Category Archives: Neurology

NHSChoices: An expert explains why it is important to protect your skin from sunburn to help avoid skin cancer. She also gives advice on how to apply sunscreen correctly and what to look out for when buying sunscreen.

Deep Purple and Orchestra - Maybe I'm a Leo, Mainz, Germany, July 2011:

Ian Gillan, 65, is best known as the lead singer and lyricist for Deep Purple. Roger Glover, 65, is the bassist and songwriter for the group. Ian Paice, 63, is the drummer. He is the only founding member of the band who never stopped performing with the group, and the only member to appear on every album the band has released during the last 43 years (Deep Purple was founded in 1968).

James Cracknell, OBE (born 5 May 1972) is a British rowing champion and double Olympic gold medalist.

From Official JCracknell: On 20th July it's exactly one year since James Cracknell was seriously injured in a cycling accident in America. His helmet saved him. James has made a short film to encourage others to wear cycle helmets. To show your support, pass the film to your friends and most importantly, when you're out cycling, use your head. Use your helmet.

More about the cycling Accident from Wikipedia:

On 20 July 2010, Cracknell was hit from behind by a truck whilst attempting to cycle, row, run and swim from Los Angeles to New York within 16 days. The accident happened at around 5.30 am on a quiet stretch of road outside Winslow, Arizona. It has been reported that his bicycle helmet saved his life but he suffered a contre-coup injury to the frontal lobes of his brain. He is now back at home with his family, although recovery is expected to be still some time away.

From Nature News:

Vitamin D has been lauded in the media for preventing or treating multiple disease but most evidence is circumstantial or weak.

Despite this, some physicians recommend supplementation of up to 6,000 international units (IU) to compensate for the time that people spend indoors. This is less than what a fair-skinned person make in 30 minutes of exposure to the summer sun (without sunscreen).

The amount spent on vitamin-D supplements in the United States had risen 10-fold in 10 years.

Poor data is one reason that the IOM panel did not recommend higher doses for vitamin D supplementation in 2010. The IOM 1,000-page report recommended that people should aim for blood levels of 50 nanomoles per litre (nmol/L).

However, according to the Endocrine Society's guidelines:

- people with levels under 50 nmol/L are "vitamin-D deficient"
- those with levels between 50 nmol/L and 72.5 nmol/L are "insufficient"

The society's guidelines also offer an 'ideal' level of 100–150 nmol/L which would require 1,500–2,000 IU daily. It advises physicians to monitor vitamin-D levels in healthy people.

Quest Lab already began to implement these deficiency and insufficiency standards over the IOM's. Many physicians are expected to follow suit.

References:

This paper analyzed quality of life in Uruguay. Differences in overall happiness can be explained by access to public goods.

Neighborhood Determinants of Quality of Life included:

- access to electricity, running water, sewage system, drainage, waste disposal system
- street lighting
- sidewalks in good condition
- trees in the street - "forest bathing" (exposure to parks and forests) may increase immunity

Although e-mail may be an efficient clinician-patient communication tool, standard e-mail is not adequately secure to meet Health Insurance Portability and Accountability Act (HIPAA) guidelines. For this reason, firewall-secured electronic messaging systems have been developed for use in health care.

The Kryptiq messaging system was implemented at an academic center and messages were monitored continuously and tracked.

In the 8 months after implementation, only 5 messages were initiated by patients in contrast to 2,363 phone calls.

Patients/families expressed strong interest in e-mailing but secure Web messaging was: