medicine

10 Early Signs of Dementia

Dementia is a syndrome manifested in the gradual process of thinking, due to organic disease of the brain. Symptoms include different levels of impairments in memory, losing sense of direction and changes in behavior and personality of the person. The mental and behavioral changes may affect the daily functioning, and the primary indicators are usually depression, anxiety and even psychosis.

International Association of Alzheimer’s disease determined 10 Warning Signs for the start of dementia.

Read more: http://expertscolumn.com/content/10-early-signs-dementia. Also, try super brain yoga.

Needle-free vaccines: How about a patch instead?

Every parent dreads it — holding the baby still while a nurse or technician pushes a needle into the tender flesh of a plump little thigh. The screams are bad enough — add the guilt at knowingly inflicting pain, even with the knowledge that a moment of discomfort is warding off death or weeks of illness.

But what if there was another way? What if a little clear patch arrived by mail, one that could be stuck onto the child’s back and then would dissolve painlessly? Baby’s protected, no one cries and everyone is saved the time and expense of an office visit. Several labs are working to make it happen.

Not only would it ease distress, but Dr. Erin Giudice, a pediatrician at the University of Maryland School of Medicine, thinks it might help fight a growing resistance to vaccination.

“Obviously, for little kids vaccination is very scary and we come at them with a big needle every time they need a vaccine,” Giudice said in a telephone interview.

Read full story: http://www.msnbc.msn.com/id/48707810/ns/health-childrens_health/#.UDbXxaOQlHs

Nearly half of US doctors struggle with burnout: study

Job burnout strikes doctors more often than it does other employed people in the United States, according to a national survey that included more than 7,000 doctors.

More than four in 10 U.S. physicians said they were emotionally exhausted or felt a high degree of cynicism, or "depersonalization," toward their patients, said researchers whose findings appeared in the Archives of Internal Medicine.

"The high rate of burnout has consequences not only for the individual physicians, but also for the patients they are caring for," said Tait Shanafelt of the Mayo Clinic in Rochester, Minnesota, who led the research.

Previous studies have shown that burned-out doctors are more prone to thinking about suicide and to making medical errors than their peers, Shanafelt added.

Read more: Reuters

The Physician Burnout Epidemic: What It Means for Patients and Reform

In a large analysis published this week in Archives of Internal Medicine, researchers at the Mayo Clinic surveyed 7,288 physicians on their quality of life and job satisfaction. The results are striking -- 46 percent of respondents reported at least one burnout symptom. The report indicates that doctors, as a group and relative to other highly educated individuals working similar hours, suffer high levels of emotional exhaustion and struggle to find a satisfying work-life balance.

"This matters not just for physicians, but for patients," says Dr. Tait Shanafelt, a professor at the Mayo Clinic in Rochester, MN and senior author of the paper. Burnout can diminish professionalism and lessen the quality of care. At the same time, it leads doctors to reduce their hours and retire early. "We're at the cusp of reform," he said. "Precisely when we need more family and internal medicine doctors, students are more likely to enter other fields. This issue has implications for the adequacy of the physician workforce."

"It's a really big problem," confirms Dr. Vineet Arora, a faculty member and associate residency program director at the University of Chicago. She has studied physician fatigue and professionalism. "The issues for doctors in training aren't necessarily the same as for those who are in practice," she says. After residency or fellowship, doctors are older and have less supervision. "There's a recipe for burnout because of the long hours and high workload," she says. "Most health care systems don't provide joy and sustainability in the workplace," she said. "In that case, it doesn't matter happens during education and training. The delivery system has to change."

Read full story: http://www.theatlantic.com/health/archive/2012/08/the-physician-burnout-epidemic-what-it-means-for-patients-and-reform/261418/

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