Podcasts about british medical journal bmj

On the MIA podcast this week we turn our attention to conflicts of interest (COIs) and new research from the British Medical Journal (BMJ). Mad in America has previously examined the problems with conflicts of interest in research but this time we extend that to look at the potential effect of COIs on diagnostic tools such as the Diagnostic and Statistical Manual of Mental Disorders (DSM). Joining me today are Lisa Cosgrove and Brian Piper, two of the authors of a paper which appeared in the BMJ. The paper is entitled “Undisclosed Financial Conflicts of Interest in the DSM-5 TR: Cross-Sectional Analysis,” and it was published in January 2024. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. To find the Mad in America podcast on your preferred podcast player, click here

Episode 2216 - House Republicans succeeded in their second attempt to impeach Department of Homeland Security (DHS) Secretary Alejandro Mayorkas yet he said they are all baseless claims? Why is it so important to eat organic food as much as possible? Chicago councilman is now demanding residents with larger houses open their houses to house migrants. British Medical Journal (BMJ) is calling formore "behavioral interventions" online, including on social media in order to combat vaccine hesitancy. Are they getting ready to roll out another shot? Plus much more in this high paced show

Have you ever found it difficult to tell an important story… a story so important that you feel everyone must know for there own benefit? These types of dilemma arise when the information is vast and technical and you have to relay so much information. An investigative journalist serves this purpose on a daily basis, and today on the GCP we have one of the best, Martha Rosenberg!Martha Rosenberg is a nationally recognized medical reporter. Her work appears in the British Medical Journal (BMJ), Consumer Reports, Public Citizen, Center for Health Journalism at USC Annenberg, Nieman Foundation for Journalism at Harvard University and other top outlets. Rosenberg has written more than 1,000 scientific and non-scientific papers. Her work has been cited by the Memorial Sloan Kettering Cancer Center, Mayo Clinic Proceedings, Public Library of Science Biology, Science Direct, Journal of Pain & Palliative Care Pharmacotherapy, Journal of Trauma & Dissociation, Britannica, National Geographic, Hastings Law Journal and Wikipedia. Rosenberg's FDA expose, "Born with a Junk Food Deficiency,” is a must read.Join us on the GCP as Martha tells us how she sees the dynamics of Big Pharma and Big Food fighting to control a narrative that is simply untrue. 

Ian Mulvany is Chief Technology Officer at the British Medical Journal (BMJ). Join me for a fascinating conversation with a seasoned technology leader building innovative and empowering healthcare products.  "Technology as it is configured today....we are still at the foothills of understanding [how] this is going to drive our future economies... There are still hundreds of millions of people to come to the web and so when we think about healthcare, the future demand on healthcare is going to far outstrip the access to the number of doctors that are out there. So how do we equip people to work at what is sometimes called the 'top end of their licence', to be able to deliver that? I think digital has an immense role to play there. So I'm hugely excited about being in a place where the tools we build can help build that story." Thanks for listening, and I hope you enjoy the episode.  Mike Green    

The law on flexible working changes today. This should make it easier for employees to argue for a flexible working arrangement. It's the culmination of years of hard work and campaigning for more family friendly workplaces. Anita speaks to the Minister for Small Business, Kevin Hollinrake, and Amy Butterworth from the flexible working consultancy Timewise. An investigation by BBC Newsnight and the British Medical Journal (BMJ) has uncovered a row over controversial research about the impact of abortion on the mental health of women. An independent panel resigned from the British Journal of Psychiatry after their recommendation to withdraw the research, which is still being used in US legal cases about abortion access, was not followed. Newsnight's Science Correspondent Kate Lamble joins Anita to discuss what has happened. The 2023 FIFA Women's World Cup kicks off today in New Zealand and Australia. It's set to be the largest ever, both in terms of viewing figures and the number of fixtures. But the tournament starts against a backdrop of uncertainty. This morning came the news of a shooting which left two people dead in the centre of Auckland, New Zealand. And off-pitch there have been frustrations around pay and treatment of the women's teams. Kathryn Batte, Women's Football Correspondent for the Daily Mail talks to Anita. The Irish singer-songwriter Roisin Murphy first rose to fame in the 1990s as one half of the electronic pop duo Moloko, with hits such as Sing it Back and The Time is Now. She has gone on to have a successful solo career with award-nominated albums including Hairless Toys and Róisín Machine. Her upcoming album ‘Hit Parade' is produced in collaboration with electronic music auteur DJ Koze and is due for release in early September. She joins Anita live in the studio to talk about her music and to perform her single 'Fader' with James McCredie on guitar. Presenter: Anita Rani Producer: Rebecca Myatt Studio manager: Bob Nettles and Duncant Hannant

Is there something in your life that you would rather not know about for fear of finding out? FOFO was an acronym that I came across this week. In this show, we explore the things we avoid for fear of finding out what we cannot solve, meet or stop. The point is fear of the unknown is often bigger than the fear of the actual problem. I discover the phrase while reading a news piece about government policy and politicians refusing to investigate something or even look at something for fear of finding out and being duty-bound to take action.  FOFO  was an activity that I am aware of but I never heard it coined in that way. We all have places or areas in life that we would rather ignore. Reading the article, I was surprised it had pervaded politics and government policy. And yet, in politics, there is more at stake here because, without investigation, there is plausible deniability.  When thinking about the subject, the first instance that comes to mind is in the health industry, and indeed there is an interesting article in the British Medical Journal BMJ. People will ignore symptoms and put off seeking medical advice rather than face what could be invasive tests or treatments. Now that I think about it, I remember people who ignored lumps marks or symptoms and paid the price for the delay.  The piece sent me on an exploration of the online world and my FOFO, and I concluded that fear of finding out is more common than I first thought. In the show, we look at examples and strategies you could employ to get through the problem.  In the final analysis, all of this is about fear at its worse. There is nothing quite like the paralysis of unknown fear because it will get bigger the longer you leave it.  Fears must be faced, and it is a bitter pill that can be sorted with support. If you have an issue that you are ignoring, ask for help before it is too late.     The Five Questions eBook: https://lifepassionandbusiness.com/the-five-questions Focus Coaching: https://lifepassionandbusiness.com/focus-coaching/ Support The Podcast:https://www.buymeacoffee.com/lifeandpassion Midlife Survey: https://lifepassionandbusiness.com/midlife-challenge/

This week we discuss the Project Veritas video of a Pfizer employee discussing their plans to manipulate the virus. We also cover extremely important information about the Therapeutic Goods Administration and other pharmaceutical regulators around the world unearthed by the British Medical Journal (BMJ) that we should have known about before the vaccine rollout began, as well as why Bill Gates has suddenly changes his tune on mRNA vaccines and what is coming next.

Peter Breadon, Director of the Health and Aged Care Program at the Grattan Institute, and Danielle Romanes, Visiting Fellow at the Grattan Institute, canvass their report 'A new Medicare: strengthening general practice' and discuss the reform needed to give more patients better care and boost GPs' job satisfaction; Jennifer Rasanathan, Primary Care Physician and Clinical Editor of the British Medical Journal (BMJ), shares some light-hearted research from the Christmas edition of the BMJ; and the team discuss the Dying With Dignity Victoria survey, examine the renaming of monkeypox, and unpack the reduction in Medicare-rebated psychology sessions. With presenters Dr Nick, Prudence Dear, and Dr Band.Website: https://www.rrr.org.au/explore/programs/radiotherapyFacebook: https://www.facebook.com/RadiotherapyOnTripleR/Twitter: https://twitter.com/_radiotherapy_Instagram: https://instagram.com/radiotherapy_tripler

In our fourth episode of Be the Expert, Marc and Adesh bring you a recently published article from the British Medical Journal (BMJ), titled "Reducing the health impacts of ambient air pollution". The World Health Organisation states that over 90% of humans live in regions where air quality is harmful to our health. Tune in to hear how air pollution affects health, and how we can minimise these impacts through adaptation and mitigation. Article: https://doi.org/10.1136/bmj-2021-069487

Beverley Thomson is a writer, researcher and speaker with a focus on psychiatric medication including antidepressants, benzodiazepines and ADHD drugs; their history, how the drugs work, adverse effects, dependence, withdrawal and development of patient support services. Her aim is to help inform and empower the patient to make informed choices about medication. She has a particular interest in withdrawal management and prescription drug-induced suicide. In the past 10 years, she has worked with organizations such as the British Medical Association, the Scottish Government (as part of a working group addressing the issue of prescribed drug harm and dependence in Scotland), the UK Council for Evidence-Based Psychiatry (writing evidence-based summaries to be used by professionals and the general public), and the UK All Party Parliamentary Group for Prescribed Drug Dependence. She has contributed to articles in the British Medical Journal (BMJ) and mainstream media including TV. Author of Antidepressed: A Breakthrough Examination of Epidemic Antidepressant Harm and Dependence Antidepressed breaks down the growing issue of antidepressant use, harm and dependence—how we got to this point, what's happening worldwide every single day, and most importantly, where we go from here. Providing information that both patients and mental health professionals desperately need, Antidepressed exposes the holes in mental health systems and highlights the desperate need for reform. Featuring compelling accounts from real people whose lives have been irrevocably harmed by prescription antidepressants, Antidepressed provides proof that there is no such thing as a magic pill—and that pretending otherwise risks the lives and well-being of those who need help the most.

Welcome to Episode 1 of CLOT Conversations from Thrombosis Canada. In this episode Dr Jameel Abdulrehman and David Airdrie are joined by Dr Sameer Parpia and Dr Kerstin De Wit,  two of the authors of a recently published paper entitled Diagnosis of deep vein thrombosis with D-dimer adjusted to clinical probability: prospective diagnostic management study. The paper was published in the British Medical Journal (BMJ 2022;376:e067378 https://www.bmj.com/content/376/bmj-2021-067378) earlier this year. The lead investigator was Dr Clive Kearon, who unfortunately passed away in 2020. The study was co-authored by a cross-Canada team of researchers. The authors discuss the study outcomes and their clinical relevance with the hosts in this 20 minute program.Kerstin de Wit trained in internal medicine, emergency medicine and research in the UK. She completed a Thrombosis Fellowship in Ottawa in 2013. Since then, she has worked in both emergency medicine and thrombosis. She leads a research program which focuses on the diagnosis of bleeding and clotting disorders in the emergency department, and is funded by CIHR Sameer Parpia is an Associate Professor in the Departments of Oncology and Health Research Methods, Evidence, and Impact at McMaster University. His interests and expertise are in the design, conduct, monitoring, statistical analysis and reporting of randomized clinical trials. As a senior biostatistician, he provides statistical and methodological leadership for clinical trials in thrombosis. Thrombosis Canada Tools related to the content:Wells Criteria calculator: https://thrombosiscanada.ca/tools/?calc=wellsDVTDVT Diagnosis Algorithm: https://thrombosiscanada.ca/tools/?calc=vivomap263Follow us on Twitter:Thrombosis Canada: @ThrombosisCanDr Sameer Parpia: @ParpiaSameerDr Kerstin De Wit: @kerstindewitSupport the showhttps://thrombosiscanada.caTake a look at our healthcare professional and patient resources, videos and publications on thrombosis from the expert members of Thrombosis Canada

Either you've had COVID-19 or you know someone who has. Once you're on the mend, how do you get back into exercise? And what's actually happening to the body after you've been sick? On this episode, Gab and Sarah look at how to safely approach exercise after an illness like COVID-19. Sarah outlines a brilliant 5-step plan which was published in the British Medical Journal (BMJ) in 2021. The information in this podcast is for general use, always consult your doctor or physiotherapist before undertaking a new exercise program. Contact us: womenlikeyoupodcast@gmail.com WLY resources and recommendations: BMJ Returning to physical activity after covid-19https://www.bmj.com/content/372/bmj.m4721 WLY newsletter subscription  The Women Like You podcast is recorded on the lands of the Gadigal people of the Eora nation. We pay our respects to elders past, present and emerging. We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the land where we live, work, and exercise. See omnystudio.com/listener for privacy information.

Christian Elliot is too young to write this well and understand this much... His full post with all the links is on his website  HERE.  Highly recommended. From October 27, 2012. #1: THE “VACCINES” ARE A MASSIVE FAILUREIf ever there was an obvious example of willful determination by our public health officials to believe in something despite all evidence to the contrary, these injections are it. Remember that “95% effective” story we were sold?What a misplaced hope that turned out to be.While we could look at compelling evidence of failure from the most vaccinated nations and states in the world (Vermont, Maine, Colorado, the UK, Wales, Chile, Seychelles, Ireland, or Mongolia), let's just stick with the most glaring example of the utter failure of these shots—Israel.With the belief that Israel would be the shining example of how to get back to normal, Netanyahu sold out his entire country in an exclusive contract with Pfizer. Israel is a shining example all right, but not for vaccine effectiveness.What am I talking about? I'll leave it to Dr. Peter Doshi (editor of the British Medical Journal—BMJ) for the mic-drop article about this ridiculous, efficacy sham.Here is the inconvenient data of what Doshi calls “The elephant named ‘waning immunity.”In early July 2021, Israel reports the vaccine was 64% effective.By late July 2021, Israel reported the vaccine was 39% effective. That's a major drop in less than a month. Curious about the efficacy rate after that?Me too…but Pfizer supposedly doesn't have any data past six months into their trial—i.e. March 2021.Um…how long have these trials been going on?And that prompts another important question:How could the clear signals of dramatically-waning immunity lead to a “full FDA approval”?READ ONSupport the show (https://paypal.me/dryohoauthor?locale.x=en_US)

STORY AT-A-GLANCE ·   “Fact checks” are nothing but a biased censoring mechanism, and now we have proof of this fact, thanks to a lawsuit brought against Facebook by journalist John Stossel·   In court documents, Facebook admits that fact checks are “statements of opinion” and not factual assertions·   Facebook recently censored a whistleblower report published by The British Medical Journal (BMJ), one of the oldest and most respected peer-reviewed medical journals in the world, variably labeling the article as “False,” “Partly false” or “Missing context.” Some users reported they could not share the article at all·   The fact check inaccurately referred to The BMJ as a “news blog,” failed to specify any assertions of fact that The BMJ article got wrong, and published the fact check under a URL containing the phrase “hoax-alert”·   The BMJ calls the fact check “inaccurate, incompetent and irresponsible.” In an open letter addressed to Mark Zuckerberg, The BMJ urges Zuckerberg to “act swiftly” to correct the erroneous fact check, review the processes that allowed it to occur in the first place, and “generally to reconsider your investment in and approach to fact-checking overall”We've long suspected that fact-checking organizations are nothing but a biased censoring mechanism more interested in manipulating opinion than establishing actual facts, but now we have absolute proof, thanks to a lawsuit brought against Facebook by journalist John Stossel.1,2In 2020, a Facebook fact-checker called Science Feedback slapped “False” and “Lacking context” labels on two videos posted by Stossel. The videos featured Stossel's interviews with experts who discussed the negligible role of climate change in the 2020 California forest fires. While they did not deny climate change is real, they proposed there were other, likely more contributing factors, such as poor forest management.Why were his videos flagged as misinformation? According to Facebook fact-checkers, Stossel was “misleading” people when he claimed that “forest fires are caused by poor forest management, not climate change.” But according to Stossel, he never actually made that claim.According to Stossel, the labels damaged his reputation as an investigative journalist and resulted in a loss of followers. Interestingly, when Stossel contacted Science Feedback about its fact checks, two reviewers agreed to be interviewed. With regard to the first video that got flagged, they admitted they'd never even watched it. In the case of the second video, a reviewer explained that they “didn't like [his] tone.” As noted by The New York Post:3“That is, you can't write anything about climate change unless you say it's the worst disaster in the history of humanity and we must spend trillions to fight it.”“The problem is the omission of contextual information rather than specific ‘facts' being wrong,” the fact-checker told Stossel, who says:4“What? It's fine if people don't like my tone. But Facebook declares my post ‘partly false,' a term it defines on its website as including ‘factual inaccuracies.' My video does not contain factual inaccuracies ... I want Facebook to learn that censorship — especially sloppy, malicious censorship, censorship without any meaningful appeal process — is NOT the way to go. The world needs more freedom to discuss things, not less.”To read the FULL ARTICLE, CLICK HERE. Support the show (https://paypal.me/dryohoauthor?locale.x=en_US)

The British Medical Journal (BMJ) has alleged serious issues with Pfizer's vaccine safety trials, including claims of “falsified data” after a whistleblower reported concerns. This is my opinion. Check out the links below for more information and thanks for listening to The Slippery Slope. British Medical Journal: "Researcher Blows the Whistle on Data Integrity Issues in Pfizer's Vaccine Trial" | naked capitalism Covid-19: Researcher blows the whistle on data integrity issues in Pfizer's vaccine trial | The BMJ Pfizer vaccine trial BMJ report: Whistleblower raises data, safety concerns at contractor Ventavia | news.com.au — Australia's leading news site --- Send in a voice message: https://anchor.fm/jason-fallon/message

L'amplification est un outil de manipulation de l'information très utilisé sur les réseaux sociaux. Le nouveau « scandale » qui a éclaté sur la toile, à partir d'une enquête publiée le mardi 2 novembre dans le British Medical Journal (BMJ) en est un parfait exemple. Le géant pharmaceutique Pfizer est épinglé pour la façon dont certains essais cliniques ont été conduits en amont de la mise sur le marché de son vaccin contre la Covid-19. Sophie Malibeaux et Grégory Genevrier. L'article du British Medical Journal paru ce mardi 2 novembre 2021 pointe du doigt trois laboratoires du groupe Ventavia au Texas, chargés d'essais cliniques sur le vaccin Pfizer. Ils sont notamment accusés de falsification de données, de retard dans le suivi des effets indésirables, et de mauvaises conditions de stockage des doses. C'est Brook Jackson, une ancienne employée du groupe, qui révèle ces manquements. Aussitôt, les réseaux sociaux s'emparent du sujet avec le #Pfizergate ou plus tard #ScandalePfizer. Le lendemain de la publication de l'enquête, #Pfizergate affiche plusieurs milliers de mentions sur les grandes plateformes. La sphère politique s'empare alors de l'affaire, Florian Philippot et Nicolas Dupont-Aignan en tête. Les deux hommes parlent d'un scandale mondial et demandent la suspension immédiate du vaccin. La tendance monte en flèche dans la journée, devenant virale. Mais rien de « planétaire » pour autant puisque l'embrasement est avant tout franco-français, et porté par les militants anti-vax. Le rôle d'amplification des anti-vax En suivant le phénomène à la loupe, on observe des signes d'amplification artificielle. De nombreux comptes bombardent les réseaux de posts avec le #PfizerGate, sans même commenter l'affaire. Ce ne sont pas des robots mais bien une armée de twittos mobilisés pour créer la tendance. Et puis il y a tous ceux qui, par leurs commentaires, manipulent l'enquête pour lui donner une dimension qu'elle n'a pas. C'est le cas de l'agence de presse russe Tass, qui titre « Les essais de Pfizer sont défectueux et falsifiés, selon le British Medical Journal ». Certains twittos vont même jusqu'à évoquer la mise en danger de milliards d'êtres humains avec le vaccin. Une façon de généraliser les manquements alors que l'enquête cible un faible échantillon. En réalité, les essais cliniques de Pfizer en phase 3 ont concerné près de 44 000 participants dans 153 centres répartis dans le monde. Les défaillances observées portent sur un groupe de 1 000 personnes. Ce qui n'est donc pas de nature à modifier le résultat global de l'essai clinique. Une enquête incomplète On peut également s'interroger sur la qualité de l'enquête. Celle-ci évoque une lanceuse d'alerte, mais c'est l'unique source, à part quelques témoignages anonymes. Brook Jackson, la seule citée nommément dans ce rapport, aurait passé deux semaines dans l'entreprise. Ventavia aurait décidé de se séparer de son employée, le jour où elle a informé l'agence étasunienne du médicament (FDA) de ses observations. Le rapport évoque le mail envoyé à la FDA ainsi que d'autres documents comme des enregistrements et des photos, qui cependant ne sont pas dévoilés. Quant à l'auteur de l'article, Paul D. Thacker, il apparaît assez controversé dans les milieux des sciences et du journalisme. Certains lui reprochent d'avoir porté par le passé un regard biaisé sur des sujets comme la 5G ou les OGM. Précisons que la procédure de relecture n'a pas été effectuée en interne. C'est explicitement précisé, et le British Medical Journal nous l'a confirmé, l'article a fait l'objet d'une relecture par deux experts extérieurs à la rédaction. Par ailleurs, le sous-traitant incriminé affirme ne pas avoir été contacté par l'auteur du rapport. Un effet boule de neige Au bout du compte, ces éléments paraissent un peu faibles pour conclure à un « scandale planétaire ». C'est peut-être l'une des raisons pour lesquelles les grands médias ne se sont pas emballés aussi vite que les internautes. Le travail journalistique ne permet pas de rivaliser avec l'immédiateté du clic sur les réseaux sociaux, qui plus est lorsque les internautes ne se donnent pas la peine de lire l'article qu'ils commentent. La lenteur médiatique est ainsi instrumentalisée à des fins conspirationnistes.   #Pfizergate Pfizer finance les médias et les homme politique dans leur ensemble pour acheter le silence. — La France libre (@Joegood85812844) November 3, 2021   Depuis les faits constatés dans l'enquête – en septembre 2020 – les résultats obtenus à travers la vaccination ont validé l'efficacité du vaccin. On ne sait pas à ce stade, si les manquements dénoncés sont avérés. Pfizer et Ventavia ainsi que les agences étasunienne et européenne du médicament se penchent sur la question. Contactée par le journal Libération, la société Ventavia affirme enquêter sur les allégations de Brook Jackson.

My guest for this episode of Let's Talk Bipolar by @bipolar_uk, is Professor Ian Jones, a Professor of Psychiatry and Honorary Consultant Psychiatrist for the NHS. Professor Ian Jones spent a number of years listening, as part of a Bipolar study, to those living with Bipolar and they picked up on a recurring clue that the process of choosing to carry a baby could be a huge trigger for the onset of Bipolar or the beginning of a period of being very unwell with Bipolar. We talk about his area of speciality in perinatal & postpartum care and treatment for those living with Bipolar Disorder. In current day medicine professionals will be looking to support those wishing to carry a baby and how the risk of becoming unwell can be managed and supported through this season in life. Ian Jones and his colleagues are running a Psycho education programme, which consists of 10 sessions in a peer group environment. The sessions cover; What is Bipolar? What do the labels mean? What causes Bipolar disorder? What are the treatments and understanding medications and treatments? self-management, monitoring, lifestyle and sleep patterns, which helps those living with Bipolar to learn how to live their best life whilst living with Bipolar. Professor Ian Jones also talks us through what Bipolar is and some of the terminology that is used in the conversation of Bipolar. We talk about labels and diagnosis and how this can be helpful and unhelpful. Treating the patient as an individual in an ever-changing landscape and how it is essential that professionals should be re-visiting our diagnosis and reviewing regularly. We should be asking what is the evidence that this is still the most true and helpful diagnosis for the patient to continue to move forward in the best way. If you would like to take part in research or future programmes you can get in contact here: For our NCMH study: https://www.ncmh.info/help-with-research/online-study/ For BDRN including accessing True Colours and pregnancy study http://bdrn.org Professor Ian Jones: Graduating from St Georges Hospital Medical School, London, I trained in general medicine and psychiatry in South Wales and on obtaining membership of the Royal College of Psychiatrists began research training in the Neuropsychiatric Genetics Group at Cardiff University. I was awarded a Wellcome Trust Training Fellowship to study the genetics of Postpartum Psychosis in Birmingham and spent a year as a visiting research fellow at the Medical College of Virginia, USA. Prior to my appointment in Cardiff I was Senior Lecturer at the University of Birmingham. My main research interest is the study of affective disorders in general and Postpartum Psychosis in particular. I have authored or co-authored over 300 publications and book chapters in the fields of mood disorder and perinatal psychiatry. My main clinical interest is developing services to identify women at risk of severe postpartum episodes and developing psychoeducation approaches for bipolar disorder. I am Trustee and founding Chair of Action on Postpartum Psychosis and Trustee of the Maternal Mental Health Alliance. In 2010 I was awarded the Marce Medal for my research on Postpartum Psychosis and in 2013 was named the Academic Researcher of the year at the RCPsych Awards. In 2014 BEPC, the psychoeducation service I direct, received the British Medical Journal (BMJ) award for Innovation in Medicine. Please find support and resources on our website www.bipolaruk.org Insta: @bipolar_uk Twitter: bipolaruk Facebook: bipolaruk Professor Ian Jones Twitter: @jonesir Hosted by Emma Belle Insta: @emmakbelle www.emmakbelle.com

Um estudo publicado nesta quarta-feira (10) pela revista científica British Medical Journal (BMJ) indicou que a variante britânica da Covid-19 não apenas é mais contagiosa que as demais, como também é bem mais mortal. A pesquisa confirma suspeitas levantadas no início do ano por cientistas do Reino Unido. Uma parceria da Agência Radioweb com a Rádio França Internacional.

Today we will be speaking to two incredible guests who are here to represent and in their own right and expertise the Global ‘Gender and Covid19 Working Group', which brings together academics from around the world, who conduct real time gender analysis to identify and document the gendered dynamics of COVID-19 and gaps in preparedness and response. Wow, this is possibly the most relevant interview and one which we are super, super excited about. There has been a lot of misinformation and nervousness around covid's impact on women from care, to treatment, to humanitarian intervention, to covid actually effecting our path to equality, by slowing it down, Our two experts representing this global working group will be able to help us make sense of it all. Anne Ngunjiri, Senior Technical Advisor for Gender Based Violence, and Violence against Children Programs, LVCT Health in Nairobi, Kenya. In the Gender-COVID working group, Anne's role is to conduct interviews with the marginalized population of women in urban informal settlement to better understand the secondary effects COVID has had on their lives, specifically health, social and economic wellbeing. The intention with the data generated is to disseminate to policy and decision makers to better inform their gender responsive plans at county and national level across relevant ministries, departments and agencies. Clare Wenham, Assistant Professor of Global Health Policy at London School of Economics and Political Science (LSE). Clare specialises in global health security and the politics and policy of pandemic preparedness and outbreak response, through analysis of influenza, Ebola and Zika. Her work considers global health governance, role of WHO, national priorities and innovative financing for pandemic control, particularly in Latin America. More recently she has been analysing the downstream effects of global health security policy on women, with a forthcoming Oxford University Press book offering a feminist critique of the Zika outbreak, and co-founding and co-leading the Gender&COVID project and working group. Her work features in The Lancet, British Medical Journal (BMJ), Security Dialogue, International Affairs, BMJ Global Health and Third World Quarterly. She previously worked at the London School of Hygiene and Tropical Medicine, delivering projects relating to surveillance and transmission of infectious disease. Find their work: The Gender & Covid-19 Working Group website Gender & COVID19 Working Group on twitter Clare Wenham on twitter Anne Ngunjiri on twitter

The Harvard Macy Institute Podcast aims to connect our Harvard Macy Institute community and to develop our interest in health professions education topics and literature. Our podcast is hosted by our Program for Educators in the Health Professions course faculty Victoria Brazil, and will feature interviews with health professions education authors and their research papers.Podcast S2E1 features Kieran Walsh, Clinical Director at the British Medical Journal (BMJ), discussing cost and value in health professions education.Health professions education is expensive, but we hope ‘worth it’ for our patients and communities. In this episode Victoria Brazil interviews Kieran Walsh. He is the clinical lead of the medical education and clinical decision support products at BMJ, including BMJ Best Practice.He has a keen interest in cost and value in health professions education, and we discuss terminology, concepts and practical applications in the field. What are the real costs and how do we calculate them? Where do we look for determination of value or effectiveness? How does this apply to examples like online learning or simulation? Why should we do cost effectiveness research and why haven’t we done much of it up to this point. For more on this work, Kieran is part of the Society for Cost and Value in Health Professions Education (SCVHPE). Happy listening! Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Competing interests: Kieran Walsh for BMJ which produces BMJ Best Practice and BMJ Learning. Did you know that the Harvard Macy Institute Community Blog has had more than 245 posts? Previous posts have explored topics including leadership and change, systems of assessment, and learning strategies for health professions.  Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter. 

TESTO DELL'ARTICOLO ➜http://www.bastabugie.it/it/articoli.php?id=6417IL ''SACRO'' VACCINO: UNA COLOSSALE OPERAZIONE PROPAGANDISTICAIl vaccino viene presentato come ''luce e speranza'', ma in realtà è un salto nel vuoto che non ci salveràdi Paolo GulisanoIl 27 dicembre 2020 passerà alla storia come il V Day- Ovvero il Vaccination Day: il giorno in cui in tutta Europa venne scatenata contro il Covid la controffensiva del vaccino. Una sorta di Sbarco in Normandia. E' stato annunciato in termini così enfatici e retorici dalla Presidente tedesca della Commissione Europea: "Il Vaccination Day è un toccante momento di unità. La vaccinazione è la via d'uscita duratura dalla pandemia", ha scritto la Von Der Leyen in una nota pubblicata su Twitter. Tecnicamente, le dosi del vaccino Pfizer/Biontech sono già state tutte consegnate ai Paesi della Ue, e giusto all'indomani può avere inizio la campagna di vaccinazione, in simultanea in tutti gli Stati membri per dare un segno di coesione e sottolineare la svolta, come ha precisato il capo dell'esecutivo europeo, sottolineando che da oggi si inizia a voltare pagina. "La vaccinazione ci riporterà gradualmente alla normalità", ha concluso ricordando di continuare a rispettare le norme igieniche di sicurezza finché l'obiettivo della campagna di vaccinazione non sarà raggiunto. Il V Day è dunque un evento anzitutto di grande valore simbolico, funzionale ad una colossale operazione propagandistica. Sappiamo bene che la propaganda, la strategia comunicativa, è uno dei cardini del Great Reset.UNA CAMPAGNA MEDIATICA PER RIMUOVERE OGNI DUBBIO SUI VACCINI ANTI COVIDCon il V Day non iniziano solo le procedure di vaccinazione, ma soprattutto inizia una campagna mediatica il cui scopo è rimuovere ogni dubbio sui vaccini anti Covid, convincere l'opinione pubblica della loro efficacia, sicurezza, e persino la loro doverosità morale e civile. Con il V Day si giunge alla conclusione di un lungo, capillare lavoro fatto dai media e dai social, per conto dei singoli governi e ora dalla stessa UE, per dare una precisa e univoca lettura dell'epidemia, che in sintesi può essere riassunta come segue:Siamo di fronte ad un microrganismo di inusitata letalità. «Nei confronti della malattia causata da questo microrganismo non c'è alcuna cura. Solo un vaccino ci può salvare»Per mesi queste sono state le parole d'ordine inculcate nella popolazione, con una forza e una determinazione che hanno sovrastato le voci libere di scienziati e di operatori della salute che erano in grado di dimostrare che le cose non stavano così: che la letalità del virus non era quella con cui si cercava di terrorizzare le persone, e che la malattia era curabile con tutta una serie di farmaci, tutti invariabilmente negati. Così alla fine siamo arrivati al terzo punto, la soluzione finale.A breve l'ente regolatorio europeo darà il proprio benestare ai vaccini di altre case farmaceutiche. Tutti hanno passato l'esame. Un successo incredibile, unico nella centenaria storia delle vaccinazioni. Tutti funzionano benissimo, e sono sicuri.La storia della Medicina mostra molti esempi di gravi eventi avversi da vaccini immessi sul mercato in periodi di enormi pressioni e aspettative. Ci sono stati vaccini antipolio contaminati nel 1955, casi di sindrome di Guillain-Barré nei destinatari di vaccini antinfluenzali nel 1976 e narcolessia legata a una marca di vaccino antinfluenzale nel 2009.I VACCINI COVID-19 SALVERANNO VITE?L'efficacia e la sicurezza dei vaccini immessi sul mercato saranno le parole che verranno ripetute per convincere i cittadini europei a sottoporsi alle vaccinazioni. Eppure persistono seri dubbi sull'uno e sull'altro di questi fondamentali criteri. Su un numero recente dell'autorevole British Medical Journal (BMJ 2020 371) intitolato Will covid-19 vaccines save lives? Current trials aren't designed to tell us ("I vaccini covid-19 salveranno vite? Le prove attuali non sono progettate per dircelo") ci rivela che nessuno degli studi di Fase III è stato impostato per provare l'efficacia dei vaccini sulla riduzione di esiti gravi come ricoveri ospedalieri, uso di cure intensive o decessi. Né i vaccini vengono studiati per determinare se possono interrompere la trasmissione del virus."L'individuazione di eventi avversi rari gravi richiederà lo studio di decine di migliaia di pazienti, ma questo requisito non sarà soddisfatto dall'adozione precoce di un prodotto che non ha completato la sua valutazione di prova completa", hanno dichiarato i ricercatori della Harvard Drug Policy Jerry Avorn e Aaron Kesselheim.Gli studi sul vaccino Covid-19 sono attualmente progettati per classificare i risultati finali di efficacia una volta che 150-160 partecipanti allo studio sviluppano il covid-19 sintomatico e la maggior parte degli studi ha specificato almeno un'analisi ad interim che consente di terminare gli studi con ancora meno dati accumulati. Non disponiamo dunque di elementi sufficienti per valutare i benefici e i danni dei vaccini. Servirebbe ancora molto tempo e molti studi. Ma ormai la macchina vaccinale è lanciatissima, a tutta velocità. Il vaccino anti Covid, d'altra parte, non è più un farmaco. È molto di più: è "luce e speranza", e con questa aura di discutibile pseudo sacralità va incontro alla sua realizzazione.Il V Day, anziché essere un Vaccination Day, rischia di essere un Vacuum Day, il giorno del salto nel vuoto.Nota di BastaBugie: l'autore del precedente articolo, Paolo Gulisano, nell'articolo seguente dal titolo "Lo scontro tra le due medicine" spiega l'emergere di due tipi di medicina. Una dalla parte dei pazienti e una di Stato dalla parte di chi detiene il potere e lo può dispensare ai propri leali collaboratori.Ecco la parte conclusiva dell'articolo pubblicato su La Nuova Bussola Quotidiana il 19 dicembre 2020:In riferimento allo spettacolo che il mondo medico sta offrendo di sé: che tipo di Scienza è la Medicina? È davvero così tutto relativo, opinabile, e alla fine ha ragione chi ha in mano le leve del potere, compresa quella della comunicazione?L'epidemia in realtà sta facendo emergere due diversi tipi di Medicina, contrapposti e forse addirittura inconciliabili tra loro.Da una parte c'è una Medicina - o meglio: dei medici - interpreti di una lunga tradizione di arte medica - l'arte del prendersi cura - che ha inizio con Ippocrate, Medici che si dedicano alla cura dei malati, e che di conseguenza cercano realisticamente, di fronte ad una situazione di emergenza, di diffusa sofferenza, di intervenire con tutte le proprie capacità, con tutte le proprie conoscenze, con tutte le evidenze scientifiche note, per curare e per guarire i malati. Sono nate così le varie che la Bussola ha portato a conoscenza dei lettori: i singolo medici, le equipe, i gruppi, che hanno messo in comune esperienze di cure efficaci. Una Medicina ippocratica, personalista, umanistica.Dall'altra parte c'è una Medicina burocratica, spersonalizzata, collettivistica. La Medicina dei protocolli. Intesi non come linee guida utili alla pratica diagnostica e terapeutica, ma come rigidi e inamovibili paletti normativi, indifferenti alle nei confronti di nuove scoperte, di nuove evidenze scientifiche. Indifferenti al fatto che si possa guarire e salvare tante persone: ciò che conta è la letteratura, le pubblicazioni, gli studi a doppio cieco, lavori scientifici che magari richiedono anni, mentre la gente muore qui ed ora, ed in attesa di validazioni da parte dei consessi autorevoli, non riceve altro che antipiretici sintomatici in attesa che la malattia evolva verso forme gravi, spesso fatali.La prima Medicina è quella che ha messo in campo tutta la propria determinazione a curare le persone, la seconda è quella che ha sentenziato che non c'è cura: ci può essere solo la prevenzione basata sull'isolamento, sulla reclusione domiciliare, e quindi la prevenzione (non la cura) basata sui vaccini, vaccini da accogliere con fede cieca, senza discussioni, senza richiedere letteratura e pubblicazioni e studi accurati. Una Medicina di Stato, che non ammette discussioni, che pretende obbedienza cieca, pronta e assoluta. Da una parte una Medicina di umili e generosi professionisti, i cui nomi sono sconosciuti al grande pubblico: dall'altra parte una Medicina dei nuovi divi televisivi, dei ricercatori da salotto, dei maestri delle boutades.Una Medicina dalla parte dei pazienti, e una Medicina dalla parte di chi detiene il potere, e lo può dispensare ai propri leali collaboratori.Voi a chi affidereste la vostra salute? Titolo originale: Il ''sacro'' vaccino, un salto nel vuoto che non ci salveràFonte: La Nuova Bussola Quotidiana, 27-12-2020Pubblicato su BastaBugie n. 697

Hablamos de los efectos de la COVID persistente con César Villalba. César, que tiene 34 años, combina su carrera profesional como diseñador para las principales marcas del mundo con su pasión por el deporte. Como triatleta de élite ha competido por todo el mundo....pero ahora, tras sufrir los efectos de la COVID19 durante meses, su capacidad pulmonar se ha reducido dramáticamente y sufre muchas otras secuelas de las que hablamos durante la entrevista. Para monitorizar sus entrenamientos, César utiliza una muñequera que le proporciona importante información sobre su ritmo cardiaco, capacidad de recuperación, varibilidad, y calidad de sueño; gracias a esos datos se dio cuenta de que algo no iba bien…eso unido a “una falta de aliento que no desaparecía. Me costaba tener una conversación con un café". Su doctor le prescribió un medicamento para el asma. Pero no ayudó. Sin ninguna explicación, le hicieron análisis de sangre y encontraron que su prueba de coagulación mostraba un alto riesgo de coagulación, otro síntoma que puede estar relacionado con el coronavirus. La edición de agosto de 2020 de la British Medical Journal (BMJ) ya informaba que aproximadamente el 10 por ciento de las personas que contraen COVID-19 experimentan una enfermedad prolongada. El epidemiólogo Tim Spector, Doctor en Medicina, del King's College de Londres, que desarrolló la aplicación COVID-19 Symptom Tracker, que se está utilizando para estudiar los síntomas de COVID-19 y rastrear la propagación del virus, informó que aunque el tiempo promedio de recuperación para la mayoría de las personas sintomáticas es de 10 a 12 días, los datos que ha analizado del Reino Unido muestran que el 12 por ciento tiene síntomas de más de 30 días, y uno de cada 200 tiene síntomas que persisten durante más de 90 días. Los síntomas que comúnmente persisten incluyen fatiga, tos, dificultad de concentración (también conocida como niebla cerebral), dolores musculares o corporales, falta de aliento y/o dificultad para respirar. Aquellos que sufren del síndrome como se les llama a menudo, eran a menudo jóvenes y saludables cuando la enfermedad atacó, dice Mark Tenforde, M.D., M.P.H., quien es parte del Equipo de Respuesta a la COVID-19 en los CDC americanos. Las razones subyacentes detrás de esta prolongada enfermedad siguen siendo un misterio, dice Spector. "No sabemos con certeza [por qué los síntomas persisten]", creemos que es el sistema inmunológico que está exagerando". "COVID-19 puede causar estrés o lesiones en todo el cuerpo, incluyendo los pulmones, el corazón y otros órganos, y algunos de estos síntomas como la fatiga después de una infección pueden hacerse más evidentes con el aumento de la actividad", dice Tenforde.

Today we have a special JIMMY RANTS on The LLVLC Show for you. Jimmy is on his much deserved six-month sabbatical so we are bringing you some of the best content from Jimmy’s daily show JIMMY RANTS. Be sure to bookmark JimmyRants.com and dig through all of the content there during Jimmy’s time away. Paid advertisement “They don’t even think about the damage they do to meat-eating cultures. Their only concern is to make everyone plant based at any cost.” Jimmy Moore Paid advertisement There’s been a very deliberated and concerted effort in 2019 to push people into eating a mostly plant-based diet and it all began with the EAT-Lancet study and commission that was formed to push this vegan agenda worldwide. One of the early financial supporters of this effort was the World Health Organization (WHO) who was scheduled to sponsor the first meeting of the EAT-Lancet Commission on Food, Planet, Health in Geneva, Switzerland in March 2019. But Italy’s ambassador Gian Lorenzo Cornado wrote a letter to WHO pleading with them to pull their support for what he described as “nutritionally deficient” and “dangerous to human health” referring to the vegetarian/vegan diet edicts. Read all about it in the April 9, 2019 issue of the British Medical Journal (BMJ) below. WHO pulls support from initiative promoting global move to plant based foods: https://www.bmj.com/content/365/bmj.l1700.full This is a refreshing breath of fresh air in the midst of heavy plant-based propaganda says health podcaster and international bestselling author of KETO CLARITY Jimmy Moore. Listen to Jimmy share more about Cornado’s concerns and the predictable dismissive reaction of the creators of EAT-Lancet in this episode.   Paid advertisement

This Week In Wellness An international team of researchers, clinicians, regulators, and citizen advocates from the British Medical Journal (BMJ) are launching a campaign to separate medicine from Big Pharma. Citing a 2009 Institute of Medicine report, that identified widespread financial conflicts of interest across medical research, education, and practice, the BMJ team say that Listen In The post TWIW 39: British Medical Journal takes on big pharma appeared first on The Wellness Couch.

Today we have a special JIMMY RANTS on The LLVLC Show for you. Jimmy and Christine are traveling so we are bringing you some of the best content from Jimmy’s daily show JIMMY RANTS. Want to keep up with the very latest in nutrition news? Follow Jimmy at JIMMYRANTS.com for all of the archives and links to his social media where you can engage live with the content.   There's been a very deliberated and concerted effort in 2019 to push people into eating a mostly plant-based diet and it all began with the EAT-Lancet study and commission that was formed to push this vegan agenda worldwide. One of the early financial supporters of this effort was the World Health Organization (WHO) who was scheduled to sponsor the first meeting of the EAT-Lancet Commission on Food, Planet, Health in Geneva, Switzerland in March 2019. But Italy's ambassador Gian Lorenzo Cornado wrote a letter to WHO pleading with them to pull their support for what he described as "nutritionally deficient" and "dangerous to human health" referring to the vegetarian/vegan diet edicts. Read all about it in the April 9, 2019 issue of the British Medical Journal (BMJ) below.   WHO pulls support from initiative promoting global move to plant based foods: https://www.bmj.com/content/365/bmj.l1700.full   This is a refreshing breath of fresh air in the midst of heavy plant-based propaganda says health podcaster and international bestselling author of KETO CLARITY Jimmy Moore. Listen in as Jimmy share more about Cornado's concerns and the predictable dismissive reaction of the creators of EAT-Lancet in this episode.   For more JIMMY RANTS, check out all of his past episodes at JimmyRants.com.   “Could it be that there is no one-size-fits-all diet? Why haven't we learned our lesson yet from the decades of bad studies and advice?” — Jimmy Moore  

The British Medical Journal (BMJ) is one of the most respected publications in the world, so much so that it doesn't really need an introduction, does it? We're joined by:Ian Hamilton, mental health worker and academic who's written for the BMJ, Independent, and many other publicationsDr Fiona Godlee, the Editor in Chief for the BMJRichard Hurley, the Features and Debates editor for the BMJIn this episode we discuss if the medical profession holds the key to drug policy reform? We cover a lot of ground in this, and there are a lot of extra links and content so this is definitely one to use the Acast app for. See acast.com/privacy for privacy and opt-out information.

一直以来，医生的处方就是我国书法界的一座大山，凭借其流畅的笔触、抽象的表达和除了医生谁也看不懂的精妙构思，有关处方的传说时常流传于互联网。最近，一位网友晒出了他拿到的处方。图 | 微博用户@全世界最美丽的人啊结果这个看起来像随便乱画的东西，当医生的能一秒看懂！医生之间真的有暗号？怪不得医学生要上那么多年学，是不是背着我们偷偷学了一门语言？其实，处方潦草这个问题，医生自己也很头疼，由于字迹问题造成的处方错误，甚至会造成严重的医疗事故。今天，我们来听专业医生聊一聊“天书”处方。某天，一位朋友由于腰部不适去医院看病，回来后将门诊病历本上的记录扫描下来Email给了我，让我帮忙看一下上面到底写了些什么。我对着屏幕眯起眼端详了半个小时，只能看懂片言只字，处方记录里面一半内容看不清楚，签名更是龙飞凤舞不知所云。又请曾是内科医生的老婆一起看，还是没有多大进展，只好悻悻地回信：我看不懂，你还是回去问写这幅字的那位大夫吧……这种事情已经发生过很多次了。医生们字迹之潦草早已饱受诟病，甚至变得见怪不怪。以至于老百姓哪天碰到一位规规矩矩写字的大夫，反倒觉得成了稀罕，没准还认为这是新来的医生或是资历浅的医生。只要是医生们手写的医疗记录，仿佛总有很多人抱怨如“鬼画符”、“天书”一般“看不懂”，无论中医西医皆是如此。有趣的是，这种障碍在医生和医生之间、医生和药师之间却仿佛没有那么大。当患者拿着龙飞凤舞的处方到药房或售药处取药时，药师们一般可以毫不费力地辨认出这些药名并交付患者。于是疑虑产生了：这些涂鸦是不是医生和专业人员之间约定俗成的“暗号”，用来防止患者在其他地方领药或治疗？在当下中国医患关系紧张的背景下，怀疑医师潦草的字迹隐藏着逐利冲动的这种想法并不奇怪。然而上面的猜测却并非事实。实际上，医师们字迹潦草并非我国独有，几乎全世界的患者对医生们糟糕的书法都颇有微词，很多医疗差错直接缘于医师们潦草的字迹。据美国国家科学院医学研究所的报告，每年全美由于医疗差错死亡的人数，超过了因高速公路交通事故、乳腺癌或艾滋病死亡的人数；医疗差错中用药错误排在所有错误发生率的第四位，用药错误中最主要的原因就是处方错误，而医生们潦草的字迹是造成处方错误的重要原因之一。美国医学会曾在7年内颁布3条政策以敦促医生们“改进潦草的处方笔迹”。2000年英国医学杂志（British Medical Journal，简称 BMJ）曾报道了一桩官司：美国一名医生为心绞痛患者开具了“硝酸异山梨酯20mg，每6小时一次口服（Isordil，20mg，Q6h）”的处方，然而由于字体过于飘逸，药师将Isordil误认作Plendil（波依定，降压药），导致患者过量服用后心脏病发作，数日后死亡。最终法院认定处方医师和药师负同等责任，各赔偿患者亲属225000美元，真可谓4个字母引发的悲剧。�如此看来，全世界医生们似乎都有同一种“把字写不清楚”的倾向。莫非从事医生这个职业的人们都同时中了邪？来自美国和英国的两位学者对此进行了专门研究。他们选取了209名卫生服务人员作为研究对象，其中包含82名医生。给他们10秒时间写下一句话：“Quality Improvement is the best thing since sliced bread”然后进行笔迹鉴定和统计学分析。最后结论是医生们的笔迹并不比非医生更加潦草。实验中之所以选择在短时间内写下句子，为的是一定程度上模仿医疗工作时的情况。两位学者在解释为什么在公众观念里“医生的字迹要比其他职业的人更加潦草”时提出了他们的看法：这也许是由于医生的字迹潦草可能意味着个人健康的高风险，由于公众对自身健康情况的高度关注，因此对此类文件的准确性和可辨识性较其他专业文件有着更高期待。一旦发现字迹无法辨识，就会对该字迹产生“坏的”或“潦草的”评价。这篇论文发表在1996年BMJ上。场景：（某医院）院内，医生们正在罢工请愿；院外，院长黑着脸一言不发，蹲在地上抽烟。记者：您还在等什么？院长：等药剂师来读医生们的请愿书…… 在中国，由于医疗资源配置不够合理，很多医院门诊人满为患。医生在日常工作中所面临的时间压力往往比前面描述的“10秒内写下一句话”更为严苛。无论是门诊还是住院，医生们要完成的文字工作都是连篇累牍，且大部分为具有某种套路特征的专有名词的集合。这些专有名词在被反复书写之后，字形笔画便难免会向“神似”的境界迈进。在内科，由于疾病诊治对病史和检查的记录要求相对更高，故而字迹较为清楚；而在外科，对病情讨论分析的要求较内科为低，多数治疗以手术为主，因此字迹更加潦草。国外情况类似：一个来自西班牙的研究报告中，118份病案里有18份字迹难以辨认，意义模糊，其中外科病案就有16份，内科仅有2 份。由于医生书写的医疗文件包含大量专有名词和药物名称，其中夹杂着英文、英文缩写甚至拉丁文，还有许多中文简称，因此非医疗业内人士阅读时难免感觉如坠五里雾中。即便是同行，阅读非本专业领域医疗文件时也会遇到困难，特别是赶上那些笔法飘逸的如本文开头的那种情况，就只能望纸兴叹了。而对药师而言，面对医生们每天的处方，久而久之对笔迹的判别力会越来越高，因此并不难辨识药物品名。不过饶是如此，还是难免发生美国那样的悲剧。对医生自身而言，书法糟糕也不是什么好事：首先容易造成医疗差错，医疗差错一旦发生，后果往往比较严重，害人害己；其次糟糕的笔迹也会给医生们的临床研究带来不便。当需要回顾，收集和总结病例时，凌乱的字迹仅能提供有限的线索，治疗的经验不能很好保存是一件非常可惜的事情。笔迹是一种带有强烈个人色彩的特征。医生和教师一样，都属笔迹公开化程度较高的职业。相对于教师，医生的书写责任更大，要求更高，错误书写和涂鸦书写的危害也更大。医生虽然整体并无字迹潦草的倾向，但囿于工作环境、压力和专业特点，医生的书写对于普通老百姓来说普遍难以辨认，当然确实也有部分医生惯于龙飞凤舞，但写字惨不忍睹的人士其实各个行业都有。消除医生涂鸦、特别是处方涂鸦，减少医疗差错是全世界共同面对的问题。国外针对此已经有了不少研究和尝试。一篇发表在2003年《美国保健管理期刊》（American Journal of Managed Care）的文章分析了医生处方潦草的影响因素，包括患者年龄，性别，居住地，诊断数目，就诊时间等多个因素被认为与医生书写潦草有相关性。部分药物名称拼写类似也在一定程度上增加了处方错误的风险。针对如上情况改进就诊环境，改进药物名称等举措能够一定程度地减少处方错误。当然，最直接的方法就是改用电子处方和打印处方。目前国内许多医院已经开始使用电子化系统，患者再也不用猜测处方上面那些云山雾罩的字迹了。

一直以来，医生的处方就是我国书法界的一座大山，凭借其流畅的笔触、抽象的表达和除了医生谁也看不懂的精妙构思，有关处方的传说时常流传于互联网。最近，一位网友晒出了他拿到的处方。图 | 微博用户@全世界最美丽的人啊结果这个看起来像随便乱画的东西，当医生的能一秒看懂！医生之间真的有暗号？怪不得医学生要上那么多年学，是不是背着我们偷偷学了一门语言？其实，处方潦草这个问题，医生自己也很头疼，由于字迹问题造成的处方错误，甚至会造成严重的医疗事故。今天，我们来听专业医生聊一聊“天书”处方。某天，一位朋友由于腰部不适去医院看病，回来后将门诊病历本上的记录扫描下来Email给了我，让我帮忙看一下上面到底写了些什么。我对着屏幕眯起眼端详了半个小时，只能看懂片言只字，处方记录里面一半内容看不清楚，签名更是龙飞凤舞不知所云。又请曾是内科医生的老婆一起看，还是没有多大进展，只好悻悻地回信：我看不懂，你还是回去问写这幅字的那位大夫吧……这种事情已经发生过很多次了。医生们字迹之潦草早已饱受诟病，甚至变得见怪不怪。以至于老百姓哪天碰到一位规规矩矩写字的大夫，反倒觉得成了稀罕，没准还认为这是新来的医生或是资历浅的医生。只要是医生们手写的医疗记录，仿佛总有很多人抱怨如“鬼画符”、“天书”一般“看不懂”，无论中医西医皆是如此。有趣的是，这种障碍在医生和医生之间、医生和药师之间却仿佛没有那么大。当患者拿着龙飞凤舞的处方到药房或售药处取药时，药师们一般可以毫不费力地辨认出这些药名并交付患者。于是疑虑产生了：这些涂鸦是不是医生和专业人员之间约定俗成的“暗号”，用来防止患者在其他地方领药或治疗？在当下中国医患关系紧张的背景下，怀疑医师潦草的字迹隐藏着逐利冲动的这种想法并不奇怪。然而上面的猜测却并非事实。实际上，医师们字迹潦草并非我国独有，几乎全世界的患者对医生们糟糕的书法都颇有微词，很多医疗差错直接缘于医师们潦草的字迹。据美国国家科学院医学研究所的报告，每年全美由于医疗差错死亡的人数，超过了因高速公路交通事故、乳腺癌或艾滋病死亡的人数；医疗差错中用药错误排在所有错误发生率的第四位，用药错误中最主要的原因就是处方错误，而医生们潦草的字迹是造成处方错误的重要原因之一。美国医学会曾在7年内颁布3条政策以敦促医生们“改进潦草的处方笔迹”。2000年英国医学杂志（British Medical Journal，简称 BMJ）曾报道了一桩官司：美国一名医生为心绞痛患者开具了“硝酸异山梨酯20mg，每6小时一次口服（Isordil，20mg，Q6h）”的处方，然而由于字体过于飘逸，药师将Isordil误认作Plendil（波依定，降压药），导致患者过量服用后心脏病发作，数日后死亡。最终法院认定处方医师和药师负同等责任，各赔偿患者亲属225000美元，真可谓4个字母引发的悲剧。�如此看来，全世界医生们似乎都有同一种“把字写不清楚”的倾向。莫非从事医生这个职业的人们都同时中了邪？来自美国和英国的两位学者对此进行了专门研究。他们选取了209名卫生服务人员作为研究对象，其中包含82名医生。给他们10秒时间写下一句话：“Quality Improvement is the best thing since sliced bread”然后进行笔迹鉴定和统计学分析。最后结论是医生们的笔迹并不比非医生更加潦草。实验中之所以选择在短时间内写下句子，为的是一定程度上模仿医疗工作时的情况。两位学者在解释为什么在公众观念里“医生的字迹要比其他职业的人更加潦草”时提出了他们的看法：这也许是由于医生的字迹潦草可能意味着个人健康的高风险，由于公众对自身健康情况的高度关注，因此对此类文件的准确性和可辨识性较其他专业文件有着更高期待。一旦发现字迹无法辨识，就会对该字迹产生“坏的”或“潦草的”评价。这篇论文发表在1996年BMJ上。场景：（某医院）院内，医生们正在罢工请愿；院外，院长黑着脸一言不发，蹲在地上抽烟。记者：您还在等什么？院长：等药剂师来读医生们的请愿书…… 在中国，由于医疗资源配置不够合理，很多医院门诊人满为患。医生在日常工作中所面临的时间压力往往比前面描述的“10秒内写下一句话”更为严苛。无论是门诊还是住院，医生们要完成的文字工作都是连篇累牍，且大部分为具有某种套路特征的专有名词的集合。这些专有名词在被反复书写之后，字形笔画便难免会向“神似”的境界迈进。在内科，由于疾病诊治对病史和检查的记录要求相对更高，故而字迹较为清楚；而在外科，对病情讨论分析的要求较内科为低，多数治疗以手术为主，因此字迹更加潦草。国外情况类似：一个来自西班牙的研究报告中，118份病案里有18份字迹难以辨认，意义模糊，其中外科病案就有16份，内科仅有2 份。由于医生书写的医疗文件包含大量专有名词和药物名称，其中夹杂着英文、英文缩写甚至拉丁文，还有许多中文简称，因此非医疗业内人士阅读时难免感觉如坠五里雾中。即便是同行，阅读非本专业领域医疗文件时也会遇到困难，特别是赶上那些笔法飘逸的如本文开头的那种情况，就只能望纸兴叹了。而对药师而言，面对医生们每天的处方，久而久之对笔迹的判别力会越来越高，因此并不难辨识药物品名。不过饶是如此，还是难免发生美国那样的悲剧。对医生自身而言，书法糟糕也不是什么好事：首先容易造成医疗差错，医疗差错一旦发生，后果往往比较严重，害人害己；其次糟糕的笔迹也会给医生们的临床研究带来不便。当需要回顾，收集和总结病例时，凌乱的字迹仅能提供有限的线索，治疗的经验不能很好保存是一件非常可惜的事情。笔迹是一种带有强烈个人色彩的特征。医生和教师一样，都属笔迹公开化程度较高的职业。相对于教师，医生的书写责任更大，要求更高，错误书写和涂鸦书写的危害也更大。医生虽然整体并无字迹潦草的倾向，但囿于工作环境、压力和专业特点，医生的书写对于普通老百姓来说普遍难以辨认，当然确实也有部分医生惯于龙飞凤舞，但写字惨不忍睹的人士其实各个行业都有。消除医生涂鸦、特别是处方涂鸦，减少医疗差错是全世界共同面对的问题。国外针对此已经有了不少研究和尝试。一篇发表在2003年《美国保健管理期刊》（American Journal of Managed Care）的文章分析了医生处方潦草的影响因素，包括患者年龄，性别，居住地，诊断数目，就诊时间等多个因素被认为与医生书写潦草有相关性。部分药物名称拼写类似也在一定程度上增加了处方错误的风险。针对如上情况改进就诊环境，改进药物名称等举措能够一定程度地减少处方错误。当然，最直接的方法就是改用电子处方和打印处方。目前国内许多医院已经开始使用电子化系统，患者再也不用猜测处方上面那些云山雾罩的字迹了。

Fluoride in water is supposed to protect the public health and be a good thing, right? Well, it’s time to revisit this assumption. A study published in the Journal of Epidemiology & Community Health, a British Medical Journal (BMJ) publication, found that fluoride exposure should be considered a contributing factor to hypothyroidism. Watch our video to learn 15 reasons to avoid fluoride, common household products to avoid and more. To find more of Dr. Hotze's video podcasts, visit Dr. Hotze's Wellness Revolution playlist on YouTube. Subscribe to the audio version for new episodes twice a week at hotzepodcast.com and don't forget to give us a 5-star rating and positive review on iTunes!

Fluoride in water is supposed to protect the public health and be a good thing, right? Well, it’s time to revisit this assumption. A study published in the Journal of Epidemiology & Community Health, a British Medical Journal (BMJ) publication, found that fluoride exposure should be considered a contributing factor to hypothyroidism. Watch our video to learn 15 reasons to avoid fluoride, common household products to avoid and more. To find more of Dr. Hotze's video podcasts, visit Dr. Hotze's Wellness Revolution playlist on YouTube. Subscribe to the audio version for new episodes twice a week at hotzepodcast.com and don't forget to give us a 5-star rating and positive review on iTunes!

Last year I had the pleasure of attending the Voices of Dentistry Podcasting Summit, and was delighted to sit down and spend some time with the one and only Gary Takacs. Gary is a seasoned podcaster, consultant, educator, and all around great guy! To date, he has consulted over 2,200 dental offices, and has interviewed over 250 guests on his podcast; I guess you can say he’s a someone who knows what successful dental professionals looks like! I wanted to pick Gary’s brain about what questions a person should ask themselves when they are faced with choosing a dentist and dental office.  Needless to say, Gary sees enough dentists to know what it takes in making a good choice when looking for a dental home that fits your needs. He recommends that you ask yourself the following questions after you visit the office for your initial exam: Did the doctor ask what my interests and concerns were, and did the office listen to my wants and needs? Ask yourself, “are they interested in my goals for my oral health, or are they interested in their goals for my oral health”? It would be nice to hear the office gather information by asking something like “what brings you here today?” Did you feel like you were getting the attention of the staff instead of a feeling like a number? What was the interaction between the dentist and the other team members like? Does the staff seem gracious to be there, and are the team members supportive to one another? Do they seem to want to be around each other?  If you can feel the tension in the air, that may be a clue to keep looking. We begin our conversation by talking about the importance of putting yourself (if you are a clinician) in a position of being fearful so that you can see from the mind/eyes of the patient.  And, with each new patient exam recognize the courage it took for that patient to simply come and visit your office. He explains that fear is real.  It may be irrational, but it is real.  Gary shares a story of how his office Life Smiles helped a patient overcome fear in such a way that helped her get on the path of oral health. We talk about oral-systemics, and how Gary interviewed Dr's Bradley Bale and Tom Larkin earlier that weekend at the Voices of Dentistry Podcasting Summit. Dr. Bale recently published findings in the British Medical Journal (BMJ) proving that periodontal disease is a contributing cause of cardiovascular disease. He gives a great analogy to smoking in the 60’s. In the 60’s it was “thought” that smoking perhaps was linked to lung cancer, now we know that it’s a cause. Gary (like me), is a true believer in the Oral Systemic connection which is what makes him so excited about the profession of dentistry and how it has the ability to change lives! He goes on to say you have to be an advocate for yourself and take action for yourself if you feel that you are not being taken care of.  It’s okay to say, I just don’t think that we are a good fit in order to find someone that fits your needs and wants. Another good way to find a dentist is ask likeminded friends. Make sure to ask them who they see and what they have learned from them? It’s not enough if their dentist is just a “nice guy”. Look at the office website. Is content updated regularly? Do they have an active Facebook page? What is the interaction with patients, and what are the existing patients saying about the office? What type of new technology do they have? Are they investing in tools that help you get and stay healthy? Are they helping you identify the link between the health of your gums and the rest of your body? Do they offer any testing to help you understand your risks? These are the things you want to pay attention to if you are looking for an office to put your trust in when it comes to the oral health of yourself and your family. Gary and I twist and turn through some very cool stories about dentistry and he talks about the dentist in a faraway land that get to listen to his podcast as a way of learning about becoming a better dentist. Prior to finding his podcast, he was travelling for 2 days to attend a continuing education course! What a great way to make an impact on the world!! Gary was gracious enough give some amazing insights about dentistry in general through his colorful story telling. A true master at his craft, Gary’s positivity and message made interviewing him a moment I won’t soon forget, and I hope you enjoy it too! It’s not an episode that should be missed, and I hope it helps you find the dentist of your dreams and desires! Thank you, Gary, for taking the time to sit down with me, and thank you for helping empower our listeners in making a great decision when choosing a dental office to call home! Links to topics discussed: Gary interviews Bradley Bale MD & Tom Larkin DDS on Integration of Medicine and Dentistry Whoopy Goldberg talks gum disease she was suffering with that could have been prevented.  Life Smiles Dental Care  - Phoenix, AZ, Scottsdale, AZ Dr Kim Kutsch – managing cavities and genetics Carifree 3D cone beam technology vs x-rays  Connect with Gary: Life Smiles Dental Care  - Phoenix, AZ, Scottsdale, AZ Gary's website The Thriving Dentist Podcast Gary’s Favorite Quote: “Change is difficult. However, the alternative is absolute obsolescence.”

So much talk about calcium supplements. Do they help do they help build strong bones or are they a waste of time. This is Judy Gaman and this is your Stay Young Medical Minute. Several conflicting studies about calcium supplements have surfaced. Interestingly enough, the research that came out in the British Medical Journal (BMJ) stated that calcium supplements should not be recommended as part of a fracture prevention regimen. However, the International Osteoporosis Foundation has stated that low calcium is a problem, but they also take it a step further and mention vitamin D deficiencies. Vitamin D is necessary for the absorption of calcium. This is why you see milk and other dairy products with added vitamin D. So, if you ask me, calcium supplements alone may not solve the problem, but if you couple calcium with vitamin D supplements, not only are you going to feel better, your bones will be stronger. Stronger bones mean less chance of a fall or injury from a fall. For more unique tips on staying young and staying healthy visit Stay Young America.com that's Stay Young America.com Thank you for listening to the Stay Young Medical Minute! With all the mixed messages on health, you need information that you can use and that you can trust. Listen in as the experts discuss all topics health related. It's time to STAY YOUNG and stay healthy! Each week we tackle a topic and often with leading scientists, best-selling authors, and even your favorite celebrities! As a listener of our show, your input is important to us. Please take a moment to fill out this quick survey so we can serve you better - https://survey.libsyn.com/stayingyoung2 For more information on The Staying Young Show, please visit our website at www.StayYoungAmerica.com, and subscribe to the show in iTunes, Stitcher, or your favorite podcast app. You can also reach out to our host, Judy Gaman on www.judygaman.com for book purchasing, and speaking opportunities in your area!

In 1995, British Medical Journal (BMJ) became the first medical publisher to go online. Now, the company has made history again by bringing their latest research directly to healthcare professionals via the Figure 1 app. With more than one million doctors, nurses, and medical students on the network, BMJ researchers are using Figure 1 to discuss their work with their target audience immediately after its publication. Dr. Yusuke Tsugawa of Harvard University was the first BMJ researcher to take part in a live Q&A on Figure 1. He presented research showing that US patients have lower mortality rates when they are treated by foreign-trained doctors. “The intelligent conversation sparked by the forum was something that just didn’t exist before,” said Dr. Tsugawa. “It’s an incredible way for researchers to bring their work directly to the global medical community“ Dr. Tsugawa’s one-hour Q&A was viewed more than 125,000 times by healthcare professionals in 83 countries and received more than 150 comments and questions from a specialized audience. BMJ publishes more than 55 medical and allied science journals and was a pioneer of the migration to digital publishing and the development of open access. Figure 1 has since flourished in the open access environment that BMJ helped to create. A partnership is the next step towards bringing open access evidence-based medicine to healthcare professionals. I interview Dr. Joshua Landy, the co-founder and chief medical officer of Figure 1 in tonight's show. About Figure 1 Figure 1 is a free mobile app that helps millions of healthcare professionals in more than 190 countries connect, communicate, and collaborate. With 70% of North American medical students now using it as an educational resource, Figure 1 represents the future of medicine. To learn more, go to www.figure1.com. About BMJ BMJ is a healthcare knowledge provider that aims to advance healthcare worldwide by sharing knowledge and expertise to improve experiences, outcomes, and value. For a full list of BMJ products and services visit bmj.com/company

Professor Carl Heneghan, Director of the Centre for Evidence-Based Medicine, in conversation with Dr Fiona Godlee, Editor-in-Chief of The British Medical Journal (BMJ). Trust the Evidence is a new podcast series presenting conversations with individuals interested in improving healthcare through the use of better evidence.

Magnesium deficiency is very common in people with heart disease. In hospitals where doctors understand the important of magnesium, it is administered for acute myocardial infarction and cardiac arrhythmia. Like any other muscle, the heart requires magnesium. Magnesium is also used to treat angina or chest pain. The epidemic of heart disease in women may have its origins in the excessive intake of medically prescribed calcium. In fact, several studies in the British Medical Journal (BMJ) recently proved that very thing. Women who take calcium supplements have a higher risk of heart disease as calcium deposits in their arteries. When heart muscle cells have too much calcium on the inside, they can go into a life-threatening spasm that we call “heart attack”. When they have enough magnesium, the heart muscle cells relax. The prescription medication to prevent calcium build-up is called a “calcium channel blocker”. Nature’s calcium channel blocker is magnesium; it’s the guardian angel of the heart. The most commonly used drugs in high blood pressure are diuretics. The irony of using diuretics is that they deplete the body of magnesium. Tonight we'll be talking about this and SO MUCH MORE!

Magnesium deficiency is very common in people with heart disease. In hospitals where doctors understand the important of magnesium, it is administered for acute myocardial infarction and cardiac arrhythmia. Like any other muscle, the heart requires magnesium. Magnesium is also used to treat angina or chest pain. The epidemic of heart disease in women may have its origins in the excessive intake of medically prescribed calcium. In fact, several studies in the British Medical Journal (BMJ) recently proved that very thing. Women who take calcium supplements have a higher risk of heart disease as calcium deposits in their arteries. When heart muscle cells have too much calcium on the inside, they can go into a life-threatening spasm that we call “heart attack”. When they have enough magnesium, the heart muscle cells relax. The prescription medication to prevent calcium build-up is called a “calcium channel blocker”. Nature’s calcium channel blocker is magnesium; it’s the guardian angel of the heart. The most commonly used drugs in high blood pressure are diuretics. The irony of using diuretics is that they deplete the body of magnesium. Tonight we'll be talking about this and SO MUCH MORE!

Magnesium deficiency is very common in people with heart disease. In hospitals where doctors understand the important of magnesium, it is administered for acute myocardial infarction and cardiac arrhythmia. Like any other muscle, the heart requires magnesium. Magnesium is also used to treat angina, or chest pain. The epidemic of heart disease in women may have its origins in the excessive intake of medically prescribed calcium. In fact, several studies in the British Medical Journal (BMJ) recently proved that very thing. Women who take calcium supplements have a higher risk of heart disease as calcium deposits in their arteries. When heart muscle cells have too much calcium on the inside, they can go into a life-threatening spasm that we call “heart attack”. When they have enough magnesium, the heart muscle cells relax. Tonight learn all about magnesium and much more on Live with Dr. Carolyn Dean

Magnesium deficiency is very common in people with heart disease. In hospitals where doctors understand the important of magnesium, it is administered for acute myocardial infarction and cardiac arrhythmia. Like any other muscle, the heart requires magnesium. Magnesium is also used to treat angina, or chest pain. The epidemic of heart disease in women may have its origins in the excessive intake of medically prescribed calcium. In fact, several studies in the British Medical Journal (BMJ) recently proved that very thing. Women who take calcium supplements have a higher risk of heart disease as calcium deposits in their arteries. When heart muscle cells have too much calcium on the inside, they can go into a life-threatening spasm that we call “heart attack”. When they have enough magnesium, the heart muscle cells relax. Tonight learn all about magnesium and much more on Live with Dr. Carolyn Dean

An LA Times health article summarizes a British Medical Journal (BMJ) article and concludes that widespread use of calcium supplements may increase heart attack risk. A rebuttal article from the original report in the BMJ is also discussed with the conclusion that the meta-analysis from the article has limitations and that the analysis should not dissuade consumers from taking calcium supplements. Women should talk with their physicians about their current and long-term needs and discuss how much calcium they are getting in their diets and supplement accordingly in combination with vitamin D.