse, because the adrenal glands have to convert the excess T4 hormone into something else (called “reverse T3”) to get it out of the bloodstream, further stressing the adrenal glands. Thank you “modern medicine.”
Yes, I have a bone to pick with these incompetent jerks, and the pharmaceutical companies that are behind them, but my axe-grinding here is to show you why you see so many people around you becoming more and more overweight and to hopefully open your eyes to the facts that 1) it’s likely to happen to you and/or your partner, 2) you’ll have to deal with both the physical and emotional/psychological impact of it, and 3) there are things that you can do to fix it before it gets terribly broken and you and/or your partner end up on medication for the rest of your significantly-shortened life.
Incidentally, if you are even marginally overweight or there is any possibility that you could have a lower-than-normal (98.6° F. or 37.0° C., anything more than 0.2° F. or 0.1° C. is suspect) basal body temperature, slowed metabolism, dry skin, brittle nails, sleep disturbances, the outer third of your eyebrows thinning, thinning hair, dark circles around you eyes, allergies, weight gain, or any type of autoimmune problem, whether or not you are already on thyroid medication, go to http://www.stopthethyroidmadness.com/ and order the author’s very thorough, 100% factually-based book on the thyroid and how it is inadequately and inappropriately all over the world using the wrong lab tests (TSH, total T3 and total T4) and the wrong medication (synthetic T4 hormone, a.k.a., “Synthroid,” Levothyroxin, et al). It is also available at a slight discount at some of the bigger bookstores and online retailers. (I receive no commissions or other consideration for this recommendation. I make it because you need these facts to live a healthy and happy life.)
I stress this because I had to become an expert on this subject for my own health. I have a thyroid deficiency, went through pure hell for several years while being told by several physicians that I was “adequately treated” while remaining 50 pounds overweight in spite of diet and exercise in excess of US Military fitness specifications and having 18 symptoms of hypothyroidism (that have been known and used to diagnose hypothyroidism for over 100 years before the infamous TSH lab test was made popular) remaining after several years of treatment, just because a lab result that reports irrelevant information was in “the normal range,” which some rather sharp doctors have found is preposterous. The StopTheThyroidMadness.com web site also has a link to another site that will help you find a local physician who will properly diagnose and treat this condition.
So getting back to your relationship, what are you supposed to do with regard to your partner?
You’d already know this, too, if you had read “THE Man’s Guide to Great Relationships and Marriage,” because you wouldn’t be making those kinds of advances and doing really stupid things like asking her to have sex with you. You’d be tripping her attraction triggers with alpha male behavior, naughty talk and gestures, and making her have fun and get so hot that she didn’t concern herself with her additional weight because she’d still feel sexy and desirable, and she’d be coming after YOU! (See Jay’s letter for an example, because he’s got it down cold.)
When you know what a woman wants, what makes her tick, how to both listen and talk to her, and how to lead her and have fun with her, she doesn’t feel like a middle-aged housewife that can’t compete with the 20-somethings anymore. She feels like a real queen who rules the world at your side by day and a red hot vixen by night, keeping that naughty little secret for you and you alone because you create it for her. There’s a time and place, not to mention a right way and a wrong way, for everything, and that includes delivering genuine, honest compliments, and giving them because they have been earned, not because you’re trying to get something in return. That’s called “flattery,” and it will get you absolutely nowhere with anyone who is worth getting anywhere with.
That, Gentlemen, is how a real man makes a real woman feel, and that is what you learn when you read “THE Man’s Guide to Great Relationships and Marriage.” So how many more times are you going to have to stick your foot in your mouth and spend the night in the doghouse before you go to http://www.makingherhappy.com/ and download your copy? Go now, and get it done, because there are far better things to do with your feet (and your mouth!).
In the meantime, live well, be well, and have a wonderful day!
David Cunningham

Labels: Handling Women’s Insecurities, hormones, How to Please a Woman, How Women Behave, Medicine, Warning Signs, What Women Want

[Via http://makingherhappy.wordpress.com]