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Importance of Intelligence and Emotional Intelligence for Physicians

Mar, 10/07/2018 - 02:00
To the Editor What separates the best physicians from their peers? A recent Viewpoint argued that EQ may be more important than the surrogates of IQ traditionally used for physician selection. Although few would argue that kindness, empathy, and emotional sensitivity are unimportant qualities, the question of whether Medical College Admission Test (MCAT) scores (or any other blunt tool that correlates with IQ) can reliably predict the best physicians is an empirical one.

Importance of Intelligence and Emotional Intelligence for Physicians—Reply

Mar, 10/07/2018 - 02:00
In Reply In the 21st century, medicine will focus on changing the behaviors of chronically ill patients and working effectively in clinical teams. The attributes necessary to succeed are not technical skills but compassion and empathy. Yet medicine continues to emphasize IQ and minimize EQ.

New Foundation Revives Debate About Health Research Funded by Big Tobacco

Mar, 10/07/2018 - 02:00
This Medical News story examines the controversy surrounding Philip Morris International’s funding of a foundation whose stated purpose is to reduce the use of conventional cigarettes.

New Ebola Outbreak in Africa Is a Major Test for the WHO

Mar, 10/07/2018 - 02:00
On May 8, the Democratic Republic of Congo (DRC) notified the World Health Organization (WHO) of a confirmed outbreak of Ebola in Bikoro, on the shores of Lake Tumba in Équateur Province. Ebola in the DRC is not unexpected. The first-ever identified Ebola outbreak occurred in the DRC—then Zaire—in 1976. This is the ninth of DRC’s outbreaks, which until now have been confined mainly to rural areas. With high fatality rates, earlier outbreaks quickly burned out due to the natural firewall of remoteness.

Immunotherapy Leads to Complete Regression in Late-Stage Breast Cancer

Mar, 10/07/2018 - 02:00
National Cancer Institute (NCI) researchers recently reported complete and durable regression of chemorefractory metastatic ERBB2-negative and ER-positive breast cancer in a woman who received an experimental immunotherapy. The case report, published recently in Nature Medicine, involved a 49-year-old patient whose late-stage cancer was progressing despite multiple lines of chemotherapy and hormone treatments.

Oral Sodium Sensor for Hypertension Management

Mar, 10/07/2018 - 02:00
Tracking salt consumption in patients with hypertension is difficult, but a new oral device for real-time monitoring of sodium intake could help to change that. Researchers led by Woon-Hong Yeo, PhD, at the Georgia Institute of Technology recently described their sodium sensor in the Proceedings of the National Academy of Sciences.

Pool-Related Infections

Mar, 10/07/2018 - 02:00
Chlorine-resistant bacteria were the leading cause of pool-related infectious outbreaks between 2000 and 2014 and hotels were the most frequent sites where outbreaks occurred, according to a CDC report.

Stroke Rehab Lacking

Mar, 10/07/2018 - 02:00
Most US stroke survivors are not participating in poststroke outpatient rehabilitation, according to a CDC report.

Too small, too soon

Mar, 10/07/2018 - 02:00
I still see your face,(so many others forgotten).So small,gasping for the air you could not use,both of us bewildered.

The Hen and Her Imitators

Mar, 10/07/2018 - 02:00
Probably few foods are so widely used, so greatly relished or so much to be depended on as are eggs. The canny Scot may always be trusted as a judge of values, and the story is told of the Highlander and the Tommy who, on duty in France, captured a hen. The Tommy was anxious to kill it at once and eat it, but the Highlander said: “No. Let us keep her until tomorrow. She might lay an egg.” Certain thrifty manufacturers, realizing the great demand for this food product and the rapidly increasing price, have placed on the market so-called substitutes. At least fifty such products are already available. At the request of the Pennsylvania State Department of Agriculture, Prof. C. H. Lawall investigated more than forty of these substitutes. In the introduction to his report he says:

Screening for Peripheral Artery Disease With Ankle-Brachial Index

Mar, 10/07/2018 - 02:00
This JAMA Patient Page describes the US Preventive Services Task Force recommendations on screening for peripheral artery disease with measurement of the ankle-brachial index.

JAMA

Mar, 10/07/2018 - 02:00

Highlights for July 3, 2018

Mar, 03/07/2018 - 02:00

Resolving the Productivity Paradox of Health Information Technology

Mar, 03/07/2018 - 02:00
In this Viewpoint, Robert Wachter and Michael Howell from Google discuss the prospects that medicine is finally poised to realize improvements in quality, safety, and productivity from investments in health information technology and digitization, and from growing competencies in systems thinking and population health

Big Data and Predictive Analytics

Mar, 03/07/2018 - 02:00
This Viewpoint describes 4 major barriers to useful risk prediction that may not be easily overcome by new methods in machine learning and, in some instances, may be more difficult to overcome in the era of big data.

Supporting the Next Generation of Biomedical Researchers

Mar, 03/07/2018 - 02:00
This Viewpoint summarizes a 2018 National Academies of Sciences, Engineering, and Medicine (NASEM) report that details challenges to support of biomedical scientists in the United States and proposes solutions, including public-private partnerships and a dedicated line of Congressional funding to support next-generation researchers and innovation.

Private Sector Involvement in Physician-Scientist Training

Mar, 03/07/2018 - 02:00
In this Viewpoint, Insel and colleagues discuss the roles that private sector companies and foundations might play and the advantages of public-private partnerships in nurturing new and early-career physician-investigators given an always-challenging funding environment and ever-increasing hurdles young physicians must overcome to establish a research career.

Conflicts About Cost and Service

Mar, 03/07/2018 - 02:00
In this narrative medicine essay, a pediatrician returns to the hospital after riding his bicycle home against a strong headwind to evaluate a neonate with a congenital heart defect and later reflects on whether medical payment for service motivates health care clinicians.

Replacing the Pap Test With Screening Based on Human Papillomavirus Assays

Mar, 03/07/2018 - 02:00
Ever since Georgios Papanicolaou developed his eponymous cervical smear in the 1940s, Papanicolaou (Pap) testing for cervical cytology has been the essential first step in enormously successful cervical cancer prevention efforts around the world, but that era is ending. Globally, cervical cancer is the fourth most common cause of cancer in women, with 527?600 cases and 265?700 deaths in 2012. However, cytology-based screening has led to substantial risk reductions in more developed countries. According to the American Cancer Society, 13?240 new cases of cervical cancer will be diagnosed in the United States in 2018, with 4170 deaths.

Revisiting NPH Insulin for Type 2 Diabetes

Mar, 03/07/2018 - 02:00
In spring 2017, the American Diabetes Association tasked a working group with examining soaring insulin list prices, which had nearly tripled between 2002 and 2013. Because pharmaceutical spending represents a prime contributor to the escalating costs of diabetes care in the United States, these increases in insulin pricing warranted analysis.

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