Tue, June 27 – 10 Stories of The Day!

26Jun
2017

 

1 – Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals from the American Heart Association/American Stroke Association (free PDF)

Commentary: Update on the Statement on Brain AVMs: Despite New Data, Questions Still Unanswered (free)

Top Ten Things to Know: Management of Brain Arteriovenous Malformations (free PDF)

Slide Set: Management of Brain Arteriovenous Malformations (free PDF)

 

2 – Guideline summary: Consensus on Surgical Treatment of Infective Endocarditis – American College of Cardiology, Latest in Cardiology (free)

Original article: 2016 The American Association for Thoracic Surgery (AATS) consensus guidelines: Surgical treatment of infective endocarditis: Executive summary (link to abstract – $ for full-text)

 

3 – Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium Difficile Infection: A Systematic Review With Meta-Regression Analysis – Gastroenterology (free)

Source: 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”.

 

4 – A 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”

 

5 – Policy 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)

 

6 – New 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.

 

7 – Richard Lehman’s journal review, 26 June 2017 – The BMJ Blogs (free)

Reviews on the latest research in the top medical journals.

 

8 – Better Medicine – Shared decisions, best evidence – The BMJ

Related article: Overdiagnosis and overtreatment: generalists — it’s time for a grassroots revolution (free)

“This Better Medicine resource page builds on the work of The BMJ’s Too Much Medicine initiative and the overdiagnosis group of the RCGP in helping health professionals worldwide to share knowledge with patients and jointly make better informed choices about their care”.

 

9 – Chinese courts call for death penalty for researchers who commit fraud – STAT News (free)

Related: China cracks down on fake data in drug trials – Nature (free) 

 

10 – Viewpoint: Contact Precautions for Endemic MRSA and VRE: Time to Retire Legal Mandates – JAMA (free)

“Contact precautions are easy to use with 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.

 

Monitoring Medical Devices: Missed Warning Signs Within Existing Data

26Jun
2017

Viewpoint: 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.

 

Contact Precautions for Endemic MRSA and VRE: Time to Retire Legal Mandates

26Jun
2017

Viewpoint: 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

26Jun
2017

Editorial: 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)

 

Dr Frankenstein’s bioethical experiment

26Jun
2017

Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection

26Jun
2017

Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection: A Systematic Review With Meta-Regression Analysis – Gastroenterology (free)

Source: 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”.

 

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26Jun
2017

A 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”

 

Point of view: Generalists key to improved hospital outcomes

26Jun
2017

Efficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older

26Jun
2017

Efficacy 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)

 

Adverse Events Reported to the US Food and Drug Administration for Cosmetics and Personal Care Products

26Jun
2017

Adult weight management: guidance for commissioners and providers

26Jun
2017

UK heart disease deaths fall by over 20% since indoor smoking ban

26Jun
2017

Fiscal policies for the prevention of diseases

26Jun
2017

Respiratory medicine: Six things physicians and patients should question

26Jun
2017

It’s time to disrupt the existing hospital business model

26Jun
2017

For Some, Pre-Hospice Care Can Be A Good Alternative To Hospitals

26Jun
2017

Who will pay for CRISPR?

26Jun
2017

Tamiflu: an expensive lesson in panic stockpiling

26Jun
2017

Richard Lehman’s journal review, 26 June 2017

26Jun
2017

Richard Lehman’s journal review, 26 June 2017 – The BMJ Blogs (free)

Richard Lehman reviews the latest research in the top medical journals

 

WHO guidelines on ethical issues in public health surveillance

26Jun
2017

WHO guidelines on ethical issues in public health surveillance – World Health Organization (free)

Public health surveillance: privacy, autonomy, equity, common good need to be balanced. New ethics guidelines” (RT @trished see Tweet)

 

Mon, June 26 – 10 Stories of The Day!

26Jun
2017

 

1 – ACG and CAG Clinical Guideline: Management of Dyspepsia – American College of Gastroenterology and Canadian Association of Gastroenterology (free PDF)

 

2 – Targeted temperature management in the ICU: guidelines from a French expert panel – Annals of Intensive Care (free)

 

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)

 

Trends and Outcomes of Off-Label Use of Transcatheter Aortic Valve Replacement

25Jun
2017

Trends and Outcomes of Off-Label Use of Transcatheter Aortic Valve Replacement: Insights From the NCDR STS/ACC TVT Registry – JAMA Cardiology (free)

The JAMA Network – For the Media: Study Examines Use, Outcomes of Valve Replacement Procedure Performed for Off-Label Indications

Commentary: Outcomes of Off-Label Use of TAVR – American College of Cardiology, Latest in Cardiology (free)

“A randomized controlled trial directly comparing TAVR with surgery among specific subsets of off-label populations is needed to provide convincing evidence, and significant ‘off-label’ use captured in registries such as this should motivate such prospective randomized studies” (from Latest in Cardiology).

 

Genetic sequencing of spinal fluid for diagnosing brain infections?

25Jun
2017

Brain-Invading Tapeworm That Eluded Doctors Spotted by New DNA Test – Scientific American (free)

“Genetic sequencing of spinal fluid hailed as an advance over standard procedures for diagnosing brain infections”

 

What Should Physicians Do When They Disagree, Clinically and Ethically, with a Surrogate’s Wishes?

25Jun
2017

Spotlight on FODMAPs for IBS

25Jun
2017

Institute for Health Metrics and Evaluation (IHME) 10th anniversary

25Jun
2017

Video: Institute for Health Metrics and Evaluation (IHME) 10th anniversary

See also: IHME’s work

“If we want to improve global health – we need a map!” Short video summary of @IHME_UW achievements and vision (see Tweet)

 

Rising Medical Costs Mean More Rough Times Ahead

25Jun
2017

Effect of Nebulized Hypertonic Saline Treatment in Emergency Departments on the Hospitalization Rate for Acute Bronchiolitis

25Jun
2017

Snakebites Make The List Of ‘Neglected Tropical Diseases’

25Jun
2017

Obesity now kills more people worldwide than car crashes, terror attacks, and Alzheimer’s combined

25Jun
2017

Chinese courts call for death penalty for researchers who commit fraud

25Jun
2017

Physical activity, cognitive decline, and risk of dementia

25Jun
2017

Physical activity, cognitive decline, and risk of dementia: 28 year follow-up of Whitehall II cohort study – The BMJ (free)

Commentary: Physical Activity Might Not Ward Off Dementia – Physician’s First Watch (free)

Contradicting previous evidence, this study did not show that physical activity has a protective effect against cognitive decline and dementia.

“Physical activity may not have an impact on your chances of being diagnosed with Alzheimer’s but it will reduce a plethora of other risks…” (RT @KarenAl46890767 see Tweet)

 

Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia

25Jun
2017

Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia: A Magnetic Resonance Imaging Study With Application of the Assessment of SpondyloArthritis International Society Classification Criteria – Arthritis Care & Research (link to abstract – $ for full-text)

Commentary: Does Fibromyalgia Mask Spondyloarthritis? – MedPage Today (free registration required)

Small study (99 patients) showed some patients diagnosed with fibromyalgia have imaging changes suggestive of axial Spondyloarthritis, suggesting that Fibromyalgia may mask an underlying Spondyloarthropathy.

 

Diagnostic Accuracy of Fecal Immunochemical Test in Patients at Increased Risk for Colorectal Cancer

25Jun
2017

Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure

25Jun
2017

Interesting initiative for improving quality and reducing readmissions from skilled nursing facilities

25Jun
2017

Necessity is the mother of invention: an innovative hospitalist-resident initiative for improving quality and reducing readmissions from skilled nursing facilities – Journal of Community Hospital Internal Medicine Perspectives (free) (RT @HMVJC see Tweet)

In this model of care, a hospitalist-led team, including the resident on the geriatrics rotation, followed patients discharged from the hospital to the skilled nursing facility, leading to significant decrease in readmission rates.

 

Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder

25Jun
2017

New concerns raised over value of genome-wide disease studies

25Jun
2017

New concerns raised over value of genome-wide disease studies – Nature News (free)

“Large analyses dredge up ‘peripheral’ genetic associations that offer little biological insight, researchers say”.

 

Topical antimicrobial agents for treating foot ulcers in people with diabetes

25Jun
2017

Topical antimicrobial agents for treating foot ulcers in people with diabetes – Cochrane Library (link to summary – & for full-text)

“Topical antimicrobial dressing may increase foot ulcer healing in people with diabetes” (RT @CochraneUK see Tweet)

 

What happens when an expensive drug is approved based on a lower bar of proof?

25Jun
2017

Insurers Battle Families Over Costly Drug for Fatal Disease – The New York Times (10 articles per month are free)

“A new drug can cost over a million dollars, even though it’s unclear if it works. Now, insurers are refusing to pay” (RT @NYTHealth see Tweet)

 

How app culture is reviving the house call

25Jun
2017

Everolimus-Eluting Bioresorbable Scaffolds Versus Everolimus-Eluting Metallic Stents

23Jun
2017

Everolimus-Eluting Bioresorbable Scaffolds Versus Everolimus-Eluting Metallic Stents – Journal of the American College of Cardiology (free) (RT @JACCJournals see Tweet)

In this meta-analysis including 7 randomized trials bioresorbable vascular scaffolds were associated with both lower efficacy and higher thrombotic risk over time.

 

Effectiveness of conservative interventions in adults with shoulder impingement

23Jun
2017

Trans-catheter aortic valve implantation

23Jun
2017

Targeted temperature management in the ICU

23Jun
2017

Personalized radiotherapy for invasive breast cancer in 2017

23Jun
2017

ACG and CAG Clinical Guideline: Management of Dyspepsia

23Jun
2017

Guided graded exercise self-help as a treatment of fatigue in chronic fatigue syndrome

23Jun
2017

Guidelines for the Management of Cancer of the Colon, Rectum and Anus

23Jun
2017

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers

23Jun
2017

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers – Medscape (free registration required)

Unpublished results, presented at the 13th World Congress of Biological Psychiatry, suggesting baclofen is an effective alternative for high-risk alcohol consumption.

 

Women and Heart Disease: New Data Reaffirm Lack of Awareness By Women and Physicians

23Jun
2017

Clinical effects of antivirals for hepatitis C: context is critical

23Jun
2017

What’s the best way for children to lose weight?

23Jun
2017

Humanitarian Aid Is ‘Broken’

23Jun
2017

Better Medicine – Shared decisions, best evidence

23Jun
2017

Better Medicine – Shared decisions, best evidence

Related article: Overdiagnosis and overtreatment: generalists — it’s time for a grassroots revolution (free)

“This Better Medicine resource page builds on the work of The BMJ’s Too Much Medicine initiative and the overdiagnosis group of the RCGP in helping health professionals worldwide to share knowledge with patients and jointly make better informed choices about their care.

 

Update on anti-TNF agents and other new drugs for IBD

23Jun
2017

Time-to-Furosemide Treatment and Mortality in Acute Heart Failure

23Jun
2017

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)

“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)

 

Breast Cancer Risk Assessment and Screening in Average-Risk Women

23Jun
2017

Improving Awareness of and Screening for Health Risks Among Sex Workers

23Jun
2017

Guideline summary: Consensus on Surgical Treatment of Infective Endocarditis

23Jun
2017

Management of Brain Arteriovenous Malformations

23Jun
2017

What is people-centered care? And why does it matter?

23Jun
2017

WHO Framework on integrated people-centered health services (free resources)

Video: WHO – What is people-centered care? And why does it matter? Our new video explains! (free) (RT @WHO see Tweet)

“Integrated people-centered health services means putting the comprehensive needs of people and communities, not only diseases, at the center of health systems, and empowering people to have a more active role in their own health”.

 

Head Positioning in Acute Stroke

23Jun
2017

Radiation Associated Cardiac Disease

23Jun
2017

Why We Overrate the Lifesaving Power of Cancer Tests

23Jun
2017

Continuous positive airway pressure for children with undifferentiated respiratory distress

23Jun
2017

Breastfeeding and the Risk of Maternal Cardiovascular Disease

23Jun
2017

Concierge Medicine For $10 A Month? Yes, It’s Possible

23Jun
2017

Benchmarking study helps hospitals improve measurement of adverse events

23Jun
2017

Benchmarking study helps hospitals improve measurement of adverse events – NIHR Signal (free)

Original report: Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study – Health Services and Delivery Research (free PDF)

This study compared two different approaches to measure adverse events, the “Trigger Tool system” and the “Two-stage review”

 

Preventing Cognitive Decline and Dementia

23Jun
2017

Co-morbid OSA and insomnia increases depression prevalence and severity in men

23Jun
2017

Fri, June 23 – 10 Stories of The Day!

23Jun
2017

 

1 – WHO Framework on integrated people-centered health services (free resources)

Video: WHO – What is people-centered care? And why does it matter? Our new video explains! (free) (RT @WHO see Tweet)

“Integrated people-centered health services means putting the comprehensive needs of people and communities, not only diseases, at the center of health systems, and empowering people to have a more active role in their own health”.

 

2 – Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke – New England Journal of Medicine (link to abstract – $ for full-text)

Quick Take Video Summary: The Head Position in Stroke Trial (free)

Commentary: Head Positioning During Early Stroke Treatment Apparently Doesn’t Affect Outcome – Physician’s First Watch (free)

 

3 – Review: Radiation Associated Cardiac Disease – American College of Cardiology, Latest in Cardiology (free)

Related Guidelines and Reviews: Prevention and Monitoring of Cardiac Dysfunction in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline (free) AND 2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines (free) AND Canadian Cardiovascular Society Guidelines for Evaluation and Management of Cardiovascular Complications of Cancer Therapy (free) AND Cardiotoxicity of anticancer treatments: Epidemiology, detection, and management – CA: A Cancer Journal for Clinicians (free)

 

4 – Why We Overrate the Lifesaving Power of Cancer Tests – Scientific American (free) (RT @EricTopol see Tweet)

 

5 – Continuous positive airway pressure for children with undifferentiated respiratory distress in Ghana: an open-label, cluster, crossover trial – The Lancet Global Health (free)

Invited commentary: Every breath you take… (free)

Commentary: CPAP improves respiratory and survival rates in children in Ghana – Columbia University’s Mailman School of Public Health, via EurekAlert (free)

 

6 – Breastfeeding and the Risk of Maternal Cardiovascular Disease: A Prospective Study of 300 000 Chinese Women – Journal of the American College of Cardiology (free)

Commentaries: Mother’s heart health tied to breastfeeding – Reuters Health (free) Does breastfeeding prevent heart disease and strokes? – STAT News (free) AND Breastfeeding could help a mother’s heart – in more ways than you think – American Heart Association News (free)

Observational data suggests there may be a protective effect.

 

7 – Cardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)

“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.

 

8 – An update on Zika virus infection – The Lancet (free registration required)

“Update on Zika virus infection (2017): review focuses on important updates & gaps in the knowledge” (RT @TheLancet see Tweet)

 

9 – WHO toolkit for the care and support of people affected by complications associated with Zika virus – World Health Organization (free)

 

10 – Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial – Medical Journal of Australia (link to abstract – Free PDF here) (RT @theMJA see Tweet)

Author commentaries: Emergency doctors are using acupuncture to treat pain, now here’s the evidence – The Conversation (free)

Positive commentaries: Acupuncture Found to Be an Effective Analgesia Option in ER – PracticeUpdate (free registration required) AND Acupuncture relieves pain in emergency patients: Study – RMIT University, via ScienceDaily (free)

“Not so fast” commentaries: Acupuncture in the ER: No, study did not prove it was ‘safe and effective’ – HealthNewsReview (free) AND A skeptical look at a study of acupuncture delivered in emergency rooms, by James C Coyne (free)

 

Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes

22Jun
2017

Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)

“We believe that value-based care, implemented using lean principles and in conjunction with an ongoing, community-wide effort to address social determinants of health, can reduce health spending and deliver on the promise of better health”

 

Making the Case for Midwifery

22Jun
2017

Opinion: If we want to save children’s lives, this is what we need to do – World Economic Forum (free)

Related infographic: Making the Case for Midwifery (free)

See also WHO’s Every Newborn Action Plan and related commentaries in our June 22 issue (see #1)

According to the text, investing in midwifes could prevent up to 2/3 of global maternal and newborn deaths and yield a 16-fold return on investment

 

Public Health in Humanitarian Crises

22Jun
2017

Just started! Public Health in Humanitarian Crises – Free Online Course from the Johns Hopkins University and Coursera

“This course introduces a set of public health problems experienced by people affected by natural disasters and/or conflict. It discusses the many changes in people’s lives when they are uprooted by a disaster, ranging from changes in disease patterns, access to health care, livelihoods, shelter, sanitary conditions, nutritional status, etc”.

 

Cardiopulmonary resuscitation – 30:2 or just keep going?

22Jun
2017

Cardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)

“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.

 

An update on Zika virus infection

22Jun
2017

An update on Zika virus infection – The Lancet (free registration required)

“Update on Zika virus infection (2017): review focuses on important updates & gaps in the knowledge” (RT @TheLancet see Tweet)

 

Host and viral traits predict zoonotic spillover from mammals

22Jun
2017

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”

 

Infection-related microcephaly after the 2015 and 2016 Zika virus outbreaks in Brazil

22Jun
2017

Infection-related microcephaly after the 2015 and 2016 Zika virus outbreaks in Brazil: a surveillance-based analysis – The Lancet (free registration required)

Invited commentary: Risk of Zika-related microcephaly: stable or variable? (free registration required)

Commentary: Study: First Zika microcephaly wave in Brazil was outlier – CIDRAP (free)

See also a Research Letter from the same authors and related commentaries in our March 31st issue (see #4).

“Zika spread rapidly in Latin America. We braced ourselves for a vast international epidemic of Zika-related microcephaly; but when it did not happen we asked ourselves why.” (from invited commentary)

 

Is aircraft noise exposure associated with cardiovascular disease and hypertension?

22Jun
2017

Every Newborn Action Plan – World Health Organization

22Jun
2017

Every Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)

Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)

Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.

 

WHO bids goodbye to Dr Chan and celebrates her achievements

22Jun
2017

WHO bids goodbye to Dr Chan and celebrates her achievements – World Health Organization (Source: WHO Newsletter)

Report 1: Ten years of transformation: Making WHO fit for purpose in the 21st century (free)

Report 2: Ten years in public health 2007-2017 (free)

Report 3: Healthier, fairer, safer: the global health journey 2007–2017 (free)

Related: My decade leading the WHO: dirty fights and steps toward universal coverage – by By Margaret Chan, Via STAT News (free)

“As Dr Margaret Chan’s term as Director-General of WHO comes to an end, we’d like to share some of the successes, setbacks and enduring challenges of the past decade in global public health.”

 

Performance Improvement: Phenytoin Toxicity

22Jun
2017

Performance Improvement: Phenytoin Toxicity – JAMA (free)

Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)

 

Thu, June 22 – 10 Stories of The Day!

22Jun
2017

 

1 – Every Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)

Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)

Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.

 

2 – WHO bids goodbye to Dr Chan and celebrates her achievements – World Health Organization (Source: WHO Newsletter)

Report 1: Ten years of transformation: Making WHO fit for purpose in the 21st century (free)

Report 2: Ten years in public health 2007-2017 (free)

Report 3: Healthier, fairer, safer: the global health journey 2007–2017 (free)

Related: My decade leading the WHO: dirty fights and steps toward universal coverage – by By Margaret Chan, Via STAT News (free)

“As Dr Margaret Chan’s term as Director-General of WHO comes to an end, we’d like to share some of the successes, setbacks and enduring challenges of the past decade in global public health.”

 

3 – Your vitamin D tests and supplements are probably a waste of money – VOX (free)

Related: Why Are So Many People Popping Vitamin D? – The New York Times (10 articles per month are free)

“Screening for vitamin D has exploded — with no good evidence that it helps people.”

 

4 – Performance Improvement: Phenytoin Toxicity – JAMA (free)

Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)

 

5 – Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question – Choosing Wisely (free) (RT @ChooseWiselyCA see Tweet)

“New Choosing Wisely recommendations list! @SOGCorg identifies 10 tests, treatments to question in obstetrics and gynecology

 

6 – ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee – Journal of the American College of Radiology (free, and legal, PDF via Unpawall)

Commentary: New ultrasound scoring system for thyroid nodules to reduce unnecessary biopsies – University of Alabama at Birmingham, via EurekAlert (free)

 

7 – Harnessing the Power of Data in Health – Stanford Medicine 2017 Health Trends Report (free PDF)

News release: Stanford Medicine launches health care trends report (free)

“Stanford Medicine launches report on health care trends” (RT @StanfordMed see Tweet)

 

8 – A medicine review is about stopping medicine as much as it is about prescribing – Royal Pharmaceutical Society of Great Britain (free) (RT @MaryanneDemasi see Tweet)

Original report: The Challenge of Polypharmacy: From Rhetoric to Reality – Royal Pharmaceutical Society and Royal College of General Practitioners Partnership (free PDF)

Related: Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)

 

9 – Is aircraft noise exposure associated with cardiovascular disease and hypertension? Results from a cohort study in Athens, Greece – Occupational and Environmental Medicine (link to abstract – $ for full-text)

Commentaries: Noise May Raise Blood Pressure Risk – New York Times (10 articles per month are free) AND Long term exposure to aircraft noise linked to high blood pressure – The BMJ, via EurekAlert (free) AND Live Near an Airport? Nighttime Airplane Noise May Cause Hypertension – Medscape (free registration required)

Cohort study suggests a possible association.

 

10 – EULAR recommendations for women’s health and the management of family planning, assisted reproduction, pregnancy and menopause in patients with systemic lupus erythematosus and/or antiphospholipid syndrome (free)

Commentary: EULAR: Guidance for Managing Lupus Pregnancy – MedPage Today (free registration required)

 

AUA White Paper on Nonneurogenic Chronic Urinary Retention

21Jun
2017

Landmark FDA approval bolsters personalized medicine

21Jun
2017

Induction of labour may be considered in pregnant women with a large baby

21Jun
2017

Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question

21Jun
2017

Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question – Choosing Wisely (free) (RT @ChooseWiselyCA see Tweet)

“New Choosing Wisely recommendations list! @SOGCorg identifies 10 tests, treatments to question in obstetrics and gynecology”

 

Predicting cognitive deficits in people with Parkinson’s disease

21Jun
2017

Which patients with advanced respiratory disease die in hospital?

21Jun
2017

Conflicts of interest in healthcare, academics, public relations and journalism

21Jun
2017

Five ways virtual reality is improving healthcare

21Jun
2017

Five ways virtual reality is improving healthcare – The Conversation (free)

“Virtual reality can help patients overcome pain, beat phobias and even improve memory” (RT @ConversationUK see Tweet)

 

Verbal and physical attacks against health care workers are common

21Jun
2017

A Piece of My Mind: Speak Up – JAMA (free)

“Verbal and physical attacks against health care workers are common, are underreported, and have lasting consequences in the form of persistent fear”.

 

Opinion: The practice of radiology needs to change

21Jun
2017

Giles Maskell: The practice of radiology needs to change – The BMJ Opinion (free)

“The practice of radiology is unsafe and needs to change says, Giles Maskell” (RT see Tweet)

 

Acupuncture for analgesia in the emergency department

21Jun
2017

Hormone therapy position statement of The North American Menopause Society

21Jun
2017

Artificial tanning devices: public health interventions to manage sunbeds

21Jun
2017

WHO toolkit for the care and support of people affected by complications associated with Zika virus

21Jun
2017

Nucleated RBCs may be a predictor of post-discharge mortality and unplanned hospital readmission

21Jun
2017

Nucleated red blood cells, critical illness survivors and postdischarge outcomes: a cohort study – Critical Care (free)

“Presence of nucleated RBCs is a robust predictor of post-discharge mortality and unplanned hospital readmission” (RT @Crit_Care see Tweet)

 

Aspirin and other NSAIDs and colorectal cancer survival

21Jun
2017

Timing of Aspirin and Other Nonsteroidal Anti-Inflammatory Drug Use Among Patients With Colorectal Cancer in Relation to Tumor Markers and Survival – Journal of Clinical Oncology (link to abstract – $ for full-text)

Commentary: Study Informs NSAID Benefit in Colon Cancer – MedPage Today (free registration required)

Observational data suggests a benefit for individuals with KRAS wild-type tumors

 

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