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By Terren Trott terren.trott@gmail.com
https://www.readbyqxmd.com/read/29568057/evidence-that-the-great-pacific-garbage-patch-is-rapidly-accumulating-plastic
#1
L Lebreton, B Slat, F Ferrari, B Sainte-Rose, J Aitken, R Marthouse, S Hajbane, S Cunsolo, A Schwarz, A Levivier, K Noble, P Debeljak, H Maral, R Schoeneich-Argent, R Brambini, J Reisser
Ocean plastic can persist in sea surface waters, eventually accumulating in remote areas of the world's oceans. Here we characterise and quantify a major ocean plastic accumulation zone formed in subtropical waters between California and Hawaii: The Great Pacific Garbage Patch (GPGP). Our model, calibrated with data from multi-vessel and aircraft surveys, predicted at least 79 (45-129) thousand tonnes of ocean plastic are floating inside an area of 1.6 million km2 ; a figure four to sixteen times higher than previously reported...
March 22, 2018: Scientific Reports
https://www.readbyqxmd.com/read/28864332/associations-of-fats-and-carbohydrate-intake-with-cardiovascular-disease-and-mortality-in-18-countries-from-five-continents-pure-a-prospective-cohort-study
#2
Mahshid Dehghan, Andrew Mente, Xiaohe Zhang, Sumathi Swaminathan, Wei Li, Viswanathan Mohan, Romaina Iqbal, Rajesh Kumar, Edelweiss Wentzel-Viljoen, Annika Rosengren, Leela Itty Amma, Alvaro Avezum, Jephat Chifamba, Rafael Diaz, Rasha Khatib, Scott Lear, Patricio Lopez-Jaramillo, Xiaoyun Liu, Rajeev Gupta, Noushin Mohammadifard, Nan Gao, Aytekin Oguz, Anis Safura Ramli, Pamela Seron, Yi Sun, Andrzej Szuba, Lungiswa Tsolekile, Andreas Wielgosz, Rita Yusuf, Afzal Hussein Yusufali, Koon K Teo, Sumathy Rangarajan, Gilles Dagenais, Shrikant I Bangdiwala, Shofiqul Islam, Sonia S Anand, Salim Yusuf
BACKGROUND: The relationship between macronutrients and cardiovascular disease and mortality is controversial. Most available data are from European and North American populations where nutrition excess is more likely, so their applicability to other populations is unclear. METHODS: The Prospective Urban Rural Epidemiology (PURE) study is a large, epidemiological cohort study of individuals aged 35-70 years (enrolled between Jan 1, 2003, and March 31, 2013) in 18 countries with a median follow-up of 7·4 years (IQR 5·3-9·3)...
November 4, 2017: Lancet
https://www.readbyqxmd.com/read/28715993/metabolic-effects-of-intermittent-fasting
#3
REVIEW
Ruth E Patterson, Dorothy D Sears
The objective of this review is to provide an overview of intermittent fasting regimens, summarize the evidence on the health benefits of intermittent fasting, and discuss physiological mechanisms by which intermittent fasting might lead to improved health outcomes. A MEDLINE search was performed using PubMed and the terms "intermittent fasting," "fasting," "time-restricted feeding," and "food timing." Modified fasting regimens appear to promote weight loss and may improve metabolic health...
August 21, 2017: Annual Review of Nutrition
https://www.readbyqxmd.com/read/28695643/re-gungor-f-kilic-t-akyol-kc-et%C3%A2-al-diagnostic-value-and-effect-of-bedside-ultrasound-in-acute-appendicitis-in-the-emergency-department
#4
LETTER
Brian C Weiner
No abstract text is available yet for this article.
July 11, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/10459090/screening-for-ketonemia-in-patients-with-diabetes
#5
T M Schwab, G W Hendey, T C Soliz
STUDY OBJECTIVES: To determine the sensitivity and specificity of the urine ketone dip test as a screening test for ketonemia in hyperglycemic patients and to compare the performance of the urine ketone dip test with the anion gap and serum bicarbonate level. METHODS: This was a prospective study conducted in an urban, university-affiliated public hospital emergency department. Inclusion criteria consisted of (1) patients with known diabetes and hyperglycemia (glucose level>200 mg/dL) and any complaint of illness, or (2) patients with hyperglycemia and symptoms of undiagnosed diabetes mellitus...
September 1999: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28058966/repealing-the-aca-without-a-replacement-the-risks-to-american-health-care
#6
Barack H Obama
Health care policy often shifts when the country’s leadership changes. That was true when I took office, and it will likely be true with President-elect Donald Trump. I am proud that my administration’s work, through the Affordable Care Act (ACA) and other policies, helped millions more Americans..
January 26, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/12040551/abdominal-pain-in-patients-with-hyperglycemic-crises
#7
Guillermo Umpierrez, Amado X Freire
BACKGROUND: The aim of the study was to evaluate the incidence and prognosis of abdominal pain in patients with diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic state (HHS). Abdominal pain, sometimes mimicking an acute abdomen, is a frequent manifestation in patients with DKA. The prevalence and clinical significance of gastrointestinal symptoms including abdominal pain in HHS have not been prospectively evaluated. MATERIALS AND METHODS: This is a prospectively collected evaluation of 200 consecutive patients with hyperglycemic crises admitted to a large inner-city teaching hospital in Atlanta, GA...
March 2002: Journal of Critical Care
https://www.readbyqxmd.com/read/20022653/vital-sign-triage-to-rule-out-diabetic-ketoacidosis-and-non-ketotic-hyperosmolar-syndrome-in-hyperglycemic-patients
#8
Yasuharu Tokuda, Fumio Omata, Yusuke Tsugawa, Kyouko Maesato, Kazuhisa Momotura, Atsuko Fujinuma, Gerald H Stein, E Francis Cook
AIMS: To develop a prediction algorithm to rule out diabetic ketoacidosis (DKA) and non-ketotic hyperosmolar syndrome (NKHS) based on vital signs for early triage of patients with diabetes. METHODS: The subjects were consecutive adult diabetic patients with hyperglycemia (blood glucose >or=250mg/dl) who presented at an emergency department. Based on a derivation sample (n=392, 70% of 544 patients at a hospital in Okinawa), recursive partitioning analysis was used to develop a tree-based algorithm...
March 2010: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/21307381/diagnostic-accuracy-of-point-of-care-testing-for-diabetic-ketoacidosis-at-emergency-department-triage-beta-hydroxybutyrate-versus-the-urine-dipstick
#9
Sanjay Arora, Sean O Henderson, Theodore Long, Michael Menchine
OBJECTIVE: In the emergency department, hyperglycemic patients are screened for diabetic ketoacidosis (DKA) via a urine dipstick. In this prospective study, we compared the test characteristics of point-of-care β-hydroxybutyrate (β-OHB) analysis with the urine dipstick. RESEARCH DESIGN AND METHODS: Emergency-department patients with blood glucose ≥250 mg/dL had urine dipstick, chemistry panel, venous blood gas, and capillary β-OHB measurements. DKA was diagnosed according to American Diabetes Association criteria...
April 2011: Diabetes Care
https://www.readbyqxmd.com/read/27604932/how-to-raise-a-genius-lessons-from-a-45-year-study-of-super-smart-children
#10
Tom Clynes
No abstract text is available yet for this article.
September 8, 2016: Nature
https://www.readbyqxmd.com/read/27617709/sugar-industry-and-coronary-heart-disease-research-a-historical-analysis-of-internal-industry-documents
#11
Cristin E Kearns, Laura A Schmidt, Stanton A Glantz
Early warning signals of the coronary heart disease (CHD) risk of sugar (sucrose) emerged in the 1950s. We examined Sugar Research Foundation (SRF) internal documents, historical reports, and statements relevant to early debates about the dietary causes of CHD and assembled findings chronologically into a narrative case study. The SRF sponsored its first CHD research project in 1965, a literature review published in the New England Journal of Medicine, which singled out fat and cholesterol as the dietary causes of CHD and downplayed evidence that sucrose consumption was also a risk factor...
November 1, 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27162113/cardiovascular-responses-to-energy-drinks-in-a-healthy-population-the-c-energy-study
#12
Teri M Kozik, Sachin Shah, Mouchumi Bhattacharyya, Teresa T Franklin, Therese Farrell Connolly, Walter Chien, George S Charos, Michele M Pelter
BACKGROUND: Energy drink consumption has increased significantly over the past decade and is associated with greater than 20,000 emergency department visits per year. Most often these visits are due to cardiovascular complaints ranging from palpitations to cardiac arrest. OBJECTIVE: To determine if energy drinks alter; blood pressure, electrolytes, activated bleeding time (ACT), and/or cardiac responses measured with a 12-lead electrocardiographic (ECG) Holter. METHODS: Continuous ECG data was collected for five hours (30 minutes baseline and 4 hours post consumption [PC])...
July 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27130846/when-is-an-expert-truly-an-expert
#13
Melanie Heniff
No abstract text is available yet for this article.
October 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27108478/what-a-resident-as-an-expert-witness
#14
Howard Blumstein
No abstract text is available yet for this article.
September 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/22182895/eastern-association-for-the-surgery-of-trauma-practice-management-guidelines-for-hemorrhage-in-pelvic-fracture-update-and-systematic-review
#15
REVIEW
Daniel C Cullinane, Henry J Schiller, Martin D Zielinski, Jaroslaw W Bilaniuk, Bryan R Collier, John Como, Michelle Holevar, Enrique A Sabater, S Andrew Sems, W Matthew Vassy, Julie L Wynne
BACKGROUND: Hemorrhage from pelvic fracture is common in victims of blunt traumatic injury. In 2001, the Eastern Association for the Surgery of Trauma (EAST) published practice management guidelines for the management of hemorrhage in pelvic trauma. Since that time there have been new practice patterns and larger experiences with older techniques. The Practice Guidelines Committee of EAST decided to replace the 2001 guidelines with an updated guideline and systematic review reflecting current practice...
December 2011: Journal of Trauma
https://www.readbyqxmd.com/read/21890237/selective-use-of-computed-tomography-compared-with-routine-whole-body-imaging-in-patients-with-blunt-trauma
#16
Malkeet Gupta, David L Schriger, Jonathan R Hiatt, Henry G Cryer, Areti Tillou, Jerome R Hoffman, Larry J Baraff
STUDY OBJECTIVE: Routine pan-computed tomography (CT, including of the head, neck, chest, abdomen/pelvis) has been advocated for evaluation of patients with blunt trauma based on the belief that early detection of clinically occult injuries will improve outcomes. We sought to determine whether selective imaging could decrease scan use without missing clinically important injuries. METHODS: This was a prospective observational study of 701 patients with blunt trauma at an academic trauma center...
November 2011: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25250591/whole-body-computed-tomographic-scanning-leads-to-better-survival-as-opposed-to-selective-scanning-in-trauma-patients-a-systematic-review-and-meta-analysis
#17
REVIEW
Nicholas D Caputo, Chris Stahmer, George Lim, Kaushal Shah
BACKGROUND: Traumatic injury in the United States is the Number 1 cause of mortality for patients 1 year to 44 years of age. Studies suggest that early identification of major injury leads to better outcomes for patients. Imaging, such as computed tomography (CT), is routinely used to help determine the presence of major underlying injuries. We review the literature to determine whether whole-body CT (WBCT), a protocol including a noncontrast scan of the brain and neck and a contrast-enhanced scan of the chest, abdomen, and pelvis, detects more clinically significant injuries as opposed to selective scanning as determined by mortality rates...
October 2014: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/20800865/fast-scan-is-it-worth-doing-in-hemodynamically-stable-blunt-trauma-patients
#18
Bala Natarajan, Prateek K Gupta, Samuel Cemaj, Megan Sorensen, Georgios I Hatzoudis, Robert Armour Forse
BACKGROUND: During the last decade, focused assessment with sonography for trauma increasingly has become the initial diagnostic modality of choice in trauma patients. It is still questionable, however, whether its use results in the underdiagnosis of intra-abdominal injury. It also remains doubtful whether a positive focused assessment with sonography for trauma affects clinical decision making in hemodynamically stable blunt trauma patients as evidenced through abdominal computerized tomography use...
October 2010: Surgery
https://www.readbyqxmd.com/read/25498329/do-we-really-rely-on-fast-for-decision-making-in-the-management-of-blunt-abdominal-trauma
#19
Jeffrey W Carter, Mark H Falco, Michael S Chopko, William J Flynn, Charles E Wiles Iii, Weidun Alan Guo
INTRODUCTION: The Focused Assessment with Sonography in Trauma examination (FAST) is currently taught and recommended in the ATLS(®), often as an addendum to the primary survey for patients with blunt abdominal trauma. Although it is non-invasive and rapidly performed at bedside, the utility of FAST in blunt abdominal trauma has been questioned. We designed this study to examine our hypothesis that FAST is not an efficacious screening tool for identifying intra-abdominal injuries. METHODS: We performed a retrospective chart review of all patients with confirmatory diagnosis of blunt abdominal injuries with CT and/or laparotomy for a period of 1...
May 2015: Injury
https://www.readbyqxmd.com/read/26258320/fast-ultrasound-examination-as-a-predictor-of-outcomes-after-resuscitative-thoracotomy-a-prospective-evaluation
#20
Kenji Inaba, Konstantinos Chouliaras, Scott Zakaluzny, Stuart Swadron, Thomas Mailhot, Dina Seif, Pedro Teixeira, Emre Sivrikoz, Crystal Ives, Galinos Barmparas, Nikolaos Koronakis, Demetrios Demetriades
OBJECTIVE: The objective of this study was to examine the ability of Focused Assessment Using Sonography for Trauma (FAST) to discriminate between survivors and nonsurvivors undergoing resuscitative thoracotomy (RT). BACKGROUND: RT is a high-risk, low-salvage procedure performed in arresting trauma patients with poorly defined indications. METHODS: Patients undergoing RT from 10/2010 to 05/2014 were prospectively enrolled. A FAST examination including parasternal/subxiphoid cardiac views was performed before or concurrent with RT...
September 2015: Annals of Surgery
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