Zika funding delay hurt effort to fight virus -U.S. health officials

(Reuters) – Top U.S. health officials said on Monday the long delay in getting Congress to approve funding to fight the Zika virus came at a heavy cost in dealing with what they called a serious public health threat.

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To learn more visit: Reuters: Health News

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Zika funding delay hurt effort to fight virus -U.S. health officials

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One-two-triage: validation and reliability of a novel triage system for low-resource settings

Objectives

To validate and assess reliability of a novel triage system, one-two-triage (OTT), that can be applied by inexperienced providers in low-resource settings.

Methods

This study was a two-phase prospective, comparative study conducted at three hospitals. Phase I assessed criterion validity of OTT on all patients arriving at an American university hospital by comparing agreement among three methods of triage: OTT, Emergency Severity Index (ESI…
To learn more visit: Emergency Medicine Journal current issue

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One-two-triage: validation and reliability of a novel triage system for low-resource settings

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SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA

Podcast Link: SGEM162 Date: September 29th, 2016 Reference: Kudenchuk et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. NEJM April 2016 Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes an excellent blog called EM Nerd, which he describes as nihilistic ramblings. […]…
To learn more visit: The Skeptics Guide to Emergency Medicine

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SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA

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Pregnant Women Should Avoid Southeast Asia: CDC

Meanwhile, French report shows virus can infect sperm

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To learn more visit: WebMD Health

What is Zika Virus? History and Transmission

zika virus symptoms,zika virus treatment,zika fever,zika virus pdf,zika virus pregnancy,zika virus sintomas,zika virus birth defects

Zika virus spreads to people primarily through the bite of an infected Aedes species mosquito (Ae. aegypti and Ae. albopictus). People can also get Zika through sex with an infected man, and the virus can also be passed from a pregnant woman to her fetus. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week after being bitten by an infected mosquito. People usually don’t get sick enough to go to the hospital, and they very rarely die of Zika. For this reason, many people might not realize they have been infected. However, Zika virus infection during pregnancy can cause a serious birth defect called microcephaly, as well as other severe fetal brain defects. Once a person has been infected, he or she is likely to be protected from future infections.

Zika virus was first discovered in 1947 and is named after the Zika Forest in Uganda. In 1952, the first human cases of Zika were detected and since then, outbreaks of Zika have been reported in tropical Africa, Southeast Asia, and the Pacific Islands. Zika outbreaks have probably occurred in many locations. Before 2007, at least 14 cases of Zika had been documented, although other cases were likely to have occurred and were not reported. Because the symptoms of Zika are similar to those of many other diseases, many cases may not have been recognized.

In May 2015, the Pan American Health Organization (PAHO) issued an alert regarding the first confirmed Zika virus infection in Brazil. On February 1, 2016, the World Health Organization (WHO) declared Zika virus a Public Health Emergency of International Concern (PHEIC). Local transmission has been reported in many other countries and territories. Zika virus will likely continue to spread to new areas.
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Pregnant Women Should Avoid Southeast Asia: CDC

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This for Prostate Cancer Risky After Heart Attack

For this type of patient, cardiac risks linked to the treatment may outweigh any benefit, study suggests

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To learn more visit: WebMD Health

Say the word testosterone and the image of a virile man comes to mind. However, a man lacking testosterone stands to suffer more than just a bruised ego. Low levels of testosterone can actually explain a number of medical conditions ranging from heightened cancer risk to loss of muscle.

How common is it for a man to have low testosterone levels, and when is this most likely to happen?
• 4 million men in US have low testosterone levels
• Very much under-diagnosed
• Only a small percentage of men receiving treatment
• Usually strikes beginning in late30’s to early 40’s

What are some symptoms of low testosterone?
• Loss of strength
• Increased belly fat
• Impaired brain function (can’t concentrate)
• Disrupted sleep
• Loss Libido/impaired sexual function
• General fatigue

If low testosterone causes so many health problems, why is it that more doctors are not treating the problem?
• Not fully understood by main stream doctors
• Misconception increasing hormone levels can increase prostate cancer risk
• In fact, low testosterone can increase cancer risk
• Studies show increasing the hormone in middle-aged men can reduce bad cholesterol levels and inflammatory bio-markers associated with heart disease, diabetes, metabolic syndrome

How do you improve this condition?
• there’s testosterone replacement therapy or TRT
• Long term therapy can greatly improve a man’s appearance, strength, sexual potency, mood and brain function; all while reducing the risks of serious chronic diseases
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This for Prostate Cancer Risky After Heart Attack

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Exploring the relationship between general practice characteristics, and attendance at walk-in centres, minor injuries units and EDs in England 2012/2013: a cross-sectional study

Background

For several years, EDs in the UK NHS have faced considerable increases in attendance rates. Walk-in centres (WiCs) and minor injuries units (MIUs) have been suggested as solutions. We aimed to investigate the associations between practice and practice population characteristics with ED attendance rates or combined ED/WiC/MIU attendance, and the associations between WiC/MIU and ED attendance.

Methods

We used general practice-level data incl…
To learn more visit: Emergency Medicine Journal current issue

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Exploring the relationship between general practice characteristics, and attendance at walk-in centres, minor injuries units and EDs in England 2012/2013: a cross-sectional study

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A retrospective analysis of the combined use of PERC rule and Wells score to exclude pulmonary embolism in the Emergency Department

Background

The pulmonary embolism rule-out criteria (PERC) rule is an eight-factor decision rule to support the decision not to order a diagnostic test when the gestalt-based clinical suspicion on pulmonary embolism (PE) is low.

Methods

In a retrospective cohort study, we determined the accuracy of a negative PERC (0) in patients with a low Wells score (<2) to rule-out PE, and compared this to the accuracy of the default algorithm used in our hosp…
To learn more visit: Emergency Medicine Journal current issue

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A retrospective analysis of the combined use of PERC rule and Wells score to exclude pulmonary embolism in the Emergency Department

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