29th May 2012

Post reblogged from Wayfaring MD: Missionary Physician with 17 notes

DDx Challenge

wayfaringmd:

Attending: I saw an otherwise healthy 15 year old kid last summer who had a creatinine of almost 2. You get three questions and then you have to give me a diagnosis. 

Me:

Ok, was he an athlete?

Attending: Yes.

Me: Too many protein supplements and not enough water during football practice. BAM!

Attending: Excellent. 

Me: 

Source: wayfaringmd

29th May 2012

Link reblogged from Dr. Cranquis' Mumbled Gripes with 118 notes

Dr. Cranquis' Mumbled Gripes: Fun Fact: P is for Pregnancy Test →

cranquis:

ATTENTION FEMALES OF THE WORLD:

You know those over-the-counter home pregnancy tests? Those little sticks you pee on when you miss a period? Well guess what? Those are the exact same tests* that we use to test your pee when you come bustling into the Urgent Care, demanding a “more accurate”…

Source: cranquis

28th May 2012

Post reblogged from Wayfaring MD: Missionary Physician with 57 notes

Best way to scare the physicians:

wayfaringmd:

ermedicine:

Change their screensaver to an image that says

“YOUR COMPUTER HAS BEEN FLAGGED FOR A HIPPA VIOLATION”

Source: ermedicine

28th May 2012

Link reblogged from So You Wanna Be A Doctor? with 2 notes

"Secrets of the First Practical Artifical Leaf" →

aspiringdoctors:

ScienceDaily article

“Daniel G. Nocera points out that the artificial leaf responds to the vision of a famous Italian chemist who, in 1912, predicted that scientists one day would uncover the “guarded secret of plants.” The most important of those, Nocera says, is the process that splits water into hydrogen and oxygen. The artificial leaf has a sunlight collector sandwiched between two films that generate oxygen and hydrogen gas. When dropped into a jar of water in the sunlight, it bubbles away, releasing hydrogen that can be used in fuel cells to make electricity. These self-contained units are attractive for making fuel for electricity in remote places and the developing world, but designs demonstrated thus far rely on metals like platinum and manufacturing processes that make them cost-prohibitive.

To make these devices more widely available, Nocera replaced the platinum catalyst that produces hydrogen gas with a less-expensive nickel-molybdenum-zinc compound. On the other side of the leaf, a cobalt film generates oxygen gas. Nocera notes that all of these materials are abundant on Earth, unlike the rare and expensive platinum, noble metal oxides and semiconducting materials others have used. “Considering that it is the 6 billion nonlegacy users that are driving the enormous increase in energy demand by midcentury, a research target of delivering solar energy to the poor with discoveries such as the artificial leaf provides global society its most direct path to a sustainable energy future,” he says.”

Mostly when I first read this, I imagined plants that didn’t elicit horrible mucus secretions from my face. Fucking pollen.

But cheap green energy is good too! YAY!

And.. see, that section on photosynthesis wasn’t totally useless! You understood this article!

Source: aspiringdoctors

27th May 2012

Link reblogged from So You Wanna Be A Doctor? with 8 notes

"Device May Inject a Variety of Drugs Without Using Needles" →

aspiringdoctors:

MITnews article.

“MIT researchers have engineered a device that delivers a tiny, high-pressure jet of medicine through the skin without the use of a hypodermic needle. The device can be programmed to deliver a range of doses to various depths — an improvement over similar jet-injection systems that are now commercially available. 

The researchers say that among other benefits, the technology may help reduce the potential for needle-stick injuries; the Centers for Disease Control and Prevention estimates that hospital-based health care workers accidentally prick themselves with needles 385,000 times each year. A needleless device may also help improve compliance among patients who might otherwise avoid the discomfort of regularly injecting themselves with drugs such as insulin.

“If you are afraid of needles and have to frequently self-inject, compliance can be an issue,” says Catherine Hogan, a research scientist in MIT’s Department of Mechanical Engineering and a member of the research team. “We think this kind of technology … gets around some of the phobias that people may have about needles.”

The team reports on the development of this technology in the journal Medical Engineering & Physics

…Now the MIT team, led by Ian Hunter, the George N. Hatsopoulos Professor of Mechanical Engineering, has engineered a jet-injection system that delivers a range of doses to variable depths in a highly controlled manner. The design is built around a mechanism called a Lorentz-force actuator — a small, powerful magnet surrounded by a coil of wire that’s attached to a piston inside a drug ampoule. When current is applied, it interacts with the magnetic field to produce a force that pushes the piston forward, ejecting the drug at very high pressure and velocity (almost the speed of sound in air) out through the ampoule’s nozzle — an opening as wide as a mosquito’s proboscis.

The speed of the coil and the velocity imparted to the drug can be controlled by the amount of current applied; the MIT team generated pressure profiles that modulate the current. The resulting waveforms generally consist of two distinct phases: an initial high-pressure phase in which the device ejects drug at a high-enough velocity to “breach” the skin and reach the desired depth, then a lower-pressure phase where drug is delivered in a slower stream that can easily be absorbed by the surrounding tissue.

Through testing, the group found that various skin types may require different waveforms to deliver adequate volumes of drugs to the desired depth.”

This is great news! I know so many people who are terrified of needles and this is literally the only reason they won’t go the doctor’s office when they’re sick. Very frustrating.

Source: aspiringdoctors

27th May 2012

Link reblogged from Science :)) with 51 notes

Science :)): Researchers Identify Key Brain Cell in Antidepressant Action →

sciencenote:

Antidepressant medications such as Prozac have helped improve mood and lessen anxiety in millions of people with major depression. But scientists know surprisingly little about how these drugs work.

“There may be many different cell types whose activity you can alter to have a beneficial impact…

Source: hhmi.com

27th May 2012

Photo reblogged from Science :)) with 200 notes

sciencenote:


Dopamine has been recognized as an important modulator of central as well as peripheral physiologic functions in both humans and animals. Dopamine receptors have been identified in a number of organs and tissues, which include several regions within the central nervous system, sympathetic ganglia and postganglionic nerve terminals, various vascular beds, the heart, the gastrointestinal tract, and the kidney. The peripheral dopamine receptors influence cardiovascular and renal function by decreasing afterload and vascular resistance and promoting sodium excretion. Within the kidney, dopamine receptors are present along the nephron, with highest density on proximal tubule epithelial cells. It has been reported that there is a defective dopamine receptor, especially D1 receptor function, in the proximal tubule of various animal models of hypertension as well as in humans with essential hypertension. Recent reports have revealed the site of and the molecular mechanisms responsible for the defect in D1 receptors in hypertension. Moreover, recent studies have also demonstrated that the disruption of various dopamine receptor subtypes and their function produces hypertension in rodents. In this review, we present evidence that dopamine and dopamine receptors play an important role in regulating renal sodium excretion and that defective renal dopamine production and/or dopamine receptor function may contribute to the development of various forms of hypertension.
Since the discovery in 1964 that dopamine produces natriuresis and diuresis (12), a tremendous amount of progress has been made in understanding dopamine-mediated effects on renal and cardiovascular function
Dopamine Deficiency in Human Hypertension.
Deficiency in renal dopamine synthesis and/or secretion has been reported in various forms of human hypertension. Urinary dopamine excretion is lower in salt-sensitive hypertensive patients than in normal subjects or non-salt-sensitive patients on high sodium intake . Suppressed dopaminergic activity has also been shown in the prehypertensive stage of primary hypertension . Reduced dopaminergic activity has also been observed in young normotensive subjects with an apparent family history of hypertension before any evidence of hypertension emerged . The exact mechanism for the renal dopaminergic deficiency in the human primary hypertension is not known. However, a defect in L-dopa-decarboxylase, the enzyme that catalyzes the conversion of L-dopa to dopamine, has been reported in a subject with a family history of hypertension . Other studies have shown a decrease in both the renal tubular uptake of L-dopa and the conversion of L-dopa to dopamine in a subgroup of salt-sensitive hypertensive patients . Because the suppression of renal dopaminergic activity has been observed in young normotensives with a family history of hypertension before any manifestation of the disease, it has been suggested that renal dopaminergic deficiency may contribute to the development of hypertension 

sciencenote:

Dopamine has been recognized as an important modulator of central as well as peripheral physiologic functions in both humans and animals. Dopamine receptors have been identified in a number of organs and tissues, which include several regions within the central nervous system, sympathetic ganglia and postganglionic nerve terminals, various vascular beds, the heart, the gastrointestinal tract, and the kidney. The peripheral dopamine receptors influence cardiovascular and renal function by decreasing afterload and vascular resistance and promoting sodium excretion. Within the kidney, dopamine receptors are present along the nephron, with highest density on proximal tubule epithelial cells. It has been reported that there is a defective dopamine receptor, especially D1 receptor function, in the proximal tubule of various animal models of hypertension as well as in humans with essential hypertension. Recent reports have revealed the site of and the molecular mechanisms responsible for the defect in D1 receptors in hypertension. Moreover, recent studies have also demonstrated that the disruption of various dopamine receptor subtypes and their function produces hypertension in rodents. In this review, we present evidence that dopamine and dopamine receptors play an important role in regulating renal sodium excretion and that defective renal dopamine production and/or dopamine receptor function may contribute to the development of various forms of hypertension.

Since the discovery in 1964 that dopamine produces natriuresis and diuresis (12), a tremendous amount of progress has been made in understanding dopamine-mediated effects on renal and cardiovascular function

Dopamine Deficiency in Human Hypertension.

Deficiency in renal dopamine synthesis and/or secretion has been reported in various forms of human hypertension. Urinary dopamine excretion is lower in salt-sensitive hypertensive patients than in normal subjects or non-salt-sensitive patients on high sodium intake . Suppressed dopaminergic activity has also been shown in the prehypertensive stage of primary hypertension . Reduced dopaminergic activity has also been observed in young normotensive subjects with an apparent family history of hypertension before any evidence of hypertension emerged . The exact mechanism for the renal dopaminergic deficiency in the human primary hypertension is not known. However, a defect in L-dopa-decarboxylase, the enzyme that catalyzes the conversion of L-dopa to dopamine, has been reported in a subject with a family history of hypertension . Other studies have shown a decrease in both the renal tubular uptake of L-dopa and the conversion of L-dopa to dopamine in a subgroup of salt-sensitive hypertensive patients . Because the suppression of renal dopaminergic activity has been observed in young normotensives with a family history of hypertension before any manifestation of the disease, it has been suggested that renal dopaminergic deficiency may contribute to the development of hypertension 

Source: ebm.rsmjournals.com

12th May 2012

Photo reblogged from Dr. Cranquis' Mumbled Gripes with 86 notes

cranquis:

Ha! Reminds me of a similar story that happened to me — with less suicide but more threats of bodily harm. :S
(Thanks to wifeofadocstar for the submission!)

cranquis:

Ha! Reminds me of a similar story that happened to me — with less suicide but more threats of bodily harm. :S

(Thanks to wifeofadocstar for the submission!)

Source: poormd.com

12th May 2012

Photo reblogged from Surviving Science with 232 notes

Source: engineering-laughter

8th May 2012

Link reblogged from So You Wanna Be A Doctor? with 9 notes

Scientists Invent Dental Fillings That Kill Bacteria and Remineralize the Tooth →

aspiringdoctors:

Medical Xpress article.

“Scientists using nanotechology at the University of Maryland School of Dentistry have created the first cavity-filling composite that kills harmful bacteria and regenerates tooth structure lost to bacterial decay.

Rather than just limiting decay with conventional fillings, the new composite is a revolutionary dental weapon to control , which co-exist in the natural colony of microorganisms in the mouth, says professor Huakun (Hockin) Xu, PhD, MS.

means that the mineral content in the tooth has been dissolved by the secreted by bacteria residing in biofilms or plaques on the tooth surface. These organisms convert carbohydrates to acids that decrease the minerals in the tooth structure,” says Xu, director of the Division of Biomaterials and Tissue Engineering in the School’s Department of Endodontics, Prosthodontics and Operative Dentistry.

After a dentist drills out a decayed tooth, the cavity still contains residual bacteria. Xu says it is not possible for a dentist to remove all the damaged tissue, so it’s important to neutralize the harmful effects of the bacteria, which is just what the new nanocomposites are able to do.

The researchers also have built antibacterial agents into primer used first by dentists to prepare a drilled-out cavity and into adhesives that dentists spread into the cavity to make a filling stick tight to the tissue of the tooth. “The reason we want to get the antibacterial agents also into primers and adhesives is that these are the first things that cover the internal surfaces of the tooth cavity and flow into tiny dental tubules inside the tooth,” says Xu. The main reason for failures in tooth restorations, says Xu, is secondary caries or decay at the restoration margins. Applying the new primer and adhesive will kill the residual bacteria, he says.

Fillings made from the School of Dentistry’s new nanocomposite, with antibacterial primer and antibacterial adhesive, should last longer than the typical five to 10 years, though the scientists have not thoroughly tested longevity. Xu says a key component of the new and nano-structured adhesive is calcium phosphate nanoparticles that regenerate tooth minerals. The antibacterial component has a base of quaternary ammonium and silver nanoparticles along with a high pH. The alkaline pH limits acid production by bacteria.

“The bottom line is we are continuing to improve these materials and making them stronger in their antibacterial and remineralizing capacities as well as increasing their longevity,” Xu says.

The new products have been laboratory tested using biofilms from saliva of volunteers. The Xu team is planning to next test its products in animal teeth and in human volunteers in collaboration with the Federal University of Ceara in Brazil.”

Human Oral Bacteria

In Microbiology we were going over human oral bacteria and the TA said that the mouth is pretty much an incubator for bacteria because it is warm and wet, and then went on to to discuss how gross the bacteria in our mouths are.

Give me blood and guts all day, I could never be a dentist; I salute those of you who can and are.

Source: aspiringdoctors