Daily Archives: June 26, 2017
Contact Precautions for Endemic MRSA and VRE: Time to Retire Legal Mandates
26 Jun, 2017 | 19:41h | UTCViewpoint: Contact Precautions for Endemic MRSA and VRE: Time to Retire Legal Mandates – JAMA (free)
“Contact precautions are easy to use w a single patient, but burdensome when applied to an entire hospital” (RT @JAMA_current see Tweet)
This viewpoint suggests a more selective use of contact precautions for the control of endemic pathogens.
Opinion: Natural health products should be sold separately from drugs
26 Jun, 2017 | 18:54h | UTCEditorial: Natural health products should be sold separately from drugs – Canadian Medical Association Journal (free)
“Separate “natural” products from drugs to protect consumers, says @drstanbrook” (RT @CMAJ see Tweet)
Monitoring Medical Devices: Missed Warning Signs Within Existing Data
26 Jun, 2017 | 21:27h | UTCViewpoint: Monitoring Medical Devices: Missed Warning Signs Within Existing Data – JAMA (free)
Related: The lap band for weight loss is a tale of medicine gone wrong – VOX (free) Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text) AND Safety, Effectiveness of Gastric Banding Called Into Question – Medscape (free registration required) AND 1 In 5 Gastric Band Surgeries Require Corrective Operations – American Council on Science and Health (free)
The authors use the example of gastric band surgery to discuss how available data may be used more appropriately for earlier detection of problems in the safety of medical devices.
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
Dr Frankenstein’s bioethical experiment
26 Jun, 2017 | 18:08h | UTCDr Frankenstein’s bioethical experiment – The Lancet (free)
UK heart disease deaths fall by over 20% since indoor smoking ban
26 Jun, 2017 | 15:27h | UTCUK heart disease deaths fall by over 20% since indoor smoking ban – The Guardian (free) (RT @kamleshkhunti see Tweet)
Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection
26 Jun, 2017 | 17:52h | UTCSource: EvidenceAlerts (free resource to find articles of interest)
In this meta-analysis including 19 randomized trials, probiotics given within 2 days of the first antibiotic dose (more effective than if started later) reduced the risk of Clostridium difficile infection (CDI) by >50% in hospitalized adults. 1 case of CDI would be prevented for every 23−144 patients treated with probiotics when antibiotics are started. “There was no convincing evidence of superior efficacy for any of the tested probiotic formulations, delivery methods (drink or capsule), or probiotic doses”.
Point of view: Generalists key to improved hospital outcomes
26 Jun, 2017 | 17:26h | UTCPoint of view: Generalists key to improved hospital outcomes – MJA Insights (free)
Adult weight management: guidance for commissioners and providers
26 Jun, 2017 | 15:54h | UTCAdult weight management: guidance for commissioners and providers – Public Health England (free video and resources)
Who will pay for CRISPR?
26 Jun, 2017 | 14:46h | UTCWho will pay for CRISPR? – STAT News (free) (RT @EricTopol see Tweet)
Related: Crispr Offers a Leap Forward for Diagnosing Disease – The Wall Street Journal (a few articles per month are free) AND CRISPR will be a huge story in 2017. Here are 7 things to look for – VOX (free)
Adverse Events Reported to the US Food and Drug Administration for Cosmetics and Personal Care Products
26 Jun, 2017 | 17:15h | UTCEditorial: Cosmetics, Regulations, and the Public Health – Understanding the Safety of Medical and Other Products (free)
The JAMA Network – For the Media: How Many Adverse Events Are Reported to FDA for Cosmetics, Personal Care? (free)
Commentaries: More Health Problems Reported With Hair And Skin Care Products – NPR (free) AND The Hidden Dangers of Makeup and Shampoo – TIME (a few articles per month are free)
It’s time to disrupt the existing hospital business model
26 Jun, 2017 | 14:59h | UTCIt’s time to disrupt the existing hospital business model – Brookings (free) (RT @pash22 see Tweet)
Fiscal policies for the prevention of diseases
26 Jun, 2017 | 15:22h | UTCPolicy lessons from health taxes: a systematic review of empirical studies – BMC Public Health (free)
Related: Proper debate on sugar tax needed in fight against obesity and diabetes – The AGE (free)
See more on Fiscal policies for the prevention of diseases in our June 8th issue (see #4) and in our April 20th issue (see #1)
“91 studies on health taxes show they change consumption: a systematic review of empirical studies” (RT @BoydSwinburn see Tweet)
Tamiflu: an expensive lesson in panic stockpiling
26 Jun, 2017 | 13:58h | UTCTamiflu: an expensive lesson in panic stockpiling – Dr Justin Coleman Blog (RT @pash22 see Tweet)
Efficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older
26 Jun, 2017 | 17:20h | UTCEfficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older – New England Journal of Medicine (link to abstract – $ for full-text)
“Say bye to egg-grown flu vaccine? Recombinant vaccines are a little more effective & much quicker to adapt” (RT @RichardLehman1 see Tweet and brief commentaries on the study)
Respiratory medicine: Six things physicians and patients should question
26 Jun, 2017 | 15:04h | UTCNew Choosing Wisely Canada List: Respiratory medicine: Six things physicians and patients should question (free) (RT @ChooseWiselyCA see Tweet)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
Richard Lehman’s journal review, 26 June 2017
26 Jun, 2017 | 13:57h | UTCRichard Lehman’s journal review, 26 June 2017 – The BMJ Blogs (free)
Richard Lehman reviews the latest research in the top medical journals
For Some, Pre-Hospice Care Can Be A Good Alternative To Hospitals
26 Jun, 2017 | 14:58h | UTCFor Some, Pre-Hospice Care Can Be A Good Alternative To Hospitals – NPR (free) (RT @pash22 see Tweet)
Mon, June 26 – 10 Stories of The Day!
26 Jun, 2017 | 00:03h | UTC
1 – ACG and CAG Clinical Guideline: Management of Dyspepsia – American College of Gastroenterology and Canadian Association of Gastroenterology (free PDF)
3 – Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Do mortality rates differ according to baseline heart rates for those taking beta-blockers? – Cardiovascular Business (free) AND Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure – PracticeUpdate (free registration required)
“In HFrEF, beta blockers reduce mortality – but only for those in sinus rhythm says new work in JACC” (RT @JACCJournals see Tweet)
4 – Time-to-Furosemide Treatment and Mortality in Patients Hospitalized With Acute Heart Failure – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentary: Door-to-Furosemide Time in Acute Heart Failure – American College of Cardiology, Latest in Cardiology (free) AND The Door-to-Lasix Quality Measure – Emergency Medicine Literature of Note (free)
“God help us if this sort of observational data leads to “door to furosemide time” being adopted as a quality measure” (RT @adamcifu see Tweet)
5 – KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) (free PDF) (RT @goKDIGO see Tweet)
Executive summary: 2017 KDIGO Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update: what’s changed and why it matters (free PDF)
News release and available resources: CKD-Mineral and Bone Disorder (CKD-MBD) (free)
6 – Effect of Nebulized Hypertonic Saline Treatment in Emergency Departments on the Hospitalization Rate for Acute Bronchiolitis: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)
Source: No Benefit of Nebulized Hypertonic Saline for Acute Bronchiolitis – Journal Watch ($ resource to find articles of interest)
Hypertonic saline clearly does not have any benefit for bronchiolitis (RT @JAMAPeds see Tweet)
7 – Special Issue – Homepage: Association of Coloproctology of Great Britain & Ireland (ACPGBI): Guidelines for the Management of Cancer of the Colon, Rectum and Anus (2017)
1 – Introduction (free)
2 – Diagnosis, Investigations and Screening (free)
3 – Surgical Management (free)
4 – Multidisciplinary Management (free)
5 – Follow Up, Lifestyle and Survivorship (free)
6 – Audit and Outcome Reporting (free)
7 – Pathology Standards and Datasets (free)
8 – Anal Cancer (free)
8 – Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women: The Women’s Heart Alliance – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Women and Heart Disease: New Data Reaffirm Lack of Awareness By Women and Physicians – American College of Cardiology, Latest in Cardiology (free) AND Women’s CV Risk Underestimated, Underassessed – MedPage Today (free registration required) AND Greater emphasis on preventing, treating heart disease in women needed – American College of Cardiology, via EurekAlert (free)
Related guidelines: Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science: A Scientific Statement From the American Heart Association (free) AND Acute Myocardial Infarction in Women: A Scientific Statement From the American Heart Association (free)
Women continue to underestimate their risk of cardiovascular disease.
9 – Host and viral traits predict zoonotic spillover from mammals – Nature (link to abstract – $ for full-text)
Commentaries: Spillover Beasts: Which Animals Pose The Biggest Viral Risk? – NPR Goats and Soda (free) (RT @NPRGoatsandSoda see Tweet with interesting illustration) AND Bats Are the Number-One Carriers of Disease – TIME Health (free) AND Where in the world will the next emerging disease appear? – CNN (free text and video) AND Bats really do harbor more dangerous viruses than other species – Science (free) AND Whence new plagues? – The Economist (a few articles per month are free)
“The majority of human emerging infectious diseases are zoonotic, with viruses that originate in wild mammals of particular concern”
10 – News release: Latest health evidence shows that making changes to diet, physical activity and behaviour may reduce obesity in children and adolescents – Cochrane Library (free)
Review 1: Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years (link to summary – $ for full-text)
Review 2: Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years (link to summary – $ for full-text)
Commentary: What’s the best way for children to lose weight? Here’s what the research says – The Conversation (free)
WHO guidelines on ethical issues in public health surveillance
26 Jun, 2017 | 13:56h | UTCWHO guidelines on ethical issues in public health surveillance – World Health Organization (free)
Commentary: Ethics of public health surveillance: new guidelines – The Lancet Public Health (free)
“Public health surveillance: privacy, autonomy, equity, common good need to be balanced. New ethics guidelines” (RT @trished see Tweet)