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Daily Archives: April 3, 2017

Building Next Generation Immunization Supply Chains

3 Apr, 2017 | 19:26h | UTC

Building Next Generation Immunization Supply Chains – Vaccine Supplement (free)

News release: Global Immunization Impact Constrained by Outdated Vaccine Delivery Systems, Researchers Say – World Health Organization(free)

See also: Battling Infectious Diseases in the 20th Century: The Impact of Vaccines (free – classic 2015 page with interesting infographics) (RT @stefaniei)

This 29 open access articles are part of a special supplement published in Vaccine to address the challenges of Immunization Supply Chains.

 


The World Is Unprepared for a Global Pandemic

3 Apr, 2017 | 19:22h | UTC

The World Is Completely Unprepared for a Global Pandemic – Harvard Business Review (free) (RT @glassmanamanda and @BillGates)

 


Return on investment of public health interventions

3 Apr, 2017 | 19:25h | UTC

Return on investment of public health interventions: a systematic review – Journal of Epidemiology and Public Health (free)

Source: BMJ News ($)

“For every £1 invested in public health, £14 will subsequently be returned to the wider health and social care economy”. Based on the findings, the authors suggest that cuts to public health services are short sighted and represent a false economy, with substantial opportunity costs.

 


Cognitive Dysfunction in Older Adults With Diabetes

3 Apr, 2017 | 19:18h | UTC

Cognitive Dysfunction in Older Adults With Diabetes: What a Clinician Needs to Know – Diabetes Care (free)

Source: Management of Older Adults With Diabetes and Cognitive Dysfunction – PracticeUpdate (free registration required)

“Recommendations include the need for simplified medication regimens, avoidance of glucose-lowering drugs with a high risk of hypoglycemia, periodic reassessment of glycemic goals, and repeated education of the patient and caregiver” (from PracticeUpdate commentary above)

 


Intensive glucose control and microvascular outcomes

3 Apr, 2017 | 19:21h | UTC

Effects of intensive glucose control on microvascular outcomes in patients with type 2 diabetes: a meta-analysis of individual participant data from randomised controlled trials – The Lancet Diabetes & Endocrinology (RT @EricTopol see Tweet with interest discussion) (link to abstract – $ required for full-text)

Contradicting the analysis above, a recent report found no significant impact of tight glycemic control on the risk of dialysis / transplantation / renal death, blindness, or neuropathy: Glycemic Control for Patients With Type 2 Diabetes Mellitus: Our Evolving Faith in the Face of Evidence – Circulation (free)

Benefits of intensive glucose control on microvascular outcomes in patients with type 2 diabetes remains controversial.

 


Neuropathic pain in adults

3 Apr, 2017 | 19:23h | UTC

Neuropathic pain in adults: pharmacological management in non-specialist settings – Updated NICE Guideline (free)

 


Anti-leukotriene agents in persistent asthma

3 Apr, 2017 | 19:15h | UTC

Addition of anti-leukotriene agents to inhaled corticosteroids for adults and adolescents with persistent asthma – Cochrane Database of Systematic Reviews (link to summary – $ required for full-text)

Source: EvidenceAlerts

In patients with asthma not controlled with daily low-dose inhaled corticosteroids, adding anti-leukotriene agents reduced by half the number of patients with asthma exacerbations requiring an oral corticosteroid and improved lung function and asthma control.

 


Functional Hypothalamic Amenorrhea Guideline

3 Apr, 2017 | 19:17h | UTC

Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline (free PDF)

Source: Endocrine Society Issues Hypothalamic Amenorrhea Guideline – Medscape (free registration required)

 


Corticosteroids in septic shock

3 Apr, 2017 | 19:12h | UTC

Corticosteroids in septic shock: a systematic review and network meta-analysis – Critical Care (free)

 


Anemia and blood transfusion in the critically ill patient with cardiovascular disease

3 Apr, 2017 | 19:14h | UTC

Anemia and blood transfusion in the critically ill patient with cardiovascular disease – Critical Care (free)

 


Mon, Apr 3 – Top 10 Medical News Stories

3 Apr, 2017 | 00:18h | UTC

 

1 – Building Next Generation Immunization Supply Chains – Vaccine Supplement (free)

News release: Global Immunization Impact Constrained by Outdated Vaccine Delivery Systems, Researchers Say – World Health Organization (free)

See also: Battling Infectious Diseases in the 20th Century: The Impact of Vaccines (free – classic 2015 page with interesting infographics) (RT @stefaniei)

This 29 open access articles are part of a special supplement published in Vaccine to address the challenges of Immunization Supply Chains.

 

2 – Return on investment of public health interventions: a systematic review – Journal of Epidemiology and Public Health (free)

Source: BMJ News ($)

“For every £1 invested in public health, £14 will subsequently be returned to the wider health and social care economy”. Based on the findings, the authors suggest that cuts to public health services are short sighted and represent a false economy, with substantial opportunity costs.

 

3 – Neuropathic pain in adults: pharmacological management in non-specialist settings – Updated NICE Guideline (free)

 

4 – The World Is Completely Unprepared for a Global Pandemic – Harvard Business Review (free) (RT @glassmanamanda and @BillGates)

 

5 – Effects of intensive glucose control on microvascular outcomes in patients with type 2 diabetes: a meta-analysis of individual participant data from randomised controlled trials – The Lancet Diabetes & Endocrinology (RT @EricTopol see Tweet with interest discussion) (link to abstract – $ required for full-text)

Contradicting the analysis above, a recent report found no significant impact of tight glycemic control on the risk of dialysis / transplantation / renal death, blindness, or neuropathy: Glycemic Control for Patients With Type 2 Diabetes Mellitus: Our Evolving Faith in the Face of Evidence – Circulation (free)

Benefits of intensive glucose control on microvascular outcomes in patients with type 2 diabetes remains controversial.

 

6 – Cognitive Dysfunction in Older Adults With Diabetes: What a Clinician Needs to Know – Diabetes Care (free)

Source: Management of Older Adults With Diabetes and Cognitive Dysfunction – PracticeUpdate (free registration required)

“Recommendations include the need for simplified medication regimens, avoidance of glucose-lowering drugs with a high risk of hypoglycemia, periodic reassessment of glycemic goals, and repeated education of the patient and caregiver” (from PracticeUpdate commentary above)

 

7 – Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline (free PDF)

Source: Endocrine Society Issues Hypothalamic Amenorrhea Guideline – Medscape (free registration required)

 

8 – Addition of anti-leukotriene agents to inhaled corticosteroids for adults and adolescents with persistent asthma – Cochrane Database of Systematic Reviews (link to summary – $ required for full-text)

Source: EvidenceAlerts

In patients with asthma not controlled with daily low-dose inhaled corticosteroids, adding anti-leukotriene agents reduced by half the number of patients with asthma exacerbations requiring an oral corticosteroid and improved lung function and asthma control.

 

9 – Anemia and blood transfusion in the critically ill patient with cardiovascular disease – Critical Care (free)

 

10 – Corticosteroids in septic shock: a systematic review and network meta-analysis – Critical Care (free)

 


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