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Rising Medical Costs Mean More Rough Times Ahead

25 Jun, 2017 | 16:43h | UTC

JAMA Forum: Rising Medical Costs Mean More Rough Times Ahead (free)

 


Effect of Nebulized Hypertonic Saline Treatment in Emergency Departments on the Hospitalization Rate for Acute Bronchiolitis

25 Jun, 2017 | 16:34h | UTC

Effect of Nebulized Hypertonic Saline Treatment in Emergency Departments on the Hospitalization Rate for Acute Bronchiolitis: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)

Source: No Benefit of Nebulized Hypertonic Saline for Acute Bronchiolitis – Journal Watch ($ resource to find articles of interest)

Hypertonic saline clearly does not have any benefit for bronchiolitis (RT @JAMAPeds see Tweet)

 


Institute for Health Metrics and Evaluation (IHME) 10th anniversary

25 Jun, 2017 | 16:48h | UTC

Video: Institute for Health Metrics and Evaluation (IHME) 10th anniversary

See also: IHME’s work

“If we want to improve global health – we need a map!” Short video summary of @IHME_UW achievements and vision (see Tweet)

 


Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure

25 Jun, 2017 | 14:37h | UTC

Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Do mortality rates differ according to baseline heart rates for those taking beta-blockers? – Cardiovascular Business (free) AND Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure – PracticeUpdate (free registration required)

“In HFrEF, beta blockers reduce mortality – but only for those in sinus rhythm says new work in JACC” (RT @JACCJournals see Tweet)

 


Snakebites Make The List Of ‘Neglected Tropical Diseases’

25 Jun, 2017 | 16:24h | UTC

Snakebites Make The List Of ‘Neglected Tropical Diseases’ – NPR Goats and Soda (free)

 


Diagnostic Accuracy of Fecal Immunochemical Test in Patients at Increased Risk for Colorectal Cancer

25 Jun, 2017 | 14:57h | UTC

Diagnostic Accuracy of Fecal Immunochemical Test in Patients at Increased Risk for Colorectal Cancer: A Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Fecal immunochemical testing demonstrates good diagnostic accuracy for high-risk individuals – 2 minute medicine (free) AND Mixed Results with FIT Screen for High-Risk Colon Cancer – MedPage Today (free registration required)

Interview with the author: Fecal Testing Better At Detecting Colon Cancer Than Advanced Atypical Changes – MedicalResearch.com (free)

“FIT is the best alternative screening strategy for pts at increased risk for CRC who refuse to use colonoscopy” (RT @JAMAInternalMed see Tweet)

 


Chinese courts call for death penalty for researchers who commit fraud

25 Jun, 2017 | 16:15h | UTC

Chinese courts call for death penalty for researchers who commit fraud – STAT News (free)

Related: China cracks down on fake data in drug trials – Nature (free) AND China launches crackdown on academic fraud – Financial Times (a few articles per month are free)

 


Physical activity, cognitive decline, and risk of dementia

25 Jun, 2017 | 16:13h | UTC

Physical activity, cognitive decline, and risk of dementia: 28 year follow-up of Whitehall II cohort study – The BMJ (free)

Commentary: Physical Activity Might Not Ward Off Dementia – Physician’s First Watch (free)

Contradicting previous evidence, this study did not show that physical activity has a protective effect against cognitive decline and dementia.

“Physical activity may not have an impact on your chances of being diagnosed with Alzheimer’s but it will reduce a plethora of other risks…” (RT @KarenAl46890767 see Tweet)

 


Obesity now kills more people worldwide than car crashes, terror attacks, and Alzheimer’s combined

25 Jun, 2017 | 16:20h | UTC

Obesity now kills more people worldwide than car crashes, terror attacks, and Alzheimer’s combined – VOX (free)

See original study on the Global Burden of Obesity and related commentaries in our June 13th issue (see #1)

“Five takeaways from a giant study on an epidemic governments can’t ignore”.

 


New concerns raised over value of genome-wide disease studies

25 Jun, 2017 | 14:00h | UTC

New concerns raised over value of genome-wide disease studies – Nature News (free)

“Large analyses dredge up ‘peripheral’ genetic associations that offer little biological insight, researchers say”.

 


Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia

25 Jun, 2017 | 15:15h | UTC

Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia: A Magnetic Resonance Imaging Study With Application of the Assessment of SpondyloArthritis International Society Classification Criteria – Arthritis Care & Research (link to abstract – $ for full-text)

Commentary: Does Fibromyalgia Mask Spondyloarthritis? – MedPage Today (free registration required)

Small study (99 patients) showed some patients diagnosed with fibromyalgia have imaging changes suggestive of axial Spondyloarthritis, suggesting that Fibromyalgia may mask an underlying Spondyloarthropathy.

 


Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder

25 Jun, 2017 | 14:13h | UTC

KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) (free PDF) (RT @goKDIGO see Tweet)

Executive summary: 2017 KDIGO Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update: what’s changed and why it matters (free PDF)

News release and available resources: CKD-Mineral and Bone Disorder (CKD-MBD) (free)

 


What happens when an expensive drug is approved based on a lower bar of proof?

25 Jun, 2017 | 13:50h | UTC

Insurers Battle Families Over Costly Drug for Fatal Disease – The New York Times (10 articles per month are free)

“A new drug can cost over a million dollars, even though it’s unclear if it works. Now, insurers are refusing to pay” (RT @NYTHealth see Tweet)

 


Interesting initiative for improving quality and reducing readmissions from skilled nursing facilities

25 Jun, 2017 | 14:24h | UTC

Necessity is the mother of invention: an innovative hospitalist-resident initiative for improving quality and reducing readmissions from skilled nursing facilities – Journal of Community Hospital Internal Medicine Perspectives (free) (RT @HMVJC see Tweet)

In this model of care, a hospitalist-led team, including the resident on the geriatrics rotation, followed patients discharged from the hospital to the skilled nursing facility, leading to significant decrease in readmission rates.

 


How app culture is reviving the house call

25 Jun, 2017 | 13:44h | UTC

Doctor on demand: How app culture is reviving the house call – The Washington Post (a few articles per month are free)

 


ACG and CAG Clinical Guideline: Management of Dyspepsia

23 Jun, 2017 | 18:40h | UTC

ACG and CAG Clinical Guideline: Management of Dyspepsia – American College of Gastroenterology and Canadian Association of Gastroenterology (free PDF)

 


Topical antimicrobial agents for treating foot ulcers in people with diabetes

25 Jun, 2017 | 13:56h | UTC

Topical antimicrobial agents for treating foot ulcers in people with diabetes – Cochrane Library (link to summary – & for full-text)

“Topical antimicrobial dressing may increase foot ulcer healing in people with diabetes” (RT @CochraneUK see Tweet)

 


Trans-catheter aortic valve implantation

23 Jun, 2017 | 20:38h | UTC

Review: Trans-catheter aortic valve implantation: Contemporary practice and the future – Cardiology Journal (free)

 


Effectiveness of conservative interventions in adults with shoulder impingement

23 Jun, 2017 | 20:41h | UTC

Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs – British Journal of Sports Medicine (free)

 


Personalized radiotherapy for invasive breast cancer in 2017

23 Jun, 2017 | 18:46h | UTC

Personalized radiotherapy for invasive breast cancer in 2017: National S3 guidelines and DEGRO and AGO recommendations – German Cancer Society (free)

 


Everolimus-Eluting Bioresorbable Scaffolds Versus Everolimus-Eluting Metallic Stents

23 Jun, 2017 | 21:10h | UTC

Everolimus-Eluting Bioresorbable Scaffolds Versus Everolimus-Eluting Metallic Stents – Journal of the American College of Cardiology (free) (RT @JACCJournals see Tweet)

In this meta-analysis including 7 randomized trials bioresorbable vascular scaffolds were associated with both lower efficacy and higher thrombotic risk over time.

 


Targeted temperature management in the ICU

23 Jun, 2017 | 20:36h | UTC

Targeted temperature management in the ICU: guidelines from a French expert panel – Annals of Intensive Care (free)

 


Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers

23 Jun, 2017 | 14:41h | UTC

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers – Medscape (free registration required)

Unpublished results, presented at the 13th World Congress of Biological Psychiatry, suggesting baclofen is an effective alternative for high-risk alcohol consumption.

 


Guidelines for the Management of Cancer of the Colon, Rectum and Anus

23 Jun, 2017 | 18:32h | UTC

Special Issue – Homepage: Association of Coloproctology of Great Britain & Ireland (ACPGBI): Guidelines for the Management of Cancer of the Colon, Rectum and Anus (2017)

 

1 – Introduction (free)

2 – Diagnosis, Investigations and Screening (free)

3 – Surgical Management (free)

4 – Multidisciplinary Management (free)

5 – Follow Up, Lifestyle and Survivorship (free)

6 – Audit and Outcome Reporting (free)

7 – Pathology Standards and Datasets (free)

8 – Anal Cancer (free)

 


Guided graded exercise self-help as a treatment of fatigue in chronic fatigue syndrome

23 Jun, 2017 | 18:33h | UTC

Guided graded exercise self-help plus specialist medical care versus specialist medical care alone for chronic fatigue syndrome (GETSET): a pragmatic randomised controlled trial – The Lancet (free)

Invited commentary: Guided graded exercise self-help as a treatment of fatigue in chronic fatigue syndrome (free)

Commentary: Self-help graded exercise programme may curb CFS fatigue – OnMedica (free)

 


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