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anonymous

Chronic conditions - Primary Care Guidelines - 0 views

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    "With an ever-aging population, the presence of many chronic co-morbid conditions is a reality for a majority of patients. As such, the clinician would be best served to be up-to-date with the latest evidence-based medicine. "
Ambika Kilaparthi

Placebos Are Getting More Effective. Drugmakers Are Desperate to Know Why. - 0 views

  • response to placebo was considered a psychological trait related to neurosis and gullibility rather than a physiological phenomenon that could be scrutinized in the lab and manipulated for therapeutic benefit. But then Benedetti came across a study, done years earlier, that suggested the placebo effect had a neurological foundation. US scientists had found that a drug called naloxone blocks the pain-relieving power of placebo treatments. The brain produces its own analgesic compounds called opioids, released under conditions of stress, and naloxone blocks the action of these natural painkillers and their synthetic analogs.
  • Placebo-activated opioids, for example, not only relieve pain; they also modulate heart rate and respiration. The neurotransmitter dopamine, when released by placebo treatment, helps improve motor function in Parkinson's patients. Mechanisms like these can elevate mood, sharpen cognitive ability, alleviate digestive disorders, relieve insomnia, and limit the secretion of stress-related hormones like insulin and cortisol.
  • Alzheimer's patients with impaired cognitive function get less pain relief from analgesic drugs than normal volunteers do. Using advanced methods of EEG analysis, he discovered that the connections between the patients' prefrontal lobes and their opioid systems had been damaged. Healthy volunteers feel the benefit of medication plus a placebo boost. Patients who are unable to formulate ideas about the future because of cortical deficits, however, feel only the effect of the drug itself. The experiment suggests that because Alzheimer's patients don't get the benefits of anticipating the treatment, they require higher doses of painkillers to experience normal levels of relief.
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  • placebo response has limits. It can ease the discomfort of chemotherapy, but it won't stop the growth of tumors. It also works in reverse to produce the placebo's evil twin, the nocebo effect. For example, men taking a commonly prescribed prostate drug who were informed that the medication may cause sexual dysfunction were twice as likely to become impotent.
  • placebo aids recovery is by hacking the mind's ability to predict the future. We are constantly parsing the reactions of those around us—such as the tone a doctor uses to deliver a diagnosis—to generate more-accurate estimations of our fate. One of the most powerful placebogenic triggers is watching someone else experience the benefits of an alleged drug. Researchers call these social aspects of medicine the therapeutic ritual.
  • What turns a dummy pill into a catalyst for relieving pain, anxiety, depression, sexual dysfunction, or the tremors of Parkinson's disease? The brain's own healing mechanisms, unleashed by the belief that a phony medication is the real thing. The most important ingredient in any placebo is the doctor's bedside manner, but according to research, the color of a tablet can boost the effectiveness even of genuine meds—or help convince a patient that a placebo is a potent remedy.
  • Red pills can give you a more stimulating kick
  • green reduces anxiety
  • White tablets—particularly those labeled "antacid"—are superior for soothing ulcers
  • More is better,scientists say. Placebos taken four times a day deliver greater
  • Branding matters. Placebos stamped or packaged with widely recognized trademarks are more effective than "generic"
  • Clever names
  • volunteers in this high-interaction group got as much relief as did people taking the two leading prescription drugs for IBS. And the benefits of their bogus treatment persisted for weeks afterward, contrary to the belief—widespread in the pharmaceutical industry—that the placebo response is short-lived.
  • hybrid treatment strategies that exploit the placebo effect to make real drugs safer and more effective. Cancer patients undergoing rounds of chemotherapy often suffer from debilitating nocebo effects—such as anticipatory nausea—conditioned by their past experiences with the drugs. A team of German researchers has shown that these associations can be unlearned through the administration of placebo, making chemo easier to bear.
  • body's response to certain types of medication is in constant flux, affected by expectations of treatment, conditioning, beliefs, and social cues.
  • Big Pharma have moved aggressively into Africa, India, China, and the former Soviet Union. In these places, however, cultural dynamics can boost the placebo response in other ways. Doctors in these countries are paid to fill up trial rosters quickly, which may motivate them to recruit patients with milder forms of illness that yield more readily to placebo treatment. Furthermore, a patient's hope of getting better and expectation of expert care—the primary placebo triggers in the brain—are particularly acute in societies where volunteers are clamoring to gain access to the most basic forms of medicine. "The quality of care that placebo patients get in trials is far superior to the best insurance you get in America
  • The HAM-D was created nearly 50 years ago based on a study of major depressive disorder in patients confined to asylums. Few trial volunteers now suffer from that level of illness. In fact, many experts are starting to wonder if what drug companies now call depression is even the same disease that the HAM-D was designed to diagnose.
  • What all of these disorders have in common, however, is that they engage the higher cortical centers that generate beliefs and expectations, interpret social cues, and anticipate rewards. So do chronic pain, sexual dysfunction, Parkinson's
  • In standard trials, the act of taking a pill or receiving an injection activates the placebo response. In open/hidden trials, drugs and placebos are given to some test subjects in the usual way and to others at random intervals through an IV line controlled by a concealed computer. Drugs that work only when the patient knows they're being administered are placebos themselves.
  • Ironically, Big Pharma's attempt to dominate the central nervous system has ended up revealing how powerful the brain really is. The placebo response doesn't care if the catalyst for healing is a triumph of pharmacology, a compassionate therapist, or a syringe of salt water. All it requires is a reasonable expectation of getting better. That's potent medicine.
anonymous

See what your doctor can see with Map of Medicine Healthguides - England - 0 views

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    "Map of Medicine Healthguides shows you the ideal, evidence-based patient journey for common and important conditions. It is a high-level overview that can be shared by patients and healthcare providers. "
anonymous

Figure 1 - 0 views

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    rivacy conscious photo sharing for healthcare professionals, as featured on Medgadget. Download to view high quality images of medical conditions instantly. Upload and share clinical images with the Figure 1 medical community. Get feedback from other healthcare professionals in your field.
anonymous

5 Minute Clinical Consult app for Android is a great medical resource - 2 views

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    "contains over 900 medical conditions to help physicians diagnose, treat, and follow up with patients. 5MCC 2012 also includes 200 pediatric topics, 130 dermatology images, medical news RSS feeds, and Diagnosaurus with 1,000 differential diagnoses."
anonymous

Images on health websites can lessen comprehension, study finds | News Bureau | Univers... - 0 views

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    Photos of happy, smiling faces on patient education websites may engage readers, but they also may have a negative impact on older adults' comprehension of vital health information, especially those elderly patients who are the least knowledgeable about their medical condition to begin with, suggests a new study.
anonymous

Writing Multiple-Choice Questions for Higher-level Thinking by Mike Dickinson : Learnin... - 0 views

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    "Don't overlook the value of higher-level multiple-choice questions for teaching. In areas where the target audience has some degree of prior knowledge, or where their life experience is relevant, I often make online courses denser by using multiple-choice exercises instead of the more traditional present-and-test format. This technique is also useful when there is room for judgment, or the preferred choice is conditional and you want the student to understand how different circumstances can affect the preferred action."
anonymous

How to Use Twitter at Conferences - 5 views

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    "A short guide for faculty on how to use Twitter at conferences. You are welcome to use this in your faculty development sessions in keeping with the Creative Commons license conditions."
anonymous

The laptop and the lecture: The effects of multitasking in learning environments - Spri... - 5 views

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    Students in the open laptop condition suffered decrements on traditional measures of memory for lecture content.
anonymous

The feedback sanction. [Acad Emerg Med. 2000] - PubMed - NCBI - 1 views

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    "Good feedback is a necessary condition for well-calibrated performance by individuals, and is integral to effective team function. More needs to be known about outcomes for feedback to work efficiently. The critical role of feedback in other aspects of ED function, such as education and human factors engineering, should be emphasized. The current interest in medical error and evolving attitudes toward a new culture of patient safety provide a unique opportunity to examine feedback and the critical role it plays in ED function."
anonymous

Checklists to reduce diagnostic errors. [Acad Med. 2011] - PubMed - NCBI - 1 views

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    "The purpose of this article is to argue for the further investigation and revision of these initial attempts to apply checklists to the diagnostic process. The basic idea behind checklists is to provide an alternative to reliance on intuition and memory in clinical problem solving. This kind of solution is demanded by the complexity of diagnostic reasoning, which often involves sense-making under conditions of great uncertainty and limited time."
anonymous

Pilot Study of Providing Online Care in a Primary Care Setting - Mayo Clinic Proceedings - 0 views

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    "During the 2-year period, 4282 patients were registered for the service. Patients made 2531 online visits, and billings were made for 1159 patients. E-visits were submitted primarily by women during working hours and involved 294 different conditions. Of the 2531 e-visits, 62 (2%) included uploaded photographs, and 411 (16%) replaced nonbillable telephone protocols with billable encounters. The e-visits made office visits unnecessary in 1012 cases (40%); in 324 cases (13%), the patient was asked to schedule an appointment for a face-to-face encounter. "
Anne Marie Cunningham

PatientsLikeMe : Patients Helping Patients Live Better Every Day - 0 views

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    started with mainly neurological conditions but allows patients to share experiences of illness and treatments
Jim Rawcliffe

npci - 0 views

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    NHS National Presecribing Centre - learning resource covering theraputics and medicine management contained within a virtual building.
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    Very interesting virtual building format. Lots of great decision aids and PILs
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    E-Learning on prescribing fro various conditions, includes some mental health and Paediatrics
Andrea Owen

Isabel Healthcare - 0 views

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    Isabel is an award-winning, clinical decision support system designed to enhance the quality of diagnosis decision making. Its unique feature is a diagnosis reminder system.For a given set of clinical features Isabel instantly provides a checklist of likely diagnoses including bio-terrorism conditions, related diagnoses and causative drugs.
Natalie Lafferty

Taped Lectures - Better than the Real Thing? - Open Education - 0 views

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    Post about a paper published in Computers and Education 2008 comparing student test results depending on whether they attended a specific classroom lecture or listened to the lecture as a podcast. There is also a link to the article. The results indicate that the students who listened to the podcast and tool notes scored significantly higher than the lecture condition.
Peter Kimmich

20 Strange and Mysterious Medical Syndromes - 0 views

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    Doctors have come across some baffling day-to-day ailments, but few conditions are as strange as these 20 disorders, which range from biological to psychological to cultural in nature.
anonymous

The delivery of public health interventions online - 0 views

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    The Internet increasingly serves as a platform for the delivery of public health interventions. The efficacy of Internet interventions has been demonstrated across a wide range of conditions. Much more work remains, however, to enhance the potential for broad population dissemination of Internet interventions. In this article, we examine the effectiveness of Internet interventions, with particular attention to their dissemination potential. We discuss several considerations (characterizing reach rates, minimizing attrition, promoting Web site utilization, use of tailored messaging and social networking) that may improve the implementation of Internet interventions and their associated outcomes. We review factors that may influence the adoption of Internet interventions in a range of potential dissemination settings. Finally, we present several recommendations for future research that highlight the potential importance of better understanding intervention reach, developing consensus regarding Web site usage metrics, and more broadly integrating Web 2.0 functionality.
anonymous

PreOp - Patient Education - 2 views

shared by anonymous on 27 Jan 10 - Cached
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    "This is an information resource designed to help patients understand the nature of a medical condition and the surgical procedure most commonly used to treat it." I think it could also be used with premed and 1st year students.
Natalie Lafferty

ImageStamper | Stay Copyright-safe - 3 views

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    ImageStamper is a free tool for keeping dated, independently verified copies of license conditions associated with creative commons images. You can use it to safeguard your use of free images from license changes, or to prove you are the original image creator.
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