Jesus certainly wouldn't be allowed in "Church", they'd probably stone him if he went up before them preaching some of the things the Bible says he preached.
Think of eating lunch (or getting drinks, or whatever) as an investment. Lots of information gets passed around at informal get-togethers (information wants to be free, right?) and while the signal/noise ratio may be low, what you do learn can be very useful. This is the basics of networking and it doesn't hurt your career (and is quite beneficial) to do every so often. It can be painful if you are not very extroverted, but it doesn't have to be every day (maybe every month, or after every release, or whatever...) Good information that I've obtained through these things are:
Jobs
Roommates (one who was smoking hot...)
Good professional books to read
Good recreational books/music/activities (like being a certified BBQ judge -- free awesome food!)
...
Profit!
The other thing to remember in these situation is that when you split up the bill you need to put in money for both TAX and TIP. By His Noodly Appendage -- it's TAX AND TIP (you get that Brian?!?!?) You will never see a group of more math challenged people than adults trying to split a bill. TAX AND TIP. Both. Need to be accounted for.
But as far as I know, theres nothing stopping you from putting it up on your web site as well or submitting it in publication in other journals
A number of journals (and I would imagine that Nature is one of them) make stipulations that you will not discuss/disclose your findings until after the publication date. I've been to a number of presentations where the speaker can not talk about a certain aspect of his/her research due to pending publications.
Massage therapists work on muscles; I've never heard of one doing a spine adjustment.
It depends on the state. There are training programs for spinal manipulation that PTs can do (my sister did one such program). However, the approach in this case (at least for her) was segmental (e.g. one particular vertebrae) spinal manipulation, as opposed to gross manipulation which is what most chiropractors do. In order to be able to legally do spinal manipulation, the PT has to be certified and it has to be something that the state allows a PT to do (i.e. within their scope of practice).
No. Even if a woman gets HPV, she is not doomed to cervical cancer. HPV is common. Really common. The vast majority of women who show cytological evidence of early HPV infection (CIN 1, with CIN 3 being the worst, but still not cancer) on pap smear clear the infection without incident. Followup depends on age, but in general people don't get too worked up until you find CIN 2. The natural history of the infection and progression to cancer is fairly well understood and takes time -- on the order of years as opposed to months.
Hate to break it to you, but testicular cancer and prostate cancer are not caused by HPV. HPV causes squamous cell carcinomas due to effects of the HPV virus on squamous epithelial cells. These types of cells are not located in the prostate or testicles. However, these cells are in the esophagus and there is a link between HPV infections and esophageal carcinomas. I'll leave it to your imagination how HPV can spread to the esophagus...
The WSJ had an article about this. From the article:
The mutation prevents a molecule called CCR5 from appearing on the surface of cells. CCR5 acts as a kind of door for the virus. Since most HIV strains must bind to CCR5 to enter cells, the mutation bars the virus from entering.
To add some facts to this for sibling posts and others, this is what Harrison's Internal Medicine (the bible of internal medicine) has to say about H. pylori and ulcers:
Initial studies suggested that >90% of all DUs were associated with H. pylori, but H. pylori is present in only 30-60% of individuals with GUs and 50-70% of patients with DUs.
Source: Harrison's Online: Chapter 287. Peptic Ulcer Disease and Related Disorders
Where DU = duodenal ulcer and GU = gastric ulcer. And now back to our original climate change whatever.
As sibling poster pointed out, the concept of "getting rid of bad doctors" is simplistic. For reference, see the Institute of Medicine Report To Err is Human. One salient quote from the report brief:
One of the report's main conclusions is that the majority of medical errors do not result from individual recklessness or the actions of a particular group--this is not a "bad apple" problem. More commonly, errors are caused by faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them.
In your example above with the wrong dosing, don't forget that there is a chain of people that that dose goes through -- e.g. the pharmacist, the nurse, etc...It is their jobs as well to question medication. In fact, nurses will state that if a wrong medication is given, then they are liable for it, even if the doctor ordered it (this is anecdotal, I do not know exact policies and procedures around this). Of course, people will argue that if nurses question a doctor they will never win. And while this argument is appealing to our preconceived notions of power structures and roles, the reality is different and there are procedures to escalate issues such as this. Again, this is to underscore that medical errors are mostly due multiple failures in the system or deficiencies in the system itself. Let's face it -- to expect perfection from one person (a doctor, a priest, the president, you name it) is unreasonable at best and irrational at worst.
Good for you. It took me 10 years to come to the same realization that for me IT was not a good career choice. I am glad that I did it for those years, but the thought of another 30 years was almost unbearable to think about. Now I still have a ways to go in school, but am doing things that I never dreamed of and seeing amazing things on a pretty regular basis. Hope that you actually manage to get out of IT and do something interesting.
...and the rapid drop off of magnetic field strength currently make it impractical for use on a torso, as opposed to a head or a limb
Good post about CTs, however your statement about MRI being impractical for the torso is not correct. Torso MRI studies are done all the time - in particular to evaluate the spinal cord and vertebral column. Now fitting obese people into your standard MRI machine -- THAT'S impractical.
We have known for a while that exercise by itself is not as effective as diet for weight loss. However, weight loss due to dietary changes are much much less likely to "stick" without an exercise program. That being said, the target rate of weight loss is only 10% in a six month period. So a loss of 7lb in 12 weeks? Not too shabby - especially considering that they are probably gaining muscle mass which is heavier than fat during those 12 weeks. The real question in my mind would be if they kept this off.
It is easy to lose lots of weight quickly (crash diets make you lose lots of water weight). Keeping it off though is hard, and exercise is one thing that helps keeps those pounds off.
The partial decomps. Those really do not smell good. Probably better than a full decomp, but I've never done one of those as the hospital I am at does not allow them.
Running the bowel. It smells as wonderful as it sounds. Normally in surgical pathology you work under a hood that vents off most of the lovely odors (unless you get something like a 3 day old placenta that has been left out without formalin). In autopsy you run the bowel (go through every inch of it looking for pathology) in a sink and get every wonderful scent.
Stomachs never smell that great to me.
Ascitic fluid has a different odor. Nothing disgusting, but definitely noticable.
Computers have been used for quite some time in medicine but mainly for data storage/retrieval. Their use in the diagnostic process is evolving. For example, computer aided reading of mammograms is a current area of R&D, although not to a point where it is automated. One cool application of 3D reconstruction currently in use is with bronchoscopies, where the software creates a 3D reconstruction of a bronchial tree from CT slices and then sets up breadcrumbs for a pulmonologist to a target site. During the bronchoscopy, the pulmonologist marks the crumbs as he goes to keep track of his progress. Virtual colonoscopies (with CT scans) are being looked at as an alternative for colonscopies (and some people do use them this way if there aren't other options, but it is not currently an accepted general screening method, at least according to the USPSTF). In pathology, research is ongoing on visualizing expression of multiple different types of proteins in tumor cells at the same which are then "read" by a computer with an eye to use data mining to determine sets of proteins as prognostic indicators. Also in pathology, scanning technology is progressing to the point where you can get high resolution scans of slides at different magnifications (up to 40x) fairly quickly that can be read remotely via viewing software. So in short - there are lots of interesting (dare I say exciting?) applications going on right now for using computers as an aid for the diagnostic process.
That being said, as always the right study depends on time, cost, and quality. For example, sticking somebody you think has an epidural hematoma in an MRI scanner for $1600 and 45 minutes instead of a CT for $500 and 5 minutes isn't that bright of an idea. But as the technology evolves, do does the applications for it. One issue with indiscriminate scanning (and testing in general) is that it can actually harm people. This is the debate over prostate cancer/detection. Namely - if you find something in your study, what is the harm done in addressing (e.g. surgical morbidity/mortality/side effects) vs. not doing anything (mortality from the finding). This is the debate over prostate cancer screening/treatment right now. And of course there is always the issue of pre-test probability and its effect on test results (Baye's theroem).
The new cells come from myoblasts that differentiate from satellite cells that exist in the muscle tissue. The damaged muscle cells release signals that cause the satellite cells to do this. The myoblasts in turn develop and fuse together to form the mature multi-nucleated myocytes. In addition to forming myoblasts, the satellite cells also divide to replenish (to a limited extent) the satellite cells that turn into myoblasts.
And it has been known for several years that neuronal stem cells exist in the human brain. Specifically, the hippocampus (C3 layer I think, but not sure and not willing to look it up right now) contains some capability for regeneration. Not a lot granted, but the capability does exist.
Each person only has 1 muscle cell that grows larger as they work out.
Ah yes, the love muscle...In most slashdotters this is pretty well atrophied from disuse - at least until the pics of a statue of a naked natalie portman covered in hot grits shows up on the intertubes.
Jesus certainly wouldn't be allowed in "Church", they'd probably stone him if he went up before them preaching some of the things the Bible says he preached.
Like what?
"Love one another as I have loved you" :(
Simple.
Logan 5 if you're a guy.
Jessica 6 if you're not.
The steak is a lie!
As someone in the medical profession, when you get tired/rushed/etc... you lose one of two things:
Guess which one kills people or gets you sued when lost?
yes - I know ham is not halal. That would make the sandwich even more sacrilicious (to quote Homer).
I'm waiting for the religious restaurant angle:
etc...etc...
Think of eating lunch (or getting drinks, or whatever) as an investment. Lots of information gets passed around at informal get-togethers (information wants to be free, right?) and while the signal/noise ratio may be low, what you do learn can be very useful. This is the basics of networking and it doesn't hurt your career (and is quite beneficial) to do every so often. It can be painful if you are not very extroverted, but it doesn't have to be every day (maybe every month, or after every release, or whatever...) Good information that I've obtained through these things are:
The other thing to remember in these situation is that when you split up the bill you need to put in money for both TAX and TIP. By His Noodly Appendage -- it's TAX AND TIP (you get that Brian?!?!?) You will never see a group of more math challenged people than adults trying to split a bill. TAX AND TIP. Both. Need to be accounted for.
A number of journals (and I would imagine that Nature is one of them) make stipulations that you will not discuss/disclose your findings until after the publication date. I've been to a number of presentations where the speaker can not talk about a certain aspect of his/her research due to pending publications.
Massage therapists work on muscles; I've never heard of one doing a spine adjustment.
It depends on the state. There are training programs for spinal manipulation that PTs can do (my sister did one such program). However, the approach in this case (at least for her) was segmental (e.g. one particular vertebrae) spinal manipulation, as opposed to gross manipulation which is what most chiropractors do. In order to be able to legally do spinal manipulation, the PT has to be certified and it has to be something that the state allows a PT to do (i.e. within their scope of practice).
No. Even if a woman gets HPV, she is not doomed to cervical cancer. HPV is common. Really common. The vast majority of women who show cytological evidence of early HPV infection (CIN 1, with CIN 3 being the worst, but still not cancer) on pap smear clear the infection without incident. Followup depends on age, but in general people don't get too worked up until you find CIN 2. The natural history of the infection and progression to cancer is fairly well understood and takes time -- on the order of years as opposed to months.
Hate to break it to you, but testicular cancer and prostate cancer are not caused by HPV. HPV causes squamous cell carcinomas due to effects of the HPV virus on squamous epithelial cells. These types of cells are not located in the prostate or testicles. However, these cells are in the esophagus and there is a link between HPV infections and esophageal carcinomas. I'll leave it to your imagination how HPV can spread to the esophagus...
That's not a bug -- it's a feature. Some life forms (e.g. slime molds) have more than two "genders".
The WSJ had an article about this. From the article:
To add some facts to this for sibling posts and others, this is what Harrison's Internal Medicine (the bible of internal medicine) has to say about H. pylori and ulcers:
Source: Harrison's Online: Chapter 287. Peptic Ulcer Disease and Related Disorders
Where DU = duodenal ulcer and GU = gastric ulcer. And now back to our original climate change whatever.
As sibling poster pointed out, the concept of "getting rid of bad doctors" is simplistic. For reference, see the Institute of Medicine Report To Err is Human. One salient quote from the report brief:
In your example above with the wrong dosing, don't forget that there is a chain of people that that dose goes through -- e.g. the pharmacist, the nurse, etc...It is their jobs as well to question medication. In fact, nurses will state that if a wrong medication is given, then they are liable for it, even if the doctor ordered it (this is anecdotal, I do not know exact policies and procedures around this). Of course, people will argue that if nurses question a doctor they will never win. And while this argument is appealing to our preconceived notions of power structures and roles, the reality is different and there are procedures to escalate issues such as this. Again, this is to underscore that medical errors are mostly due multiple failures in the system or deficiencies in the system itself. Let's face it -- to expect perfection from one person (a doctor, a priest, the president, you name it) is unreasonable at best and irrational at worst.
Good for you. It took me 10 years to come to the same realization that for me IT was not a good career choice. I am glad that I did it for those years, but the thought of another 30 years was almost unbearable to think about. Now I still have a ways to go in school, but am doing things that I never dreamed of and seeing amazing things on a pretty regular basis. Hope that you actually manage to get out of IT and do something interesting.
...and the rapid drop off of magnetic field strength currently make it impractical for use on a torso, as opposed to a head or a limb
Good post about CTs, however your statement about MRI being impractical for the torso is not correct. Torso MRI studies are done all the time - in particular to evaluate the spinal cord and vertebral column. Now fitting obese people into your standard MRI machine -- THAT'S impractical.
We have known for a while that exercise by itself is not as effective as diet for weight loss. However, weight loss due to dietary changes are much much less likely to "stick" without an exercise program. That being said, the target rate of weight loss is only 10% in a six month period. So a loss of 7lb in 12 weeks? Not too shabby - especially considering that they are probably gaining muscle mass which is heavier than fat during those 12 weeks. The real question in my mind would be if they kept this off. It is easy to lose lots of weight quickly (crash diets make you lose lots of water weight). Keeping it off though is hard, and exercise is one thing that helps keeps those pounds off.
It would certainly give a new twist to the phrase "DMCA take down notice".
I've assisted many autopsies. The bad ones are:
Computers have been used for quite some time in medicine but mainly for data storage/retrieval. Their use in the diagnostic process is evolving. For example, computer aided reading of mammograms is a current area of R&D, although not to a point where it is automated. One cool application of 3D reconstruction currently in use is with bronchoscopies, where the software creates a 3D reconstruction of a bronchial tree from CT slices and then sets up breadcrumbs for a pulmonologist to a target site. During the bronchoscopy, the pulmonologist marks the crumbs as he goes to keep track of his progress. Virtual colonoscopies (with CT scans) are being looked at as an alternative for colonscopies (and some people do use them this way if there aren't other options, but it is not currently an accepted general screening method, at least according to the USPSTF). In pathology, research is ongoing on visualizing expression of multiple different types of proteins in tumor cells at the same which are then "read" by a computer with an eye to use data mining to determine sets of proteins as prognostic indicators. Also in pathology, scanning technology is progressing to the point where you can get high resolution scans of slides at different magnifications (up to 40x) fairly quickly that can be read remotely via viewing software. So in short - there are lots of interesting (dare I say exciting?) applications going on right now for using computers as an aid for the diagnostic process.
That being said, as always the right study depends on time, cost, and quality. For example, sticking somebody you think has an epidural hematoma in an MRI scanner for $1600 and 45 minutes instead of a CT for $500 and 5 minutes isn't that bright of an idea. But as the technology evolves, do does the applications for it. One issue with indiscriminate scanning (and testing in general) is that it can actually harm people. This is the debate over prostate cancer/detection. Namely - if you find something in your study, what is the harm done in addressing (e.g. surgical morbidity/mortality/side effects) vs. not doing anything (mortality from the finding). This is the debate over prostate cancer screening/treatment right now. And of course there is always the issue of pre-test probability and its effect on test results (Baye's theroem).
The new cells come from myoblasts that differentiate from satellite cells that exist in the muscle tissue. The damaged muscle cells release signals that cause the satellite cells to do this. The myoblasts in turn develop and fuse together to form the mature multi-nucleated myocytes. In addition to forming myoblasts, the satellite cells also divide to replenish (to a limited extent) the satellite cells that turn into myoblasts.
And it has been known for several years that neuronal stem cells exist in the human brain. Specifically, the hippocampus (C3 layer I think, but not sure and not willing to look it up right now) contains some capability for regeneration. Not a lot granted, but the capability does exist.
Each person only has 1 muscle cell that grows larger as they work out.
Ah yes, the love muscle...In most slashdotters this is pretty well atrophied from disuse - at least until the pics of a statue of a naked natalie portman covered in hot grits shows up on the intertubes.
Actually, I was hoping for an explanation using an intellectual property analogy...
By that logic, the entire Civilization series should be outlawed and Sid Meier thrown in jail for all eternity.