Fournier Gangrene

Fournier Gangrene Associated With Sodium–Glucose Cotransporter-2 Inhibitors: A Review of Spontaneous Postmarketing Cases

Go to the following link for a list of SGLT2 Inhibitors.

An Update on SGLT2 Inhibitors for the Treatment of Diabetes Mellitus

Fournier Gangrene does not sound like a pleasant disease.

 

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Nonalcoholic Fatty Liver Disease: A Spectrum of Disorders — Podcast

https://annals.org/aim/fullarticle/2727257/annals-call-nonalcoholic-fatty-liver-disease-spectrum-disorders

Audio. Annals On Call – Nonalcoholic Fatty Liver Disease: A Spectrum of Disorders: Dr. Centor discusses nonalcoholic fatty Liver disease with Dr. Meagan Gray, Assistant Professor of Medicine, University of Alabama.

 

Dr. Robert Lustig – The Sugar Pandemic – 2012 Presentation at Yale University

You think you know something until you start asking questions to seek the truth.  Quite a few followers liked my post of Dr. Lustig’s TedX speech.  Here are some videos of Dr. Lustig’s presentation at Yale in 2012 for those who want to dig a little deeper on the topic of sugar.

The Peter Attia Drive Podcast: Longevity, Lipidology, Fructose, and How To Keep Your Face And Joints Young

Many thanks to Dr. P for reminding me to check and see what Dr. Attia has been up to lately.

The Skeptical Cardiologist

Lately while exercising I’ve been binge-listening to podcasts from Peter Attia, a cancer surgeon turned “longevity” doctor.

I first encountered his writing while researching ketosis, the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched, detailed and helpful.

I appreciate how he never opts for oversimplification of a topic as this disclaimer at the begining of his post on ketosis indicates:

If you want to actually understand this topic, you must invest the time and mental energy to do so.  You really have to get into the details.  Obviously, I love the details and probably read 5 or 6 scientific papers every week on this topic (and others).  I don’t expect the casual reader to want to do this, and I view it as my role to synthesize this information and present it to you. But this is not a bumper-sticker issue.  I…

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All Work and No Play — Side Hustle Scrubs

If you’ve spent any amount of time reading this blog, you may be under the impression that side hustles are all about easy money with no downsides. Although I wish that were the truth, the reality is that there is no free lunch. Everything has its price, including lucrative side jobs. In the interest of […]

via All Work and No Play — Side Hustle Scrubs

Good advice for all of us.  Thanks Doc.

The Power of Positive Deviance

Positive deviance

Positive deviance is the observation that in most settings a few at risk individuals follow uncommon, beneficial practices and consequently experience better outcomes than their neighbours who share similar risks.14

 

Positive deviant behaviour is an uncommon practice that confers advantage to the people who practise it compared with the rest of the community. Such behaviours are likely to be affordable, acceptable, and sustainable because they are already practised by at risk people, they do not conflict with local culture, and they work.15 For example, in Egypt, contrary to custom, parents of poor but well nourished children were found to feed their children a diet that included eggs, beans, and green vegetables. Child nutrition programmes that provided opportunities to parents of malnourished children to follow this and other new behaviours, such as hand washing and hygienic food preparation, improved child growth.

Summary points

Even in the poorest communities, a few individuals or families achieve good health

Positive deviance is a quick, low cost method to identify the strategies used by these people and encourage the rest of the community to adopt them

The approach has been used successfully, mainly to improve child health

The potential for the approach to help communities to gain better health or other social benefits is vast and largely untapped

 

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7475.1177 (Published 11 November 2004) Cite this as: BMJ 2004;329:1177

Growing Up Surrounded by Books Could Have Powerful, Lasting Effect on the Mind

The study, published recently in Social Science Research, assessed data from 160,000 adults from 31 countries, including the United States, Canada, the United Kingdom, Australia, Turkey, Japan and Chile. Participants filled out surveys with the Programme for the International Assessment of Competencies, which measures proficiency in three categories: literacy, numeracy (using mathematical concepts in everyday life) and information communication technology, (using digital technology to communicate with other people, and to gather and analyze information).

Respondents, who ranged in age from 25 to 65, were asked to estimate how many books were in their house when they were 16 years old. The research team was interested in this question because home library size can be a good indicator of what the study authors term “book-oriented socialization.” Participants were able to select from a given range of books that included everything from “10 or less” to “more than 500.”

The effects were most marked when it came to literacy. Growing up with few books in the home resulted in below average literacy levels. Being surrounded by 80 books boosted the levels to average, and literacy continued to improve until libraries reached about 350 books, at which point the literacy rates leveled off. The researchers observed similar trends when it came to numeracy; the effects were not as pronounced with information communication technology tests, but skills did improve with increased numbers of books.

Interesting research findings.  Read the source article here.

Only two percent of teens read newspaper, one-third have not read book for pleasure in last year.  We. Are. Doomed.