Archives
Richard Lehman’s journal reviews – 19 February 2018
22 Feb, 2018 | 23:24h | UTCRichard 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 | UTCCommentary: 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“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 | UTCCommentaries: 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 | UTCSystolic 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 | UTCRelated: 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 | UTCDelirium 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 | UTCNew 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 | UTCTechnology: 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 | UTCCommentary: 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 | UTCDraft 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 | UTCBreast 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 | UTCCommentaries: 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 | UTCRelated 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 | UTCModern diagnosis of GERD: the Lyon Consensus – Gut (free)
Research: Night Shift Work, Genetic Risk, and Type 2 Diabetes
22 Feb, 2018 | 23:03h | UTCNight 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 | UTCSepsis – 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 | UTCUp-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 | UTCViewpoint: 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
Global cancer control: responding to the growing burden, rising costs and inequalities in access
22 Feb, 2018 | 22:58h | UTC
FDA authorizes marketing of first blood test to aid in the evaluation of concussion in adults
22 Feb, 2018 | 22:58h | UTCCommentary: 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 | UTCBeta-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


