The Health Based Tutorials

Unhealthy lifestyles have brought on a social epidemic of "diabesity," says author Mark Hyman, and community-driven solutions may be the only way out.

Martial arts instructor Jake Mace tells the story behind his scar and arm fracture:

CEO & President, Dr. Toby Cosgrove reflects on Engaging Doctors in the Healthcare Revolution: From the article in Harvard Business Review ( http://bit.ly/1y1iyOI ): "Fixing health care will require a radical transformation, moving from a system organized around individual physicians to a team-based approach focused on patients. Doctors, of course, must be central players in the transformation: Any ambitious strategy that they do not embrace is doomed. And yet, many physicians are deeply anxious about the changes under way and are mourning real or anticipated losses of autonomy, respect, and income. They are being told that they must accept new organizational structures, ways of working, payment models, and performance goals. They struggle to care for the endless stream of patients who want to be seen, but they constantly hear that much of what they do is waste. They’re moving at various rates through the stages of grief: A few are still in denial, but many are in the second st...

CCF leaders are running two innovative "walk in my shoes" programs to take Cleveland Clinic to the next level. This involves learning how to do everyone's job, hands-on.

"At the heart of NEJM Knowledge+ is a smart, adaptive engine that will transform your learning experience. This adaptive learning platform quickly assesses the subjects you know well, and identifies the areas where you need reinforcement. It then delivers more of what you need and less of what you already know, continually adjusting based on your performance. Adaptive learning ensures that you’ll spend your time efficiently, focusing on what you need to learn and review. Take a look at how adaptive learning helps you tackle the challenges of lifelong learning and board preparation. Learn more about NEJM Knowledge+ http://knowledgeplus.nejm.org "

A Mayo Clinic dermatologist gives tips on how adults can prevent and treat acne. Treatment options include over the counter medications as well as prescription medications. Acne has 3 stages that can be remembered by the mnemonic " CIN ": C omedonal - black/whitehead, open/closed I nflammatory - pimples/zits N odulocystic Use Topical Treatment such as Differin gel as on CCC-F: C heek, C hin, C heek, F orehead

A collection of some interesting medical articles published recently: Nearly half of high school students had ever tried tobacco in 2013, and nearly a quarter were current users http://buff.ly/1xw5dCe Every Kiss Begins With 80 Million Germs – study published in journal Microbiome. Kissing is a courtship behavior unique to humans and is common in over 90% of known cultures http://buff.ly/1qoEsxy Generic Versions of ADHD Drug Concerta Not Therapeutically Equivalent - FDA http://buff.ly/1qNSCCU Colors used in tattoo ink need to be absolutely water-insoluble. That alone makes them a health risk. Only two thirds of the ink used in a tattoo stays in the skin. The other one third spreads through the body. "Tattoo ink migrates into the blood, lymph nodes, organs. Nobody knows where exactly or what happens with it." Red tattoo pigment 22 may decompose in sunlight. The resulting compounds are toxic and can cause cancer. Phthalocyanines make blue or green tattoos, contain metals such ni...

Who should drink how much water? Bottled or tap? Medscape Expert Commentator, Dr. Jeffrey Berns, and Dr. Stanley Goldfarb discuss the evidence and what you should tell patients. For more from Dr. Berns, visit Medscape: medscape.com/index/list_3468_0

The first ever vaccine was created when Edward Jenner, an English physician and scientist, successfully injected small amounts of a cowpox virus into a young boy to protect him from the related (and deadly) smallpox virus. But how does this seemingly counterintuitive process work? Kelwalin Dhanasarnsombut details the science behind vaccines. Lesson by Kelwalin Dhanasarnsombut, animation by Cinematic. There are a few inaccuracies, but overall this is a good video.

"If you're traveling abroad, or facing a language barrier, the Google Translate app can help. WSJ's Nathan Olivarez-Giles takes a look." This is bound to have some use in medicine too.

J. Michael Bostwick, M.D., Professor of Psychiatry, Mayo Clinic Rochester, discusses the issue of medical marijuana. In 1970, the Federal Government declared cannabis to be a dangerous drug of abuse without any medical benefit and made it illegal. Over the past two decades, however, more than 20 states have taken matters into their own hands in defiance of federal law and legalized marijuana for medical purposes, recreational use, or both. The result is chaos for physicians and patients alike because there is no uniform law of the land. Comments from Twitter: Pat Rich @cmaer: Good Mayo clinic overview of "chaotic" medical marijuana situation facing US physicians

Mayo Clinic emergency medicine specialist Dr. David Nestler talks about how cold weather affects our bodies and what we need to know about frostbite: “It’s a shame whenever anyone gets a frostbite injury,” says Lawrence Gottlieb, MD, professor of surgery at the University of Chicago and director of the Burn and Complex Wound Center. “People need to be aware of it and take precautions when the temperature drops, like it has this week. Be especially cautious when temps fall below zero, especially when there is a strong wind. Obviously, wear warm clothes. If you are driving a long way, especially at night, make sure you have enough extra clothes to cover up effectively if you get stuck somewhere. And don’t get stuck. Put enough gas in the car.” Tips for people who go out in the cold - If the temperature is below zero you could sustain a cold injury in less than 15 minutes. - Mittens are warmer than gloves. - Insulate the affected body part to prevent additional heat loss and damage. - Imm...

MD degree does not teach doctors how to tweet scientific meetings, reported Reuters ( http://buff.ly/1xAOPkO ): A study assessed the accuracy of tweets posted by physicians at a medical conference and concluded "it is very easy to misunderstand tone and brevity, so there are dangers here." First the study authors asked speakers at the meeting to identify key messages for their presentations. Then, they asked the speakers to review tweets posted during their talks to see how accurately these points were communicated. Duty calls. Image source: Xkcd.com , Creative Commons license. 14 speakers participated in the experiment, and 13 had at least one tweet posted about their presentations. There were only 37 tweets altogether! Editor's note: This seems incredibly low. Allergy/Immunology conferences such as AAAAI and ACAAI generate thousands of tweets, sometimes more than 30-50 for each talk. The speakers found 16 of the tweets accurately reflected their findings, while an addi...

Cytisine, also known as baptitoxine and sophorine, is an alkaloid that occurs naturally in several plant genera. In this trial in New Zealand, cytisine was superior to nicotine-replacement therapy in helping smokers quit. The findings are summarized in the NEJM video. Cytisine was first marketed in Bulgaria in 1964 (called Tabex) and then became widely available in other European countries. Read the full NEJM Original Article: http://www.nejm.org/doi/full/10.1056/NEJMoa1407764 Related reading: Quitting smoking: Still a challenge, but newer tools show promise - CCJM http://buff.ly/1xCK2fP

From Mayo Clinic: Running your hands under the faucet with some soap for a few seconds isn't enough to kill germs. To help avoid catching the flu and other illnesses, wash your hands thoroughly and frequently with soap and warm water or alcohol-based hand sanitizer, particularly before leaving a restroom, eating or touching your face. Wash your hands for about 20 seconds, about as long as it takes to sing "Happy Birthday" twice . When visiting a public restroom, use a paper towel to turn off the faucet and open the door when leaving.