{"id":278,"date":"2012-12-20T10:29:06","date_gmt":"2012-12-20T18:29:06","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=278"},"modified":"2014-02-19T13:36:16","modified_gmt":"2014-02-19T21:36:16","slug":"if-evolution-really-works-how-come-mothers-only-have-two-hands","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=278","title":{"rendered":"\u201cIf evolution really works, how come mothers only have two hands?\u201d"},"content":{"rendered":"<p>Okay, this quote from Milton Berle is only tangentially related to today\u2019s blog post, but I couldn\u2019t pass it up. My last contribution to our blog was on rising mortality due to Clostridia difficile (C.diff) and its fomite- and hand-related transmission.<!--more--><\/p>\n<p>So you are all washing your hands more often and lo, they are chapped and feel like 120 grit sandpaper. Do not despair, help is on the way. In the <em>BMJ<\/em>, researchers recently reported in a randomized trial that hand eczema could be significantly reduced by a combination of skin patch testing for allergy and counseling about the use of a lipid rich moisturizer three times daily, wearing gloves when exposing hands to water, and using disinfectants instead of washing when possible.<\/p>\n<p>After five months, when rated by a blinded observer, the intervention group had an \u201ceczema index\u201d score improvement of 44% versus 9% for controls with usual care.\u00a0<\/p>\n<p>Lest we forget, the prior blog post did point out that alcohol-based hand cleansers do not kill C.diff spores. That still requires good ol\u2019 soap and water.<\/p>\n<p>Marshall Kubota, MD<\/p>\n<p>Ibler, Kristina Sophie. <em>BMJ<\/em> 2012; 345 doi.\u00a0<a href=\"http:\/\/dx.doi.org\/10.1136\/bmj.e7822\">http:\/\/dx.doi.org\/10.1136\/bmj.e7822<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Okay, this quote from Milton Berle is only tangentially related to today\u2019s blog post, but I couldn\u2019t pass it up. My last contribution to our blog was on rising mortality due to Clostridia difficile (C.diff) and its fomite- and hand-related &hellip; <a href=\"https:\/\/phcprimarycare.org\/?p=278\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,13],"tags":[],"class_list":["post-278","post","type-post","status-publish","format-standard","hentry","category-formulary-pharmacy-issues","category-prevention"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts\/278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=278"}],"version-history":[{"count":5,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts\/278\/revisions"}],"predecessor-version":[{"id":810,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts\/278\/revisions\/810"}],"wp:attachment":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}