Knapp, Maureen

Swine Flu

Louisiana is clear for the moment, but human cases of swine influenza A (H1N1) virus infection have been identified in the United States. The Centers for Disease Control have created a Swine Influenza (Flu) page at http://www.cdc.gov/swineflu/index.htm

It includes incidence of U.S. Swine Flu Infection, currently at 20 cases in California, Kansas, Ohio, Texas and New York City.

More from CDC:
Interim CDC Guidance for Nonpharmaceutical Community Mitigation in Response to Human Infections with Swine Influenza (H1N1) Virus: http://www.cdc.gov/swineflu/mitigation.htm

Guidance for Clinicians & Public Health Professionals: http://www.cdc.gov/swineflu/guidance/

For international information & global statistics, see the the World Health Organization’s Swine flu page:
http://www.who.int/csr/disease/swineflu/en/index.html

For folks in Louisiana, the State Dept. of Health and Hospitals encourages “Aggressive Prevention” Against Swine Flu:
http://wwwprd.doa.louisiana.gov/LaNews/PublicPages/Dsp_PressRelease_Display.cfm?PressReleaseID=2019&Rec_ID=0

The White House also issued a press briefing on Swine Influenza:
http://www.whitehouse.gov/the_press_office/Press-Briefing-On-Swine-Influenza-4/26/09/

Consumer health forecast: visibly cloudy

http://www.nlm.nih.gov/medlineplus/cloud.html

http://www.nlm.nih.gov/medlineplus/cloud.html

It just got a little easier to find out what consumer health topics are currently popular with patients. MedlinePlus, your number one authority from the NIH on patient health, just released a search cloud.

The search terms appear in alphabetical order, and their size represents their relative frequency. The bigger the term, the more often it is searched by people who visit MedlinePlus. A term’s exact ranking is found by placing your cursor over the term, and you can click on any term in the search cloud to conduct a search for that term in MedlinePlus.

Anyone who’s been on a camping trip lately can sympathize with why tick bites are so popular right now.

It came from the stacks: The Knife Man

Welcome to the first installation of an occasional series called IT CAME FROM THE STACKS: an exploration of the hidden gems in our collection

The Knife Man: Blood, body snatching, and the birth of modern surgery by Wendy Moore (2005)
Available on 4th floor Library Stacks: WZ 100 M78k 2005

This book is about John Hunter, an orphaned Scottish boy who grew up to become 18th century London’s premier maverick surgeon, “as reknowned and respected in Georgian England as he was feared and reviled.” The Knife Man explores this larger than life figure, a master surgeon and anatomist who is not only considered the father of modern surgery, but also an inspiration for literary works from Dr. Doolittle to Frankenstein.

Interesting things I learned from this book:

  • John Hunter at one point orchestrated a heist of the corpse of the “Irish Giant“, at the time the world’s tallest man, regardless of the Giant’s explicit orders to the contrary. Hunter was so afraid of getting caught that in preparing the specimen, “he hurriedly chopped the Goliath into pieces, threw the chunks into his immense copper vat, and boiled the lot down into a jumble of gigantic bones. After skimming the fat out of the cauldron, Hunter deftly re-assembled the pile of bones to create [his] awesome skeleton.”
  • In his exploration of sexually transmitted diseases, John Hunter performed a series of experiments on an ‘anonymous subject’ that included inoculating the unnamed man with gonorrhea and recording the effects of various treatments. It is widely postulated the subject of this experiment was Hunter himself. His work Treatise on the Venereal Disease, which stemmed from this research, is available free online.
  • Though Hunter was a renowned & beloved medical teacher, counting Edward Jenner, who developed the smallpox vaccine, and Dr. Philip Syng Physick, American surgeon, among his many students who carried on Hunter’s zeal for medical education. Hunter’s brother-in-law Edward Home would not hold him in such high regard. After his death, Home stole and burnt many of Hunter’s copious notes, but not before plargiarizing several of Hunter’s unpublished experiments as his own.
  • Hunter was an avid collector of exotic animals as well as an anatomist skilled in making medical preparations of human bodies. His collection was so large that he built a museum in his Leicester Square home to house the over 13,700 preparations. Hunter’s home was the inspiration for the house in R.L. Stevenson’s The Strange Case of Dr. Jekyll and Mr. Hyde. After Hunter died of heart failure during a meeting with his rivals at St. George’s Hospital in 1793, the collection languished until 1799, when it was bequeathed to the Royal College of Surgeons.
  • Bottom line: The Knife Man offers a lively, educational and sometimes tragic glimpse into the rise of modern surgery, as told through the life of one of surgery’s greatest masters.

    OTs do it with a helping hand

    OTmonth2009<

    Along with minority health awareness, library workers, STDs and organ donation, April 2009 is also Occupational Therapy month.

    Occupational therapy enables people of all ages live life to its fullest by helping them promote health, prevent?óÔé¼ÔÇØor live better with?óÔé¼ÔÇØinjury, illness, or disability. It is a practice deeply rooted in science and is evidence-based, meaning that the plan designed for each individual is supported by data, experience, and ?óÔé¼?ôbest practices?óÔé¼?Ø that have been developed and proven over time. (AOTA)

    The 2009 OT Month theme is autism. The American Occupational Therapy Association provides some useful resources on autism at their site PromoteOT.org

    Here at LSUHSC we have an active Department of Occupational Therapy. In 2008 OT students volunteered to rebuild houses in the Broadmoor area. You can find other newsworthy events from LSUHSC OTs on the department news page.

    USMLE Step 1 Practice Exams

    Exam Master, a FREE USMLE testbank for LSUHSC students, announces a completely revised USMLE Step 1 Practice Exam. A wise L2 knows, you can never practice enough for this! First time users of ExamMaster will need to create a username and password:

    http://www.exammaster2.com/wdsentry/lsuhsc.htm
    More information

    PsychiatryOnline Goes Mobile

    This just in:
    PsychiatryOnline (off campus link), an ebook provider of psychiatry textbooks, is now available for Mobile browsers. Access to the mobile site is included as an added benefit of current subscriptions.

    You will be automatically redirected to m.psychiatryonline.com when visiting the main PsychiatryOnline.com site from a wireless-enabled mobile device (such as a smartphone or PDA).

    OFF CAMPUS ACCESS FOR MOBILES
    Before your first mobile visit, be sure to create a free personal ?óÔé¼?ôMy PsychiatryOnline?óÔé¼?Ø account. To create an account, go to www.psychiatryonline.com from a desktop or laptop computer while authenticated by your institutional subscription, click the ?óÔé¼?ôMy PsychiatryOnline?óÔé¼?Ø link from the homepage, and follow the instructions for creating an account. Your ?óÔé¼?ôMy PsychiatryOnline?óÔé¼?Ø username and password will then give you access to the mobile site. (IP-based recognition is not possible from mobile devices, and accounts cannot be created from the mobile site.) The mobile site will prompt users who haven?óÔé¼Ôäót yet created My PsychiatryOnline accounts with these instructions.

    Content Available
    Most mobile browsers are limited in their ability to transmit large files quickly, so only the most essential information is included in the mobile version of PsychiatryOnline. Search and navigation are simplified as well, to better suit the small mobile screen (e.g., the ?óÔé¼?ôrelated content?óÔé¼?Ø links usually seen at the left of content have been removed to unclutter the screen). Mobile site users do, however, get full advantage of PsychiatryOnline’s powerful semantic indexed search.

    The mobile view content set includes:

  • DSM-IV-TR?óÔé¼ÔÇØsearch or browse the Classification and criteria sets individually, or the entire DSM-IV-TR manual
  • ICD-9-CM codes for selected general medical conditions and medication-induced disorderS
  • Differential diagnosis decision trees and the DSM symptom index from DSM-IV-TR Handbook of Differential Diagnosis
  • APA Practice Guideline Quick References
  • Essentials of Clinical Psychopharmacology
  • Manual of Clinical Psychopharmacology
  • Good luck on Match Day!

    Matchmaker, matchmaker make me a match…

    In this case, the matchmaker is the National Residency Matching Program. Match Day ceremonies at medical schools across the country begin at noon today.

    Last year, exactly half of the 246 graduating students from Louisiana State University’s medical schools in New Orleans and Shreveport stayed in Louisiana, according to a 2008 article from the Times-Picayune.

    Good luck to all our medical students, we hope you get your first choice! Whether you do or don’t, you may want to pick up the book Match Day: Young Doctors in Hell for what is in store for you.

    Erin go Blog

    From four-leaf clover-shaped quadricusp aortic valves to Clostridium perfringens gastroenteritis associated with corned beef, here’s some St Patrick’s Day biomedical journal articles from PubMed.

    Plan to indulge this evening? Check out this Cocktail Content Calculator for exactly how much you’re Irishing up that coffee, as well as tips on pacing yourself. It’s all from the website Rethinking Drinking, from the National Institute of Alcohol Abuse and Alcoholism.

    And if you do overdo it, please remember to call a cab.

    Diagnosaurus now available on iPhone

    Diagnosaurus, a free differential diagnosis tool featuring content from Current Consult Medicine 2007 is now available for iPhone.

    However, it is not exactly free. You have to pay $0.99 to download it from iTunes

    Download info: http://www.unboundmedicine.com/register/reg?cmd=diag&style.m=mh

    Shelving Shuffle

    We’re re-arranging the third floor to bring you more study space! There are now several tables available by the copy machine. Now you don’t have to sit on the floor the next time you need to xerox something.

    Get some ZZZ’s for Sleep Awareness Week

    If you’re like me, Monday mornings are the days you really want to celebrate Sleep Awareness. National Sleep Awareness Week is March 1-8, 2009: a public education, information, and awareness campaign that coincides with the return of Daylight Saving Time, the annual “springing forward” of clocks that can cause Americans to lose an hour of sleep from the NHLBI.

    TOP 10 SLEEP MYTHS
    from “Your guide to healthy sleep” PDF — National Heart, Lung, and Blood Institute – NIH Publication No. 06-5271 (November 2005). http://www.nhlbi.nih.gov/health/public/sleep/healthy_sleep.pdf

    Myth 1: Sleep is a time when your body and brain shut down for rest and relaxation.
    No evidence shows that any major organ (including the brain) or
    regulatory system in the body shuts down during sleep. Some
    physiological processes actually become more active while you
    sleep. For example, secretion of certain hormones is boosted,
    and activity of the pathways in the brain needed for learning and
    memory is heightened.

    Myth 2: Getting just 1 hour less sleep per night than needed will not have any effect on your daytime functioning.
    This lack of sleep may not make you noticeably sleepy during
    the day. But even slightly less sleep can affect your ability to
    think properly and respond quickly, and it can compromise your
    cardiovascular health and energy balance as well as the ability
    to fight infections, particularly if lack of sleep continues. If you
    consistently do not get enough sleep, eventually a sleep debt
    builds up that will make you excessively tired during the day.

    Myth 3: Your body adjusts quickly to different sleep schedules.
    Your biological clock makes you most alert during the daytime
    and most drowsy at night. Thus, even if you work the night
    shift, you will naturally feel sleepy when nighttime comes. Most
    people can reset their biological clock, but only by appropriately
    timed cues?óÔé¼ÔÇØand even then, by 1?óÔé¼ÔÇ£2 hours per day at best.
    Consequently, it can take more than a week to adjust to a
    dramatically altered sleep/wake cycle, such as you encounter
    when traveling across several time zones or switching from
    working the day shift to the night shift.

    Myth 4: People need less sleep as they get older.

    Older people don?óÔé¼Ôäót need less sleep, but they often get less sleep
    or find their sleep less refreshing. That?óÔé¼Ôäós because as
    people age, they spend less time in the deep, restful stages of
    sleep and are more easily awakened. Older people are also
    more likely to have insomnia or other medical conditions that
    disrupt their sleep.

    Myth 5: Extra sleep at night can cure you of problems with excessive daytime fatigue.
    Not only is the quantity of sleep important but also the quality
    of sleep. Some people sleep 8 or 9 hours a night but don?óÔé¼Ôäót feel
    well rested when they wake up because the quality of their sleep
    is poor. A number of sleep disorders and other medical conditions
    affect the quality of sleep. Sleeping more won?óÔé¼Ôäót
    alleviate the daytime sleepiness these disorders or conditions
    cause. However, many of these disorders or conditions can be
    treated effectively with changes in behavior or with medical therapies.

    Myth 6: You can make up for lost sleep during the week by sleeping more on the weekends.

    Although this sleeping pattern will help relieve part of a sleep
    debt, it will not completely make up for the lack of sleep. This
    pattern also will not make up for impaired performance during
    the week because of not sleeping enough. Furthermore, sleeping
    later on the weekends can affect your biological clock so that
    it is much harder to go to sleep at the right time on Sunday
    nights and get up early on Monday mornings.

    Myth 7: Naps are a waste of time.
    Although naps do not substitute for a good night?óÔé¼Ôäós sleep, they can
    be restorative and help counter some of the impaired
    performance that results from not getting enough sleep at night.
    Naps can actually help you learn how to do certain tasks quicker.
    But avoid taking naps later than 3 p.m., as late naps can interfere
    with your ability to fall asleep at night. Also, limit your naps to no
    longer than 1 hour because longer naps will make it harder to
    wake up and get back in the swing of things. If you take
    frequent naps during the day, you may have a sleep disorder
    that should be treated.

    Myth 8: Snoring is a normal part of sleep.

    Snoring during sleep is common, particularly as a person gets
    older. Evidence is growing that snoring on a regular basis can
    make you sleepy during the day and more susceptible to diabetes
    and heart disease. In addition, some studies link frequent snoring
    to problem behavior and poorer school achievement in
    children. Loud, frequent snoring can also be a sign of sleep
    apnea, a serious sleep disorder that should be treated.

    Myth 9: Children who don?óÔé¼Ôäót get enough sleep at night will show signs of sleepiness during the day.
    Unlike adults, children who don?óÔé¼Ôäót get enough sleep at night
    typically become more active than normal during the day.
    They also show difficulty paying attention and behaving properly.
    Consequently, they may be misdiagnosed as having attentiondeficit
    hyperactivity.

    Myth 10: The main cause of insomnia is worry.
    Although worry or stress can cause a short bout of insomnia, a
    persistent inability to fall asleep or stay asleep at night can be
    caused by a number of other factors. Certain medications and
    sleep disorders can keep you up at night. Other common
    causes of insomnia are depression, anxiety disorders, and
    asthma, arthritis, or other medical conditions with symptoms that
    become more troublesome at night. Some people who have
    chronic insomnia also appear to be more revved up than
    normal, so it is harder for them to fall asleep.

    Caffeine may kill some skin cancer

    Giving up coffee for Lent? Not so fast! A new study from the Journal of Investigative Dermatology reveals that caffeine may kill off some human cells damaged by ultraviolet light, one of the key triggers of several types of skin cancer.

    Read the original article from the Journal of Investigative Dermatology (off campus login req’d)

    News article from MSNBC

    The finding could be used to develop a topical application of caffeine that could be targeted to at-risk skin cells, as it seems to make those cells more killable and because “caffeine itself is a potent sunscreen,” said Paul Nghiem of the University of Washington and a team member of the new study.

    The 2000th clipping is poetry to my ears

    The Library’s Digital Projects reached a milestone today as the two-thousandth article from the historic newspaper clippings file was scanned and uploaded into our collection on the Louisiana Digital Library.

    The November 1951 article is about Dr. George W. Cooper, an LSU physician and poet-hobbyist, who is pictured receiving an award from the New Orleans Poetry Forum. Dr. Cooper won second place for his poem “Witches Cauldron” that year, and in 1950 was featured as an “Orleanian who writes books“.

    Do you have a book of Dr. Cooper’s poetry? We’d love to read his award winning poem!

    About the Historic newspaper clippings file:
    Since 1933, the library at LSU Sciences Center New Orleans (LSUHSC-NO) has collected newspaper clippings relating to the history and accomplishments of Louisiana’s first public health sciences institution. The Newspaper Clippings Collection is an ongoing project that will eventually index over 70 years of news about LSU’s professional schools of the health sciences. Primarily indexing papers such as the States-Item, Times-Picayune and other local news sources, information can be found on events and news surrounding LSU Medical Center, Charity Hospital, LSU Health Sciences Center Academic and the Healthcare Network, and LSUHSC faculty, staff, and students. Due to copyright, images from this collection are restricted to patrons on the LSUHSC-New Orleans campus. Metadata is viewable to anyone. For questions or more information, contact digitalarchives@lsuhsc.edu.

    Online Cancer Risk Tool Omits Minorities (NYT)

    An article from the New York times discusses problems with a new colorectal cancer risk assessment tool from the National Cancer Institute that only works for whites.

    A new interactive online tool can help older Americans assess their risk for developing colon cancer. The catch is that it only works for whites.

    That?óÔé¼Ôäós too bad, since blacks are at higher risk than whites for colorectal cancer, developing it and dying of it at higher rates, and recent reports suggest the racial gap is widening…

    N.C.I. officials said they are modifying the risk assessment tool so it will be applicable to blacks, Hispanics and Asians, but said the data they used to test the model?óÔé¼Ôäós precision were drawn from studies with mostly older white participants.

    Read the full article.

    Multicultural Medicine

    *Edit* This database is no longer available as of February 2011.
    Do you serve multicultural populations in your health practice?

    CultureVision is an online resource that provides overviews of religious & ethnic populations. From Baha’i to Taoism, Ghanaian to Russian, you can access information about beliefs, family structure, concepts of health, gender roles, illness related issues and more.

    As part of ProQuest’s Nursing & Allied Health Source, CultureVision is limited to LSUHSC users.