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      "body": "CASPer is an incredibly difficult exam that will prepare you for all the challenges of medical school. If you have passed this exam, it means that you have enough knowledge and will be able to help people with their health problems in the future. If you want to be sure that you will pass this exam, you should pay attention to this [medical school application consulting services](https://medapplications.com/medical-school-applications/) you can hire some excellent tutors who know their business and can help you with the preparation without any problems. Hope it helped you.",
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      "author": "steemitboard",
      "permlink": "steemitboard-notify-steemmate-20190514t220838000z",
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      "body": "Congratulations @steemmate! You received a personal award!\n\n<table><tr><td>https://steemitimages.com/70x70/http://steemitboard.com/@steemmate/birthday2.png</td><td>Happy Birthday! - You are on the Steem blockchain for 2 years!</td></tr></table>\n\n<sub>_You can view [your badges on your Steem Board](https://steemitboard.com/@steemmate) and compare to others on the [Steem Ranking](http://steemitboard.com/ranking/index.php?name=steemmate)_</sub>\n\n\n**Do not miss the last post from @steemitboard:**\n<table><tr><td><a href=\"https://steemit.com/japanese/@steemitboard/new-japanese-speaking-community-steem-meetup-badge\"><img src=\"https://steemitimages.com/64x128/https://cdn.steemitimages.com/DQmRWbAjbeETEaqSPLcpwYX1JN5pZhdPffv4q6DaBs6xvZm/image.png\"></a></td><td><a href=\"https://steemit.com/japanese/@steemitboard/new-japanese-speaking-community-steem-meetup-badge\">New  japanese speaking community Steem Meetup badge</a></td></tr></table>\n\n###### [Vote for @Steemitboard as a witness](https://v2.steemconnect.com/sign/account-witness-vote?witness=steemitboard&approve=1) to get one more award and increased upvotes!",
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      "parent_permlink": "medicine",
      "author": "steemmate",
      "permlink": "when-medicine-and-art-overlap-did-mona-lisa-have-high-cholesterol",
      "title": "When Medicine and Art Overlap - Did Mona Lisa Have High Cholesterol?",
      "body": "Many of you may have traveled to The Louvre in Paris to see the a bunch of people staring at arguably the most iconic painting in the world, the Mona Lisa, painted by Leonardo Da Vinci between 1503-1506. When I visited the museum as an eager biology student in 2013, I had no clue of the biological details of the painting I was overlooking. I paid more attention to the Mona Lisa's piercing eyes than her skin. \n\nFlash forward to 2018, I'm studying medicine, specifically learning about fatty plaque build-up in coronary artery disease, and Da Vinci's master work pops back up into my life.  Why are photos of the Mona Lisa in my lecture slides? Well it turns out clinicians have carefully gone over the painting, and have ascertained two places on the young Ms. Lisa's skin suggestive of high lipids (fats) and high cholesterol in the blood (hypercholesterolemia).  According to an NCBI article, there's a \"yellow irregular leather-like spot at the inner end of the left upper eyelid and a soft bumpy well-defined swelling of the dorsum of the right hand beneath the index finger about 3 cm long\". \n\n\n![Screen Shot 2018-03-04 at 9.05.07 AM.png](https://steemitimages.com/DQmUjGRXKnCNLMUgnr2LtiH4zG8NmmH9hmjp4bP9tRQba8U/Screen%20Shot%202018-03-04%20at%209.05.07%20AM.png)\n\nUnbeknownst to most, including myself until literally just now, Da Vinci actually studied  the build up fats and cholesterol in the arteries, a process called atherosclerosis. Yep, he was an artist, inventor and scientist, and this fell into his sciency endeavors. The \"yellow irregular leather-like spot at the inner end of the left upper eyelid\" is thought to be depicting a cholesterol deposit called xanthelasma. When your blood is holding more cholesterol than it needs, LDLs or Low Density Lipoproteins which carry cholesterol, become elevated, travel around the blood and can lead to these xanthelasmas, or cholesterol deposits beneath the skin, usually around the inner eye. These cholesterol deposits don't just pile up randomly under the skin, rather they build up in a type of specialized macrophage (immune cell that eats foreign invaders) called a foam cell. \n\n<center>![Screen Shot 2018-03-04 at 9.19.27 AM.png](https://steemitimages.com/DQma9AW86CoZk7q7iRf6VCEPwhdniPwezwccktJ6JGbbCqN/Screen%20Shot%202018-03-04%20at%209.19.27%20AM.png)!</center>\nThank you Wikipedia! Look at this photo, and then back up at the Mona Lisa and notice the similarity.\n\nWhat about the Mona Lisa's \"soft bumpy well-defined swelling of the dorsum of the right hand beneath the index finger about 3 cm long\". Well this one is harder for me to see in the painting, but it is thought to be a manifestation of the same underlying issue of increased LDL and increased cholesterol in the blood. This manifestation is called a tendon xanthoma.  \"Xanthos\" means 'yellow' in greek, accounting for the yellow hue of the lesions due to cholesterol build-up, and xanthomas present with nodules, which gives this diagnosis credence in Mona because of the bumpiness on her hand. Here's another look at tendon xanthoma is the hands:\n\n<center>![Screen Shot 2018-03-04 at 9.45.15 AM.png](https://steemitimages.com/DQmVEZziSHCiHSq66LuSea4ajZbeTzg3MtxVyAxjFw5eTN4/Screen%20Shot%202018-03-04%20at%209.45.15%20AM.png)</center>\n\nPretty amazingly, the Mona Lisa may be the first evidence of Familial Hypercholesterolemia. It's a reminder that  Mona Lisa was a real person like you and me. She actually died at age 37, and though the cause is unknown, atherosclerosis leading to heart attack would be a pretty good deduction based on this painting. \n\nHope you enjoyed this and hope to post more soon,\n\n<center>-Steemmate</center>\n\nCheck out this article for more interesting details: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774586/\nOther sources: https://en.wikipedia.org/wiki/Xanthoma",
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      "permlink": "what-do-you-call-the-nfl-team-that-plays-at-altitude-a-short-explanation-of-one-of-the-body-s-adaptations-to-altitude",
      "title": "What do you call the NFL team that plays at altitude? A short explanation of one of the body's adaptations to altitude",
      "body": "What do you call the NFL team that plays at altitude?\n\n<center>-The Denver Bronchi </center>\n\n<center>![ds00412_-ds00482_-ds00592_-ds00944_-ds00962_im02960_r7_bronchiolesasbestosisthu_jpg.jpg](https://steemitimages.com/DQmVAwNXBnjJiLqnN1aM1c6jeqH4s6meDbtv6gTjvaZ5A1N/ds00412_-ds00482_-ds00592_-ds00944_-ds00962_im02960_r7_bronchiolesasbestosisthu_jpg.jpg)</center>\n\nBronchi (singular bronchus) are the air passages of the lungs branching off of the trachea (windpipe) that eventually lead to gas exchange between atmospheric air and the blood at the microscopic grape-like structures called alveoli. At high altitudes where pressure of oxygen in the air is lower, it has been suggested that bronchi can expand their networks of alveoli so that more gas exchange can occur to make up for the decreased oxygen levels in the air. More gas exchange occurs in this case because of a higher surface area for oxygen to diffuse into the blood stream being directed from the right side of the heart. \n\nHopefully the joke helps to remember the concept!\n\nHere is some research into canine alveolar remodeling at low pressure environments. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793198/\n\n<center>-A Denver Bronchi Steemmate</center>",
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      "title": "Does medical school educate a bunch of angels, or is it just another shit show? (hint, it's a shit show)",
      "body": "@@ -850,16 +850,38 @@\n l school\n+, at least in my case,\n  is basi\n@@ -1788,20 +1788,18 @@\n be. \n-The majority\n+About half\n  of \n@@ -2393,50 +2393,8 @@\n  out\n- (involving our class president, no less!)\n  ove\n@@ -3065,21 +3065,11 @@\n ent \n-seems to have\n+has\n  a w\n",
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      "body": "@@ -1,12 +1,38 @@\n Yeah\n+ thanks for the reply due,\n  I think\n@@ -538,21 +538,16 @@\n ehavior \n-that \n can aris\n",
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      "body": "Yeah I think my main point was basically that we're a varied group of people and we're certainly not perfect, though you're right I should probably make the point that I'm speaking from one particular sample of students from one school. Other schools are of course different. Also, where do I write that my school is \"full of students who exhibit a lack of civility\"? That's not my opinion, it's more-so that people are flawed, no matter where they are, and that there is a degree of group mentality/ immature behavior that can arise in a small class of students.",
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