Friday, November 28, 2014

Does exercising efficiency decrease in cycists and walkers with aging but not runners?

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The following will likely  only be of interest to older runners,walkers, cyclists and folks who like to talk about mitochondria.see here fo...
Friday, November 14, 2014

Eight high school football deaths from head or neck injury in 2014 equaling the number in 2013.

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The Annual Survey of Football Injuries 1931-2013 (first author Kristen Kucera) was published in March 2014.See here for the full report. ...
Monday, November 10, 2014

The Great Health Information Technology Flim-Flam explained in plain english

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Margalit Gur-Arie has hit another out of the park on her blog "Health Care Technology". Everyone should read her recent entry enti...
Friday, October 24, 2014

Does much of the blame for sarcopenia rest on the satellite cells of the fast twitch muscle fibers?

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Well, at least some of the blame anyway. Dr. LB Verdijk and coworkers at the Masstricht University in The Netherlands have published sever...
Tuesday, September 30, 2014

Can long standing endurance exercise training mitigate the of age related loss of compliance of left ventricle?

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With more evidence available to generate legitimate concern about an increased risk of atrial fibrillation with  many years of endurance exe...
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Friday, September 26, 2014

Another chapter in "were you wrong then doctor, or are you wrong now?" this time regarding stenting of non culprit lesions.

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The American College of Cardiology recently retracted one of its magic five "Choosing Wisely" recommendations.In 2012 ACC had ad...
Friday, September 19, 2014

Are pediatric football concussions different from high school and college head trauma?

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It would be nice to think so and a 2012 study by Maugans et al provides some data ( see here for full text) which suggests it may be the ca...
Thursday, September 18, 2014

Is the "triple aim of health care" analogous to the dual mandate of the Federal Reserve

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Well, it can be argued that they are both unachievable and the execution of their aims and goals will require wise men such as the "Men...
Friday, September 05, 2014

Is there convincing evidence that some high school football players develop traumatic brain injury without sustaining a concussion?

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Traumatic brain injury (TBI) is classified as mild,moderate and severe based on mental status change and duration of loss of consciousness (...
Sunday, August 31, 2014

The effects of multiple sub-concussion head blows in football

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Two research  groups have demonstrated brain imaging findings in collegiate football players over the course of a season.Importantly these a...
Wednesday, August 13, 2014

What would happen if Choosing Wisely became the medical "law of the land"?

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Choosing Wisely (CW) is an initiative or campaign lead by the American Board of Internal Medicine Foundation (ABIMF) to change the thinking ...
Wednesday, August 06, 2014

The crusade to change medical ethics,custom and practice gains momentum

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The mega-thought leaders,the established leadership of some of the major,influential professional medical organizations, and an alarming num...
Friday, August 01, 2014

Is "low value [medical] care like Justice's Stewart's definition of pornography?

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In a 1964 obscenity case, Supreme Court Justice Potter Stewart admitted that he might not be able to specifically define the parameters of p...
Wednesday, July 30, 2014

Population medicine approach meets Public Choice theory and practice

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What happens with the population medicine approach (PMA) when one considers how thing really work according to the insights of public choice...
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Monday, July 28, 2014

Dr. Gruber-were you wrong then or are you wrong now?

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The "were you wrong then.." question is a classic attorney question thrown at an expert witness who has been caught in a contradic...
Monday, July 21, 2014

A physician does not need to be society's steward to "Choose wisely"regarding medical advice

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Eliminating dangerous and unnecessary medical tests and treatments is the ostensible aim of the "Choosing Wisely" ( CW) initiative...
Friday, July 18, 2014

The population medicine approach does not respect the separateness of the individual,traditional or Rawlsian social justice nor evidence based medicine

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 The population medicine approach does not respect  the separateness and sanctity of the individual and individual liberty. It is antithetic...
Friday, June 13, 2014

Does the concept of "value based payments" make any sense at all?

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Greg Scandlen at the Health Policy Blog comments on the term "value based" quoting from a worth- reading article by David Carr wr...
Friday, June 06, 2014

Is the underlying problem with the VA hospitals scandals greed?

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Perhaps self-interest in a better word to describe what is going here. There is a wide spread and naive notion that for-profit institution...
Saturday, May 31, 2014

Wanted: Men of System to manage the Population Medicine Approach and maximize society's health

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 Let's begin with explaining Men of System and Population Medicine Approach (PMA)  Adam Smith , in his first book, The Theory of Mor...