by Rogue Medic in Rogue Medic
Should we have people providing "fake" acupuncture in the Emergency Department?
If so, how should we do this?
Since it is not the acupuncture, but the patient's reaction to the "ceremony of the placebo" that appears to be providing the pain relief, how many different ways might we vary the "treatment" to improve the placebo effect?... Read more »
Grissa, M., Baccouche, H., Boubaker, H., Beltaief, K., Bzeouich, N., Fredj, N., Msolli, M., Boukef, R., Bouida, W., & Nouira, S. (2016) Acupuncture vs intravenous morphine in the management of acute pain in the ED. The American Journal of Emergency Medicine. DOI: 10.1016/j.ajem.2016.07.028
Espay, A., Norris, M., Eliassen, J., Dwivedi, A., Smith, M., Banks, C., Allendorfer, J., Lang, A., Fleck, D., Linke, M.... (2015) Placebo effect of medication cost in Parkinson disease: A randomized double-blind study. Neurology, 84(8), 794-802. DOI: 10.1212/WNL.0000000000001282
Waber RL, Shiv B, Carmon Z, Ariely D. (2008) Commercial Features of Placebo and Therapeutic Efficacy. JAMA, 299(9), 1016. DOI: 10.1001/jama.299.9.1016
Ee, C., Xue, C., Chondros, P., Myers, S., French, S., Teede, H., & Pirotta, M. (2016) Acupuncture for Menopausal Hot Flashes. Annals of Internal Medicine, 164(3), 146. DOI: 10.7326/M15-1380
Cherkin, D., Sherman, K., Avins, A., Erro, J., Ichikawa, L., Barlow, W., Delaney, K., Hawkes, R., Hamilton, L., Pressman, A.... (2009) A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain. Archives of Internal Medicine, 169(9), 858. DOI: 10.1001/archinternmed.2009.65
Goldman, R., Stason, W., Park, S., Kim, R., Schnyer, R., Davis, R., Legedza, A., & Kaptchuk, T. (2008) Acupuncture for Treatment of Persistent Arm Pain Due to Repetitive Use. The Clinical Journal of Pain, 24(3), 211-218. DOI: 10.1097/AJP.0b013e31815ec20f
by Rosin Cerate in Rosin Cerate
In an effort to reduce pain or fix other health problems, some people will submit to having suction temporarily applied to various regions of their skin, usually the neck, shoulders, and back, via a collection of plastic or glass cups. This is known as cupping, and is a great way to embrace your inner Polkaroo.... Read more »
Lin CW, Wang JT, Choy CS, & Tung HH. (2009) Iatrogenic bullae following cupping therapy. Journal of Alternative and Complementary Medicine, 15(11), 1243-1245. PMID: 19922257
by Piter Boll in Earthling Nature
by Piter Kehoma Boll What if the cure for cancer has been living in your garden all this time and you have been trying to get rid of it because it is an annoying weed? I cannot assure you that … Continue reading →... Read more »
Brandão, M., Krettli, A., Soares, L., Nery, C., & Marinuzzi, H. (1997) Antimalarial activity of extracts and fractions from Bidens pilosa and other Bidens species (Asteraceae) correlated with the presence of acetylene and flavonoid compounds. Journal of Ethnopharmacology, 57(2), 131-138. DOI: 10.1016/S0378-8741(97)00060-3
Chang, J., Chiang, L., Chen, C., Liu, L., Wang, K., & Lin, C. (2001) Antileukemic Activity of Bidens pilosa L. var. minor (Blume) Sherff and Houttuynia cordata Thunb. The American Journal of Chinese Medicine, 29(02), 303-312. DOI: 10.1142/S0192415X01000320
Chiang, L., Chang, J., Chen, C., Ng, L., & Lin, C. (2003) Anti-Herpes Simplex Virus Activity of Bidens pilosa and Houttuynia cordata. The American Journal of Chinese Medicine, 31(03), 355-362. DOI: 10.1142/S0192415X03001090
Deba, F., Xuan, T., Yasuda, M., & Tawata, S. (2008) Chemical composition and antioxidant, antibacterial and antifungal activities of the essential oils from Bidens pilosa Linn. var. Radiata. Food Control, 19(4), 346-352. DOI: 10.1016/j.foodcont.2007.04.011
Kviecinski, M., Felipe, K., Schoenfelder, T., de Lemos Wiese, L., Rossi, M., Gonçalez, E., Felicio, J., Filho, D., & Pedrosa, R. (2008) Study of the antitumor potential of Bidens pilosa (Asteraceae) used in Brazilian folk medicine. Journal of Ethnopharmacology, 117(1), 69-75. DOI: 10.1016/j.jep.2008.01.017
Oliveira, F., Andrade-Neto, V., Krettli, A., & Brandão, M. (2004) New evidences of antimalarial activity of Bidens pilosa roots extract correlated with polyacetylene and flavonoids. Journal of Ethnopharmacology, 93(1), 39-42. DOI: 10.1016/j.jep.2004.03.026
Pereira, R., Ibrahim, T., Lucchetti, L., da Silva, A., & de Moraes, V. (1999) Immunosuppressive and anti-inflammatory effects of methanolic extract and the polyacetylene isolated from Bidens pilosa L. Immunopharmacology, 43(1), 31-37. DOI: 10.1016/S0162-3109(99)00039-9
Sun, Y., Zhou, Q., Wang, L., & Liu, W. (2009) Cadmium tolerance and accumulation characteristics of Bidens pilosa L. as a potential Cd-hyperaccumulator. Journal of Hazardous Materials, 161(2-3), 808-814. DOI: 10.1016/j.jhazmat.2008.04.030
by Mark Lasbury in As Many Exceptions As Rules
One the tenets of science is that hypotheses can't be proved, only disproved. But medical journals do not publish negative data, even though this is often helpful to scientists and physicians. A recent TED Talk by Ben Goldacre illustrates this point in the context of drug studies. In a bigger sense – is this really the only way to do science; to follow this one scientific method?... Read more »
Ben Goldacre. (2012) What doctors don't know about the drugs they prescribe. TED MED. info:/
by Rosin Cerate in Rosin Cerate
This is the third post in a series on strange substances accidentally or intentionally added to street drugs. When you're done here, check out the posts on alcohol and meth.Opioids are drugs that affect the human body by binding to a group of related proteins conveniently known as opioid receptors. By connecting to these receptors in a certain manner, they convince receptor-bearing cells in the brain, spinal cord, and intestine to do useful things like reduce the sensation of pain (while making ........ Read more »
Brett M, Hallas G, & Mpamugo O. (2004) Wound botulism in the UK and Ireland. . Journal of Medical Microbiology, 53(6), 555-561. DOI: 10.1099/jmm.0.05379-0
Fahn S, & Sulzer D. (2004) Neurodegeneration and neuroprotection in Parkinson disease. . NeuroRX, 1(1), 139-154. DOI: 10.1602/neurorx.1.1.139
by Mark Lasbury in As Many Exceptions As Rules
Evolution brings wisdom with age – and bacteria are ancient. Bacteria have evolved defenses ranging from evasion or inhibition of immune systems to protecting crucial functions from environmental injury. New studies have identified spring-loaded spikes that can be assembled and disassembled for puncturing other bacteria and delivering toxins, while other work is focused on using those same toxins to kill antibiotic resistant organisms, with E. coli have been engineered to produce toxins ag........ Read more »
Basler, M., Pilhofer, M., Henderson, G., Jensen, G., & Mekalanos, J. (2012) Type VI secretion requires a dynamic contractile phage tail-like structure. Nature, 483(7388), 182-186. DOI: 10.1038/nature10846
Saeidi, N., Wong, C., Lo, T., Nguyen, H., Ling, H., Leong, S., Poh, C., & Chang, M. (2011) Engineering microbes to sense and eradicate Pseudomonas aeruginosa, a human pathogen. Molecular Systems Biology. DOI: 10.1038/msb.2011.55
by Mark Lasbury in As Many Exceptions As Rules
Triclosan is the active ingredient in many anti-bacterial products, but does it make our environment too clean? The hygiene hypothesis states that early childhood exposure to certain antigens can help to balance and control the immune system, and therefore result in lower levels of food and seasonal allergies. One particularly important antigen seems to be arabinogalactan, a fiber/sugar molecule found on farms – maybe that’s why farmers’ kids have lower levels of food and other........ Read more »
Gennady Cherednichenkoa, Rui Zhanga, Roger A. Bannisterb,Valeriy Timofeyevc, Ning Lic, Erika B. Fritscha, Wei Fenga, Genaro C. Barrientosa, Nils H. Schebbd, Bruce D. Hammockd, Kurt G. Beame, Nipavan Chiamvimonvatc, and Isaac N. Pessaha. (2012) Triclosan impairs excitation–contraction coupling and Ca2 dynamics in striated muscle. PNAS. DOI: 10.1073/pnas.1211314109
by Rosin Cerate in Rosin Cerate
Bacteria tend to smell. A classic example is the geosmin-producing Streptomyces species responsible for the nice earthy scent of freshly dug up soil. In general, though, bacteria have unpleasant odours. Just think of cheese, armpits, and poop. Lots of bacteria in or on all of those things. Some of the stinkiest bacteria are ones capable of infecting us. The distinctiveness of their disgusting bouquets may provide a means of identifying them. Hippocrates apparently diagnosed tuberculosis (caused ........ Read more »
Rao K, Berland D, Young C, Walk ST, & Newton DW. (2013) The nose knows not: Poor predictive value of stool sample odor for detection of Clostridium difficile. Clinical Infectious Diseases, 56(4), 615-616. PMID: 23166192
by Mark Lasbury in As Many Exceptions As Rules
Just like some people have a tendency to go overboard, so do some immune systems. Here’s all the ways that your immune system can get it wrong and leave you with allergies – and how some allergies can save your life.... Read more »
Calboli FC, Cox DG, Buring JE, Gaziano JM, Ma J, Stampfer M, Willett WC, Tworoger SS, Hunter DJ, Camargo CA Jr, Michaud DS. (2011) Prediagnostic plasma IgE levels and risk of adult glioma in four prospective cohort studies. J Natl Cancer Inst. . DOI: 10.1093/jnci/djr361
Joseph A Jackson, Ida M Friberg, Luke Bolch, Ann Lowe, Catriona Ralli, Philip D Harris, Jerzy M Behnke, Janette E Bradley. (2009) Immunomodulatory parasites and toll-like receptor-mediated tumour necrosis factor alpha responsiveness in wild mammals. BMC Biology. DOI: 10.1186/1741-7007-7-16
by Rosin Cerate in Rosin Cerate
It was the summer of 1882, and grape farmers in the Médoc region of southwest France (north of Bordeaux, on the Atlantic coast) had a problem.Schoolchildren (or university students, or just anyone travelling the roads along which the grapevines grew, depending on what source you're reading) were pilfering their grapes. To try and ward them off, some farmers decided to dissolve some slaked lime and copper sulfate in water and spray it on their grapevines closest to the roads. The idea was... Read more »
Pimentel J, & Marques F. (1969) 'Vineyard sprayer's lung': A new occupational disease. Thorax, 24(6), 678-688. DOI: 10.1136/thx.24.6.678
by Mark Lasbury in As Many Exceptions As Rules
For the first time anywhere - an easy explanation of your immune system in 1500 words! For the low, low price of zero dollars you can find out how your body protects you better the second time you are exposed to a disease. Special bonus offer – we’ll throw in how vaccines work and why you need one every year for the flu, although your old flu vaccines might still be helping you. ... Read more »
Mathews, J., McBryde, E., McVernon, J., Pallaghy, P., & McCaw, J. (2010) Prior immunity helps to explain wave-like behaviour of pandemic influenza in 1918-9. BMC Infectious Diseases, 10(1), 128. DOI: 10.1186/1471-2334-10-128
Kash, J., Qi, L., Dugan, V., Jagger, B., Hrabal, R., Memoli, M., Morens, D., & Taubenberger, J. (2010) Prior infection with classical swine H1N1 influenza viruses is associated with protective immunity to the 2009 pandemic H1N1 virus. Influenza and Other Respiratory Viruses, 4(3), 121-127. DOI: 10.1111/j.1750-2659.2010.00132.x
Cowling, B., Ng, S., Ma, E., Cheng, C., Wai, W., Fang, V., Chan, K., Ip, D., Chiu, S., Peiris, J.... (2010) Protective Efficacy of Seasonal Influenza Vaccination against Seasonal and Pandemic Influenza Virus Infection during 2009 in Hong Kong. Clinical Infectious Diseases, 51(12), 1370-1379. DOI: 10.1086/657311
by Rosin Cerate in Rosin Cerate
When I was a kid, I got thwacked in the face with a golf club. It was totally my fault. I was goofing around with my cousins (as one does) and failed to notice one of them winding up for a swing. Ended up with four stitches, the first one just half an inch from my left eye.... Read more »
Roberts BH. (1921) A series of cases of "glassblowers' cataract" occurring in chainmakers. The British Journal of Ophthalmology, 5(5), 210-212. PMID: 18168103
by Mark Lasbury in As Many Exceptions As Rules
When people are sick we isolate, we feel sorry for them, we avoid them. But we don’t think about the many times that being sick is actually good for your health. One example – vaccines. Many vaccines give you disease to prevent disease. Unfortunately, too many people are foregoing vaccination for their children based on fraudulent data. Think anti-vaxxers don’t affect you because you and your kids are vaccinated? Read on and learn better.... Read more »
Centers for Disease Control and Prevention (CDC). (2012) Pertussis epidemic - washington, 2012. MMWR. Morbidity and mortality weekly report, 517-22. PMID: 22810264
by Rosin Cerate in Rosin Cerate
It's goo week here at Rosin Cerate. So far we've looked at forms of natural springtime goo. For today's post, it's on to a much darker and less life-affirming goo. We're going to take a peek at the viscous fluids you can extract from a corpse to determine where/when/how it became a corpse and other useful forensic information.... Read more »
Bévalot F, Cartiser N, Bottinelli C, Fanton L, & Guitton J. (2015) Vitreous humor analysis for the detection of xenobiotics in forensic toxicology: A review. Forensic Toxicology, 34(1), 12-40. DOI: 10.1007/s11419-015-0294-5
Deking J, Hargrove VM, & Molina DK. (2014) Synovial fluid: An alternative toxicologic specimen?. The American Journal of Forensic Medicine and Pathology, 35(2), 154-6. PMID: 24781403
by Mark Lasbury in As Many Exceptions As Rules
Would you believe that the anatomy of your ribs is why you can sing and an ape can’t, or that one of the same reasons you can speak is the same reason you are likely to choke to death on a hotdog? Biology is weird, and you can tell it I said so.... Read more »
Kurt, S., Fisher, S., & Ehret, G. (2012) Foxp2 Mutations Impair Auditory-Motor Association Learning. PLoS ONE, 7(3). DOI: 10.1371/journal.pone.0033130
Li, T., Zeng, Z., Zhao, Q., Wang, T., Huang, K., Li, J., Li, Y., Liu, J., Wei, Z., Wang, Y.... (2012) FoxP2 is significantly associated associated with schizophrenia and major depression in the Chinese Han Population . World Journal of Biological Psychiatry, 1-5. DOI: 10.3109/15622975.2011.615860
by Rogue Medic in Rogue Medic
The return of consciousness without the return of a pulse is still rare, but may be more common with our increased focus on high quality chest compressions. There is still no evidence that interrupting chest compressions, for anything other than defibrillation, improves outcomes.
Is this due to the consistency of the machine? Maybe. Maybe not. We do not have enough evidence to draw that conclusion.
Is this growing population really growing? Maybe. Maybe not. We do not have enough evidence ........ Read more »
Rice, D., Nudell, N., Habrat, D., Smith, J., & Ernest, E. (2016) CPR induced consciousness: It's time for sedation protocols for this growing population. Resuscitation. DOI: 10.1016/j.resuscitation.2016.02.013
Olaussen A, Shepherd M, Nehme Z, Smith K, Bernard S, & Mitra B. (2015) Return of consciousness during ongoing cardiopulmonary resuscitation: A systematic review. Resuscitation, 44-8. PMID: 25447435
Lilja G, Nilsson G, Nielsen N, Friberg H, Hassager C, Koopmans M, Kuiper M, Martini A, Mellinghoff J, Pelosi P.... (2015) Anxiety and depression among out-of-hospital cardiac arrest survivors. Resuscitation, 68-75. PMID: 26433116
by Rosin Cerate in Rosin Cerate
One of the main reasons we study how bacteria and fungi work is to minimize their negative effects on our health. These effects usually stem from being munched on (in other words, an infection) and/or being damaged by a toxic substance (being poisoned). While poisonings due to bacteria and fungi predominantly occur either in association with infections (e.g. diphtheria and tetanus) or via eating contaminated food (e.g. botulinum toxin and aflatoxins) or a misidentified mushroom (e.g. amatoxins),........ Read more »
Nogué S, Pou R, Fernández J, & Sanz-Gallén P. (2011) Fatal hydrogen sulphide poisoning in unconfined spaces. Occupational Medicine, 61(3), 212-214. PMID: 21467246
Whitney J, Beijerink N, Martin P, Talbot J, & Barrs V. (2013) Hypersensitivity pneumonitis in a dog associated with Geastrum triplex spores. Medical Mycology Case Reports, 122-124. DOI: 10.1016/j.mmcr.2013.05.002
by Megan Cartwright in Science-Based Writing
There’s something missing from all the coverage of Zika virus, the mosquito-spread flavivirus that’s spread across 26 countries in the Americas since May 2015. While Zika usually doesn’t cause symptoms in adults, the outbreak coincided with a 20- to 40-fold … Continue reading →... Read more »
Tetro JA. (2016) Zika and microcephaly: causation, correlation, or coincidence?. Microbes and infection / Institut Pasteur. PMID: 26774330
by Piter Boll in Earthling Nature
by Piter Kehoma Boll About a year ago, almost nobody on the whole world was aware of the existence of a virus named Zika virus and the illness it may cause in humans, the Zika fever or Zika disease. But … Continue reading →... Read more »
Kohl, A., & Gatherer, D. (2015) Zika virus: a previously slow pandemic spreads rapidly through the Americas. Journal of General Virology. DOI: 10.1099/jgv.0.000381
Vasconcelos, P. (2015) Doença pelo vírus Zika: um novo problema emergente nas Américas?. Revista Pan-Amazônica de Saúde, 6(2), 9-10. DOI: 10.5123/S2176-62232015000200001
by Mark Lasbury in As Many Exceptions As Rules
Exercising makes you smarter! Preadolescents who begin exercising score better on a cognitive assessment not unlike an IQ test. They also perform better on a math test, even though no additional math instruction was given. But to maximize the increase in neural plasticity, you have to exercise several times a week for months. The weirdest part – different types of exercise alter different neurotrophins, so to be your smartest, you need to do aerobic training and resistance training. ... Read more »
Patten AR, Sickmann H, Hryciw BN, Kucharsky T, Parton R, Kernick A, & Christie BR. (2013) Long-term exercise is needed to enhance synaptic plasticity in the hippocampus. Learning , 20(11), 642-7. PMID: 24131795
Cassilhas RC, Lee KS, Fernandes J, Oliveira MG, Tufik S, Meeusen R, & de Mello MT. (2012) Spatial memory is improved by aerobic and resistance exercise through divergent molecular mechanisms. Neuroscience, 309-17. PMID: 22155655
Davis CL, Tomporowski PD, McDowell JE, Austin BP, Miller PH, Yanasak NE, Allison JD, & Naglieri JA. (2011) Exercise improves executive function and achievement and alters brain activation in overweight children: a randomized, controlled trial. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 30(1), 91-8. PMID: 21299297
Tam ND. (2013) Improvement of Processing Speed in Executive Function Immediately following an Increase in Cardiovascular Activity. Cardiovascular psychiatry and neurology, 212767. PMID: 24187613
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