Procedure Guides Step-by-Step
Central line placement. See alsoCentral line placement with ultrasound guidance.Thoracentesis (pleural tap)Paracentesis (ascites tap)Arthrocentesis (joint tap)Arterial line placement is illustrated inThe Internet Journal of Health.Lumbar puncture in eMedicineMore procedure links (Source: Clinical Cases and Images)
Source: Clinical Cases and Images - November 1, 2014 Category: General Medicine Source Type: news

Which are the world's most highly-cited scientific papers of all time?
Fifty years ago, Eugene Garfield published the Science Citation Index (SCI), the first systematic effort to track citations in the scientific literature. Nature’s news team wondered which were the most highly-cited papers of all time, so asked Thomson Reuters and Google for their top 100. They are not what you might think. Watson and Crick on DNA structure misses out, along with many other historic discoveries. Instead, methods and software papers dominate the lists.Find out more at nature.com/top100The discovery of high-temperature superconductors, the determination of DNA’s double-helix structure, the first observati...
Source: Clinical Cases and Images - October 31, 2014 Category: Journals (General) Tags: Nature Research Source Type: news

Is math discovered or invented? TED-Ed video
Would mathematics exist if people didn't? Did we create mathematical concepts to help us understand the world around us, or is math the native language of the universe itself? Jeff Dekofsky traces some famous arguments in this ancient and hotly debated question. Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images)
Source: Clinical Cases and Images - October 28, 2014 Category: Journals (General) Tags: TED Talks Source Type: news

Multi-dose flu shot has only 25 mcg of mercury - most commercial fish contain 23 mcg of mercury per 8 ounces of fish
http://buff.ly/11CTRPwAre multi-dose vials less expensive?Economics are a bit complicated due to wastage with multiple vials:Single versus multi-dose vaccine vials: an economic computational modelhttp://www.ncbi.nlm.nih.gov/pubmed/20566395Most of the Western world, apart from the US, has moved on to single vials:http://www.medscape.com/viewarticle/733986Whenever possible, CDC recommends that single-use vials be used and that multi-dose vials of medication be assigned to a single patient to reduce the risk of disease transmission (http://www.cdc.gov/injectionsafety/patients/syringeReuse_faqs.html).Where to get a thimerosa...
Source: Clinical Cases and Images - October 21, 2014 Category: Journals (General) Tags: Vaccines Source Type: news

Healthcare social media #HCSM - top articles
Here are my suggestions for some of the top articles related to healthcare social media (#HCSM) in the past 2-4 weeks:15 Lessons from 15 Years of Blogging: Link to everything you create elsewhere on the web. And if possible, save a copy of it on your own blog. Things disappear so quickly, and even important work can slip your mind months or years later when you want to recall it. If it's in one, definitive place, you'll be glad for it.Always write with the idea that what you're sharing will live for months and years and decades. Having a long-term perspective in mind is an incredibly effective tool for figuring out whether...
Source: Clinical Cases and Images - October 10, 2014 Category: Journals (General) Tags: #HCSM Source Type: news

Physical Examination Videos
Vocal vs. tactile fremitus? Percussion of the spleen? You can refresh your physical exam skills by reviewingmedical videos offered by several U.S. medical schools and other organizations.Click here forselected clinical images from our archive and the NEJM. (Source: Clinical Cases and Images)
Source: Clinical Cases and Images - October 10, 2014 Category: General Medicine Source Type: news

Prozac "Revolution in a Capsule" - Retro Report by The New York Times
When Prozac was introduced in 1988, the pill to treat depression launched a cultural revolution that continues to echo. Read the story here: http://nyti.ms/XMXik9 Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images)
Source: Clinical Cases and Images - October 8, 2014 Category: Journals (General) Tags: Medications NYTimes Psychiatry Source Type: news

Top medicine articles for September 2014
A collection of some interesting medical articles published recently:FDA Approves Inhaled Insulin: Afrezza, is a rapid-acting insulin to be taken at mealtime or soon after http://buff.ly/1qd6lFFCan meditation help prevent the effects of ageing? BBC http://buff.ly/1qzXyzmNew Weapon in Fight Against 'Superbugs': aspergillomarasmine A (AMA) extracted from a common fungus found in soil http://buff.ly/1oqhscL -- Soil sample from a Canadian national park produced a compound that may reverse antibiotic resistance in bacteria.British Airways launches in-flight 'slow TV' to calm passengers, with 7 hour film of train journey http:/...
Source: Clinical Cases and Images - September 30, 2014 Category: Journals (General) Tags: Health News of the Day Source Type: news

Why eating insects makes sense: same protein, less fat than beef, better for the planet (Economist video)
From The Economist: "An unusual way to boost the food supply and feed people sustainably: by eating less meat, and more insects.About 2 billion people already eat bugs. Mexicans enjoy chili-toasted grasshoppers. Thais tuck into cricket stir-fries and Ghanians snack on termites. Insects are slowly creeping onto Western menus as novelty items, but most people remain squeamish. Yet there are three reasons why eating insects makes sense.First, they are healthier than meat. There are nearly 2,000 kinds of edible insects, many of them packed with protein, calcium, fibre, iron and zinc. A small serving of grasshoppers can contain...
Source: Clinical Cases and Images - September 29, 2014 Category: Journals (General) Authors: noreply at blogger.com (Ves Dimov, M.D.) Tags: Diet Food Source Type: news

The top 50 science stars of Twitter according to AAAS/Science. What does it mean?
It's nice to be on the list of The top 50 science stars of Twitter according to AAAS/Science. However, the list is based on somewhat arbitrary criteria and is meant to provoke discussion rather than to be taken seriously. What is valuable, however, are some of the quotes by scientists interviewed for the story. A selection of the quotes is posted below. The skeptic view on TwitterFact of life: Most high-performing scientists have not embraced Twitter. Why? "Highest ranking chemist considers Twitter a waste of time that he’d much prefer spending on reading, writing papers".Twitter proponents win this argumentHowever, this...
Source: Clinical Cases and Images - September 25, 2014 Category: Journals (General) Tags: Twitter Source Type: news

Seeing the Invisible for the First Time - animated documentary celebrates 17th-century citizen scientist van Leeuwenhoek who discovered microbes
This animated documentary celebrates the 17th-century citizen scientist Antonie van Leeuwenhoek, whose discovery of microbes would change our view of the biological world.Dust mites were also first discovered by the inventor of the microscope, Antonie van Leeuwenhoek. In 1694, he reported microscopic "little animals" that live in dust.Up to 40% of the world's population has been diagnosed with an allergic disease. The most prevalent allergy is to house dust mites (http://buff.ly/1jSF5Y6).GIANTmicrobes is a toy company based in Stamford, CT. GIANTmicrobes manufactures plush toys resembling microbes, including a number of cl...
Source: Clinical Cases and Images - September 23, 2014 Category: Journals (General) Tags: Infectious Diseases NYTimes Source Type: news

Top medicine articles for September 2014
A collection of some interesting medical articles published recently:Doctors Are Talking: EHRs Destroy the Patient Encounter - Medscape http://buff.ly/1n81c0e - It depends on the EMR and how you use itGluten May Cause Depression in Subjects With Non-Celiac Gluten Sensitivity. Such findings might explain why patients with non-celiac gluten sensitivity feel better on a gluten-free diet despite the continuation of gastrointestinal symptoms http://buff.ly/1om9K39Dalbavancin Approved for Bacterial Skin Infections, including MRSA, 2 doses, 1 week apart, as effective as vancomycin http://buff.ly/1gz5tJoResidues of Roundup (glypho...
Source: Clinical Cases and Images - September 19, 2014 Category: Journals (General) Tags: Health News of the Day Source Type: news

Care of the Homeless - 2014 review from Am Fam Physician
The impact of the problemOn any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization rates, and are more likely to die at a younger age than the general population. The average life span for a homeless person is between 42 and 52 years. Homeless children are much sicker and have more academic and behavioral problems. What are the causes?Insufficient personal income and the lack of affordable housing are the major reasons for homelessness. A complex, unique challengeComplex, a...
Source: Clinical Cases and Images - September 16, 2014 Category: Journals (General) Source Type: news