Your tax dollars at work: Gun Violence: A Biopsychosocial Disease
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BigFatKen
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Colistin is best used in people as an IV administered antibiotic. But the other Polymixin "B" is used in Rite Aid Pharmacy Triple Antibiotic Ointment for minor wounds. The trouble with the Polymixins is that they are so cheap, China has been feeding millions of tonnes to their pigs for decades. Many in the research community think that by 2040, all antibiotics will be ineffective.
Apocalypse Pig: The Last Antibiotic Begins to Fail
https://www.nationalgeographic.com/science/phenomena/2015/11/21/mcr-gene-colistin/
Rapid spread of African swine fever in Europe – several countries consider a border wall to keep the disease at bay.
As African swine fever spreads, European countries are afraid of the damage that could be caused to their farming sectors. The deadly disease – which causes internal bleeding and hemorrhages in pigs – is moving quickly through Eastern Europe, typically through wild boar, which travels long distances and can infect domestic pigs being bred on commercial farms. In response, countries like Germany, the EU’s largest pork producer, are stepping up efforts to protect their pig populations, some going so far as to consider building border walls to keep boars out.
At the same time, Denmark has approved plans for a fence along its border with Germany to stop wild boar movements between the countries as a precaution.
So far outbreaks of African swine fever have been confirmed in nine EU countries, affecting Estonia, Poland, Latvia, Lithuania, and Romania the worst.
Outbreaks have also been confirmed in Russia, Ukraine, and Moldova. The virus first entered Eurasia in 2007 in Georgia via wild boar imported from Africa. The first outbreak in Georgia in 2007 was a full disaster. It fully destroyed pork production and led to a broad contamination.
After Georgia, the virus spread to Russia, Moldova, and Belarus and, in 2014, entered the European Union via Poland and the Baltic states.
At the EU level, Brussels has allocated €1.2 million to member countries to prevent the spread of swine fever.
The EU also issued a research grant in 2018 for the development of an African swine fever vaccine in its Horizon 2020 program, the biggest EU research, and innovation program.
BFK: The above sentence is what central governments should do about health with tax dollars. These are the type of issues I like to keep up on.
Apocalypse Pig: The Last Antibiotic Begins to Fail
https://www.nationalgeographic.com/science/phenomena/2015/11/21/mcr-gene-colistin/
Rapid spread of African swine fever in Europe – several countries consider a border wall to keep the disease at bay.
As African swine fever spreads, European countries are afraid of the damage that could be caused to their farming sectors. The deadly disease – which causes internal bleeding and hemorrhages in pigs – is moving quickly through Eastern Europe, typically through wild boar, which travels long distances and can infect domestic pigs being bred on commercial farms. In response, countries like Germany, the EU’s largest pork producer, are stepping up efforts to protect their pig populations, some going so far as to consider building border walls to keep boars out.
At the same time, Denmark has approved plans for a fence along its border with Germany to stop wild boar movements between the countries as a precaution.
So far outbreaks of African swine fever have been confirmed in nine EU countries, affecting Estonia, Poland, Latvia, Lithuania, and Romania the worst.
Outbreaks have also been confirmed in Russia, Ukraine, and Moldova. The virus first entered Eurasia in 2007 in Georgia via wild boar imported from Africa. The first outbreak in Georgia in 2007 was a full disaster. It fully destroyed pork production and led to a broad contamination.
After Georgia, the virus spread to Russia, Moldova, and Belarus and, in 2014, entered the European Union via Poland and the Baltic states.
At the EU level, Brussels has allocated €1.2 million to member countries to prevent the spread of swine fever.
The EU also issued a research grant in 2018 for the development of an African swine fever vaccine in its Horizon 2020 program, the biggest EU research, and innovation program.
BFK: The above sentence is what central governments should do about health with tax dollars. These are the type of issues I like to keep up on.
CapnMac
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Opiates will repress certain systolic things, cillical functions, peristalitic functions (this is what causes constipation during opiate use). So, it can relax the reflex to cough due to tracheal congestion. It can also cause drowsiness, and you generally don't cough while asleep. This is complicated as around 25% of the human population cannot metabolize codeine properly (I am in this cohort) which means it can be a suppressant, it is not generally a suppressant. So, your definition of "good" matters.
Which is rather like the specious nature of subdividing forms of violence as if one from of violence is worse than another. Is it better for the victim to be assaulted with a hammer than a gun? The problem is the violence, not the tool used.
Which is one of the dirty little secrets about that lase Executive Action wanting "more medical research into gun violence." Pretty much, every fair CDC study keeps coming up with that the problem is not the tool, it's the violence. JAMA has opined different;y, but has not funded any study or reaserch to base its Boston headquarters editorializing upon.
I find it interesting that people in the Medical Field think Gun Violence is a disease, when, according to Federal
studies, you are 9000 times more likely to be killed by your doctor, than a gun.
OTOH, should we soak our guns in alcohol, in order to cleanse them of the Gun Disease infection?
studies, you are 9000 times more likely to be killed by your doctor, than a gun.
OTOH, should we soak our guns in alcohol, in order to cleanse them of the Gun Disease infection?
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BigFatKen
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fires again.Gunshot Wounds: A Targeted Approach
More BS from the Medscape people. A total of 35 pages.
Approximately 300 people per day in the United States sustain a gunshot wound, and about 10-30% of these victims die of their injury. Learn more about how to manage these patients and how wound treatment can differ by injury site.
https://reference.medscape.com/slid..._edit_tpal&uac=312637AZ&impID=1871688&faf=1#1
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Gridley
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Back in the ancient days (about 20 years ago) of my misspent youth I was a volunteer medic. We were taught that "trauma" and "medical" incidents should be handled entirely differently for best patient outcomes. Guess my GSW patients should sue me for not treating them as if they had a disease.
If one of the authors of that paper gets a needlestick while treating a GSW, are they going to get a blood test for gunshot residue?
If one of the authors of that paper gets a needlestick while treating a GSW, are they going to get a blood test for gunshot residue?
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BigFatKen
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The pages are only "sort of" copy and paste protected. Every page is a new wound. To copy and paste the text that slides around, hold down Ctrl and press "U". You will get the source code with most text and some pictures too.
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BigFatKen
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Here is the base image file. Note the file ends in fig1.jpg you can copy by changing the name to fig2.jpg then 3..4...5
http://img.medscapestatic.com/pi/features/slideshow-slide/gunshot-wounds-6008960/fig2.jpg
http://img.medscapestatic.com/pi/features/slideshow-slide/gunshot-wounds-6008960/fig2.jpg
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BigFatKen
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There are three members I would like to thank for their submissions and continue their message.
Obama certainly tried to weaponize many things like IRS, FBI and health care for starters. I was following the DEA vs the FDA on pain meds. The fight went on a decade with FDA trying not to relive the horrors made 40 years ago when pain meds became so very hard to acquire that one family took their daughter to all 50 States to visit the Senators. It was a very sad case. The girl had an inoperable brain tumor that was pushing her eyeballs very painfully out.
The threesome could only make certain travel plans because the pain meds from her tumor had a maximum of 72 hours prescription time which then required a new prescription. They could not dare to fly on Thursdays because of the time limits might expire on a Sunday. Eventually, their efforts paid off and a longer time was allowed for certain extreme cases. This was in the days that a Registered Pharmacist could issue codeine for coughs and a dentist could issue cocaine to rub on gums after oral surgery. The codeine was misused along with cocaine.
I am now under a contract I signed with my local VA doctor to use my Tylenol 300/30mg Codeine as my med for extreme pain. I think that I am breaking the contract because I am taking these on a PRN basis to stop my coughing. They work like a charm on me and I believe I have avoided giving myself aspiration Pneumonia which, lacking an upper esophageal valve since my cancer surgery I have gotten at least three times.
Then ATF vs FDA: FDA argued telling ATF about asking about firearms in the home was a waste of part of the 8 minutes a doctor could spend per patient under Obamacare. Other more important elective items like "Do you smoke?" might have to be put on the bottom of the list. I was living in Florida then and Florida banned the question. Alabama VAs still ask the question.
Here is what is new on the once illness related Medscape website:
Riders May Not Appreciate Risks When Using Shared Electric Scooters by Linda Carroll Jan 28.
(Reuters Health) - Shareable, two-wheeled standing scooters, which are the rage in some West Coast cities, may be more risky to riders - and pedestrians - than people think, researchers say.
The battery-powered devices look like a skateboard with handlebars. Reviewing injury data from two Los Angeles-area emergency rooms over the course of a year, researchers found that patients whose injuries involved these scooters outnumbered patients with bicycle-related emergencies.
Among 249 patients admitted with standing-scooter-related injuries, 100 had head injuries, 79 had broken bones and 69 had contusions, sprains and lacerations without a fracture or head injury. Most patients were discharged to home from the emergency room, but 15 were hospitalized and two required admission to the intensive care unit. Just 10 patients had been wearing a helmet when their accident occurred.
On the plus side, the scooters are "a really innovative and inexpensive means of transportation," said senior study author Dr. Joann Elmore, a professor of medicine at the David Geffen School of Medicine at the University of California, Los Angeles. "But riders seem to underestimate the hazards. I encourage everyone who uses them to be careful to follow the traffic laws and to wear helmets."
Wearing a helmet would be a safe approach since the scooters can zip around at 15 miles per hour, but it's not mandatory since California just passed a law that says helmets are not required, Elmore noted.
Standing electric scooters that are available for rent through a smartphone app were first introduced in Santa Monica in September 2017, the study team writes in JAMA Network Open, January 25. Now the scooters are available in 60 U.S. cities and 6 international cities and local officials have devised varying regulations around the devices. Some require riders to wear a helmet and most ban riding on sidewalks, the authors note.
The researchers looked at patterns of scooter-related injury and users' behavior between September 1, 2017 and August 31, 2018 using emergency room records from two major local hospitals.
While most injuries occurred when people fell off their scooters, some happened when scooters tangled with pedestrians. Of the 249 patients, 21 were pedestrians. Eleven pedestrian injuries were the result of someone being hit by a scooter, while five occurred when a pedestrian tripped over a "parked" scooter and five were the result of a pedestrian trying to lift or carry a scooter that was not in use.
Most riders were adults, but 27 were under age 18.
"Our findings are probably conservative since we only included cases that we were certain were due to electric scooters and we were looking early on when there weren't as many of them around," Elmore said. "Also, these were only the patients seen in the emergency department, not those seen in outpatient clinics."
"It's a very timely contribution to an emerging injury risk," said Dr. Guohua Li, director of the Center for Injury, Epidemiology and Prevention at Columbia University's Mailman School of Public Health in New York City, who wasn't involved in the study. "I was in San Diego two months ago at a conference and (the scooters) were everywhere. They are not just a risk to the riders, but also the pedestrians."
The new study is "raising awareness that there is this new vehicle out there and its use is growing rapidly," said Dr. Barbara Gaines, director of Trauma and Injury Prevention at the Children's Hospital of Pittsburgh at the University of Pittsburgh Medical Center.
Gaines hopes the study will alert municipalities and spark new regulations about how and where the scooters can be used. Chief among her concerns is the large number of head injuries and she's hoping local governments will pass laws requiring helmet use.
"As with any new product, it's important to objectively look at the data to see where the risk lies," said Dr. Leticia Ryan, director of research in the pediatric emergency medicine division at the Johns Hopkins University School of Medicine in Baltimore. "That can help us develop safer ways to use these scooters."
It seems the members who brought up cars had a crystal ball.
source;
https://www.medscape.com/viewarticle/908302?src=wnl_edit_tpal&uac=312637AZ&impID=1871688&faf=1
Obama certainly tried to weaponize many things like IRS, FBI and health care for starters. I was following the DEA vs the FDA on pain meds. The fight went on a decade with FDA trying not to relive the horrors made 40 years ago when pain meds became so very hard to acquire that one family took their daughter to all 50 States to visit the Senators. It was a very sad case. The girl had an inoperable brain tumor that was pushing her eyeballs very painfully out.
The threesome could only make certain travel plans because the pain meds from her tumor had a maximum of 72 hours prescription time which then required a new prescription. They could not dare to fly on Thursdays because of the time limits might expire on a Sunday. Eventually, their efforts paid off and a longer time was allowed for certain extreme cases. This was in the days that a Registered Pharmacist could issue codeine for coughs and a dentist could issue cocaine to rub on gums after oral surgery. The codeine was misused along with cocaine.
I am now under a contract I signed with my local VA doctor to use my Tylenol 300/30mg Codeine as my med for extreme pain. I think that I am breaking the contract because I am taking these on a PRN basis to stop my coughing. They work like a charm on me and I believe I have avoided giving myself aspiration Pneumonia which, lacking an upper esophageal valve since my cancer surgery I have gotten at least three times.
Then ATF vs FDA: FDA argued telling ATF about asking about firearms in the home was a waste of part of the 8 minutes a doctor could spend per patient under Obamacare. Other more important elective items like "Do you smoke?" might have to be put on the bottom of the list. I was living in Florida then and Florida banned the question. Alabama VAs still ask the question.
Here is what is new on the once illness related Medscape website:
Riders May Not Appreciate Risks When Using Shared Electric Scooters by Linda Carroll Jan 28.
(Reuters Health) - Shareable, two-wheeled standing scooters, which are the rage in some West Coast cities, may be more risky to riders - and pedestrians - than people think, researchers say.
The battery-powered devices look like a skateboard with handlebars. Reviewing injury data from two Los Angeles-area emergency rooms over the course of a year, researchers found that patients whose injuries involved these scooters outnumbered patients with bicycle-related emergencies.
Among 249 patients admitted with standing-scooter-related injuries, 100 had head injuries, 79 had broken bones and 69 had contusions, sprains and lacerations without a fracture or head injury. Most patients were discharged to home from the emergency room, but 15 were hospitalized and two required admission to the intensive care unit. Just 10 patients had been wearing a helmet when their accident occurred.
On the plus side, the scooters are "a really innovative and inexpensive means of transportation," said senior study author Dr. Joann Elmore, a professor of medicine at the David Geffen School of Medicine at the University of California, Los Angeles. "But riders seem to underestimate the hazards. I encourage everyone who uses them to be careful to follow the traffic laws and to wear helmets."
Wearing a helmet would be a safe approach since the scooters can zip around at 15 miles per hour, but it's not mandatory since California just passed a law that says helmets are not required, Elmore noted.
Standing electric scooters that are available for rent through a smartphone app were first introduced in Santa Monica in September 2017, the study team writes in JAMA Network Open, January 25. Now the scooters are available in 60 U.S. cities and 6 international cities and local officials have devised varying regulations around the devices. Some require riders to wear a helmet and most ban riding on sidewalks, the authors note.
The researchers looked at patterns of scooter-related injury and users' behavior between September 1, 2017 and August 31, 2018 using emergency room records from two major local hospitals.
While most injuries occurred when people fell off their scooters, some happened when scooters tangled with pedestrians. Of the 249 patients, 21 were pedestrians. Eleven pedestrian injuries were the result of someone being hit by a scooter, while five occurred when a pedestrian tripped over a "parked" scooter and five were the result of a pedestrian trying to lift or carry a scooter that was not in use.
Most riders were adults, but 27 were under age 18.
"Our findings are probably conservative since we only included cases that we were certain were due to electric scooters and we were looking early on when there weren't as many of them around," Elmore said. "Also, these were only the patients seen in the emergency department, not those seen in outpatient clinics."
"It's a very timely contribution to an emerging injury risk," said Dr. Guohua Li, director of the Center for Injury, Epidemiology and Prevention at Columbia University's Mailman School of Public Health in New York City, who wasn't involved in the study. "I was in San Diego two months ago at a conference and (the scooters) were everywhere. They are not just a risk to the riders, but also the pedestrians."
The new study is "raising awareness that there is this new vehicle out there and its use is growing rapidly," said Dr. Barbara Gaines, director of Trauma and Injury Prevention at the Children's Hospital of Pittsburgh at the University of Pittsburgh Medical Center.
Gaines hopes the study will alert municipalities and spark new regulations about how and where the scooters can be used. Chief among her concerns is the large number of head injuries and she's hoping local governments will pass laws requiring helmet use.
"As with any new product, it's important to objectively look at the data to see where the risk lies," said Dr. Leticia Ryan, director of research in the pediatric emergency medicine division at the Johns Hopkins University School of Medicine in Baltimore. "That can help us develop safer ways to use these scooters."
It seems the members who brought up cars had a crystal ball.
source;
https://www.medscape.com/viewarticle/908302?src=wnl_edit_tpal&uac=312637AZ&impID=1871688&faf=1
Deltaboy1984
Member
Bad science!
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BigFatKen
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With three non-illness issues brought up, I expect more every few days.
We seem to have wandered off into the weeds.
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