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The Breastfeeding-Friendly Pediatric Office Practice

18 Apr, 2017 | 14:03h | UTC

The Breastfeeding-Friendly Pediatric Office Practice – American Academy of Pediatrics (free)

Source: AAP: Pediatricians Should Support Breastfeeding Moms – MedPage Today (free registration required)

Recent recommendation from another organization: Breastfeeding: Primary Care Interventions – U.S. Preventive Services Task Force (free)

Summary of USPSTF recommendations: Primary Care Interventions to Support Breastfeeding: Recommendation Statement – American Family Physician (free)

The American Academy of Pediatrics and the U.S. Preventive Services Task Force have issued recommendations for promoting and supporting breastfeeding.

 


Tue, Apr 18 – Top 10 Medical News Stories!

18 Apr, 2017 | 00:08h | UTC

 

1 – WHO Approves World’s First-Ever Dengue Vaccine – TIME (free) (RT @Onisillos and @JoanneLiu_MSF)

“For general background take a look at The Lancet Infectious Diseases Dengue series” (all articles are free) (RT @Onisillos see Tweet) 1 – Disease and economic burdens of dengue; 2 – Prevention and control of dengue – the light at the end of the tunnel; and 3 – Dengue: knowledge gaps, unmet needs, and research priorities

“World Health Organization Approves Dengue Vaccine: still lots of challenges ahead: it needs three injections & price” (RT @JoanneLiu_MSF see Tweet)

 

2 – Changes in the Employment Status and Risk of Stroke and Stroke Types – Stroke (Free PDF)

News release: Japanese study: Unemployment may increase stroke risk – American Heart Association News

Source: STAT Newsletter

 

3 – Non-Small Cell Lung Cancer – NCCN Clinical Practice Guidelines in Oncology (free)

 

4 – New drugs, new toxicities: severe side effects of modern targeted and immunotherapy of cancer and their management – Critical Care (free)

Source: Critical Care Reviews Newsletter

 

5 – The Cost of Not Taking Your Medicine – The New York Times (10 articles per month are free)

According to the commentary, the lack of adherence to prescribed medications is estimated to cause approximately 125.000 deaths, at least 10 percent of hospitalizations and cost the American health care system between $100 billion and $289 billion a year.

 

6 – Too Clean for Our Children’s Good? – The New York Times (10 articles per month are free)

According to the “hygiene hypothesis”, some exposure to germs and microorganisms might be good for us because it helps develop the immune system. 

 

7 – The Breastfeeding-Friendly Pediatric Office Practice – American Academy of Pediatrics (free)

Source: AAP: Pediatricians Should Support Breastfeeding Moms – MedPage Today (free registration required)

Recent recommendation from another organization: Breastfeeding: Primary Care Interventions – U.S. Preventive Services Task Force (free)

Summary of USPSTF recommendations: Primary Care Interventions to Support Breastfeeding: Recommendation Statement – American Family Physician (free)

The American Academy of Pediatrics and the U.S. Preventive Services Task Force have issued recommendations for promoting and supporting breastfeeding.

 

8 – Association Between Hospitals’ Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program – JAMA Internal Medicine (link to abstract – $ for full-text)

Sources: Value-Based Reforms Linked to Readmission Reductions – Medscape (free registration required) AND Richard Lehman’s weekly review (free – see below)

A program of incentives (Medicare Hospital Readmission Reduction Program in the US) was effective in reducing 30 day readmissions following infarction, heart failure, and pneumonia.

 

9 – Richard Lehman’s weekly review of medical journals, 17 April 2017 – The BMJ Blogs (free)

 

10 – Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE) – The BMJ (free)

See also: Insulin pump didn’t improve glycemic control compared to training on injections – ACP Diabetes Monthly (free)

 


Value-Based Reforms Linked to Readmission Reductions

18 Apr, 2017 | 14:02h | UTC

Association Between Hospitals’ Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program – JAMA Internal Medicine (link to abstract – $ for full-text)

Sources: Value-Based Reforms Linked to Readmission Reductions – Medscape (free registration required) AND Richard Lehman’s weekly review(free – see below)

A program of incentives (Medicare Hospital Readmission Reduction Program in the US) was effective in reducing 30 day readmissions following infarction, heart failure, and pneumonia.

 


Insulin pump didn’t improve glycemic control compared to training on injections

18 Apr, 2017 | 13:58h | UTC

Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE) – The BMJ (free)

See also: Insulin pump didn’t improve glycemic control compared to training on injections – ACP Diabetes Monthly (free)

 


Too Clean for Our Children’s Good?

18 Apr, 2017 | 14:04h | UTC

Too Clean for Our Children’s Good? – The New York Times (10 articles per month are free)

According to the “hygiene hypothesis”, some exposure to germs and microorganisms might be good for us because it helps develop the immune system. 

 


Diagnosis and management of psoriasis

17 Apr, 2017 | 13:52h | UTC

Diagnosis and management of psoriasis – Canadian Family Physician (free)

 


Amsterdam’s solution to the obesity crisis: no fruit juice and enough sleep

17 Apr, 2017 | 13:55h | UTC

Amsterdam’s solution to the obesity crisis: no fruit juice and enough sleep – The Guardian (free) (RT @DrAseemMalhotra see Tweet)

“The city is successfully fighting fat by promoting tap water in its schools, along with healthy cooking classes and a ban on fast food sponsorship”

 


New drugs, new toxicities: severe side effects of modern targeted and immunotherapy of cancer and their management

18 Apr, 2017 | 14:05h | UTC

New drugs, new toxicities: severe side effects of modern targeted and immunotherapy of cancer and their management – Critical Care (free)

Source: Critical Care Reviews Newsletter

 


Mon, Apr 17 – Top 10 Medical News Stories!

17 Apr, 2017 | 02:01h | UTC

 

1 – Hospital costs in relation to body-mass index in 1.1 million women in England: a prospective cohort study – The Lancet (free)

Related commentary: The costs of overweight – The Lancet (free)

“Every 2 kg/m2 increase in BMI associated with a 7.4% increase in annual hospital costs” (RT @ZaherToumi see Tweet)

 

2 – Can machine-learning improve cardiovascular risk prediction using routine clinical data? – PLOS One (free)

See also: Self-taught artificial intelligence beats doctors at predicting heart attacks – Science (free)

“When expert MD guidelines are outperformed by machine learning for heart risk prediction” (RT @EricTopol see Tweet)

 

3 – A New, More Rigorous Study Confirms: The More You Use Facebook, the Worse You Feel – Harvard Business Review (free) (RT @EricTopol see Tweet)

Original article abstract ($ for full-text): Association of Facebook Use With Compromised Well-Being: A Longitudinal Study – American Journal of Epidemiology

 

4 – Amsterdam’s solution to the obesity crisis: no fruit juice and enough sleep – The Guardian (free) (RT @DrAseemMalhotra see Tweet)

“The city is successfully fighting fat by promoting tap water in its schools, along with healthy cooking classes and a ban on fast food sponsorship”

 

5 – The Ebola outbreak, 2013–2016: old lessons for new epidemics – Philosophical Transactions of the Royal Society B (free) (RT @royalsociety see Tweet)

This article is part of the themed issue ‘The 2013–2016 West African Ebola epidemic: data, decision-making and disease control’ (all articles are free)

Comprehensive review of the latest Ebola outbreak with lessons learned and recommendations for future epidemics.

 

6 – Integrating Clinical Research into Epidemic Response: The Ebola Experience (2017) – National Academies of Sciences, Engineering, and Medicine (Free Download – PDF)

Source: New report charts ways to expedite critical research during epidemics – STAT News (free)

 

7 – Yellow Fever – Once Again on the Radar Screen in the Americas – New England Journal of Medicine (free)

See also: Is Yellow Fever Knocking At Our Door? – NPR (free) AND ‘We didn’t expect this’: A historic yellow fever outbreak spreads in Brazil – STAT News (free)

 

8 – CSH (Chinese Society of Hepatology) guidelines for the diagnosis and treatment of drug-induced liver injury (free)

 

9 – Life after breast, prostate, and colon cancer: Primary care’s role – Cleveland Clinic Journal of Medicine (free)

 

10 – Diagnosis and management of psoriasis – Canadian Family Physician (free)

 


Association of Facebook Use With Compromised Well-Being

17 Apr, 2017 | 13:56h | UTC

A New, More Rigorous Study Confirms: The More You Use Facebook, the Worse You Feel – Harvard Business Review (free) (RT @EricTopol see Tweet)

Original article abstract ($ for full-text): Association of Facebook Use With Compromised Well-Being: A Longitudinal Study – American Journal of Epidemiology

 


Can machine-learning improve cardiovascular risk prediction using routine clinical data?

17 Apr, 2017 | 13:57h | UTC

Can machine-learning improve cardiovascular risk prediction using routine clinical data? – PLOS One (free)

See also: Self-taught artificial intelligence beats doctors at predicting heart attacks – Science (free)

“When expert MD guidelines are outperformed by machine learning for heart risk prediction” (RT @EricTopol see Tweet)

 


Increase in water and sanitation investment required to meet development targets

14 Apr, 2017 | 16:26h | UTC

Radical increase in water and sanitation investment required to meet development targets – World Health Organization (free)

See also: WHO’s work on water, sanitation and hygiene (free) AND WHO’s work on public health, environment and social determinants of health(free)

 


Life after breast, prostate, and colon cancer: Primary care’s role

17 Apr, 2017 | 13:53h | UTC

Life after breast, prostate, and colon cancer: Primary care’s role – Cleveland Clinic Journal of Medicine (free)

 


Banning trans fats in New York prevented thousands of heart attacks

13 Apr, 2017 | 16:08h | UTC

Hospital Admissions for Myocardial Infarction and Stroke Before and After the Trans-Fatty Acid Restrictions in New York – JAMA Cardiology (link to abstract – $ for full-text)

Sources: Banning trans fats in New York prevented thousands of heart attacks, study finds – STAT News (free) AND Trans Fat Bans Tied to Fewer Heart Attacks and Strokes – The New York Times (10 articles per month are free)

Other localities might consider doing the same as well.

 


Guidelines for the diagnosis and treatment of drug-induced liver injury

17 Apr, 2017 | 13:54h | UTC

CSH (Chinese Society of Hepatology) guidelines for the diagnosis and treatment of drug-induced liver injury (free)

 


Screening for Endocrine Hypertension

14 Apr, 2017 | 16:27h | UTC

Screening for Endocrine Hypertension: An Endocrine Society Scientific Statement (free)

Source: Screen for Endocrine Hypertension, Endocrine Society Says – Medscape (free registration required)

“The statement provides guidance on screening for 15 hormonal disorders that present with hypertension and that can be potentially cured with surgery or treated with medication” (from Medscape commentary above).

 


Recorded childhood cancers rise by 13% worldwide

14 Apr, 2017 | 16:11h | UTC

Recorded childhood cancers rise by 13% worldwide, study finds – The Guardian (free)

Original articles: International incidence of childhood cancer, 2001–10: a population-based registry study – The Lancet Oncology (free) ANDWorldwide comparison of survival from childhood leukaemia for 1995–2009, by subtype, age, and sex (CONCORD-2): a population-based study of individual data for 89 828 children from 198 registries in 53 countries – The Lancet Haematology (free) Related commentary: Issues raised by the incidence and survival of childhood cancers (free)

 


European Association of Urology releases its 1st thromboprophylaxis guideline

14 Apr, 2017 | 16:10h | UTC

European Association of Urology releases its 1st thromboprophylaxis guideline (free)

 

Procedure-specific Risks of Thrombosis and Bleeding in Urological Cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended thromboprophylaxis is warranted in some procedures (eg, open and robotic cystectomy) but not others (eg, robotic prostatectomy without pelvic lymph node dissection in low-risk patients)

 

Procedure-specific Risks of Thrombosis and Bleeding in Urological Non-cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended prophylaxis is warranted for some procedures (eg, kidney transplantation procedures in high-risk patients) but not others (transurethral resection of the prostate and reconstructive female pelvic surgery in low-risk patients)”

 


Fri, Apr 14 – 10 Medical Stories of The Day!

14 Apr, 2017 | 00:18h | UTC

 

1 – Mortality and Cardiovascular Disease in Type 1 and Type 2 Diabetes – New England Journal of Medicine (link to abstract – $ for full-text)

Quick Take Video Summary: Mortality and Cardiovascular Disease in Diabetes (free)

Large cohort showing the long-term cardiovascular outcomes in patients with diabetes.

 

2 – Ten years in public health 2007-2017 – World Health Organization (free)

WHO has launched a report that chronicles the evolution of global public health over the last decade. The first chapter examines WHO’s key role in promoting universal health coverage (free). The full series will be published over the next 6 weeks.

 

3 – Radical increase in water and sanitation investment required to meet development targets – World Health Organization (free)

See also: WHO’s work on water, sanitation and hygiene (free) AND WHO’s work on public health, environment and social determinants of health (free)

 

4 – Screening for Endocrine Hypertension: An Endocrine Society Scientific Statement (free)

Source: Screen for Endocrine Hypertension, Endocrine Society Says – Medscape (free registration required)

“The statement provides guidance on screening for 15 hormonal disorders that present with hypertension and that can be potentially cured with surgery or treated with medication” (from Medscape commentary above).

 

5 – European Association of Urology releases its 1st thromboprophylaxis guideline (free)

 

6 – Procedure-specific Risks of Thrombosis and Bleeding in Urological Cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended thromboprophylaxis is warranted in some procedures (eg, open and robotic cystectomy) but not others (eg, robotic prostatectomy without pelvic lymph node dissection in low-risk patients)

 

7 – Procedure-specific Risks of Thrombosis and Bleeding in Urological Non-cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended prophylaxis is warranted for some procedures (eg, kidney transplantation procedures in high-risk patients) but not others (transurethral resection of the prostate and reconstructive female pelvic surgery in low-risk patients)”

 

8 – Four reasons why we shouldn’t forget about Zika – The Conversation (free)

 

9 – Recorded childhood cancers rise by 13% worldwide, study finds – The Guardian (free)

Original articles: International incidence of childhood cancer, 2001–10: a population-based registry study – The Lancet Oncology (free) AND Worldwide comparison of survival from childhood leukaemia for 1995–2009, by subtype, age, and sex (CONCORD-2): a population-based study of individual data for 89 828 children from 198 registries in 53 countries – The Lancet Haematology (free) Related commentary: Issues raised by the incidence and survival of childhood cancers (free)

 

10 – ASCO has just published 3 guidelines on the management of pancreatic cancer:

1 – Potentially Curable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (free) AND 2 – Metastatic Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Summary (free) AND 3 – Locally Advanced Unresectable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Summary (free)

 


ASCO has just published 3 guidelines on the management of pancreatic cancer

14 Apr, 2017 | 16:13h | UTC

ASCO has just published 3 guidelines on the management of pancreatic cancer:

1 – Potentially Curable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (free) AND 2 – Metastatic Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Summary (free) AND 3 – Locally Advanced Unresectable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Summary (free)

 


Screening to Prevent Invasive Cervical Cancer Guideline

13 Apr, 2017 | 16:03h | UTC

Screening to Prevent Invasive Cervical Cancer: ASCO Resource-Stratified Clinical Practice Guideline (free)

“The ASCO guidelines outline the minimum standards for HPV-based screening for each resource strata; additional and more frequent screening may be added as the resources become available”.

 


Ten years in public health 2007-2017 – World Health Organization

14 Apr, 2017 | 16:25h | UTC

Ten years in public health 2007-2017 – World Health Organization (free)

WHO has launched a report that chronicles the evolution of global public health over the last decade. The first chapter examines WHO’s key role in promoting universal health coverage (free). The full series will be published over the next 6 weeks.

 


Childhood cancers: 2 new studies on international incidence and survival

13 Apr, 2017 | 16:05h | UTC

Childhood cancers: 2 new studies on international incidence and survival (RT @TheLancet see Tweet)

Childhood cancer: International incidence of childhood cancer, 2001–10: a population-based registry study – The Lancet Oncology (free)

Childhood leukemia: Worldwide comparison of survival from childhood leukaemia for 1995–2009, by subtype, age, and sex (CONCORD-2): a population-based study of individual data for 89 828 children from 198 registries in 53 countries – The Lancet Haematology (free)

Related commentary: Issues raised by the incidence and survival of childhood cancers (free)

 


Thu, Apr 13 – 10 Medical Stories of The Day!

13 Apr, 2017 | 00:01h | UTC

 

1 – Hospital Admissions for Myocardial Infarction and Stroke Before and After the Trans-Fatty Acid Restrictions in New York – JAMA Cardiology (link to abstract – $ for full-text)

Sources: Banning trans fats in New York prevented thousands of heart attacks, study finds – STAT News (free) AND Trans Fat Bans Tied to Fewer Heart Attacks and Strokes – The New York Times (10 articles per month are free)

Other localities might consider doing the same as well.

 

2 – Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study – The BMJ (free)

Corticosteroids, even if used for short periods of time, seems to be associated with significant morbidity and mortality. In this retrospective cohort with 1.5 million adults, the incidence of acute adverse events (sepsis, venous thromboembolism, fracture) increased by twofold to fivefold above background rates.

 

3 – Prostate Cancer Screening – Conflicting views on the new USPSTF draft recommendations

In favor of screening: New Official Prostate Cancer Screening Guidelines Announced: Too Little, Too Late? – Forbes (free) AND Federal Task Force Softens Opposition To Routine Prostate Cancer Screening – NPR

Against screening: The new recommendations for prostate cancer screenings are a bad deal – STAT News (free)

See also: Original USPSTF draft recommendations and related commentaries in yesterday’s issue

 

4 – Childhood cancers: 2 new studies on international incidence and survival (RT @TheLancet see Tweet)

Childhood cancer: International incidence of childhood cancer, 2001–10: a population-based registry study – The Lancet Oncology (free)

Childhood leukemia: Worldwide comparison of survival from childhood leukaemia for 1995–2009, by subtype, age, and sex (CONCORD-2): a population-based study of individual data for 89 828 children from 198 registries in 53 countries – The Lancet Haematology (free)

Related commentary: Issues raised by the incidence and survival of childhood cancers (free)

 

5 – Screening to Prevent Invasive Cervical Cancer: ASCO Resource-Stratified Clinical Practice Guideline (free)

“The ASCO guidelines outline the minimum standards for HPV-based screening for each resource strata; additional and more frequent screening may be added as the resources become available”.

 

6 – Potentially Curable Pancreatic Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (free)

Due to a recent study showing a 2,5 month increase in median overall survival, the doublet regimen of gemcitabine and capecitabine seems to be preferred in the absence of concerns for toxicity or tolerance.

 

7 – The Patients Were Saved. That’s Why the Families Are Suing – The New York Times (free)

“Historically, the practice has been “if in doubt, err on the side of aggressive, life-sustaining treatment,””. That might be changing.

 

8 – Famine now threatens 20 million people – more than at any time since World War II – Washington Post (RT @AthaliaChristie and @wpjenna)

 

9 – Why Chinese Scientists Are More Worried Than Ever About Bird Flu – NPR Goats and Soda

Source: Global Health NOW Newsletter

H7N9 is a very deadly virus, killing around a third of the people who have contracted it. The virus has proved an ability to mutate quickly and researchers are concerned that a future mutation could make them to spread more easily among humans.

 

10 – Fresh fruit consumption in relation to incident diabetes and diabetic vascular complications: A 7-y prospective study of 0.5 million Chinese adults – PLOS Medicine (free)

Source: Fresh Fruit Protects Against Diabetes, Complications – MedPage Today (free registration required)

 


Prostate Cancer Screening – Conflicting views on the new USPSTF draft recommendations

13 Apr, 2017 | 16:06h | UTC

Prostate Cancer Screening – Conflicting views on the new USPSTF draft recommendations

In favor of screening: New Official Prostate Cancer Screening Guidelines Announced: Too Little, Too Late? – Forbes (free) AND Federal Task Force Softens Opposition To Routine Prostate Cancer Screening – NPR

Against screening: The new recommendations for prostate cancer screenings are a bad deal – STAT News (free)

See also: Original USPSTF draft recommendations and related commentaries in yesterday’s issue

 


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