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Defensive Medicine

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81. Aortic aneurysm: in defense of the vascular smooth muscle cell (PubMed)

Aortic aneurysm: in defense of the vascular smooth muscle cell 27784700 2018 08 09 2018 12 02 1524-4636 36 11 2016 11 Arteriosclerosis, thrombosis, and vascular biology Arterioscler. Thromb. Vasc. Biol. Aortic Aneurysm: In Defense of the Vascular Smooth Muscle Cell. 2138-2140 Kim Ha Won HW From the Division of Cardiology, Department of Medicine, Vascular Biology Center, Medical College of Georgia at Augusta University. Weintraub Neal L NL From the Division of Cardiology, Department of Medicine

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2016 Arteriosclerosis, thrombosis, and vascular biology

82. Trade-offs between acquired and innate immune defenses in humans (PubMed)

Trade-offs between acquired and innate immune defenses in humans Immune defenses provide resistance against infectious disease that is critical to survival. But immune defenses are costly, and limited resources allocated to immunity are not available for other physiological or developmental processes. We propose a framework for explaining variation in patterns of investment in two important subsystems of anti-pathogen defense: innate (non-specific) and acquired (specific) immunity (...) . The developmental costs of acquired immunity are high, but the costs of maintenance and activation are relatively low. Innate immunity imposes lower upfront developmental costs, but higher operating costs. Innate defenses are mobilized quickly and are effective against novel pathogens. Acquired responses are less effective against novel exposures, but more effective against secondary exposures due to immunological memory. Based on their distinct profiles of costs and effectiveness, we propose that the balance

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2016 Evolution, medicine, and public health

83. Effects of ethanol extract of propolis on histopathological changes and anti‐oxidant defense of kidney in a rat model for type 1 diabetes mellitus (PubMed)

Effects of ethanol extract of propolis on histopathological changes and anti‐oxidant defense of kidney in a rat model for type 1 diabetes mellitus Oxidative stress has a key role in the pathogenesis of diabetes. Propolis and its constituents have a wide range of medicinal properties against oxidative stress. In the present study, we evaluated the anti-oxidant effects of ethanolic extracts of propolis on kidneys in diabetes mellitus rats.A total of 40 male Wistar rats were randomly divided

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2016 Journal of Diabetes Investigation

84. Precision Military Medicine: Conducting a multi-site clinical utility study of genomic and lifestyle risk factors in the United States Air Force (PubMed)

Precision Military Medicine: Conducting a multi-site clinical utility study of genomic and lifestyle risk factors in the United States Air Force Following several years enrolling disease-specific and otherwise healthy cohorts into the Coriell Personalized Medicine Collaborative, a prospective study aimed at evaluating the clinical utility of personal genomic information for common complex disease and pharmacogenomics, the Coriell Personalized Medicine Collaborative expanded to create a military (...) Department of Defense. Over the longer term, analyses will further contribute to the development of policies and processes relevant to clinical decision support and data sharing within the US military, and on-going work with the Air Force Medical Service sub-cohort will generate critical insights into how best to deploy useful genomic information in clinical care. Here we discuss challenges faced and critical success factors for military-civilian collaborations around genomic research.

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2017 NPJ genomic medicine

85. Study of Medical Students' Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?” (PubMed)

Study of Medical Students' Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?” Defensive medicine is a medical practice in which health care providers' primary intent is to avoid criticism and lawsuits, rather than providing for patients' medical needs. The purpose of this study was to characterize medical students' exposure to defensive medicine during medical school rotations.We performed a cross-sectional survey study of medical students at the beginning of their third year (...) . We gave students Likert scale questionnaires, and their responses were tabulated as a percent with 95% confidence interval (CI).Of the 124 eligible third-year students, 102 (82%) responded. Most stated they rarely worried about being sued (85.3% [95% CI=77.1% to 90.9%]). A majority felt that faculty were concerned about malpractice (55.9% [95% CI=46.2% to 65.1%]), and a smaller percentage stated that faculty taught defensive medicine (32.4% [95% CI=24.1% to 41.9%]). Many students believed

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2013 Western Journal of Emergency Medicine

86. A physician defends Ayurveda: Is it the original personalized medicine?

personalized care, not simply a prescription for another medication to meet a quality metric. In my opinion, there is truly no match for Western medicine once the body’s defenses have been breached and disease has emerged. But to prevent these breaches and fortify defenses, we should look at systems such as Ayurveda which have proven the test of time. is a family physician. Image credit: … … 722 Shares Tagged as: Subscribe to KevinMD and never miss a story! Get free updates delivered free to your inbox (...) A physician defends Ayurveda: Is it the original personalized medicine? A physician defends Ayurveda: Is it the original personalized medicine? A physician defends Ayurveda: Is it the original personalized medicine? | | February 16, 2019 722 Shares As more patients and clinicians are searching for holistic approaches to health care, Ayurveda, or the traditional medical system of India, has been gaining popularity in the Western world. Unfortunately, many allopathic physicians still view

2019 KevinMD blog

87. More “auricular” acupuncture: Our veterans deserve science-based medicine, not quackery

More “auricular” acupuncture: Our veterans deserve science-based medicine, not quackery More "auricular" acupuncture: Our veterans deserve science-based medicine, not quackery - RESPECTFUL INSOLENCE March 27, 2019 March 25, 2019 March 22, 2019 March 20, 2019 March 19, 2019 March 18, 2019 Denice Walter on squirrelelite on Derek Freyberg on RJ on RJ on RJ on RJ on rs on Christine Rose on Nancie on on Search and explore Browse "A statement of fact cannot be insolent." The miscellaneous ramblings (...) of a surgeon/scientist on medicine, quackery, science, and pseudoscience (and anything else that interests him). More “auricular” acupuncture: Our veterans deserve science-based medicine, not quackery It’s a new year, but sadly the same old nonsense is continuing. I know I shouldn’t be surprised. After all, years are just arbitrary periods of time used to keep track of it, but culturally we humans are wired to think that there’s something special about a new year, that decades have distinct characters

2018 Respectful Insolence

88. Mainstream medicine needs to play offense

my incredulity, as I wanted to blurt out, “You do know that I’m a ‘mainstream doctor,’ right?!” It is interactions like this one that have convinced me that mainstream medicine (MM) can no longer ignore alternative medicine (AM), nor can it be content with simply playing defense when a patient comes in sporting dubious research that she wants incorporated into her treatment plan. Patients are reading AM websites with information that is so plausible – and so ubiquitous on the internet (...) – that the problem is no longer that they’re accepting this information at face value. It’s worse than that. They are also assuming that their research is so authoritative and unassailable that those of us who practice evidence-based medicine have come to the same conclusions. Or, if we haven’t come to the same conclusions, our patients believe that they can educate us about the “right” way to approach endocrine care. Folks, mainstream medicine needs to start playing offense. In MM’s defense, it has published

2019 KevinMD blog

89. The Role of Nutrition and Edible Medicinal Plants in the Treatment of Chronic Wounds Based on the Principles of Iranian Traditional Medicine (PubMed)

The Role of Nutrition and Edible Medicinal Plants in the Treatment of Chronic Wounds Based on the Principles of Iranian Traditional Medicine Skin is the body's first defense against stressful factors. Skin wounds are caused by the loss of connection in the skin and recovery requires cellular and biochemical reactions. Chronic wounds arise from the lack of physiological processes and the disease due to complications (e.g. infection and amputation) has devastating consequences on societies (...) . According to the principles of Iranian traditional medicine (ITM), these disorders can be treated in a step-by-step procedure.This is a systematic review study that involved gathering data from three traditional medical textbooks, namely Canon of Medicine, Tib-e-Akbari and Exir-e-Azam with the keyword "chronic wound" or "ghorha". In the next step, few tables were developed for nutrition measures as well as edible and topical medicinal herbs. Electronic databases such as PubMed, Scopus, Web of Science

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2016 Iranian journal of medical sciences

90. Food the Forgotten Medicine: More bait and switch from the “College of Medicine”

Food the Forgotten Medicine: More bait and switch from the “College of Medicine” Food the Forgotten Medicine: More bait and switch from the “College of Medicine” – DC's Improbable Science Search this blog Meta Corrected and searchable version of of Lectures on Biostatistics (THES, 1973). Latest Tweets "An anti-EU movement can’t also be anti-US, not without looking as if it hates everyone" by Boris: "less a lovable maverick than a rather unpleasant oddball." by RT : My cartoon - is our safe (...) , that's it Categories Categories Archives Archives » in which I advocate the view put by John Ioannidis that remarkably little is known about the health effects if individual nutrients. That ignorance has given rise to a vast industry selling advice that has little evidence to support it. The 2016 Conference of the so-called "College of Medicine" had the title "Food, the Forgotten Medicine". This post gives some background information about some of the speakers at this event. I’m sorry it appears

2016 DC's Improbable Science blog

91. Marica Ferri: What can we learn from the evidence based medicine manifesto?

lack of evidence and evidence of non-effectiveness exacerbates defensive rejections of EBM, rather than encouraging advocacy for more investment in research. Professionals and decision makers are uncertain on how to implement and monitor evidence-based interventions and can be tempted by simplistic approaches. What change do we want to achieve? We need a shared understanding of what evidence-based medicine is and how to apply it in everyone’s daily life. We must encourage greater participation (...) Marica Ferri: What can we learn from the evidence based medicine manifesto? Marica Ferri: What can we learn from the evidence based medicine manifesto? - The BMJ ---> The has been launched to improve the implementation of evidence based interventions by pulling together a clear set of achievable goals, and a strong overview of the strategies that work best, to help deliver change better and faster. In some areas, such as the treatment of illicit drugs related problems, evidence based medicine

2017 The BMJ Blog

92. Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine

Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine By on August 6, 2017. One of the gratifying things about having been (...) blogging so long—nearly 13 years now!—is that you start to see stories that you wrote about a long time ago resurface, allowing you to see the resolution. For instance, I've not infrequently written about people who, mistakenly believing the blandishments of alternative medicine practitioners that they could forego all that nasty chemotherapy and radiation and survive their cancer to live a happy, normal life, made the disastrous decision to eschew conventional medical therapy and pursue alternative

2017 Respectful Insolence

93. Cassandra Callender’s cancer is progressing, and the quackery didn’t stop it. Let’s hope real medicine can.

Cassandra Callender’s cancer is progressing, and the quackery didn’t stop it. Let’s hope real medicine can. Cassandra Callender's cancer is progressing, and the quackery didn't stop it. Let's hope real medicine can. | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Cassandra Callender's cancer is progressing, and the quackery didn't stop it. Let's hope real medicine can. By on June 4, 2017. This is the sort of story that I really hate but feel obligated to discuss. I (...) hate these stories because they usually portend the unnecessary death of a cancer patient, often a child with cancer whose parents refuse chemotherapy or who refuses chemotherapy and is unfortunate enough to have a parent who either has alternative medicine proclivities herself, lacks the guts to tell the child that he's getting treated for his own good and he doesn't have a choice in the matter, or, in a couple of cases that I've discussed, conflates using indigenous people's medicine instead

2017 Respectful Insolence

94. Death by intravenous “turmeric”: Naturopaths circle the wagons and the chair of the Naturopathic Medical Committee of California looks for dirt on conventional medicine

the approximate numbers but needed a reference. One wonders if Field is going to cite Mercola and Null in the proceedings against Kelly. The above exchange strongly indicates that Field will have his finger on the scale of justice in Kelly's favor when his case inevitably comes before his board. It's of a piece with the AANP defense of intravenous curcumin in which conventional medicine is lambasted and portrayed as dangerous, and it's clear that the Kelly's defense will involve claiming that curcumin is safe (...) Death by intravenous “turmeric”: Naturopaths circle the wagons and the chair of the Naturopathic Medical Committee of California looks for dirt on conventional medicine Death by intravenous "turmeric": Naturopaths circle the wagons and the chair of the Naturopathic Medical Committee of California looks for dirt on conventional medicine | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Death by intravenous "turmeric": Naturopaths circle the wagons and the chair

2017 Respectful Insolence

95. Hallelujah! The mainstream press finally notices quackademic medicine!

medicine. We have integrative medicine,” said Dr. Irene Estores, medical director of the integrative medicine program at the University of Florida Shands Hospital in Gainesville, Fla. Ugh. Double ugh. Has there been a more smarmy, more disingenuous defense of "integrative medicine." My response is: Bullshit. You "integrate" alternative medicine with medicine. Also, as they say, integrating cow pie with apple pie doesn't make the cow pie better; it makes the apple pie worse. That's exactly what's (...) Hallelujah! The mainstream press finally notices quackademic medicine! Hallelujah! The mainstream press finally notices quackademic medicine! | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Hallelujah! The mainstream press finally notices quackademic medicine! By on March 8, 2017. I've been writing about a phenomenon that I like to refer to as "quackademic medicine," defined as the infiltration into academic medical centers and medical school of unscientific

2017 Respectful Insolence

96. Medical Malpractice in Connecticut: Defensive Medicine, Real Problem or a Red Herring – Example of Assessment of Quality Outcomes Variables (PubMed)

Medical Malpractice in Connecticut: Defensive Medicine, Real Problem or a Red Herring – Example of Assessment of Quality Outcomes Variables Using the survey data obtained from doctors in Connecticut, we estimate the "true" costs of defensive medicine and medical malpractice awards via litigation in the overall aggregate picture of U.S. national annual health expenditures.Progressives claim that these costs amount only to approximately 2% of total annual health expenditures, while

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2012 Acta Informatica Medica

97. Defensive Medicine

Defensive Medicine Defensive Medicine Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Defensive Medicine Defensive Medicine Aka (...) : Defensive Medicine II. Definitions Defensive Medicine Deviation from evidence-based medical decisions due to liability threat Example: Ordering advanced imaging (e.g. ) despite reassuring decision rules (e.g. ) Sub-types of Defensive Medicine Assurance behavior Additional services offered that add little medical value Avoidance behavior Replacing care by referring to another medical provider Reducing care by refusing to treat a patient III. Epidemiology Defensive Medicine is practiced by a majority

2015 FP Notebook

98. Pathogens and Defense: Speakers recap from the 6th EMBO Meeting

Pathogens and Defense: Speakers recap from the 6th EMBO Meeting Pathogens and Defense: Speakers recap from the 6th EMBO Meeting | PLOS ECR Community PLOS Blogs Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health Research Analysis & Scientific Policy Diverse perspectives on science and medicine Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health (...) the ‘Pathogens and Defense’ set from Sunday, Sept. 6th. PLOS had a booth at the EMBO meeting, and PLOS Student Blogger Meredith Wright recaps some of the key speakers from the 2015 meeting. Gillian M. Griffiths, director of the Cambridge Institute for Medical Research and Professor of Immunology and Cell Biology at the University of Cambridge, was a speaker at the 6th EMBO meeting. Photo courtesy of University of Cambridge. Griffiths is the director of the Cambridge Institute for Medical Research

2015 PLOS Blogs Network

99. Criticism of NEJM’s defense of industry-physician relations

will be still be alive on the site for a couple of years. 6093 Posts Menu May 14, 2015 Criticism of NEJM’s defense of industry-physician relations Posted By Categories , , , , Tags , , , , , The following is a guest blog post from one of our contributors, Susan Molchan, MD, a psychiatrist in the Washington, DC, area. In the first of a series of pieces, New England of Journal of Medicine national correspondent Dr. Lisa Rosenbaum wrote, “ .” (You really should read this piece to get its full impact (...) Criticism of NEJM’s defense of industry-physician relations Criticism of NEJM's defense of industry-physician relations Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about health care interventions. And those

2015 HealthNewsReview

100. How to avoid #MeToo in medicine

How to avoid #MeToo in medicine How to avoid #MeToo in medicine How to avoid #MeToo in medicine | | January 24, 2018 314 Shares Let me say first that any woman who has ever been harassed or assaulted should never be made to feel that it is her fault. It is always the perpetrator’s fault. Men can be boors, or worse, and testosterone can be toxic. I went to Princeton University at a time when the ratio of men to women was 8:1, graduated from medical school in the 1980s, and raised two daughters (...) . I’ve had ample reason and plenty of time to think about strategies to deal with harassment, parry a verbal thrust, and maneuver out of a potentially humiliating or harmful situation. We’re lucky in medicine that we have intellectual qualifications — board scores, professional degrees — that are our primary entryway into medical school and residency programs. We’re not being judged primarily on our looks. Yet many social media comments recently have underscored the fact that some women in medicine

2018 KevinMD blog

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