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An early invasive strategy does not reduce mortality compared with a delayed invasive strategy in most patients with NSTE-ACS, but seems to reduce mortality in high-risk patients.

Commentaries: Raw milk: a superfood or super risky? – The Guardian (free) AND Raw milk and cheese cause 840 times more illnesses than pasteurized products – STAT News (free)

3 – State of The Art Review: Advances in the diagnosis of pneumonia in children – The BMJ (free)

4 – Longer sleep is associated with lower BMI and favorable metabolic profiles in UK adults: Findings from the National Diet and Nutrition Survey – PLOS One (free)

Commentary: Short sleep linked to body mass, waist size – Reuters Health (free)

5 – simple guide to CRISPR, one of the biggest science stories of the decade – VOX (free) (RT @Students4BE see Tweet)

6 – Association of Resistance Exercise, Independent of and Combined With Aerobic Exercise, With the Incidence of Metabolic Syndrome – Mayo Clinic Proceedings (free)

Commentaries: Metabolic syndrome: An hour of resistance training per week may cut risk – Medical News Today (free) AND Resistance Training Tied to Lower Risk for Metabolic Syndrome – Physician’s First Watch (free)

7 – Factors Associated With Achieving a Body Mass Index of Less Than 30 After Bariatric Surgery – JAMA Surgery (link to abstract – $ for full-text)

Commentaries: Opting for Weight-Loss Surgery at Lower BMIs May Be Best for Patients’ Health, Study Suggests – University of Michigan, via NewsWise (free) AND Delayed Weight Loss Surgery Tied to Worse Outcomes – MedPage Today (free registration required) AND Weight-loss surgery may work better when patients aren’t too obese – Reuters (free) AND With bariatric surgery, a patient’s starting weight makes a difference, study finds – STAT (free)

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

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

9 – Review: Environmental/lifestyle factors in the pathogenesis and prevention of type 2 diabetes – BMC Medicine (free)

10 – Review: Subclinical thyrotoxicosis: prevalence, causes and choice of therapy – European Journal of Endocrinology (free)

Wed, August 9 – 10 Stories of The Day!

9 Aug, 2017 | 01:53h | UTC

1 – New NICE Guideline: Fever in under 5s: assessment and initial management (free)

2 – Interventions during pregnancy and childbirth for preventing cerebral palsy: an overview of Cochrane reviews (free)

3 – Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery – World Journal of Emergency Surgery (free)

4 – Prognostic Factors for Treatment Failure in Acute Otitis Media – Pediatrics (link to abstract – $ for full-text)

Commentaries: Features predicting treatment failure in acute otitis media – 2 Minute Medicine (free) AND Study IDs Children With AOM Who Benefit From Antibiotics – Medscape (free registration required)

“Children with severe bulging of the tympanic membrane seem to benefit most from antimicrobial treatment of AOM”

5 – Half of papers searched for online are free to read – Nature News (free)

“Large study of open research analysed reader data from Unpaywall tool, which finds freely available versions of articles”.

6 – Expansion of Treatment for Hepatitis C Virus Infection by Task Shifting to Community-Based Nonspecialist Providers: A Nonrandomized Clinical Trial – Annals of Internal Medicine (free)

Commentaries: Nonspecialists Could Safely Provide Hepatitis C Care – Physician’s First Watch (free) AND HCV treatment by NPs, PCPs appears safe, effective as that provided by subspecialists – ACP Internist (free)

“Expansion of Treatment for HCV Infection by Task Shifting to Community-Based Nonspecialists” (RT @kennylinafp see Tweet)

7 – ANMCO Scientific Statement: clinical management of hypercholesterolaemia in patients with acute coronary syndromes – European Heart Journal (free)

8 – Opinion: How Low Is Too Low With Salt in Heart Failure? Randomized Studies Needed to Resolve Concern – Circulation (free)

See more on sodium intake and cardiovascular disease in our July 11^th issue (see #1)

9 – Association of Estimated Sodium Intake With Adverse Cardiac Structure and Function – Journal of The American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Typical adults eat enough salt to damage heart – Reuters (free) AND High Dietary Sodium Linked to Subclinical Cardiac Dysfunction – Medscape (free registration required)

10 – How long should I take antibiotics? Exploring the Goldilocks problem – Robin Centor in KevinMD.com Blog (free)

Richard Lehman’s journal review, 7 August 2017

7 Aug, 2017 | 22:00h | UTC

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

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

Subclinical thyrotoxicosis: prevalence, causes and choice of therapy

7 Aug, 2017 | 22:01h | UTC

10 – Review: Subclinical thyrotoxicosis: prevalence, causes and choice of therapy – European Journal of Endocrinology (free)

Mon, August 7 – 10 Stories of The Day!

7 Aug, 2017 | 01:14h | UTC

1 – Guideline: Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition – National Institute for Health and Care Excellence (NICE – UK) (free)

2 – Free online courses starting today:

– Community Change in Public Health – Johns Hopkins University and Coursera

– Health for All Through Primary Health Care – Johns Hopkins University and Coursera

– Global Health at the Human-Animal-Ecosystem Interface – University of Geneva and Coursera

– Childbirth: A Global Perspective – Emory University and Coursera

– An Introduction to Population Health – University of Manchester and Coursera

– Global Adolescent Health – University of Melbourne and Coursera

– Positive Psychiatry and Mental Health – University of Sidney and Coursera

3 – ANMCO Position Paper: long-term follow-up of patients with pulmonary thromboembolism – European Heart Journal (free)

4 – Too Many Meds? America’s Love Affair With Prescription Medication – Consumer Reports (free)

See more on “Deprescribing” in our May 8^th issue (see #4), May 9^th issue (see #7) and May 15^th issue (see #2), and also a related article on Current and future perspectives on the management of polypharmacy (free)

“Yes. Way Too Many Meds. Think De-prescribe”. (RT @EricTopol see Tweet)

5 – Design Thinking for Doctors and Nurses – New York Times (10 articles per month are free)

6 – Have Smartphones Destroyed a Generation? – The Atlantic (free)

Long read… very interesting.

7 – A comprehensive guide to the new science of treating lower back pain – VOX (free)

“Mainstream medicine has failed people with chronic back pain”

8 – Modifiable Risk Factors for Incident Heart Failure in Atrial Fibrillation – Journal of The American College of Cardiology (link to abstract – $ for full-text)

Commentary: Risk for Incident Heart Failure in Atrial Fibrillation – American College of Cardiology, Latest in Cardiology (free)

“Lose weight, treat hypertension & diabetes, stop smoking: That’s how we might prevent heart failure” (RT @JACCJournals see Tweet)

9 – 2017 consensus of the Asia Pacific Heart Rhythm Society on stroke prevention in atrial fibrillation – Journal of Arrhythmia (free)

10 – The global crackdown on parents who refuse vaccines for their kids has begun – VOX (free)

See more on mandatory vaccination in our May 29^th (see #6) and July 12^th (see #5) issues

“Countries like Italy and Australia are tired of measles outbreaks — so they’re moving to fine anti-vaccine parents”.

Raw milk and cheese cause 840 times more illnesses than pasteurized products

7 Aug, 2017 | 21:56h | UTC

Commentaries: Raw milk: a superfood or super risky? – The Guardian (free) AND Raw milk and cheese cause 840 times more illnesses than pasteurized products – STAT News (free)

Long-term follow-up of patients with pulmonary thromboembolism

7 Aug, 2017 | 01:11h | UTC

ANMCO Position Paper: long-term follow-up of patients with pulmonary thromboembolism – European Heart Journal (free)

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