News

Posted on November 5, 2018

REGIONAL CHEMOTHERAPY AS AN OPTION FOR TREATING UNRESECTABLE CHOLANGIOCARCINOMA BY: IRENA PEJCIC – UNIVERSITY OF BELGRADE

Regional Chemotherapy as an option for treating unresectable cholangiocarcinoma By: Irena Pejcic – University of Belgrade  Introduction Bile duct cancer, also referred to as cholangiocarcinoma, is a rare malignancy. The illness itself is troublesome to diagnose and is typically fatal because of its late clinical presentation and fast turnover. According to the World Health Organization[1], these tumors arise from epithelial cells involving the intrahepatic, perihilar […]

Posted on November 4, 2018

Regional Chemotherapy as a rising option in treating unresectable cholangiocarcinoma By: Irena Pejcic – University of Belgrade

Regional Chemotherapy as a viable option in treating unresectable cholangiocarcinoma: By: Irena Pejcic – University of Belgrade Introduction Bile duct cancer, also referred to as cholangiocarcinoma, is a rare malignancy. The illness itself is troublesome to diagnose and is typically fatal because of its late clinical presentation and fast turnover. According to the World Health Organization[1], these tumors arise from epithelial cells involving the intrahepatic, […]

Posted on November 1, 2018

Learning From And Sharing Knowledge With Chinese Academic Doctors: Raymond Rupert MD, MBA.

Learning From And Sharing Knowledge With Chinese Academic Doctors At York University: Raymond Rupert MD, MBA. Recently, I had the opportunity to spend a day lecturing to a group of 20 academic medical doctors from China. My mandarin is non existent but Jason, our translator, did a great job. The doctors were attending a course […]

Posted on October 31, 2018

Cannabis Use With Chronic Pain

Pilot study finds medical cannabis tied to lower opioid use in chronic nerve pain patients Taking medical cannabis led 62 percent of patients with chronic nerve pain to cut down or stop their opioid use, according to a first-of-its-kind pilot study that tracked 76 individuals over nine months. Columbia University and Columbia Care LLC — […]

Posted on October 19, 2018

Diseases Hidden In The Genes

Scientists scoured the DNA of healthy babies and adults in two genome-sequencing projects called MedSeq and BabySeq — and have turned up some surprising results. Here’s what Dr. Robert Green of Brigham and Women’s Hospital told me about the new findings, which are being presented at a conference this week. What did the studies look […]

Posted on October 16, 2018

Friendly Viruses Can Kill Deadly Bacteria: Stat News Oct 16 2018

The US Navy research teams had been quietly amassing the viruses for years when word came that a doctor in California needed some of the Navy’s phages as a last, experimental shot at saving a man’s life. He was a civilian, a psychiatry professor named Tom Patterson. He’d fallen ill in Egypt, been flown to […]

Posted on October 15, 2018

Real World Data At Medreleaf

Medreleaf is an Ontario grower and supplier of medical cannabis. They have created an interesting way of determining how cannabis is helping specific patients. They survey their customers with medical conditions to see what and how much cannabis that they are taking and how they are doing. When they get a new patient with epilepsy, […]

Posted on October 13, 2018

Burnout, Purpose And Resilience: The Leading Thinkers

The psychologist Christina Maslach, working with several colleagues, set out to create a test to measure occupational burnout in 1981. Eventually termed the Maslach Inventory, the scale assessed the risk of burnout by testing subjects along three basic dimensions: emotional exhaustion, depersonalization personal accomplishment The first set of questions, nine in total, measured the feeling […]

Posted on October 4, 2018

Collective Intelligence Is Important In Helping Our Patients With Complex Problems

Collective Intelligence Is Important In Helping Our Patients With Complex Problems: The goal at Rupert Case Management is to use collective intelligence to help our patients with complex problems. Once the team is organized, engaged and activated, then collaboration is possible. Effective collaboration is the “secret sauce” in resolving complex problems. We call this process […]

Posted on October 4, 2018

Collective Intelligence Is Important

Collective Intelligence Is Important In Helping Our Patients With Complex Problems: The goal at Rupert Case Management is to use collective intelligence to help our patients with complex problems. Once the team is organized, engaged and activated, then collaboration is possible. Effective collaboration is the “secret sauce” in resolving complex problems. We call this process […]

Posted on September 26, 2018

Concurrent Disorders: Integrating Care For Good Outcomes: Raymond Rupert MD, MBA.

Concurrent Disorders: The Challenges Of Integrating Care Raymond Rupert MD, MBA. In over 80% of cases, mental health problems co-exist with a substance use disorder. The challenge is that treatment for each type of problem exists within separate silos in our healthcare system. Mobilizing these disparate services to achieve a successful outcome is the challenge. […]

Posted on September 26, 2018

Tiny Viral Drones Kill Harmful Bacteria

Tiny Viral Drones Kill Harmful Bacteria Scientists have come up with a potentially beneficial tweak to phage therapy, in which viruses are used to attack bacteria that cause infections. Here’s what Dr. Richard Novick of NYU told me about the research in a mouse model, published in Nature Biotechnology. How does phage therapy work? Usually, virus […]

Posted on September 19, 2018

Pod Mod E-Cigarettes Are A Big Problem

80% of 15-to-24-year-olds who try Juul (pod mod e-cigarettes) continue using the product4 and social media posts often say “addicted to my Juul” are common. Juul and other pod mods use protonated nicotine formulations derived from the nicotine salts in loose-leaf tobacco. According to their advertisements, nicotine salt solutions contain nicotine concentrations 2 to 10 times […]

Posted on August 31, 2018

Adrienne Speaks Out About Losing Her Daughter to Mental Health And Substance Use Disorder

From Adrienne’s post on Facebook: Dear Family and Friends, Tomorrow, August 31, is International Drug Overdose Day. We are deep in the agony of grief.  Our beloved daughter, Alana Rosenwhite, passed away three weeks ago from an opioid overdose.  She did not expect to die.  She was ill and deluded. To those of you with […]

Posted on August 30, 2018

Soldiers And Suicide: Predictive Tools Needed.

Risk Factors Associated With Attempted Suicide Among US Army Soldiers Without a History of Mental Health Diagnosis Robert J. Ursano, MD1; Ronald C. Kessler, PhD2; James A. Naifeh, PhD1; et alHolly B. Herberman Mash, PhD1; Matthew K. Nock, PhD3; Pablo A. Aliaga, MA1; Carol S. Fullerton, PhD1; Gary H. Wynn, MD1; Tsz Hin H. Ng, MPH1; Hieu M. Dinh, BS1; Nancy A. Sampson, BA2; Tzu-Cheg Kao, PhD4; Steven G. Heeringa, PhD5; Murray B. Stein, MD, MPH6,7,8 Author Affiliations JAMA Psychiatry. Published online August 29, 2018. doi:10.1001/jamapsychiatry.2018.2069 Question  What are risk factors for suicide attempt among US Army soldiers […]

Posted on August 21, 2018

Computational System To Predict Outcome of Immunotherapy: Nature Medicine (2018)

Signatures of T cell dysfunction and exclusion predict cancer immunotherapy response Peng Jiang, Shengqing Gu, Deng Pan, Jingxin Fu, Avinash Sahu, Xihao Hu, Ziyi Li, Nicole Traugh, Xia Bu, Bo Li, Jun Liu, Gordon J. Freeman, Myles A. Brown, Kai W. Wucherpfennig & X. Shirley Liu Nature Medicine (2018) |  Abstract Cancer treatment by immune checkpoint blockade (ICB) […]

Posted on August 16, 2018

Having A Long Term Family Doctor Decreases The Probability Of Death by 53%: British Medical Journal.

Sir Denis Pereira Gray, former head of the Royal College of General Practitioners, spear-headed research that analyzed 22 different studies. His conclusion, published in the British Medical Journal, claims that a long-term FD who knows you inside and out decreases the risk of early death by up to 53% . So, in this era of […]

Posted on August 13, 2018

Moving From Confusion To Clarity about Concussion And TBI:

There is considerable confusion about what constitutes a concussion or traumatic brain injury (TBI). The consequence is that children with TBIs are remaining in certain sports too long. Their brain injuries worsen. This is inappropriate behaviour by parents and coaches and other in positions of authority. Case Study: Elizabeth is a 12 year old elite […]

Posted on July 29, 2018

MDMA (Ecstacy) Used To Treat PTSD: It Might Work?

MDMA-Assisted Psychotherapy Phase 3 Trials: FDA Grants Breakthrough Therapy Designation for MDMA-Assisted Psychotherapy for PTSD, Agrees on Special Protocol Assessment Our highest priority project is funding clinical trials of 3,4-methylenedioxymethamphetamine (MDMA) as a tool to assist psychotherapy for the treatment of posttraumatic stress disorder (PTSD). Preliminary studies have shown that MDMA in conjunction with psychotherapy can help […]

Posted on July 27, 2018

Lay Health Workers Helping Cancer Patients Proves Important:

Effect of a Lay Health Worker (LHW) Intervention on Goals-of-Care Documentation and on Health Care Use, Costs, and Satisfaction Among Patients With CancerA Randomized Clinical Trial Manali I. Patel, MD, MPH, MS1,2,3,4; Vandana Sundaram, MPH5; Manisha Desai, PhD5; et alVyjeyanthi S. Periyakoil, MD6,7; James S. Kahn, MD2,6; Jay Bhattacharya, MD, PhD4,8; Steven M. Asch, MD, MPH2,6,9; Arnold Milstein, MD, MPH3,6; M. Kate Bundorf, PhD4,8 Author Affiliations JAMA Oncol. Published online July 26, 2018. […]

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