2 New Messages
Digest #4648
Messages
Tue Jan 8, 2013 8:36 am (PST) . Posted by:
"Ralph Giarnella" ragiarn
The article you use as an example appears to be well written however I am not sure based on the article what part is your interpretation of the data.
For instance the following point which is at the end of the article but I fell is most important:
* "Vitamin B12 deficiency has been associated with diabetes despite only 9 of the 47
diabetics assessed having been treated with metformin (Solomon, 2011), which suggests
that diabetes may promote B12 deficiency independently of metformin usage."
Ever since my early training in Diabetes it was well established the diabetics develop peripheral neuropathy and that treatment was supplementation with B12. This was decades before we began to use Metformin in the USA. This was a thought that was in my head as I read the article and it points to the major weakness of the study in my opinion.
With regards to Medscape there are several sections to the webiste- the most obvious to the casual visitor is the headline articles. However there is a treasure trove of in depth review articles and seminars on multiple topics in each specialty. I use it to keep up with new ideas and articles. If a topic gets my attention I have many other resources to get into the details of the subject matter. I don't know of any physician that bases their opinions or practice of medicine based on headlines. Most are looking for evidence based articles.
In my opinion the biggest problem in dissemination of medical information is in the lay press and media who are looking for one liners or simple short and splashy articles.
The same goes for many bloggers on the internet. I have found that too many just read the abstract and do not read the entire article. The devil is in the details.
In writing this post I have taken the time to read the original article http://care.diabetesjournals.org/content/35/2/327.full
I also read Solomon's article which states what I learned about Diabetes many years ago.
Diabetes as a Cause of Clinically Significant Functional Cobalamin Deficiency
Lawrence R. Solomon, MD⇓ http://care.diabetesjournals.org/content/34/5/1077.short
Ralph Giarnella MD
Southington Ct. USA
From: Vin Miller vmiller@alum.rpi.edu >
To: Supertraining@yahoogroups.com
Sent: Sunday, January 6, 2013 10:46 AM
Subject: Re: [Supertraining] Research Review - Looking for Feedback
Hi Ralph, thanks for your reply!
I agree, Medscape is a great resource. Here are a few ways in which I
intend for my reviews to be different:
1. A more structured format that is intended to make each review easier
to read and refer back to as a reference. (You can see an example here:
http://vinmiller.net/review_example.pdf )
2. More focus on the strengths and weaknesses of the study, and not just
a regurgitation of what the study authors wrote about limitations in
their discussion section.
3. Since I will be writing every review, there will be more consistency
in terms of format, writing style, types of articles reviewed, and
background of the author (a big variable with journalists, in my
opinion).
4. Integrity. I don't read Medscape enough to know how frequently their
articles are affected by this, but I have been frustrated many times by
the theme of a journalist's review being more based on the opinions of
researchers rather than actual data. While journalists are under
pressure to make headlines, my main priority is to pass along research
findings in a concise and objective manner.
5. When appropriate, I add supporting information from other research to
help provide context, and unlike journalists, I fully reference all of
it.
6. Variety. As there is plenty of research published each month, my
reviews do not necessarily have to be considered as an alternative to
Medscape, but rather as another source of research reviews written in a
different format, from a different perspective, and on different
research.
My reviews are primarily intended for people who don't have access to
all of the research journals that you do, or don't have the time to
filter through them each month. If you have the access, time, and
motivation to read full text (which is great!), then maybe my reviews
wouldn't have much value for you, but then I wonder why you find so much
value in Medscape. Maybe just as a convenient way to help you filter the
research you want to read?
Even if you're not interested in my reviews, it would be great if you
wouldn't mind sharing your thoughts on the distinctions to Medscape that
I listed above.
Thanks!
Vin Miller
Rexford, NY
<-----Original Message----->
From: Ralph Giarnella [ragiarn@yahoo.com ]
Sent: 1/5/2013 2:15:53 PM
To: Supertraining@yahoogroups.com
Subject: Re: [Supertraining] Research Review - Looking for Feedback
That sounds like a great idea, however there is already a great website
that does exactly what you are attempting to do. It is called Medscape.
It has all the relevant latest information broken down by specialty.
http://www.medscape..com/medscapetoday
http://www.medscape.com/medscapetoday >
It includes the following:
* Allergy & Clinical Immunology
* Anesthesiology
* Cardiology
* Critical Care
* Dermatology
* Diabetes & Endocrinology
* Emergency Medicine
* Family Medicine
* Gastroenterology
* General Surgery
* Hematology-Oncology
* HIV/AIDS
* Infectious Diseases
* Internal Medicine
* Lab Medicine
* Nephrology
* Neurology
* Ob/Gyn & Women's Health
* Oncology
* Ophthalmology
* Orthopaedics
* Pathology & Lab Medicine
* Pediatrics
* Plastic Surgery & Aesthetic Medicine
* Psychiatry & Mental Health
* Public Health & Prevention
* Pulmonary Medicine
* Radiology
* Rheumatology
* Surgery
* Transplantation
* Urology
* Women's Health
*
* OTHER SITES
* Business of Medicine
* Dental and Oral Health
* Medscape Today
* Medical Students
* Nurses
* Pharmacists
I have been using it every day for years. They send me email daily
updates on the specific subspecialties that I am interested in keeping
up to date. Our hospital also has free online access to hundreds of
Medical ebooks and journals. The University of Connecticut Medical
school provides the same service free of charge to CT residents.
How would your service differ from what I already have access?
Ralph Giarnella MD
Southington Ct. USA?
________________________________
From: Vin Miller vmiller@alum.rpi.edu >
To: Supertraining@yahoogroups.com
Sent: Wednesday, January 2, 2013 8:57 AM
Subject: [Supertraining] Research Review - Looking for Feedback
Hi everyone, I hope you all enjoyed the holidays!
I've been following this forum for a few years and have very much
enjoyed the discussions. Since I know you all have a lot of great
insight to share, I'm hoping you'll be willing to help me out with some
feedback on a project I'm working on.
I'm quite passionate about research, particularly in relation to health
and nutrition (but not excluding fitness), so what I plan on doing is a
monthly review of the latest and most relevant studies. The intent is to
make evidence-based information more accessible and easier to digest for
busy practitioners/trainers/coaches who prefer to spend more of their
time with clients or are simply not interested in reading research
directly.
If you have a few minutes to spare, I'd greatly appreciate it if you
could answer the following short survey. Even if you're not interested
in the research review, your feedback will be valuable. Here's the
survey:
https://docs.google.com/spreadsheet/viewform?formkey=dFdmeEg5c1ZMSGNuYVo
5TXF0ZW5DeWc6MQ
Thanks for your time and Happy New Year!
Vin Miller
Rexford, NY
P.S. If you want to know who I am before you bother with this -
http://ragewellness.com/about/
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
For instance the following point which is at the end of the article but I fell is most important:
* "Vitamin B12 deficiency has been associated with diabetes despite only 9 of the 47
diabetics assessed having been treated with metformin (Solomon, 2011), which suggests
that diabetes may promote B12 deficiency independently of metformin usage."
Ever since my early training in Diabetes it was well established the diabetics develop peripheral neuropathy and that treatment was supplementation with B12. This was decades before we began to use Metformin in the USA. This was a thought that was in my head as I read the article and it points to the major weakness of the study in my opinion.
With regards to Medscape there are several sections to the webiste- the most obvious to the casual visitor is the headline articles. However there is a treasure trove of in depth review articles and seminars on multiple topics in each specialty. I use it to keep up with new ideas and articles. If a topic gets my attention I have many other resources to get into the details of the subject matter. I don't know of any physician that bases their opinions or practice of medicine based on headlines. Most are looking for evidence based articles.
In my opinion the biggest problem in dissemination of medical information is in the lay press and media who are looking for one liners or simple short and splashy articles.
The same goes for many bloggers on the internet. I have found that too many just read the abstract and do not read the entire article. The devil is in the details.
In writing this post I have taken the time to read the original article http://care.
I also read Solomon'
Diabetes as a Cause of Clinically Significant Functional Cobalamin Deficiency
Lawrence R. Solomon, MD⇓ http://care.
Ralph Giarnella MD
Southington Ct. USA
From: Vin Miller vmiller@alum.
To: Supertraining@
Sent: Sunday, January 6, 2013 10:46 AM
Subject: Re: [Supertraining] Research Review - Looking for Feedback
Hi Ralph, thanks for your reply!
I agree, Medscape is a great resource. Here are a few ways in which I
intend for my reviews to be different:
1. A more structured format that is intended to make each review easier
to read and refer back to as a reference. (You can see an example here:
http://vinmiller.
2. More focus on the strengths and weaknesses of the study, and not just
a regurgitation of what the study authors wrote about limitations in
their discussion section.
3. Since I will be writing every review, there will be more consistency
in terms of format, writing style, types of articles reviewed, and
background of the author (a big variable with journalists, in my
opinion).
4. Integrity. I don't read Medscape enough to know how frequently their
articles are affected by this, but I have been frustrated many times by
the theme of a journalist&#
researchers rather than actual data. While journalists are under
pressure to make headlines, my main priority is to pass along research
findings in a concise and objective manner.
5. When appropriate, I add supporting information from other research to
help provide context, and unlike journalists, I fully reference all of
it.
6. Variety. As there is plenty of research published each month, my
reviews do not necessarily have to be considered as an alternative to
Medscape, but rather as another source of research reviews written in a
different format, from a different perspective, and on different
research.
My reviews are primarily intended for people who don't have access to
all of the research journals that you do, or don't have the time to
filter through them each month. If you have the access, time, and
motivation to read full text (which is great!), then maybe my reviews
wouldn't have much value for you, but then I wonder why you find so much
value in Medscape. Maybe just as a convenient way to help you filter the
research you want to read?
Even if you're not interested in my reviews, it would be great if you
wouldn't mind sharing your thoughts on the distinctions to Medscape that
I listed above.
Thanks!
Vin Miller
Rexford, NY
<-----Original Message-----
From: Ralph Giarnella [ragiarn@yahoo.
Sent: 1/5/2013 2:15:53 PM
To: Supertraining@
Subject: Re: [Supertraining] Research Review - Looking for Feedback
That sounds like a great idea, however there is already a great website
that does exactly what you are attempting to do. It is called Medscape.
It has all the relevant latest information broken down by specialty.
http://www.medscape
http://www.medscape
It includes the following:
* Allergy & Clinical Immunology
* Anesthesiology
* Cardiology
* Critical Care
* Dermatology
* Diabetes & Endocrinology
* Emergency Medicine
* Family Medicine
* Gastroenterology
* General Surgery
* Hematology-Oncology
* HIV/AIDS
* Infectious Diseases
* Internal Medicine
* Lab Medicine
* Nephrology
* Neurology
* Ob/Gyn & Women's Health
* Oncology
* Ophthalmology
* Orthopaedics
* Pathology & Lab Medicine
* Pediatrics
* Plastic Surgery & Aesthetic Medicine
* Psychiatry & Mental Health
* Public Health & Prevention
* Pulmonary Medicine
* Radiology
* Rheumatology
* Surgery
* Transplantation
* Urology
* Women's Health
*
* OTHER SITES
* Business of Medicine
* Dental and Oral Health
* Medscape Today
* Medical Students
* Nurses
* Pharmacists
I have been using it every day for years. They send me email daily
updates on the specific subspecialties that I am interested in keeping
up to date. Our hospital also has free online access to hundreds of
Medical ebooks and journals. The University of Connecticut Medical
school provides the same service free of charge to CT residents.
How would your service differ from what I already have access?
Ralph Giarnella MD
Southington Ct. USA?
____________
From: Vin Miller vmiller@alum.
To: Supertraining@
Sent: Wednesday, January 2, 2013 8:57 AM
Subject: [Supertraining] Research Review - Looking for Feedback
Hi everyone, I hope you all enjoyed the holidays!
I've been following this forum for a few years and have very much
enjoyed the discussions. Since I know you all have a lot of great
insight to share, I'm hoping you'll be willing to help me out with some
feedback on a project I'm working on.
I'm quite passionate about research, particularly in relation to health
and nutrition (but not excluding fitness), so what I plan on doing is a
monthly review of the latest and most relevant studies. The intent is to
make evidence-based information more accessible and easier to digest for
busy practitioners/
time with clients or are simply not interested in reading research
directly.
If you have a few minutes to spare, I'd greatly appreciate it if you
could answer the following short survey. Even if you're not interested
in the research review, your feedback will be valuable. Here's the
survey:
https://docs.
5TXF0ZW5DeWc6MQ
Thanks for your time and Happy New Year!
Vin Miller
Rexford, NY
P.S. If you want to know who I am before you bother with this -
http://ragewellness
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
Tue Jan 8, 2013 8:36 am (PST) . Posted by:
"Anthony Pitruzzello" tonypit45
Nice to hear things are going well!
--
Anthony J. Pitruzzello, Ph.D.
Chicago, Illinois
[Non-text portions of this message have been removed]
--
Anthony J. Pitruzzello, Ph.D.
Chicago, Illinois
[Non-text portions of this message have been removed]
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