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Articles by Robert Brown
Acute kidney injury: causes, diagnosis and management
After reading this article, you should be able to: Identify patients at risk of developing an AKI; Define and recognise the signs and symptoms of AKI; Outline the management options for AKI; Summarise for AKI; Recognise that disease modifying medications for cardiovascular disease and chronic kidney disease, such as angiotensin-converting enzyme inhibitors/ angiotensin II receptor blockers and sodium-glucose cotransporter 2 inhibitors, are not to be labelled ‘nephrotoxic’.
Assessing the periprocedural magnitude of platelet count change in response to lusutrombopag
Highlights • Thrombocytopaenia is common in patients with chronic liver disease. • Lusutrombopag increased platelet count ≥1.5-fold in most patients with chronic liver disease-induced thrombocytopaenia. • Lusutrombopag doubled platelet count in half of patients treated. • Lusutrombopag-induced platelet count increases (without platelet transfusion) lasted for 3 weeks.
Clinical Reasoning: 63-Year-old woman with thoracic cavernous malformation and delayed worsening myelopathy
Section 1 A 63-year-old woman presented with marked, progressive worsening of lower extremity spasticity and decreased upper extremity strength. In 1980, she developed lower extremity paresthesias and was found to have an intramedullary hemorrhagic lesion at T3. She underwent a laminectomy at T1–T4 and partial resection of a cavernous malformation (CM).
9 Ways to Love Your Liver
You probably give your liver little thought, but your body’s largest internal organ is a multitasking miracle, filtering toxins, working with your immune system to fight off infection and storing and releasing nutrients from food so that your body can access and use them to function. If you don’t protect and nurture your liver—or worse, out-and-out ignore it—it can get overtaxed, and the spillover affects your entire body.
Quality Sleep
Recent studies make it clear that having quality sleep and getting enough sleep are vital to a healthy, active, long lasting, and cognitively rich life. Losing an hour of sleep, such as during spring daylight savings time, results in 25% more heart attacks in adults the next day. Studies also show that simply getting one more hour of sleep contributes to better grades and more graduations from high school. For children, healthy sleep is also necessary for proper development of the heart.
What Is Safe Household Firearm Storage to Prevent Deaths Among US Youths?
To the Editor In their article,1 Monuteaux et al propose that “6% to 32% of deaths [of US youths] were estimated to be preventable depending on the probability of motivating safer storage”1 of firearms. Certainly, keeping all firearms in the home locked is a step in the right direction. But in 2018, a 13-year-old boy shot a classmate and a teacher with a gun that had been locked in a basement safe, saying afterwards, “If I could, I would take it back.”2
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Do natural treatments really work for UTIs? The experts weigh in
Want a fast fact to bust out at your next party? Forty percent of women will get a urinary tract infection (UTI) at some point in their lives. Fun, right? OK, nothing involving urine and tracts will ever be a particularly fun point of conversation, but it's worth knowing the ins and outs of this incredibly common ailment. Especially since 20% of women who get a UTI will get another one. Most of the time, UTIs require a treatment of antibiotics to get the bugs out of your system.
Patricia C. Hayden
ARTICLE OPTIONS Patricia C. Hayden, 92, formerly of Buck Street, Canton, passed away on Friday, May 10, 2019 at United Helpers Maplewood Campus, where she was a resident. A mass of Christian burial will be held on Tuesday, May 14, at 10:30 am with Rev. Bryan Stitt as celebrant. The family will receive friends on Monday, May 13, from 4:00 to 7:00 PM at Lawrence Funeral Home & Cremation Services, Canton. Burial will be in St. Mary’s Cemetery, Canton.
The Canadian baby boom years are different from the U.S.
Voir en Français Defining the Canadian baby boom as being parallel to that in the United States is both wrong and dangerous A version of this commentary appeared in the Huffington Post and the Victoria Times Colonist As a retired demographer, I do indeed tire of the endless articles in the Canadian press that either just quote U.S.-based stories about the baby boom or make the incorrect assumption that the Canadian baby boom mirrored that south of the border (see, for example, a recent news...
Can Social Media Use Cause Sleep Problems?
Recently there have been numerous studies that indicate that sleep problems increase radically in those who spend excessive time on social media, especially at night. One study of 467 students at Glasgow University showed that social media use was related to poorer sleep quality, lower self-esteem, higher anxiety, and depression.
Two presidents provide lessons from their merger (opinion)
Lucy Wheelock founded Wheelock College in 1888 to train kindergarten teachers. The small private institution nestled in the Fenway neighborhood of Boston focused on improving the lives of children and families by training teachers and social workers. In 2017, with only 1,000 undergraduate and master’s students and a trend of declining enrollments, the future of Wheelock College was uncertain. Closure was not imminent, but it was definitely on the horizon.
Man body-slammed while wearing Minion suit speaks about attack
DAYTONA BEACH, Fla. - Surveillance video shows the moment a man dressed as a Minion was attacked while working outside an airbrush store in Daytona Beach on Sunday evening. Jamie Roehm says he was wearing a Minion costume while working outside Jungle George's Airbrush & More when he was approached by three people. The video shows two men and a woman walking up to Roehm, and then one of the men picks him up, spins him around and then slams him to the ground.
How to protect your business from ransomware
Everyone has become familiar with the term ransomware, with attacks increasing in frequency and making the headlines far too often. Most ransomware takes control of a machine or mobile device and demands payment in cryptocurrency to release an encryption key to unlock the system. Ransomware attacks are indiscriminate in who they target, affecting businesses and individuals alike. As long as the ransom is paid, the cyber criminals don’t care who is affected.
How to protect your business from ransomware
Everyone has become familiar with the term ransomware, with attacks increasing in frequency and making the headlines far too often. Most ransomware takes control of a machine or mobile device and demands payment in crypto-currency to release an encryption key to unlock the system. Ransomware attacks are indiscriminate in who they target, affecting businesses and individuals alike, says Robert Brown, CEO of DRS, a Cognosec company.
Protecting your business from ransomware
Everyone has become familiar with the term ransomware, with attacks increasing in frequency and making the headlines far too often. Most ransomware takes control of a machine or mobile device and demands payment in cryptocurrency to release an encryption key to unlock the system. Ransomware attacks are indiscriminate in who they target, affecting businesses and individuals alike. As long as the ransom is paid, the cyber criminals don’t care who is affected.
What's happening with Brexit? The customs union problem explained.
By Rlevente – Own work. This file was derived from: Flag of Europe.svg:Flag of the United Kingdom.svg:, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=49682816 Brexit seems boring, but it’s really important. So, we at The Yorker will give you a rundown of what has happened so far and what you really need to know. On the 23rd of June 2016 the UK voted in a referendum to leave the European Union. That much is common knowledge. The UK is scheduled to leave the EU on 29th of March 2019.
Review: Lean on Pete
Lean on Pete is the latest film from director Andrew Haigh and is adapted by Haigh from Willy Vlautin’s novel of the same name. The film stars Charlie Plummer who was last seen losing an ear in Ridley Scott’s All the Money in the World. The film tells the story of Charley Thompson, a boy who takes a summer job working for a racehorse trainer and forms a strong friendship with an old racehorse, Lean on Pete.
2 Jags fans banned indefinitely after throwing objects at Seahawks player
JACKSONVILLE, Fla. - Two Jacksonville Jaguars fans have been banned indefinitely from Everback Field and from purchasing tickets to future games after they were seen throwing items at a Seattle Seahawks player, a Jaguars spokeswoman said Wednesday. The Jaguars' home win over Seattle on Dec. 19 had an ugly ending. The Jaguars took exception to the way the Seahawks handled the final snaps -- two kneel-downs in the closing seconds of Jacksonville's 30-24 victory.
Search Images and Extrapolation Risk
To the Editor In their cost-effectiveness evaluation of diagnostic approaches to asymptomatic microscopic hematuria in a recent issue of JAMA Internal Medicine, Halpern et al1 point out the superiority of using ultrasonography over the alternative of computed tomography together with cystoscopy for detection of urinary tract cancer. However, I believe that their advice needed to be more nuanced to properly inform the reader.
B-The Underwater Bubble Show In Eureka
The Arkley Theatre was transformed into an underwater world called Bubblelandia on Thursday, Oct. 26. Mr. B and the inhabitants of Bubblelandia went on an imaginary journey in an underwater world full of seahorses, dragon fish, starfish, and mermaids, where fantasy becomes reality. The plot is based on the modern everyday life of most people, always too busy and filled with stress.
Indigenous People’s Week at HSU
The American Indian community of HSU hosted the 24th annual Indigenous People’s Week from Oct. 9 thru Oct. 16, with many free events held on campus. The eight day event began on Monday, Oct. 9, with a celebration on the Quad. Throughout the week, workshops, film screenings, a community-building reception and cultural sharing events were held around campus.
California State University enforces system-wide smoking ban on every campus in California
Executive Order 1108 will permanently ban smoking of any kind on any campus throughout the CSU system on Sept. 1, 2017. Beginning with a letter originally issued by CSU President Mark Yudof in 2012 and ending with an executive order, the university system adopted the new policy.
Multi-domain Battle: Tonight, Tomorrow, and the Future Fight | RealClearDefense
People like to talk about how the future of warfare will be different, but it has already started to arrive. For some years now, the beginnings of major shifts in the character of warfare have been visible in places like eastern Ukraine and the Middle East. Across these battlefields, rival powers made investments and developed doctrine, providing ample evidence that future wars promise extreme lethality not seen since World War II.
Prevention is Infinitely Better than Treatment
The medical industry wants you sick. There is no profit in healthy people. Time after time, in my holistic practice, I see so many patients that are having their symptoms treated with medications, many times with side effects that have created or enhanced the symptoms that brought them to my office in the first place. To make matters worse, the cost of this treatment can be into the thousands of dollars, sometimes doing damage that cannot be reversed.
Offshore oil drilling not worth the risk
BY ROBERT BROWN and JOHN TYNANWe each represent communities — one defined by a House District number, District 116, and one by an issue, conservation. We are both defined by our communities and driven to serve them because we are deeply passionate about the people and places throughout South Carolina.
A Message to the President | by Joanne Berger-Sweeney
The following letter by forty-eight US university presidents and chancellors was sent to President Trump on February 2, 2017. —The Editors We write as presidents of leading American colleges and universities to urge you to rectify or rescind the recent executive order closing our country’s borders to immigrants and others from seven majority-Muslim countries and to refugees from throughout the world.
Boston University Office of the President
To Members of the Boston University Community: As you have heard, the President of the United States has issued an Executive Order that impacts the issuance of visas and immediately suspends the entry into the United States by individuals from Iran, Iraq, Libya, Somalia, Sudan, Syria, and Yemen for 90 days. We believe this Executive Order is fundamentally inconsistent with the values that are the bedrock of Boston University and, indeed, of our pluralistic, welcoming society.
Oh, the irony of Ottawa lecturing Canadians on managing debt
Ottawa recently announced a series of new regulations for the housing market to “protect the long-term financial security of borrowers and all Canadians.” You have to love the irony. While the federal government increases regulation of household debt, it racks up more debt with no end in sight.
‘Dark money’ pouring into party pockets in B.C.
In the U.S. it’s called “dark money,” a way to spend big bucks on politics and remain relatively anonymous. They’re the overlooked political donors: trade and professional associations, such as the Society of BC Floor Covering Employers and the Canadian Convenience Stores Association. Since 2005, 219 associations have donated $4.73 million to the BC Liberal Party and 71 kicked in $640,395 for the BC NDP. Some try to show little favour: a bit to the Liberals; a bit to the NDP.
Ego vs Progress, Continued
Scientific research, in its pure form, is magnificent. It has no predetermined outcome and is conducted by individuals who are totally open to new and different information. Medicine at its best is quite similar in as much as the doctor should not be prejudiced and should always have an open mind, quickly recognizing that the diagnosis may be incorrect, and a new approach or specialist be considered.
Don't Let Spear Phishers Harpoon Your Data!
Security researchers recently uncovered the work of “Rocket Kitty” (sounds like a gang from a cheesy sci-fi movie). This Iranian hacker group gained access to dozens of accounts on a secure messaging platform called Telegram. Known for its high-end encryption, Telegram is used by many journalists and activists. The fear of sensitive communications becoming compromised is warranted.
Ego: The Enemy of Progress
In a previous article entitled “There is no room for ego in medicine,” I pointed out the danger the patient faces when the doctor thoughts are owned by his ego. One example is when I was helping a cancer patient with the miseries of Chemo, two of which are depression and loss of appetite; I suggested that she ask her doctor to prescribe a substance that had proven to counteract these effects. His answer was that it was “not part of his protocol.” I will leave the conclusion to you.
Avoid the Cyber Heat With 'Massive' Microsoft Updates
Last week’s June solstice once again marked the longest day of the year. Long summer days come just in time for this month’s Patch Tuesday, which features an enormous number of Microsoft updates. This month your IT security officers will need to double their efforts to appreciate the second massive release of Microsoft updates. Earlier this month, Microsoft released 34 KB updates covering Office 2007 to 2016.
Recoup I-526 funds to build sorely needed flyover
The recent decision by the State Transportation Infrastructure Bank (STIB) to dissolve its contract with Charleston County to extend the I-526 Expressway to Johns Island has demonstrated the dire need for an additional route on and off the island. While it seems clear that the extension of 526 will no longer be completed, it is critical that the county recoup the $420 million that was previously allocated to the project 10 years ago.
Security Bulletin Storm: Mayday! Mayday!
Flashing red lights and calls for Mayday run in the minds of many IT pros as a perfect storm of release strikes. This month’s Patch Tuesday features a total of 16 security bulletins — eight Critical and eight Important releases designed to remediate 37 vulnerabilities. By examining the ID numbers, it would appear that there could have been 17 releases. It’s interesting to note that MS16-063 was omitted from the list. Perhaps it will be included in the next release.
The Challenges of Stroke Prediction Scores
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Why it’s absurd to export water out of the Paso Robles groundwater basin
Those in opposition to the proposed Paso Robles groundwater basin water district are trying to scare landowners into thinking that water can be exported by private individuals or agencies and there isn’t a thing we could do about it. This is rubbish. To start, the proposed water district is prevented, as a condition of its formation, from having any power to export water.
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