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8 things that excellent hospital doctors do

5 May, 2017 | 20:27h | UTC

First opinion: 8 things that excellent hospital doctors do – STAT News (free)

 


Weight management programmes of extended duration

5 May, 2017 | 20:22h | UTC

Randomized controlled trial: Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): a randomised controlled trial – The Lancet (free)

Invited commentary: Weight management programmes of extended duration – The Lancet (free)

Commentary: Give overweight patients a year of weight-loss classes, say researchers – The Guardian (free)

In this trial with 1,267 overweight or obese participants an extended weight loss program (1 year) was more effective for weight loss and seems cost-effective in the longer term.


Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients

5 May, 2017 | 20:19h | UTC

Correspondence: Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients – The New England Journal of Medicine (free)

Transplantation of HCV-infected-kidneys into uninfected recipients seems feasible in this era of direct-acting antiviral agents, maybe shortening waiting times for those willing to take the risk.

 


Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing

4 May, 2017 | 20:14h | UTC

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing – JAMA (link to abstract – $ for full-text)

Commentaries: Doctors Prescribe More Generics When Drug Reps Are Kept At Bay – NPR (free) AND Limiting Interactions with Pharma Reps Cuts Brand Name Drug Prescriptions – Physician’s First Watch (free)

 


As scientists take to Twitter, study shows power of ‘visual abstract’ graphics

4 May, 2017 | 20:16h | UTC

As scientists take to Twitter, study shows power of ‘visual abstract’ graphics – Scienmag (free) (RT @jdimick1 @UM_IHPI)

Have a look: Example of visual abstract and its benefits for engagement (Tweet)

Original article ($ for full-text): Visual Abstracts to Disseminate Research on Social Media: A Prospective, Case-control Crossover Study – Annals of Surgery

See also: an open-source primer on visual abstracts (free)

This new tendency might increase engagement with medical research.

 


Give patients access to their medical records

5 May, 2017 | 20:20h | UTC

Editor’s Choice: Give patients access to their medical records – The BMJ, by Fiona Godlee, editor in chief (free)

Patients are being empowered in decisions regarding their health care, and this is probably a tendency for the future.

 


Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest

4 May, 2017 | 20:17h | UTC

Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest – New England Journal of Medicine (Link to abstract – $ for full-text)

Quick Take Video Summary: Bystander Efforts in Out-of-Hospital Cardiac Arrest (free)

Commentary: Bystander CPR and Defibrillation Are Associated with Better Long-Term Outcomes – Journal Watch (free)

In patients who have initially survived after out-of-hospital cardiac arrest, those who were submitted to bystander CPR and defibrillation had lower risk of brain damage, nursing home admission and death after one year when compared to patients who survived but were not submitted to bystander CPR.

 


Selection of patients for intra-arterial treatment for acute ischaemic stroke

4 May, 2017 | 20:18h | UTC

Selection of patients for intra-arterial treatment for acute ischaemic stroke: development and validation of a clinical decision tool in two randomised trials – The BMJ (free)

New decision tool: MR CLEAN-R Registry (free)

This new clinical decision tool will improve the selection of patients with acute ischemic stroke who will benefit the most from intra-arterial treatment.

 


World Asthma Day (May 2, 2017)

3 May, 2017 | 17:33h | UTC

World Asthma Day (May 2, 2017): Asthma Updated Fact Sheet – World Health Organization (free)

Related:  Cochrane Evidence resources related to World Asthma Day (free summaries)

 


Alternate-day fasting does not seem to lead to greater weight loss

3 May, 2017 | 17:26h | UTC

Effect of Alternate-Day Fasting on Weight Loss, Weight Maintenance, and Cardioprotection Among Metabolically Healthy Obese Adults: A Randomized Clinical Trial – JAMA Internal Medicine (free)

Commentaries: Fasting Studies Clash With Our Desire To Eat What We Want, When We Want It – NPR Health News (free) AND Fasting Every Other Day Does Not Lead to Greater Weight Loss – Physician’s First Watch (free) AND Same Weight Loss With Alternate-Day Fasting vs Cutting Calories – Medscape (free registration required) AND Alternate-Day Fasting Doesn’t Lead to Speedier Weight Loss – MedPage Today (free registration required)

Randomized trial with 100 patients showed no difference in weight loss between alternate-day fasting versus calorie restriction.

 


Urinary catheter care: what does the evidence say?

4 May, 2017 | 20:12h | UTC

Urinary catheter care: what does the evidence say? – Cochrane Library (free)

“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.

 


What is public health? Some reflections for teaching

3 May, 2017 | 17:29h | UTC

What is public health? Some reflections for teaching – Dr Graham Mackenzie, Consultant in Public Health (free)

 


Preventing drowning: an implementation guide – World Health Organization

3 May, 2017 | 17:32h | UTC

Report: Preventing drowning: an implementation guide – World Health Organization (free) (See @WHO Tweet 1 and Tweet 2)

Related publication: Global report on drowning: preventing a leading killer – World Health Organization (free)

 


PCSK9 inhibitors for prevention of cardiovascular disease – Cochrane Library

3 May, 2017 | 17:28h | UTC

Systematic review: PCSK9 inhibitors for prevention of cardiovascular disease – Cochrane Library (free summary – $ for full-text))

The evidence so far suggests that PCSK9 inhibitor use probably leads to little or no difference in mortality and leads to a modest absolute risk reduction (often less than 1%) in cardiovascular events in high-risk patients.

 


ASCO Guideline on Castrate-Resistant Prostate Cancer

3 May, 2017 | 17:23h | UTC

Second-Line Hormonal Therapy for Men With Chemotherapy-Naïve, Castration-Resistant Prostate Cancer: American Society of Clinical Oncology Provisional Clinical Opinion (free)

Source: ASCO Issues Guideline on Castrate-Resistant Prostate Cancer – Medscape (free registration required)

 


Updated Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection

3 May, 2017 | 17:25h | UTC

Updated Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection – AIDSInfo (free)

 


Effect of Using the HEART Score in Patients With Chest Pain in the Emergency Department

2 May, 2017 | 17:20h | UTC

Effect of Using the HEART Score in Patients With Chest Pain in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

See also: HEART Score for Major Cardiac Events – MdCalc (free)

Commentaries: HEART Score for Chest Pain in ED Found to Be Safe, Cost-Effective – Physician’s First Watch (free) AND HEART Score Safely Informs Chest Pain Decisions in ED – Medscape (free registration required) AND HEART score to risk stratify patients with chest pain is safe but underutilized in the ED – ScienceDaily (free)

 


Prevalence of multidrug-resistant gram-negative bacteria among nursing home residents

2 May, 2017 | 17:14h | UTC

Prevalence of multidrug-resistant gram-negative bacteria among nursing home residents: A systematic review and meta-analysis – American Journal of Infection Control (free)

Sources: Study: Resistant gram-negative bacteria common in nursing homes – CIDRAP (free) (RT @IDSAInfo see Tweet) AND A quarter of nursing home residents are colonized with drug-resistant bacteria – EurekAlert (free)

 


Embrace the facts about vaccines, not the myths – World Health Organization

3 May, 2017 | 17:30h | UTC

Embrace the facts about vaccines, not the myths – World Health Organization (free) (RT @gmacscotland see Tweet)

Related: The amazing power of vaccines, explained in 6 seconds – World Economic Forum (free) AND World Immunisation Week: The Rise of Anti-Vaccine Movement and What it Means for Public Health – Independent (free) (RT @LSHTMpress see Tweet)

See also our coverage on World Immunization Week in our April 25 issue, see #1.

 


CPAP Use in Obstructive Sleep Apnea: What a Cardiologist Needs to Know

2 May, 2017 | 17:17h | UTC

Review: CPAP Use in Obstructive Sleep Apnea: What a Cardiologist Needs to Know – American College of Cardiology, Latest in Cardiology(free)

 


Essentials of Global Health – Free Online Course

2 May, 2017 | 17:20h | UTC

Just started. Essentials of Global Health – Free Online Course from the Yale University and Coursera (RT @glassmanamanda)

 


Use of antibiotics during pregnancy and risk of spontaneous abortion

2 May, 2017 | 17:21h | UTC

Use of antibiotics during pregnancy and risk of spontaneous abortion – Canadian Medical Association Journal (free) (RT @CMAJ see Tweet)

Commentary: Use of Certain Antibiotics in Pregnancy Tied to Spontaneous Abortion – Physician’s First Watch (free)

In this nested case-control study, use of common antibiotics such as macrolides (excluding erythromycin), quinolones, tetracyclines, sulfonamides and metronidazole during early pregnancy was associated with an increased risk of spontaneous abortion.

 


Here’s What Your Future Doctor Visits Could Look Like

3 May, 2017 | 17:22h | UTC

Interesting read: Here’s What Your Future Doctor Visits Could Look Like – Fortune (free) (RT @EricTopol see Tweet)

According to this point of view “tomorrow’s office visit will increasingly take place everywhere but the office”, with a sharp increase in virtual visits and home visits, with doctors coming to patients.

 


Echocardiography and lung ultrasonography for the assessment and management of acute heart failure

2 May, 2017 | 17:18h | UTC

Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure – Nature Reviews Cardiology (free)

Source: Critical Care Reviews Newsletter

 


Women with symptoms of a urinary tract infection but a negative urine culture

2 May, 2017 | 17:15h | UTC

Women with symptoms of a urinary tract infection but a negative urine culture: PCR-based quantification of Escherichia coli suggests infection in most cases – Clinical Microbiology and Infection (link to abstract – Free and legal PDF here – via @unpaywall)

Sources: The most reliable test and predictive entity for uncomplicated UTI is the patient’s symptoms – Emergency Literature of Note Blog(free) AND Negative Urine Culture + Symptoms = UTI in Most Women – MedPage Today (free registration required)

This study suggests that women with symptoms of uncomplicated cystitis and a negative urinary culture should be treated nonetheless.

 


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