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Richard Lehman’s journal reviews – 19 February 2018

22 Feb, 2018 | 23:24h | UTC

Richard Lehman’s journal reviews, 19 February 2018 – The BMJ Opinion (free)

Richard Lehman reviews the latest research in the top medical journals.

 


Guideline for Prescribing Medical Cannabinoids in Primary Care

22 Feb, 2018 | 23:22h | UTC

Simplified guideline for prescribing medical cannabinoids in primary care – Canadian Family Physician (free)

Commentary: New guideline warns pain benefits of medical cannabis overstated – University of Alberta Faculty of Medicine & Dentistry, via ScienceDaily (free)

 


Research: Incidence, Etiology, and Outcomes of Community-Acquired Pneumonia

22 Feb, 2018 | 23:23h | UTC

Incidence, Etiology, and Outcomes of Community-Acquired Pneumonia: A Population-Based Study – Open Forum Infectious Diseases (free)

“Aside from the rare extra-pulmonary manifestations of mycoplasma (e.g., rashes, hemolysis, neurologic complications), do any of the many causes of pneumonia have distinctive clinical presentations? Probably not”. (via @PaulSaxMD see Tweet)

 


Interim Estimates of 2017–18 Seasonal Influenza Vaccine Effectiveness

22 Feb, 2018 | 23:20h | UTC

Interim Estimates of 2017–18 Seasonal Influenza Vaccine Effectiveness — United States, February 2018 – MMWR, Centers for Disease Control and Prevention (free)

Commentaries: US study finds 36% flu vaccine protection, 25% against H3N2 – CIDRAP (free) AND Three-quarters of people who got flu shot this year weren’t protected against most common strain – STAT (free)

 


Research: Systolic Blood Pressure and Outcomes in Patients With Heart Failure With Preserved Ejection Fraction

22 Feb, 2018 | 23:21h | UTC

Systolic Blood Pressure and Outcomes in Patients With Heart Failure With Preserved Ejection Fraction – JAMA Cardiology (link to abstract – $ for full-text)

Commentaries: Aggressive Systolic Blood Pressure Control In Older Patients With HFpEF Should Be Avoided – MedicalResearch.com (free) AND Low blood pressure linked to worse outcomes in HFpEF patients – Cardiovascular Business (free)

“A systolic blood pressure level of less than 120 mm Hg identifies patients with heart failure with preserved ejection fraction at higher risk for short- and long-term mortality and emphasizes the need for future prospective studies to evaluate optimal systolic blood pressure treatment goals in this patient population”.

 


Editorial: Vitamin D Screening and Supplementation in Primary Care

22 Feb, 2018 | 23:21h | UTC

Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm – American Family Physician (free)

Related: Your vitamin D tests and supplements are probably a waste of money – VOX (free) AND Why Are So Many People Popping Vitamin D? – The New York Times (free)

 


Expert opinion: ‘UTI’ an overused diagnosis in the era of the microbiome

22 Feb, 2018 | 23:18h | UTC

‘UTI’ an overused diagnosis in the era of the microbiome – ACP Hospitalist (free)

 


Review: Delirium in the Cardiac Intensive Care Unit

22 Feb, 2018 | 23:19h | UTC

Delirium in the Cardiac Intensive Care Unit – Journal of the American Heart Association (free)

Source: Critical Care Reviews Newsletter

 


New Choosing Wisely Lists in Pediatrics: Things Physicians and Patients Should Question

22 Feb, 2018 | 23:19h | UTC

New Choosing Wisely Lists in Pediatrics: Four Things Physicians and Patients Should Question in Pediatric Infectious Diseases and Medical Microbiology – Choosing Wisely Canada (free) AND Five Things Physicians and Patients Should Question in Pediatric Orthopedics – Choosing Wisely U.S. (free)

Related: The Choosing Wisely initiative was launched 5 years ago, and now has over 490 recommendations from 18 countries (free)

See complete lists from Choosing Wisely U.S., Choosing Wisely UK, Choosing Wisely Australia AND Choosing Wisely Canada

 


Wanted: a WhatsApp alternative for clinicians

22 Feb, 2018 | 23:17h | UTC

Technology: Wanted: a WhatsApp alternative for clinicians – The BMJ Opinion (free)

 


Meta-Analysis: Effects of uric acid-lowering therapy in patients with chronic kidney disease

22 Feb, 2018 | 23:05h | UTC

Effects of uric acid-lowering therapy in patients with chronic kidney disease: A meta-analysis – PLOS One (free)

Commentary: Gout medication may slow progression of chronic kidney disease – NIHR Signal (free)

 


Draft Recommendation: Behavioral Interventions for Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults

22 Feb, 2018 | 23:07h | UTC

Draft Recommendation Statement: Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions – U.S. Preventive Services Task Force (free)

Commentaries: USPSTF Again Recommends Offering Behavioral Interventions to Obese Adults – Physician’s First Watch (free) AND USPSTF Posts Draft Recs for Treatment of Adults With Obesity – Medscape (free registration required) AND USPSTF: ‘Yes’ To Behavioral Obesity Therapy – MedPage Today (free)

 


Research: Breast Biopsy Intensity and Findings Following Breast Cancer Screening in Women With and Without a Personal History of Breast Cancer

22 Feb, 2018 | 23:17h | UTC

Breast Biopsy Intensity and Findings Following Breast Cancer Screening in Women With and Without a Personal History of Breast Cancer – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Breast MRIs may lead to more biopsies that catch fewer cancers – Reuters (free) AND MRI-Based Breast Screening Leads to More Biopsies, Lower Cancer Yields – Physician’s First Watch (free)

 


Research: Takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity in children aged 9–10 years

22 Feb, 2018 | 23:05h | UTC

Takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity in children aged 9–10 years: a cross-sectional study – Archives of Disease in Childhood (free)

Commentaries: Takeaways linked to increased cardiovascular risk factors and obesity in children – NIHR Signal (free) AND Takeout Food May Increase Adverse Health Consequences in Children – Endocrinology Advisor (free)

 


Review: Breast Cancer and Cardiovascular Disease

22 Feb, 2018 | 23:02h | UTC

The connection between the breast and heart in a woman: Breast cancer and cardiovascular disease – Clinical Cardiology (free)

Related position statement: Cardiovascular Disease and Breast Cancer: Where These Entities Intersect: A Scientific Statement From the American Heart Association – Circulation (free PDF)

 


Guideline: Modern Diagnosis of GERD

22 Feb, 2018 | 23:04h | UTC

Modern diagnosis of GERD: the Lyon Consensus – Gut (free)

 


Research: Night Shift Work, Genetic Risk, and Type 2 Diabetes

22 Feb, 2018 | 23:03h | UTC

Night Shift Work, Genetic Risk, and Type 2 Diabetes in the UK Biobank – Diabetes Care (link to abstract – $ for full-text)

Commentaries: Irregular or Rotating Night Shifts Linked To Increased Risk of Diabetes – MedicalResearch.com (free) AND New study explores connection between shift work and type 2 diabetes – MedicalResearch.com (free) Working Nights May Raise Diabetes Risk – The New York Times (10 articles per month are free)

 


Sepsis – thoughtful management for the non-expert

22 Feb, 2018 | 23:01h | UTC

Sepsis – thoughtful management for the non-expert – Clinical Medicine (free)

Source: Critical Care Reviews Newsletter

 


Up-Streamism: Health in the 21st Century

22 Feb, 2018 | 23:00h | UTC

Up-Streamism: Health in the 21st Century – NEJM Catalyst (free)

 


Viewpoint: The Importance of Contact Precautions for Endemic Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococci

22 Feb, 2018 | 23:01h | UTC

Viewpoint: The Importance of Contact Precautions for Endemic Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococci – JAMA (free for a limited period)

 


Meta-Analysis: Lithium vs Other Mood Stabilizers in Monotherapy and in Combinations

22 Feb, 2018 | 22:59h | UTC

Effectiveness of maintenance therapy of lithium vs other mood stabilizers in monotherapy and in combinations: a systematic review of evidence from observational studies – Bipolar Disorders (free)

 


Global cancer control: responding to the growing burden, rising costs and inequalities in access

22 Feb, 2018 | 22:58h | UTC

Global cancer control: responding to the growing burden, rising costs and inequalities in access – ESMO Open (free)

 


FDA authorizes marketing of first blood test to aid in the evaluation of concussion in adults

22 Feb, 2018 | 22:58h | UTC

FDA authorizes marketing of first blood test to aid in the evaluation of concussion in adults – FDA News Release (free)

Commentary: FDA approves first blood test to aid in diagnosis of concussions – STAT (free)

 


Research: Beta-blocker Therapy and Clinical Outcomes in Patients with Moderate COPD and Heightened Cardiovascular Risk

22 Feb, 2018 | 22:55h | UTC

Beta-blocker Therapy and Clinical Outcomes in Patients with Moderate COPD and Heightened Cardiovascular Risk: An Observational Sub-study of SUMMIT – Annals of the American Thoracic Society (link to abstract – $ for full-text)

Related review and meta-analysis: Beta-blockers in patients with chronic obstructive disease and coexistent cardiac illnesses – COPD Research and Practice (free) AND Beta-blocker use and COPD mortality: a systematic review and meta-analysis – BMC Pulmonary Medicine (free)

Related observational studies: β-Blockers in COPD: A Cohort Study From the TONADO Research Program – CHEST (free) AND Effect of β blockers in treatment of chronic obstructive pulmonary disease: a retrospective cohort study – The BMJ (free)

Commentary: Beta-blockers may not change COPD lung function – Univadis (free registration required)

 


Guideline: Responsibilities of the Occupational and Environmental Medicine Provider in the Treatment and Prevention of Climate Change-Related Health Problems

22 Feb, 2018 | 22:54h | UTC

Responsibilities of the Occupational and Environmental Medicine Provider in the Treatment and Prevention of Climate Change-Related Health Problems – Journal of Occupational and Environmental Medicine (free)

 


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