Author | Lightnews

AldrinAU @aldrinau.bsky.social · Jun 15

Happy Father’s Day to all fathers out there. Be good. Be happy. Be thankful. Be safe.

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AldrinAU @aldrinau.bsky.social · May 25

Don’t your just love freshly made bread🥰!

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AldrinAU @aldrinau.bsky.social · Apr 9

Tackling modifiable risk factors such as obesity could make a noticeable dent in the expected rise in asthma burden over the next 25 years. The GBD 2021 estimated that global cases of the disease will rise 5.5% from 260M in 2021 to 275M by 2050. www.thelancet.com/journals/lan...

Global, regional, and national burden of asthma and atopic dermatitis, 1990–2021, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021

Although the increases in the total number of asthma and atopic dermatitis cases will probably continue until 2050, age-standardised prevalence rates are expected to remain stable. A considerable port...

www.thelancet.com

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AldrinAU @aldrinau.bsky.social · Mar 24

‘Great Ormond Street said 22 children in 39 cases looked at so far had come to some degree of harm, and that it is taking the concerns “incredibly seriously”.The 721 patients were treated by Yaser Jabbar, a consultant orthopaedic surgeon…’
www.bbc.co.uk/news/article...

Great Ormond Street reviews 700 children treated by ex-surgeon - BBC News

The patients were treated by Yaser Jabbar, a consultant orthopaedic surgeon who worked at the hospital’s lower limb reconstruction service.

www.bbc.co.uk

AldrinAU @aldrinau.bsky.social · Mar 23

The Tokyo to Osaka line — the route that launched the concept on the world and crystallised Japan’s sense of its postwar self — opened in 1964, just ahead of the equally nation-defining Olympic Games in Tokyo that same year. #shinkansen #Japan
www.ft.com/content/46bc... via @ft

Many happy returns: 60 years of the shinkansen

Six decades after the first bullet train left Tokyo Station, Leo Lewis celebrates an icon of speed, style and national identity

www.ft.com

Reposted by AldrinAU

Prof Christina Pagel @chrischirp.bsky.social · Mar 23

It's 5 yrs today since lockdown started in England, but "We must never have lockdown again" is the wrong lesson.

Lockdowns are terrible but so are deadly pandemics.

Our choices 5 years ago were limited - we can & must do better in the future.

Do read my post.

open.substack.com/pub/christin...

We are learning the wrong lessons from lockdown

And unless we learn the right ones, we risk making the same mistakes in a new pandemic

open.substack.com

130 710 2.8K

AldrinAU @aldrinau.bsky.social · Mar 23

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AldrinAU @aldrinau.bsky.social · Feb 23

Millions of electric cars are coming. What happens to all the dead batteries? | Science | AAAS www.science.org/content/arti...

Millions of electric cars are coming. What happens to all the dead batteries?

Researchers urgently seek better ways to reuse spent cells

www.science.org

AldrinAU @aldrinau.bsky.social · Jan 12

‘Smoking is still the leading cause of premature illness and death in the UK and is responsible for half the difference in healthy life expectancy between the country’s richest and poorest people.’ #smokingkills

www.bmj.com/content/388/...

Smoking’s pop culture revival is an unwelcome throwback for public health

The 1990s were characterised by a rise in teenage smoking rates. Nostalgia for that decade shouldn’t see us undo progress against this public health threat, writes Caroline Cerny The 1990s are firml...

www.bmj.com

AldrinAU @aldrinau.bsky.social · Jan 12

Looking forward to the next few days when the temperature will start rising and hopefully all the snow will finally melt here.

AldrinAU @aldrinau.bsky.social · Jan 11

We noticed earlier the snow (that has yet to melt in our garden over the last one week) has developed into snow crystals or frost crystals. These intricate ice formations apparently occur when water vapor freezes directly into ice, often creating delicate, crystalline patterns.

AldrinAU @aldrinau.bsky.social · Jan 10

“Despite the best efforts of NHS staff, cancer patients are waiting too long for vital tests & treatment. Cancer services have lacked the resources they need for yea, and this report highlights the real-world impact this has on people affected by cancer.”

www.theguardian.com/society/2025...

Hiring freeze at dozens of NHS cancer and diagnostic units despite rising referrals

Royal College of Radiologists calls move ‘shortsighted’ and says it puts Labour’s waiting times plan at risk

www.theguardian.com

AldrinAU @aldrinau.bsky.social · Jan 8

It’s super cold out there tonight 🥶🥶🥶-7°C

AldrinAU @aldrinau.bsky.social · Jan 2

Why do we need to exclude atypical Mycobacterium (NTM) before starting prophylactic Azithromycin?

Because in doing so in a person who already has an active, undiagnosed MAC infection can lead to development of resistance & inadequate treatment.

(Images source- BTS guidance)

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AldrinAU @aldrinau.bsky.social · Dec 31

Happy New Year 2025!

May the new year brings us good health, happiness, growing wealth & especially peace🕊️. May you and your loved ones stay safe and celebrate the joy of togetherness throughout the year.

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AldrinAU @aldrinau.bsky.social · Dec 30

‘Daily use of moderate-high dose inhaled corticosteroids was significantly associated with increased risk of pneumonia, major (adverse) cardiovascular events, and pulmonary embolism; although the mechanism for this observation is largely unknown.’
www.atsjournals.org/doi/full/10.... #asthma

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Reposted by AldrinAU

Stefan Marciniak @profmarciniak.bsky.social · Dec 24

Between morning ward round & afternoon board round, I uploaded this preprint (if working Xmas week, might as well make the most of it)

“Cigarette smoke induces PPP1R15A via oxidative stress to modulate inflammatory cytokine production by bronchial epithelial cells”
www.biorxiv.org/content/10.1...

Cigarette smoke induces PPP1R15A via oxidative stress to modulate inflammatory cytokine production by bronchial epithelial cells

Cigarette smoke is the principal cause of chronic obstructive pulmonary disease (COPD) in western societies. It induces pulmonary inflammation and activates multiple stress signaling pathways in bronc...

www.biorxiv.org

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AldrinAU @aldrinau.bsky.social · Dec 25

Sleep is an essential part of overall health, and getting enough restful sleep on a regular basis offers a plethora of benefits. Quality sleep helps boost energy levels and immune function, and supports cognitive processes like memory consolidation.
www.sleepfoundation.org/how-sleep-wo...

Sleep Debt: The Hidden Cost of Insufficient Rest

Sleep debt grows when lost sleep accumulates over time. Learn about the effects of sleep debt and tips for catching up on sleep.

www.sleepfoundation.org

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AldrinAU @aldrinau.bsky.social · Dec 23

‘Reclaiming dying and grieving as social processes requires demedicalisation to counter the pursuit of futile interventions at the end of life and to normalise conversations about dying.’ @bmj.com

www.bmj.com/content/387/...

Death, love, and taxes: tales of resilience and humanity

Credit: Rowena Sheehan Far too many people dying and grieving remain undersupported and feared. Dying is “as natural and inevitable a transition as birth,” says Lucy Selman, an expert in dying and gr...

www.bmj.com

AldrinAU @aldrinau.bsky.social · Dec 23

‘More widely, unrealistic expectations of medicine and pressure from families lead to requests for life prolonging treatments that might not be in the patient’s best interests.’ @bmj.com

www.bmj.com/content/387/...

Demedicalising dying: medicine must accept death as a natural part of life

Over the course of the 19th century, across North America and Europe, death slowly migrated from the home to the hospital and came to be viewed as a medical event, and no longer primarily a religious ...

www.bmj.com

Reposted by AldrinAU

@IM_Crit_ @imcrit.bsky.social · Dec 15

EPAP (or: PEEP):

EPAP traditionally is set at low values (~ 5 cmH2O) in COPD patients. However, higher EPAP may be needed if the patient is obese and/or there is need to correct upper airway obstruction

EPAP can also help to:
i) "match" intrinsic PEEP, reducing triggering effort & asynchrony, &

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Reposted by AldrinAU

@IM_Crit_ @imcrit.bsky.social · Dec 15

the NIV settings usually boil down to: inspiratory/expiratory pressure (IPAP/EPAP) and FiO2. We have to admit that not every COPD patient will do well with “10 over 5” *. So what else should we pay attention to?

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AldrinAU @aldrinau.bsky.social · Dec 22

A very good #Skytorial (🧐) on NIV in COPD. #RespEd #MedSky

@IM_Crit_ @imcrit.bsky.social · Dec 15

ICU - Non-Invasive Ventilation (NIV) Secrets:

Did you ever admit to the ICU a patient with COPD exacerbation who came from the ED on NIV? Or who went home on NIV? If you are a pulmonologist, you can skip this post but, for the rest of us from different specialties (I am Internal Medicine),

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Reposted by AldrinAU

@IM_Crit_ @imcrit.bsky.social · Nov 30

ICU Stories:

Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:

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AldrinAU @aldrinau.bsky.social · Dec 22

@bsky.app Hi team, would it be possible to provide a translation to English if a post is written in another language. Looking at post from Japan currently.