Family Medicine
How the Delta variant achieves its ultrafast spread – “Viral load is roughly 1,000 times higher in people infected with the Delta variant than those infected with the original coronavirus strain, according to a study in China”.
23 Jul, 2021 | 10:46h | UTCHow the Delta variant achieves its ultrafast spread – Nature
What are the Delta, Gamma, Beta and Alpha Covid variants?
23 Jul, 2021 | 10:45h | UTCWhat are the Delta, Gamma, Beta and Alpha Covid variants? – BBC
Related: Increased transmissibility and global spread of SARS-CoV-2 variants of concern – “Estimated transmissibility increases of alpha 29% (95% CI: 24–33), beta 25% (95% CI: 20–30), gamma 38% (95% CI: 29–48) & delta 97% (95% CI: 76–117)”. AND WHO renames COVID-19 variants with the Greek alphabet (i.e., Alpha, Beta, Gamma, etc), making them simple, easy to say and remember. The naming system aims to prevent calling COVID-19 variants by the places where they are detected, which is stigmatizing & discriminatory.
CDC releases new guidelines for the treatment of sexually transmitted infections.
23 Jul, 2021 | 10:41h | UTCTable of Contents: Sexually Transmitted Infections Treatment Guidelines, 2021
Related (just released): WHO Guidelines for the management of symptomatic sexually transmitted infections.
Commentary on Twitter (thread – click for more)
Here's my greatest hits from today’s new @CDCSTD #STI Treatment Guidelines: a 🧵
1)#STI guidelines instead of #STD!
2)Expedited Partner Therapy: not just for “heterosexuals” 👏
3)#HepatitisC: screen all pregnant people
4)Rectal/throat GC/CT: consider for non-MSM like teens 👏 pic.twitter.com/gfEhrWpMKA— Ina Park (@InaParkMD) July 22, 2021
New series from The Lancet: Physical Activity 2021.
23 Jul, 2021 | 10:37h | UTCHomepage: Physical Activity 2021 – The Lancet (free registration required for all articles)
Summary and commentary: Experts call for immediate action to ensure physical activity is built into everyday lives – News Medical
Commentary on Twitter (thread – click for more)
🆕 In the early stages of the #pandemic, #PhysicalActivity was considered *essential* for health by many governments—but inactivity remains a major issue.
Ahead of #Tokyo2020, we launch @TheLancet #PhysicalActivity21 Series 🤸♀️👨🦽
Access here: https://t.co/j0GhLGKAAD pic.twitter.com/mrcOnRPyR6
— The Lancet (@TheLancet) July 22, 2021
An ESPGHAN Position Paper on the use of breath testing in pediatric gastroenterology.
23 Jul, 2021 | 10:26h | UTC
AAP Policy Statement | Incorporate cardiac risk screening for all youths at least every 3 years.
23 Jul, 2021 | 10:19h | UTCNews release: Policy: Incorporate cardiac risk screening for all youths at least every 3 years – American Academy of Pediatrics
Policy Statement: Sudden Death in the Young: Information for the Primary Care Provider – Pediatrics
Study shows AstraZeneca and Pfizer vaccines are effective against Delta variant, but both doses are needed.
22 Jul, 2021 | 11:16h | UTCCommentaries: Study Finds Pfizer And AstraZeneca Vaccines Effective Against The Delta Variant — As Long As You Get Both Doses – Forbes AND Pfizer’s COVID-19 vaccine works very well against the Delta variant — but only after 2 doses – Insider
Related: [Preprint] 2 doses of Covid vaccines (Pfizer-BioNTech or Oxford-AstraZeneca) highly effective against hospitalization from Delta variant. AND Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization. AND Should I get my second AstraZeneca dose? Yes, it almost doubles your protection against Delta.
Commentary on Twitter
Public Health England's test-negative case-control study for Delta variant now in NEJM: over 14,000 people with Alpha, over 4,000 with Delta https://t.co/3l1QhKeXBT
Vax effectiveness against testing positive for Delta after 2 doses:
– BNT-Pfizer 88.0% (85-90)
– AZ 67.0% (61-72) pic.twitter.com/9UFy6CLSWw— Hilda Bastian, PhD (@hildabast) July 21, 2021
COVID-19 antibodies persist at least nine months after infection – “98.8 percent of people infected in February/March showed detectable levels of antibodies in November”.
22 Jul, 2021 | 11:14h | UTCNews release: COVID-19 antibodies persist at least nine months after infection – Imperial College London
Original study: SARS-CoV-2 antibody dynamics and transmission from community-wide serological testing in the Italian municipality of Vo’ – Nature Communications
Should children get COVID vaccines? What the science says.
22 Jul, 2021 | 11:06h | UTCShould children get COVID vaccines? What the science says – Nature
Analysis finds benefits of COVID-19 vaccination outweigh risks of rare cases of myocarditis.
22 Jul, 2021 | 11:05h | UTCNews release: Study finds benefits of COVID-19 vaccination outweigh risks of rare cases of myocarditis – American Heart Association
Original study: Myocarditis with COVID-19 mRNA Vaccines – Circulation
Commentary: Myocarditis and COVID-19 Vaccines: New Review Tackles Knowns, Unknowns – TCTMD
Commentary on Twitter
Just published ahead of print- Myocarditis with Covid mRNA Vaccines https://t.co/mc2yrr5pDV Mechanisms, benefit of COVID-19 mRNA vaccination over low risk, management strategies – review of all myocarditis cases published to date, CDC&other reports @PeterHotez @ishannovation
— BiykemBozkurt (@BiykemB) July 20, 2021
Opinion | The benefits of a COVID vaccine far outweigh the small risk of treatable heart inflammation.
22 Jul, 2021 | 10:57h | UTC
WHO Guidelines for the management of symptomatic sexually transmitted infections.
22 Jul, 2021 | 10:54h | UTCNews release: Launch WHO guidelines for the management of symptomatic sexually transmitted infection – World Health Organization
Commentary on Twitter
Great see @WHO new guidelines #STIs https://t.co/SgkCtcMDbv BUT hope last edition w syndromic management. Must deliver diagnostic capacity LMICs pic.twitter.com/B7ugeUpIRG
— Michael Marks (@dr_michaelmarks) July 17, 2021
RCT: Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders.
22 Jul, 2021 | 10:42h | UTCCommentaries: Optimising treatment for patients with rotator cuff disorders – The Lancet (free registration required)
Commentary on Twitter (thread – click for more)
The much-anticipated GRASP trial for rotator cuff pain has just been published showing steroid injections have a small short-lasting benefit, and that physio led exercise was no better than patient led exercise… Here's my short Twitter review… 1/12 https://t.co/1TFYGoAi7X
— The Sp⚽️rts Physio (@AdamMeakins) July 13, 2021
Guideline on the management of IgE-mediated food allergies.
22 Jul, 2021 | 10:34h | UTCUpdate of the S2k guideline on the management of IgE-mediated food allergies – Allergologie Select
More than 1.5 million children lost a primary or secondary caregiver due to the COVID-19 pandemic.
21 Jul, 2021 | 10:52h | UTCNews release: More than 1.5 million children lost a primary or secondary caregiver due to the COVID-19 pandemic – NIH News Releases
Original study: Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study – The Lancet
Invited commentary: Answering the call to support youth orphaned by COVID-19 – The Lancet
Related: Covid-19 Has Created Thousands Of Newly Single Parents And Orphans
Commentary on Twitter (thread – click for more)
NEW—Over 1.5 million children lost a parent, custodial grandparent, or other relative who cared for them during the first 14 months of the #COVID19 #pandemic, first global study estimates.
🔗 Read https://t.co/Ug2ADTvO8G (1/2)
— The Lancet (@TheLancet) July 20, 2021
Case report: Treatment-induced neuropathy of diabetes related to abrupt glycemic control.
21 Jul, 2021 | 10:33h | UTC
Commentaries on Twitter
Rapid correction of glycemic control can lead to nerve pain, retinal damage and microalbuminuria, as seen in this clinical case of a patient recently diagnosed with type 1 diabetes: https://t.co/yeUzqpUObT (earn CPD credits)#T1D #DiabetesCare #FOAMed @DrEmilyMcD @McGill_DOM pic.twitter.com/6eTPamtTe0
— CMAJ (@CMAJ) July 20, 2021
Read about our case of Treatment-induced neuropathy of diabetes from abrupt glycemic control in @CMAJ
Rapid ↘️ of HgBa1c caused ↗️ complications (nerves/kidneys/👁/gastroparesis) and takes 🕒 to improve
🙏 to our pt for allowing us to publish https://t.co/9qsJCo8CSB
— Emily McDonald (@DrEmilyMcD) July 20, 2021
UK National Food Strategy: Tax sugar and salt and prescribe veg, report says.
21 Jul, 2021 | 10:30h | UTCNational Food Strategy: Tax sugar and salt and prescribe veg, report says – BBC
Report: National Food Strategy Independent Review
Related: Fiscal policies for diet and the prevention of noncommunicable diseases – World Health Organization (free) AND The Lancet taskforce on NCDs and economics (free series and commentaries) To improve global health, tax the things that are killing us – Financial Times (free policies, articles and commentaries) AND Reducing cardiovascular disease burden through targeted dietary policies (free study and commentaries) AND Fiscal policies for the prevention of diseases (free study and commentary) AND The potential impact of food taxes and subsidies on cardiovascular disease and diabetes burden and disparities (free)
Podcast | Common Skin Complaints in Primary Care.
21 Jul, 2021 | 10:22h | UTC#285 Common Skin Complaints in Primary Care – The Curbsiders
WHO Guidance for clinical case management of thrombosis with thrombocytopenia syndrome (TTS) following vaccination to prevent coronavirus disease (COVID-19).
20 Jul, 2021 | 10:29h | UTCRelated Guidance: AHA/ASA Guidance: Diagnosis and Management of Cerebral Venous Sinus Thrombosis with Vaccine-Induced Thrombotic Thrombocytopenia – “No heparin products in any dose should be given.” AND ISTH Interim Guidance for the Diagnosis and Treatment on Vaccine Induced Immune Thrombotic Thrombocytopenia
WHO and UNICEF warn of a decline in vaccinations during COVID-19.
20 Jul, 2021 | 10:27h | UTCWHO and UNICEF warn of a decline in vaccinations during COVID-19 – World Health Organization
Related: Millions of children worldwide missed routine vaccinations during the pandemic, study suggests.
WHO warns that HIV infection increases risk of severe and critical COVID-19.
20 Jul, 2021 | 10:24h | UTCNews release: WHO warns that HIV infection increases risk of severe and critical COVID-19 – World Health Organization
Commentary on Twitter (thread – click for more)
🆕 report confirms that #HIV infection is a significant independent risk factor for both severe/critical #COVID19 presentation at hospital admission & in-hospital mortality. 23.1% of all people living with HIV who were hospitalized with COVID-19, died.
👉 https://t.co/UBd0OyFKnd pic.twitter.com/UHLo9RPa1g
— World Health Organization (WHO) (@WHO) July 16, 2021
What vaccinated people should know about Covid-19 exposure, tests and more.
20 Jul, 2021 | 10:17h | UTCWhat vaccinated people should know about Covid-19 exposure, tests and more – CNN
Experts recommend Covid jabs for some under-18s in UK – “advice is that 16 to 18-year-olds can be offered a Pfizer jab if they are in a priority group or live with someone who has a weakened immune system”.
20 Jul, 2021 | 10:15h | UTCCommentaries: Experts recommend Covid jabs for some under-18s in UK – BBC
AAP Guideline: Evaluation and management of well-appearing febrile infants 8 to 60 days old.
20 Jul, 2021 | 10:14h | UTCEvaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old – Pediatrics
News Release: AAP releases clinical practice guideline on well-appearing febrile infants – AAP News
ALA/ATS Response to Philip Morris International’s (PMI) Purchase of British Producer of Respiratory Treatments – “The announcement that PMI wants to acquire an inhaled medicine company is the latest reprehensible choice from a company that has profited from addicting users to its deadly products”.
20 Jul, 2021 | 10:12h | UTC