Family Medicine

Video: COVID-19 Clinical Update

8 Apr, 2020 | 01:35h | UTC

Richard Lehman’s covid-19 reviews, 6 April 2020 – The BMJ Opinion

In this weekly round-up, Richard Lehman looks at a personal selection of articles of relevance to clinicians dealing with covid-19.

 


NICE Publishes new COVID-19 Guidelines

6 Apr, 2020 | 01:57h | UTC

Alex Nowbar’s journal reviews, 3 April 2020 – The BMJ Opinion

Alex Nowbar reviews the latest research from the top medical journals.

 


Doctors Need Room to Make the Wrenching Decisions They Face – The New York Times

“New York is granting health care providers civil and criminal immunity during the coronavirus emergency. So should other states.”

 


N95 Re-Use Instructions

30 Mar, 2020 | 02:06h | UTC

Primary care & Coronavirus (COVID 19): key guidance, information and support – Medium

Related: Coronavirus disease 2019 (covid-19): a guide for UK GPs – The BMJ AND Covid-19: a remote assessment in primary care – The BMJ

 

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Prolonged presence of SARS-CoV-2 viral RNA in faecal samples – The Lancet Gastroenterology & Hepatology

“Very important article about viral shedding. Spoiler alert: quarantine may need to be much longer than 14 days. Virus is detectible in feces for up to 5 weeks. Caveat: virus not necessarily viable” (via @figgyjam see Tweet)

 


Practical Advice: PPE Pearls

26 Mar, 2020 | 01:49h | UTC

Review: Nonalcoholic Steatohepatitis

25 Mar, 2020 | 02:00h | UTC

Guidelines:

Selected Articles:

“Very important article about viral shedding. Spoiler alert: quarantine may need to be much longer than 14 days. Virus is detectible in feces for up to 5 weeks. Caveat: virus not necessarily viable” (via @figgyjam see Tweet)

COVID-19 Gastroenterology: This page will be updated as often as necessary and will be fixed in the right column on our homepage.

 


COVID-19: Updates in Bioethics

6 Apr, 2020 | 00:36h | UTC

Resource Centers:

Guidelines:

Videos:

Selected Articles:

News & Perspectives:

“New York is granting health care providers civil and criminal immunity during the coronavirus emergency. So should other states.”

COVID-19 Radiology: This page will be updated as often as necessary and will be fixed the right column in our homepage.

 


Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19 – World Health Organization (PDF)

Related Study: COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020 – CDC Morbidity and Mortality Weekly Report (free)

“Introduction of COVID-19 into a long-term residential care facility in Washington resulted in cases among 81 residents, 34 staff members, and 14 visitors; 23 persons died” (from CDC)

 


Management of Kidney Stones in 2020

20 Mar, 2020 | 10:54h | UTC

FDA Approves Label Changes to SGLT2 Inhibitors Regarding Temporary Discontinuation of Medication Before Scheduled Surgery – U.S. Food & Drug Administration (free)

Commentary: FDA advises stopping SGLT2 inhibitor treatment prior to surgery – The Hospitalist (free)

“- Canagliflozin, dapagliflozin, and empagliflozin should each be discontinued at least three days before scheduled surgery.

Ertugliflozin should be discontinued at least four days before scheduled surgery.

– Blood glucose levels should be carefully monitored after discontinuation of the SGLT2 inhibitor and appropriately managed before surgery.”

 


Study: SARS-CoV-2 Infection in Children

19 Mar, 2020 | 10:59h | UTC

Clinical Update: Tinnitus

17 Mar, 2020 | 08:38h | UTC

Mental Health and Psychosocial Considerations During COVID-19 Outbreak – World Health Organization (free PDF)

Related: The psychological impact of quarantine and how to reduce it: rapid review of the evidence – The Lancet (free) AND Behavioural scientists form new front in battle against coronavirus – The Guardian (free)

“Minimize watching, reading or listening to news that causes you to feel anxious or distressed; seek information only from trusted sources and mainly to take practical steps to prepare your plans and protect yourself and loved ones.”

 


Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding – Nature Medicine (free)

Commentaries: How Does The Coronavirus Affect Kids? What We Know So Far About COVID-19 In Children – Forbes (free) AND Coronavirus study finds children with COVID-19 show milder symptom pattern – Reuters (free)

“Children infected with the #COVID19 outbreak coronavirus, SARS-CoV-2, show mild symptoms but prolonged shedding of viral RNA in feces, suggesting that the fecal–oral route might play a role in virus transmission #CORONAVIRUS” (via @NatureMedicine see Tweet)

 


Podcast: Polycystic Ovary Syndrome

10 Mar, 2020 | 08:35h | UTC

Association Between Renin-Angiotensin System Blockade Discontinuation and All-Cause Mortality Among Persons With Low Estimated Glomerular Filtration Rate – JAMA Internal Medicine (free for a limited period)

Editorial: Continuation of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in the Face of Kidney Disease Progression—Safe and Possibly Life Saving (free for a limited period)

 

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Coronavirus disease 2019 (covid-19): a guide for UK GPs – The BMJ (free)

See also: Latest Research on the COVID-19 Outbreak (free resources)

 

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8 Things to Know About E-cigarettes

6 Mar, 2020 | 10:25h | UTC

Blood pressure in frail older adults: associations with cardiovascular outcomes and all-cause mortality – Age and Ageing (free)

Commentary: Expert reaction to study looking at low blood pressure and mortality in older adults – Science Media Centre (free)

 

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Current and future treatments for tuberculosis – The BMJ (free for a limited period)

 

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Alex Nowbar’s journal reviews, 28 February 2020 – The BMJ Opinion (free)

Alex Nowbar reviews the latest research from the top medical journals.

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Effect of dose and duration of reduction in dietary sodium on blood pressure levels: systematic review and meta-analysis of randomised trials – The BMJ (free)

Commentaries: Further evidence adds weight to call for urgent action on salt targets – George Institute for Global Health (free) AND Cutting salt likely to prevent future heart disease, even if you’re not at risk now – CNN (free)

 

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Former CDC director: A coronavirus pandemic is inevitable. What now? – CNN (free)

Related: Opinion on COVID-19 Outbreak – “Past Time to Tell the Public: “It Will Probably Go Pandemic, and We Should All Prepare Now”” (related opinions on the subject)

See also: Novel Coronavirus Disease (COVID-19) Latest Articles, Guidelines, News & Perspectives / 26 February 2020 Edition (free resources on the subject – updated daily)

 

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Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention – JAMA (free)

Commentary: Study of 72,000 COVID-19 patients finds 2.3% death rate – CIDRAP (free)

 

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Evaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults With Hypertension – JAMA Internal Medicine (free for a limited period)

Commentary: Antihypertensive Prescribing Cascades as High-Priority Targets for Deprescribing – JAMA Internal Medicine (free for a limited period)

 

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Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis – Canadian Medical Association Journal (free)

 

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Past Time to Tell the Public: “It Will Probably Go Pandemic, and We Should All Prepare Now” – Virology Down Under (free)

Related commentaries: Covid-19 now a pandemic, say global experts – RTHK (free) AND Covid-19 is now a pandemic, says Leuven specialist – The Brussels Times (free) AND “We are at a turning point”: The coronavirus outbreak is looking more like a pandemic – Vox (free) AND Understanding pandemics: What they mean, don’t mean, and what comes next with the coronavirus – STAT (free)

Note: As with every article on this website, this is not necessarily an endorsement.

 

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Review: Hip Pain in Children

21 Feb, 2020 | 08:32h | UTC

Daily emollient during infancy for prevention of eczema: the BEEP randomised controlled trial – The Lancet (free)

Related Study: Skin emollient and early complementary feeding to prevent infant atopic dermatitis (PreventADALL): a factorial, multicentre, cluster-randomised trial – The Lancet (link to abstract – $ for full-text)

Commentaries: Emollients for prevention of atopic dermatitis in infancy – The Lancet (free) AND Daily moisturizer does not prevent eczema according to new research – News Medical (free)

 

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