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Thursday, July 5, 2012

Top articles in medicine in May 2012

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles in medicine in May 2012 so far:

Point-of-care genetic testing for personalisation of antiplatelet treatment is effective http://goo.gl/ZWLvz

Patient empowerment - who empowers whom? Virtually all people are patients at some point in their lives http://goo.gl/4YKjq

Doctors' love-hate relationship with EHRs http://goo.gl/wd74F

Why U.S. spends more on healthcare than other developed countries: Higher prices, readily accessible technology, obesity http://goo.gl/cid6S

Austerely law transforms Spain’s health system from universal access to one based on employment | BMJ http://goo.gl/36u4C

Bevacizumab (Avastin) is as effective as ranibizumab (Lucentis) for wet AMD and could save NHS millions - NHS http://goo.gl/JJ8uV

Having 'Type D' Personality - a distressed and pessimistic outlook on life - May Affect Your Health http://goo.gl/kFbpA

New Cautions About Bisphosphonate Use - NYTimes http://goo.gl/PYiKy

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Truvada (Emtriva + Viread), first drug to prevent HIV infection in healthy people at high risk (MSM, partners of HIV+) http://goo.gl/e1MJM

Can mobile phones give you brain cancer? The verdict's still on hold http://goo.gl/gI6Ta

Drink Water to Improve Test Scores http://goo.gl/MNB6k and http://goo.gl/EO12p

The articles were selected from my Twitter and Google Reader streams.


View the original article here

Top articles in medicine in May 2012

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles in medicine in May 2012 so far:

Point-of-care genetic testing for personalisation of antiplatelet treatment is effective http://goo.gl/ZWLvz

Patient empowerment - who empowers whom? Virtually all people are patients at some point in their lives http://goo.gl/4YKjq

Doctors' love-hate relationship with EHRs http://goo.gl/wd74F

Why U.S. spends more on healthcare than other developed countries: Higher prices, readily accessible technology, obesity http://goo.gl/cid6S

Austerely law transforms Spain’s health system from universal access to one based on employment | BMJ http://goo.gl/36u4C

Bevacizumab (Avastin) is as effective as ranibizumab (Lucentis) for wet AMD and could save NHS millions - NHS http://goo.gl/JJ8uV

Having 'Type D' Personality - a distressed and pessimistic outlook on life - May Affect Your Health http://goo.gl/kFbpA

New Cautions About Bisphosphonate Use - NYTimes http://goo.gl/PYiKy

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Truvada (Emtriva + Viread), first drug to prevent HIV infection in healthy people at high risk (MSM, partners of HIV+) http://goo.gl/e1MJM

Can mobile phones give you brain cancer? The verdict's still on hold http://goo.gl/gI6Ta

Drink Water to Improve Test Scores http://goo.gl/MNB6k and http://goo.gl/EO12p

The articles were selected from my Twitter and Google Reader streams.


View the original article here

Health care social media # HCSM-top articles

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Social media “likes” healthcare: From marketing to social business. Social media and health care: opportunities and obstacles - PWC 2012 report, free download http://goo.gl/GtSgE

8 Chrome Extensions that Make Blogging Easier http://goo.gl/fFKye

"News Squares" for Chrome is a new visual RSS reader http://goo.gl/ZgO7Z

CDC Social Media Guidelines and Best Practices http://goo.gl/Sw0n - Twitter guide updated in Feb 2012.

"20 Days to High-Quality, Engaged Twitter Following (in just 20 minutes a day)" http://goo.gl/8T0xL - Mixed bag of advice, some good tips

There is an allergy/immunology wiki: "AI notes" http://goo.gl/Qt1iE - Not sure who's behind it, looks useful.

Medicine, Social Media and Clinical Excellence. Let’s do it. http://goo.gl/WgRDw -- Here is one of my related blog posts: Doctors are natural communicators - social media is extension of what they do every day http://goo.gl/2FzQb

Study: There is a kernel of truth to the popular term "Facebook stalking". Introducing new terms (to me) such as: cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking, resulting in three factors: Covert Provocation, Public Harassment, and Venting. http://goo.gl/sgVys

How to find RSS feeds for Twitter accounts, Facebook pages, YouTube, other SoMe sites http://goo.gl/Q6tNg

Fake tweet stops Nashville doctor's lecture, plans for cruise http://goo.gl/Lj0mO

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Science blogging and self-promotion? http://goo.gl/yGUqS

How To Deal With Information Overload http://goo.gl/h4CmL and http://goo.gl/wDv5

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to allergycases@gmail.com and you will receive acknowledgement in the next edition of this publication.


View the original article here

Health care social media # HCSM-top articles

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Social media “likes” healthcare: From marketing to social business. Social media and health care: opportunities and obstacles - PWC 2012 report, free download http://goo.gl/GtSgE

8 Chrome Extensions that Make Blogging Easier http://goo.gl/fFKye

"News Squares" for Chrome is a new visual RSS reader http://goo.gl/ZgO7Z

CDC Social Media Guidelines and Best Practices http://goo.gl/Sw0n - Twitter guide updated in Feb 2012.

"20 Days to High-Quality, Engaged Twitter Following (in just 20 minutes a day)" http://goo.gl/8T0xL - Mixed bag of advice, some good tips

There is an allergy/immunology wiki: "AI notes" http://goo.gl/Qt1iE - Not sure who's behind it, looks useful.

Medicine, Social Media and Clinical Excellence. Let’s do it. http://goo.gl/WgRDw -- Here is one of my related blog posts: Doctors are natural communicators - social media is extension of what they do every day http://goo.gl/2FzQb

Study: There is a kernel of truth to the popular term "Facebook stalking". Introducing new terms (to me) such as: cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking, resulting in three factors: Covert Provocation, Public Harassment, and Venting. http://goo.gl/sgVys

How to find RSS feeds for Twitter accounts, Facebook pages, YouTube, other SoMe sites http://goo.gl/Q6tNg

Fake tweet stops Nashville doctor's lecture, plans for cruise http://goo.gl/Lj0mO

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Science blogging and self-promotion? http://goo.gl/yGUqS

How To Deal With Information Overload http://goo.gl/h4CmL and http://goo.gl/wDv5

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to allergycases@gmail.com and you will receive acknowledgement in the next edition of this publication.


View the original article here

Health care social media # HCSM-top articles

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Social media “likes” healthcare: From marketing to social business. Social media and health care: opportunities and obstacles - PWC 2012 report, free download http://goo.gl/GtSgE

8 Chrome Extensions that Make Blogging Easier http://goo.gl/fFKye

"News Squares" for Chrome is a new visual RSS reader http://goo.gl/ZgO7Z

CDC Social Media Guidelines and Best Practices http://goo.gl/Sw0n - Twitter guide updated in Feb 2012.

"20 Days to High-Quality, Engaged Twitter Following (in just 20 minutes a day)" http://goo.gl/8T0xL - Mixed bag of advice, some good tips

There is an allergy/immunology wiki: "AI notes" http://goo.gl/Qt1iE - Not sure who's behind it, looks useful.

Medicine, Social Media and Clinical Excellence. Let’s do it. http://goo.gl/WgRDw -- Here is one of my related blog posts: Doctors are natural communicators - social media is extension of what they do every day http://goo.gl/2FzQb

Study: There is a kernel of truth to the popular term "Facebook stalking". Introducing new terms (to me) such as: cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking, resulting in three factors: Covert Provocation, Public Harassment, and Venting. http://goo.gl/sgVys

How to find RSS feeds for Twitter accounts, Facebook pages, YouTube, other SoMe sites http://goo.gl/Q6tNg

Fake tweet stops Nashville doctor's lecture, plans for cruise http://goo.gl/Lj0mO

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Science blogging and self-promotion? http://goo.gl/yGUqS

How To Deal With Information Overload http://goo.gl/h4CmL and http://goo.gl/wDv5

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to allergycases@gmail.com and you will receive acknowledgement in the next edition of this publication.


View the original article here

Health care social media # HCSM-top articles

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Social media “likes” healthcare: From marketing to social business. Social media and health care: opportunities and obstacles - PWC 2012 report, free download http://goo.gl/GtSgE

8 Chrome Extensions that Make Blogging Easier http://goo.gl/fFKye

"News Squares" for Chrome is a new visual RSS reader http://goo.gl/ZgO7Z

CDC Social Media Guidelines and Best Practices http://goo.gl/Sw0n - Twitter guide updated in Feb 2012.

"20 Days to High-Quality, Engaged Twitter Following (in just 20 minutes a day)" http://goo.gl/8T0xL - Mixed bag of advice, some good tips

There is an allergy/immunology wiki: "AI notes" http://goo.gl/Qt1iE - Not sure who's behind it, looks useful.

Medicine, Social Media and Clinical Excellence. Let’s do it. http://goo.gl/WgRDw -- Here is one of my related blog posts: Doctors are natural communicators - social media is extension of what they do every day http://goo.gl/2FzQb

Study: There is a kernel of truth to the popular term "Facebook stalking". Introducing new terms (to me) such as: cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking, resulting in three factors: Covert Provocation, Public Harassment, and Venting. http://goo.gl/sgVys

How to find RSS feeds for Twitter accounts, Facebook pages, YouTube, other SoMe sites http://goo.gl/Q6tNg

Fake tweet stops Nashville doctor's lecture, plans for cruise http://goo.gl/Lj0mO

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Science blogging and self-promotion? http://goo.gl/yGUqS

How To Deal With Information Overload http://goo.gl/h4CmL and http://goo.gl/wDv5

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to allergycases@gmail.com and you will receive acknowledgement in the next edition of this publication.


View the original article here

American drivers turn to smaller, better engines

AppId is over the quota
AppId is over the quota
DETROIT (AP) — Back when gas was cheap, Americans bought cars with V-8 engines like the Big Block, Cobra Jet and Ramcharger. Acceleration was all that mattered, even in family cars that never made it to full throttle.

The 427-cubic inch Chevrolet Tri-Power was the siren song of the gearhead, sending Corvettes roaring down the highway at up to 140 mph.

But now, thanks to government regulation and gas-price gyrations, the motors that move the nation's cars and trucks are shrinking.

Whether they drive hulking pickups or family sedans, Americans are increasingly choosing smaller engines that use less fuel, especially four-cylinder models that offer more horsepower than was possible just a few years ago.

More than half the new cars and trucks sold in the U.S. through May had four-cylinder motors. That's up from 36 percent in 2007, and it's the highest sales percentage since 1998, when the J.D. Power and Associates consulting firm started keeping track.

The smaller engines are helping to change America's gas-guzzling ways. The government now requires automakers to build more fuel-efficient cars and trucks. Drivers are eager to save money on gas, which recently flirted with $4 a gallon and is still pricey at an average of $3.53. Also, people have embraced cars with downsized engines because new technology has made them just as fast as older cars with bigger motors.

"You can take away my V-8, but don't take my acceleration," said IHS Automotive analyst Rebecca Lindland. "We're willing to embrace a technology that doesn't make us compromise performance."

In general, car shoppers can pick from three types of engines: four-, six- and eight-cylinders. More cylinders usually produce more horsepower but also burn more fuel.

Until recently, each engine type had dedicated fans. Pickup drivers, who tend to haul heavy loads, favored brawny V-8s. Sedan drivers generally opted for six cylinders if they wanted snappy acceleration or four cylinders if they preferred fuel savings.

Decades ago, when gas was cheap, buyers usually went for bigger engines to get more power. Back then, noisy "fours" clattered down the highway inside compacts or wimpy midsize cars. Some drivers complained that four-cylinder cars didn't have enough power to merge safely onto busy highways.

That began to change in the 1990s, when Honda and Toyota refined their fours, making them quieter and more powerful. In 2005, gas prices spiked after Hurricane Katrina knocked out refineries. The steeper prices made fuel-efficient cars more popular and forced Detroit's truck-obsessed automakers to spend more money improving their smaller engines.

Small engines got another boost in 2007, when the government began raising gas mileage minimums, eventually requiring new cars and trucks sold in the U.S. to average 54.6 mpg by 2025. The shift toward smaller engines gathered more momentum in 2008, when gas spiked again — above $4 a gallon.

Because of technology advances, many four-cylinder engines are more powerful than V-6s from only a few years ago. For example, today's Hyundai Sonata midsize car has a 2.4-liter four with 198 horsepower, 45 more horses than the base V-6 in a 2006 Ford Taurus.

Mileage was important for Meagan Sherwood of Milan, Mich., when she bought a new four-cylinder Hyundai Veloster. The property manager traded a V-6-powered Jeep Wrangler for the funky hatchback, which gets up to 32 mpg in city and highway driving. The Jeep, she says, got around 13.

"I was filling up twice a week on a 15-gallon tank with the Jeep," Sherwood said. "Now I fill up once a week with a 10-gallon tank."

Sherwood said she would only go back to a larger engine if she and her husband start a family and need more space.

To boost the efficiency and power of small engines, companies have introduced all kinds of technology:

— Direct fuel injection is more common. It mixes air and gas in the chamber that surrounds the piston, helping produce more power, more efficiently.

— Many small engines now have turbochargers, which force high concentrations of air into the piston chamber, allowing more gas to be sent in and offering extra acceleration or hauling capacity whenever drivers step on the pedal.

— Engineers have made cars more aerodynamic. Also, some vehicles shut off their engines automatically at stoplights. They can run pumps and other devices off the battery rather than a belt that sucks power from the engine.

Even as they become more powerful, smaller engines are helping lower gas consumption. So far this year, consumption is down 5 percent from the same period a year ago, according to government data.

Part of the drop is because people drive fewer miles in a weak economy. But engines play a key role. The average new car goes about four miles farther on a gallon than in October 2007, said Michael Sivak, a research professor at the University of Michigan Transportation Research Institute.

In March, the average mileage of new cars hit a record 24.1 mpg, dropping slightly since then.

The improvements become more striking when drivers compare engines. Four-cylinder engines averaged 26.4 mpg this model year, compared with an average of 16.1 mpg for eight-cylinders, Sivak said. If gas were at $4, the average driver would save roughly $1,300 a year by switching to a car with the smaller engine.

Hyundai was so confident in its four that it stopped offering a V-6 in the 2011 Sonata. Chevrolet and Ford are doing the same on the new Malibu and Fusion, which go on sale later this year.

In fact, eight out of 10 midsize cars sold this year had four-cylinder engines, according to the Edmunds.com automotive website. Just a decade ago, the majority of midsize cars — normally the biggest segment of the market — had V-6 engines.

In the heyday of the muscle car, automakers tried to stuff the biggest engine they could into smaller cars. Now it's the opposite. Companies are putting smaller engines in larger vehicles, even in Ford's F-Series pickup truck, the nation's top-selling vehicle.

In 2011, Ford began offering V-6s, including a turbocharged engine, in the F-150 after years of selling only V-8s. Now nearly 60 percent of F-150s are sold with V-6s, and Ford expects that to increase. The V-6 turbo gets 18 mpg in combined city-highway driving. The V-8 gets 14.

It didn't take long for Colorado real estate agent Dan Murphy to switch to a smaller truck engine.

A year ago, he bought a Ram pickup with a V-8, only to find that the mileage was awful when towing his 19-foot boat through the mountains. The Ram, he said, got only 4 mpg at one point, costing him a fortune.

So he traded it for an F-150 with a turbo V-6. On a recent trip pulling the boat to Utah, his Ford got over 17 mpg.

"Once you drive this, there's no way you're going back to a V-8," he said.

At Fiat of South Atlanta, the trend toward smaller engines is driving up sales of the 500 mini-car, which until February had been selling slowly.

"We've had several people trade in Ford Tauruses, not a bad mileage car," said sales manager James Tharp. "People will say in a heartbeat, 'These gas prices are killing us.'"


View the original article here

Health care social media # HCSM-top articles

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Social media “likes” healthcare: From marketing to social business. Social media and health care: opportunities and obstacles - PWC 2012 report, free download http://goo.gl/GtSgE

8 Chrome Extensions that Make Blogging Easier http://goo.gl/fFKye

"News Squares" for Chrome is a new visual RSS reader http://goo.gl/ZgO7Z

CDC Social Media Guidelines and Best Practices http://goo.gl/Sw0n - Twitter guide updated in Feb 2012.

"20 Days to High-Quality, Engaged Twitter Following (in just 20 minutes a day)" http://goo.gl/8T0xL - Mixed bag of advice, some good tips

There is an allergy/immunology wiki: "AI notes" http://goo.gl/Qt1iE - Not sure who's behind it, looks useful.

Medicine, Social Media and Clinical Excellence. Let’s do it. http://goo.gl/WgRDw -- Here is one of my related blog posts: Doctors are natural communicators - social media is extension of what they do every day http://goo.gl/2FzQb

Study: There is a kernel of truth to the popular term "Facebook stalking". Introducing new terms (to me) such as: cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking, resulting in three factors: Covert Provocation, Public Harassment, and Venting. http://goo.gl/sgVys

How to find RSS feeds for Twitter accounts, Facebook pages, YouTube, other SoMe sites http://goo.gl/Q6tNg

Fake tweet stops Nashville doctor's lecture, plans for cruise http://goo.gl/Lj0mO

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Science blogging and self-promotion? http://goo.gl/yGUqS

How To Deal With Information Overload http://goo.gl/h4CmL and http://goo.gl/wDv5

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to allergycases@gmail.com and you will receive acknowledgement in the next edition of this publication.


View the original article here

Health care social media # HCSM-top articles

AppId is over the quota
AppId is over the quota
Here are my suggestions for some of the top articles related to healthcare social media in the past 2 weeks:

Social media “likes” healthcare: From marketing to social business. Social media and health care: opportunities and obstacles - PWC 2012 report, free download http://goo.gl/GtSgE

8 Chrome Extensions that Make Blogging Easier http://goo.gl/fFKye

"News Squares" for Chrome is a new visual RSS reader http://goo.gl/ZgO7Z

CDC Social Media Guidelines and Best Practices http://goo.gl/Sw0n - Twitter guide updated in Feb 2012.

"20 Days to High-Quality, Engaged Twitter Following (in just 20 minutes a day)" http://goo.gl/8T0xL - Mixed bag of advice, some good tips

There is an allergy/immunology wiki: "AI notes" http://goo.gl/Qt1iE - Not sure who's behind it, looks useful.

Medicine, Social Media and Clinical Excellence. Let’s do it. http://goo.gl/WgRDw -- Here is one of my related blog posts: Doctors are natural communicators - social media is extension of what they do every day http://goo.gl/2FzQb

Study: There is a kernel of truth to the popular term "Facebook stalking". Introducing new terms (to me) such as: cyber obsessional pursuit (COP) and obsessive relational pursuit (ORI), which are categories of cyberstalking and stalking, resulting in three factors: Covert Provocation, Public Harassment, and Venting. http://goo.gl/sgVys

How to find RSS feeds for Twitter accounts, Facebook pages, YouTube, other SoMe sites http://goo.gl/Q6tNg

Fake tweet stops Nashville doctor's lecture, plans for cruise http://goo.gl/Lj0mO

How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37

Science blogging and self-promotion? http://goo.gl/yGUqS

How To Deal With Information Overload http://goo.gl/h4CmL and http://goo.gl/wDv5

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to allergycases@gmail.com and you will receive acknowledgement in the next edition of this publication.


View the original article here

Obama, Romney duel over economy

AppId is over the quota
AppId is over the quota

Speaking to skeptical voters nationwide from the pivotal battleground of Ohio, President Barack Obama defiantly defended his record on the economy Thursday and painted Mitt Romney as the standard-bearer for those who would bring back George W. Bush's policies.

"I want to speak to everybody who is watching who may not be a supporter, may be undecided, or thinking about voting the other way," Obama said. "If you want to give the policies of the last decade another try, then you should vote for Mr. Romney."

That line drew a chorus of boos from a rowdy crowd of about 1,500 people assembled to hear Obama try to reframe what some Democrats have described as his wobbly election message.

Romney, speaking to supporters at an aluminum plant in Cincinnati moments before Obama's remarks, offered his own version of the choice voters face on Nov. 6.

"If you think things are going swimmingly, if you think the president's right when he said the private sector is doing fine, well, then he's the guy to vote for," he said.

Obama opened his remarks with a direct reference to his much-mocked claim last Friday that the "private sector is doing fine" compared to cash-strapped state and local governments. Republicans including Mitt Romney have seized on that comment to suggest the president is out of touch.

"So, Ohio, over the next five months, this election will take many twists and many turns, polls will go up and polls will go down, there will be no shortage of gaffes and controversies that keep both campaigns busy and give the press something to write about," he said.

"You may have heard I recently made my own unique contribution to that process. It wasn't the first time. It won't be the last," the president said in the verbal equivalent of a dismissive shrug.

"Of course the economy isn't where it needs to be. Of course we have a lot more work to do. Everybody knows that," Obama said from behind a lectern emblazoned with his campaign slogan, "Forward," in front of eight American flags.

Aides had suggested the president's 53-minute speech from Cuyahoga Community College in Cleveland would serve to recast the debate between him and Romney on the sour economy, the top issue on voters' minds. The remarks at times seemed like a blend of the soaring oratory that carried the Democrat to his historic victory in 2008 along with the ponderous, laundry-list politics of unsuccessful "State of the Union" addresses.Obama worked to cast Nov. 6 as "a choice between two fundamentally different visions" about the best path out of the rubble left by the 2007-2008 global economic meltdown—not a referendum on an embattled incumbent at a time of 8.2 percent unemployment.

"The economic vision of Mr. Romney and his allies in Congress was tested just a few years ago," Obama said. "We tried this. Their policies did not grow the economy. They did not grow the middle class. They did not reduce our debt."

"Why would we think that they would work better this time?" said the president, who has used variations on that theme in scores of campaign events all over the country over the past few months.

"We can't afford to jeopardize our future by repeating the mistakes of the past. Not now. Not when there's so much at stake," he said.

In a preemptive rhetorical strike, Romney anticipated Obama's words: "He's going to be a person of eloquence as he describes his plans for making the economy better," Romney said. "But don't forget, he's been president for three and a half years. And talk is cheap. Action speaks very loud."

But the president emphasized the timeline of events. "Our economy started growing again six months after I took office and it has continued to grow for the last three years," Obama said.

The president also pleaded for patience—"not only are we digging out of a hole that is 9 million jobs deep, we're digging out from an entire decade"—and he blamed Republicans in Congress for stalling his efforts to revive the economy.

"What's holding us back is a stalemate in Washington between two fundamentally different views of which direction America should take," he said. "And this election is your chance to break that stalemate."

"If they win the election, their agenda will be simple and straightforward; they have spelled it out. They promise to roll back regulations on banks and polluters, on insurance companies and oil companies. They'll roll back regulations designed to protect consumers and workers while cutting taxes on the very wealthy," Obama said.

The president said he would boost investments in education, scientific research and refurbishing the country's crumbling infrastructure.

Before Obama left Washington, the Department of Labor released official data showing that weekly unemployment benefit applications rose 6,000 to a seasonally adjusted 386,000—the latest sign of anemic hiring and sluggish growth.

And the Gallup polling organization released a survey showing that more than two-thirds of Americans—including half of Republicans—still pin the country's economic ills on former President Bush.

What one might call the blame gap has narrowed considerably: When Gallup first asked Americans in July 2009 whom they faulted for the poor economy, 80 percent laid a great deal or a moderate amount of blame on Bush, and only 32 percent held Obama responsible.

The current numbers show 68 percent of the public blames the former president while 52 percent say Obama deserves the criticism. (The numbers total more than 100 percent because the question was not "which one do you blame more," but how much blame each president deserves individually.)

And on Wednesday, an ABC News/ Washington Post poll showed that only 38 percent of independent swing voters viewed Obama's economic plans favorably, with a majority (54 percent) disapproving. But independent voters judge Romney's economic ideas just as harshly: 47 percent gave his economic approach an unfavorable rating, with just 35 percent finding it favorable.

The Democratic president has crisscrossed the country in recent months pleading for patience from voters still struggling in the anemic recovery and grappling with a stubbornly high unemployment rate above 8 percent. In his speeches, Obama makes a point of charging Bush and Republicans in general with the 2007-2008 meltdown and warns that Mitt Romney's economic program resembles the Bush approach "on steroids."

Among independents, who often play a role in deciding elections, 51 percent assign Obama a great deal or a moderate amount of blame, while 47 percent say he deserves not much or no blame at all. Meanwhile, 67 percent of independents say Bush bears a great deal or a moderate amount of the fault. Only 32 percent exonerate him in whole or in part.

After the speech, Obama headed to New York to make a Flag Day pilgrimage to ground zero and attend a pair of fundraisers aimed at scooping up $4.5 million for his campaign. One of the events will be hosted by actress Sarah Jessica Parker and Vogue editor Anna Wintour. Fifty guests there are due to pay $40,000 each.

"Running for president is an expensive proposition," White House press secretary Jay Carney told reporters aboard Air Force One.


View the original article here

Best of Medical Blogs-weekly review and blog carnival

The "Best of Medical Blogs-weekly review and blog carnival" is a weekly summary of the best medical Blog post. Feel free to send your suggestions to my email at clinicalcases@gmail.com. Best medical blog (BMB) is published every Tuesday, just like the old Grand Rounds.

Cultivate followers on social media, if you want to communicate science

From the blog science Soapbox http://goo.gl/cPQq1 and medical Museion http://goo.gl/QmEU7:

Social media platforms can be very limiting. For example, you can define genotype and Phenotype in 140 characters or less? If you want to use social media to communicate effectively, necessary for readers to drive somewhere.

Write a blog gives substance to your social media presence. You have the opportunity to talk about science in a meaningful way, which ultimately helps people better understand the world around them. Answering these questions is probably because you have first in science. Don't be afraid to share what you've discovered.

Are the doctors are afraid to be wrong?

From blogging to surgeon skeptical Scalpel: «I once did some work as an expert on a malpractice insurance company. Rarely there is a case that doesn't have many opportunities for second-guessing. When you know the outcome, you can always find something in the medical record that could have been done differently.

The current security climate and medicolegal patient creates a feeling among doctors that any mistake is to be extensively examined. This results in a similar situation to an athlete trying not to lose a game instead of trying to win. For those of you unfamiliar with the sport, that the strategy usually fails. Fear of being wrong can lead to excessive test too. " http://goo.gl/FWTbC

When did stop teaching the basics for residents and medical students?

Dr.% of the blog Rants Medical db loves ACGME competency 6 just fine, but also suggests a simple list of http://goo.gl/2sqip:

1. Take a complete history, relevant, accurate
2. make a proper physical examination
3. order the appropriate laboratory tests and interpret them completely and accurately
4. order the correct images and interventions and interpret them

Happy 5th Blogiversary!

Former plastic surgeon and blogger extraordinaire Dr. Bates of Ramona reflects on his 5 years of blogging and the medical community blogging. http://goo.gl/0EVJW

As blogging has helped me academically. According to Dr. cent: why I write almost everyday, my writing has improved dramatically http://goo.gl/GLNsL

Medicine-Stanford University Grand Rounds and social media

Graham Walker was one of the first medical blogger. Went on a break during his residency in emergency medicine (EM) and now has found new reasons to blog like a EM attending at Stanford University medical center. This is his talk on social media and medicine at Stanford University Grand Rounds: http://youtu.be/qtkggenLmlE

Dr. Walker: "my speech on the dissemination of medical information over time, as the internet and social networking are changing medication, how to use digital tools to be a better doctor at the bedside."

Here is the list of Graham of digital tools to improve the specialty.

Paper-based charts: how soon we forget http://goo.gl/Vspmp -Dr. Wes: suddenly, don't miss the paper charts anymore.

Dr. Wes: is how bad the cardiovascular risk of azithromycin? http://goo.gl/yVgfo -"Big data" related to "big mistake"?

Comments from Twitter:

Seth Trueger @ MDaware: some great stuff in there

Skeptical scalpel @ Skepticscalpel: thanks for including me.


View the original article here

Best of Medical Blogs-weekly review and blog carnival

The "Best of Medical Blogs-weekly review and blog carnival" is a weekly summary of the best medical Blog post. Feel free to send your suggestions to my email at clinicalcases@gmail.com. Best medical blog (BMB) is published every Tuesday, just like the old Grand Rounds.

Cultivate followers on social media, if you want to communicate science

From the blog science Soapbox http://goo.gl/cPQq1 and medical Museion http://goo.gl/QmEU7:

Social media platforms can be very limiting. For example, you can define genotype and Phenotype in 140 characters or less? If you want to use social media to communicate effectively, necessary for readers to drive somewhere.

Write a blog gives substance to your social media presence. You have the opportunity to talk about science in a meaningful way, which ultimately helps people better understand the world around them. Answering these questions is probably because you have first in science. Don't be afraid to share what you've discovered.

Are the doctors are afraid to be wrong?

From blogging to surgeon skeptical Scalpel: «I once did some work as an expert on a malpractice insurance company. Rarely there is a case that doesn't have many opportunities for second-guessing. When you know the outcome, you can always find something in the medical record that could have been done differently.

The current security climate and medicolegal patient creates a feeling among doctors that any mistake is to be extensively examined. This results in a similar situation to an athlete trying not to lose a game instead of trying to win. For those of you unfamiliar with the sport, that the strategy usually fails. Fear of being wrong can lead to excessive test too. " http://goo.gl/FWTbC

When did stop teaching the basics for residents and medical students?

Dr.% of the blog Rants Medical db loves ACGME competency 6 just fine, but also suggests a simple list of http://goo.gl/2sqip:

1. Take a complete history, relevant, accurate
2. make a proper physical examination
3. order the appropriate laboratory tests and interpret them completely and accurately
4. order the correct images and interventions and interpret them

Happy 5th Blogiversary!

Former plastic surgeon and blogger extraordinaire Dr. Bates of Ramona reflects on his 5 years of blogging and the medical community blogging. http://goo.gl/0EVJW

As blogging has helped me academically. According to Dr. cent: why I write almost everyday, my writing has improved dramatically http://goo.gl/GLNsL

Medicine-Stanford University Grand Rounds and social media

Graham Walker was one of the first medical blogger. Went on a break during his residency in emergency medicine (EM) and now has found new reasons to blog like a EM attending at Stanford University medical center. This is his talk on social media and medicine at Stanford University Grand Rounds: http://youtu.be/qtkggenLmlE

Dr. Walker: "my speech on the dissemination of medical information over time, as the internet and social networking are changing medication, how to use digital tools to be a better doctor at the bedside."

Here is the list of Graham of digital tools to improve the specialty.

Paper-based charts: how soon we forget http://goo.gl/Vspmp -Dr. Wes: suddenly, don't miss the paper charts anymore.

Dr. Wes: is how bad the cardiovascular risk of azithromycin? http://goo.gl/yVgfo -"Big data" related to "big mistake"?

Comments from Twitter:

Seth Trueger @ MDaware: some great stuff in there

Skeptical scalpel @ Skepticscalpel: thanks for including me.


View the original article here

Decision in Costner vs. Baldwin oil cleanup case

AppId is over the quota
AppId is over the quota
In the New Orleans courtroom clash of Hollywood actors, Kevin Costner is the winner.

A federal jury this evening rejected a claim by the actor Stephen Baldwin and his friend, Spyridon Contogouris, that Costner and a business partner duped them by keeping them uninformed on a multimillion-dollar deal between Costner's company, Ocean Therapy Solutions, and the oil company BP.

Baldwin and Contogouris sold their shares in Ocean Therapy Solutions before it sold cleanup devices to BP for use in the 2010 Gulf of Mexico oil spill.

The pair's lawyer had asked the jury to award them $17 million in damages, according to The Associated Press. But after less than two hours of deliberations, the jury awarded Baldwin and Contogouris nothing.

Costner smiled and shook his attorney's hand after the verdict, later saying, according to AP, "My name means more to me than money and that's why we didn't settle."

Baldwin's attorney, James Cobb, said, "We're disappointed. We thought we proved rather convincingly that these two guys, Mr. Costner and [his business partner, Patrick] Smith, defrauded us. ... The jury saw it a different way but we respect the jury's verdict."

Baldwin, the youngest of the four acting Baldwin brothers, filed a suit in December 2010 against Costner and Smith, over profits from the technology that BP leased for the Deepwater Horizon spill.

Costner's device is a five-ton centrifuge designed to separate water from oil, spit out clean water and save the oil on ships, Smith said in his testimony.

The timeline of the case goes as far back as the production for Costner's film "Waterworld." Costner starred and co-directed the science-fiction film, which tanked at the box office when it was released in 1995.

In the early 1990s, Costner financed and oversaw the development of an oil-and-water-separation technology under the auspices of a corporation owned and managed by him called CINC Inc., an acronym for Costner in Nevada Corporation.

After the April 2010 oil spill, Costner made headlines again marketing his device and snagging a $52 million deal with BP for 32 of his centrifuges.

"It separates oil and water at incredibly high speeds under very difficult conditions," Costner told "Good Morning America's" Sam Champion in 2010.

The devices weren't used to cap the well but were designed to collect oil on the water's surface.

Baldwin has said he was bought out of Costner's company for $500,000 while Contogouris was bought out for $1.4 million.

BP reportedly never used the 32 devices it ordered from Costner's company, according to the U.S. Coast Guard. By September 2010, the well had been sealed with cement and a relief well.

Costner's memorable work includes starring in "The Bodyguard," "Dancing with Wolves" and "Field of Dreams." Baldwin, the younger brother of actor Alec Baldwin, is best known for "Bio-Dome" and playing Barney Rubble in "The Flintstones in Viva Rock Vegas."

The Associated Press and ABC News' Barbara Garcia, Matt Gutman and Sheila Marikar contributed to this report.

Also Read

View the original article here

Industry editorial makes outlandish claim about impact of medical devices

Minnesota is the home of several medical device makers.  So there’s been a lot of editorializing about the medical device tax in the Affordable Care Act. There has been some criticism of Minnesota politicians over whose interests they represent on the issue.

Today’s Star Tribune carries a commentary from an industry spokesman – Dale Wahlstrom, president and CEO of LifeScience Alley. He retired from Medtronic in 2006 after 24 years.  His commentary includes this claim:

Medical devices save and improve lives. Between 1980 and 2000, medical device technology slashed the death rate from heart disease by a stunning 50 percent and cut the death rate from stroke by 30 percent. As a result, life expectancy was extended by more than three years.

Please note: I’ve written to a contact at LifeScience Alley asking for the source of that data.  In fairness, he hasn’t had much time to respond but I don’t expect an answer on the data source because I don’t think there is one. I’ll be happy to post an amendment/addendum if/when an answer is forthcoming. That editorial has been published for hours already and I think it’s important to publish even this quick analysis as quickly as I can.

This quote attributes ALL cardiovascular health improvements to devices rather than siphoning off the mere fraction that might be attributable to devices versus drug therapies versus lifestyle changes.

One analysis published in the New England Journal of Medicine concluded:

Approximately 47% of this decrease (in coronary disease death rate) was attributed to treatments, including secondary preventive therapies after myocardial infarction or revascularization (11%), initial treatments for acute myocardial infarction or unstable angina (10%), treatments for heart failure (9%), revascularization for chronic angina (5%), and other therapies (12%). Approximately 44% was attributed to changes in risk factors, including reductions in total cholesterol (24%), systolic blood pressure (20%), smoking prevalence (12%), and physical inactivity (5%), although these reductions were partially offset by increases in the body-mass index and the prevalence of diabetes, which accounted for an increased number of deaths (8% and 10%, respectively).

So a little less than half is attributable to changes in risk factors.  A little more than half to ALL treatments – including drugs, surgery, etc.

The largest reductions in deaths came from the use of secondary-prevention medications or rehabilitation after acute myocardial infarction or after revascularization (a total reduction of approximately 35,800 deaths) and from the use of initial treatments for acute myocardial infarction or unstable angina (approximately 35,145 deaths), followed by treatments for heart failure and hypertension, statin therapy for primary prevention, and treatments for chronic angina.

The editorial is more than a matter of playing loose with the numbers; it is a vast overstatement and a distortion of the evidence. There’s no question that medical devices have contributed to the decline.  It is disingenuous to attribute ALL of the benefit to devices.

I’m not going to comment on the medical device tax.  For now, I’ll leave that to the politicians and special interests.

But on this site, we address and try to correct any misleading claims about medical interventions whenever we see them – whatever the source.  And this editorial made a whopper!

I only hope that such whopping misleading claims aren’t misleading politicians into positions they wouldn’t take if they evaluated the claims.



View the original article here

Industry editorial makes outlandish claim about impact of medical devices

Minnesota is the home of several medical device makers.  So there’s been a lot of editorializing about the medical device tax in the Affordable Care Act. There has been some criticism of Minnesota politicians over whose interests they represent on the issue.

Today’s Star Tribune carries a commentary from an industry spokesman – Dale Wahlstrom, president and CEO of LifeScience Alley. He retired from Medtronic in 2006 after 24 years.  His commentary includes this claim:

Medical devices save and improve lives. Between 1980 and 2000, medical device technology slashed the death rate from heart disease by a stunning 50 percent and cut the death rate from stroke by 30 percent. As a result, life expectancy was extended by more than three years.

Please note: I’ve written to a contact at LifeScience Alley asking for the source of that data.  In fairness, he hasn’t had much time to respond but I don’t expect an answer on the data source because I don’t think there is one. I’ll be happy to post an amendment/addendum if/when an answer is forthcoming. That editorial has been published for hours already and I think it’s important to publish even this quick analysis as quickly as I can.

This quote attributes ALL cardiovascular health improvements to devices rather than siphoning off the mere fraction that might be attributable to devices versus drug therapies versus lifestyle changes.

One analysis published in the New England Journal of Medicine concluded:

Approximately 47% of this decrease (in coronary disease death rate) was attributed to treatments, including secondary preventive therapies after myocardial infarction or revascularization (11%), initial treatments for acute myocardial infarction or unstable angina (10%), treatments for heart failure (9%), revascularization for chronic angina (5%), and other therapies (12%). Approximately 44% was attributed to changes in risk factors, including reductions in total cholesterol (24%), systolic blood pressure (20%), smoking prevalence (12%), and physical inactivity (5%), although these reductions were partially offset by increases in the body-mass index and the prevalence of diabetes, which accounted for an increased number of deaths (8% and 10%, respectively).

So a little less than half is attributable to changes in risk factors.  A little more than half to ALL treatments – including drugs, surgery, etc.

The largest reductions in deaths came from the use of secondary-prevention medications or rehabilitation after acute myocardial infarction or after revascularization (a total reduction of approximately 35,800 deaths) and from the use of initial treatments for acute myocardial infarction or unstable angina (approximately 35,145 deaths), followed by treatments for heart failure and hypertension, statin therapy for primary prevention, and treatments for chronic angina.

The editorial is more than a matter of playing loose with the numbers; it is a vast overstatement and a distortion of the evidence. There’s no question that medical devices have contributed to the decline.  It is disingenuous to attribute ALL of the benefit to devices.

I’m not going to comment on the medical device tax.  For now, I’ll leave that to the politicians and special interests.

But on this site, we address and try to correct any misleading claims about medical interventions whenever we see them – whatever the source.  And this editorial made a whopper!

I only hope that such whopping misleading claims aren’t misleading politicians into positions they wouldn’t take if they evaluated the claims.



View the original article here

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