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Joe Alcock

Emergency Physician, Educator, Researcher, interested in the microbiome, evolution, and medicine

Antibiotics harm our earliest symbionts – mitochondria

  Researchers have discovered more unintended consequences for antibiotics, this time for our earliest endosymbionts, the mitochondria. Commonly-used antibiotics in the tetracycline class have been shown to impair cellular respiration and mitochondrial function in eukaryotic cells, from plants to mice to fruit flies, and in human cell cultures. Tetracyclines have […]

How doctors think: bias towards action

In 2001, a paper by van den Berghe and colleagues was published in the New England Journal of Medicine. It described a trial of intensive blood sugar control in critically ill patients and reported improved survival with intensive glucose treatment using insulin. This study led to a substantial increase in […]

Multi-organ failure in sepsis: good or bad?

Mervyn Singer has published a review of multiple organ failure in patients with septic shock. Singer proposes that organ failure may represent a kind of organ hibernation that helps promote survival. He writes: “In summary, there is significant evidence that implicates mitochondrial dysfunction in sepsis-induced organ dysfunction. Whether this is […]

Humans have evolved resistance to toxic arsenic

Carina Schlebusch and colleagues just published an article in Molecular Biology and Evolution demonstrating human adaptation to the locally high arsenic levels in groundwater in the South American Andes. Read my brief review of Human adaptation to arsenic-rich environments in the Evolution and Medicine Review here. Updated: see March 13 […]

The eyes have it

Eerie! Watch the NASA animation of the space probe Dawn approaching the dwarf planet Ceres. Eyes, right! When I saw this it reminded me of a moment hiking down a red rock canyon in Utah. I looked up and suddenly saw this: When I saw the pictograph, and when I […]

Macrobiome – from typo to mainstream use

This blog used the term “macrobiome” (to indicate animals and plants of the visible type, such as the Borneo pygmy elephants above) back in March 2013. A quick google search reveals earlier uses of the term on the web. Some, though not all,  appearances of “macrobiome” were typographical errors. In […]

Poop happens, handwashing often doesn’t

Did you use this device today? And you washed your hands afterwards? If so, you are in the minority of humans on the planet. Only 19% of people worldwide wash their hands after excreting. Equally surprising, handwashing campaigns only have limited effectiveness in reducing infectious diarrhea, showing on average a […]