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Family Medicine

M-A: Patients generally may return to driving 4 weeks after hip arthroscopy and 6 weeks after knee arthroscopy.

10 Feb, 2022 | 08:31h | UTC

Patients Generally May Return to Driving 4 Weeks After Hip Arthroscopy and 6 Weeks After Knee Arthroscopy: A Systematic Review and Meta-analysis – Arthroscopy, Sports Medicine, and Rehabilitation

 

Commentary on Twitter

 


Opinion: Development of clinical practice guidelines ‘is a mess’.

9 Feb, 2022 | 10:16h | UTC

Development of clinical practice guidelines ‘is a mess’ – STAT

 


Cohort Study: Physical and mental health 3 months after SARS-CoV-2 infection (long COVID) among adolescents in England.

9 Feb, 2022 | 10:12h | UTC

Physical and mental health 3 months after SARS-CoV-2 infection (long COVID) among adolescents in England (CLoCk): a national matched cohort study – The Lancet Child & Adolescent Health

See also: Long COVID symptoms in SARS-CoV-2-positive adolescents and matched controls (LongCOVIDKidsDK): a national, cross-sectional study – The Lancet Child & Adolescent Health

Editorial: Assessing the impact of the pandemic in children and adolescents: SARS-CoV-2 infection and beyond – The Lancet Child & Adolescent Health

Commentary: Long COVID and kids: more research is urgently needed – Nature

Related:

A nationwide cohort study in Denmark showed Long Covid in children is rare and mainly of short duration.

Editorial | Long covid in children and adolescents – “Risk appears low, but many questions remain”.

M-A: Persistent symptoms following SARS-CoV-2 infection among children and young people – “Higher study quality was associated with lower prevalence of all symptoms, except loss of smell and cognitive symptoms”.

Review: Long COVID symptoms in children rarely persist beyond three months.

Cohort study: long term follow-up showed most patients with post–COVID-19 Multisystem Inflammatory Syndrome in Children had good outcomes with no significant medium- or long-term sequelae.

Do kids get long COVID? And how often? A pediatrician looks at the data – Children also get Long Covid, but much less often than adults.

Illness duration and symptom profile in symptomatic school-aged children tested for SARS-CoV-2 – “Only 25 (1.8%) of 1379 children experienced symptoms for at least 56 days.”

Long-term Symptoms After SARS-CoV-2 Infection in Children and Adolescents – “This study found a low prevalence of symptoms compatible with long COVID in a randomly selected cohort of children assessed 6 months after serologic testing”.

Study shows low incidence of post-acute COVID-19 symptoms (“Long Covid”) in children after mild disease

 

Commentary on Twitter (thread – click for more)

 


Though rare, Moderna Covid vaccine recipients have higher risk of heart inflammation than Pfizer.

9 Feb, 2022 | 10:06h | UTC

Though rare, Moderna Covid vaccine recipients have higher risk of heart inflammation than Pfizer – CNBC

Related:

[Preprint] Risk of myocarditis following sequential COVID-19 vaccinations by age and sex.

Risks of myocarditis, pericarditis, and cardiac arrhythmias associated with COVID-19 vaccination vs. SARS-CoV-2 infection.

 


[Preprint] Post-marketing active surveillance of myocarditis and pericarditis following vaccination with COVID-19 mRNA vaccines in persons aged 12-39 years in Italy.

9 Feb, 2022 | 10:08h | UTC

Post-marketing active surveillance of myocarditis and pericarditis following vaccination with COVID-19 mRNA vaccines in persons aged 12-39 years in Italy: a multi-database, self-controlled case series study -medRxiv

Related:

Myocarditis after BNT162b2 vaccination in Israeli adolescents.

Myocarditis cases reported after mRNA-Based COVID-19 vaccination in the US from December 2020 to August 2021.

A case-control study showed an increased risk of myocarditis after COVID-19 vaccination with a messenger RNA vaccine compared to an inactivated virus vaccine.

[Preprint] Risk of myocarditis following sequential COVID-19 vaccinations by age and sex.

Risks of myocarditis, pericarditis, and cardiac arrhythmias associated with COVID-19 vaccination vs. SARS-CoV-2 infection.

Case series with 139 adolescents and young adults with suspected myocarditis following mRNA vaccination showed most cases had a mild clinical course and rapid resolution of symptoms.

Heart-inflammation risk from Pfizer COVID vaccine is very low.

Large cohort study with over 2.5 million individuals showed the incidence of myocarditis after the Pfizer vaccine was 2.13 cases per 100,000 persons.

Study with over 5.1 million vaccinated individuals showed the incidence of myocarditis after the receipt of the Pfizer vaccine was low and more common after the second dose in young male recipients.

Large Observational study shows Pfizer Covid vaccine is mostly safe but is associated with increased risk of myocarditis, adenopathy, appendicitis, and herpes zoster.

 

Commentary on Twitter

 


Study suggests routine cardiac screening is not needed before return to play in junior competitive athletes with mild or asymptomatic SARS-CoV-2.

9 Feb, 2022 | 10:01h | UTC

SARS-CoV-2 infection and return to play in junior competitive athletes: is systematic cardiac screening needed? – British Journal of Sports Medicine

 


Systematic Review: Video-observed therapy vs. directly observed therapy in patients with tuberculosis.

9 Feb, 2022 | 08:35h | UTC

Video-Observed Therapy Versus Directly Observed Therapy in Patients With Tuberculosis – American Journal of Preventive Medicine (link to abstract – $ for full-text)

Related: RCT: Electronic directly observed therapy is noninferior to in-person observed therapy for ensuring adherence to tuberculosis treatment.

 

Commentary on Twitter

 


Podcast: Constipation Pearls.

9 Feb, 2022 | 08:37h | UTC

#314 When the Flow Won’t Go: Constipation with Dr. Iris Wang – The Curbsiders

 


Randomized crossover study shows regular use of Paracetamol increases systolic blood pressure by approximately 5 mm Hg when compared with placebo in hypertensive individuals.

8 Feb, 2022 | 10:11h | UTC

Regular Acetaminophen Use and Blood Pressure in People With Hypertension: The PATH-BP Trial – Circulation (link to abstract – $ for full-text)

Commentaries:

Regular paracetamol use linked to higher blood pressure, study finds – University of Edinburg

Expert reaction to study looking at regular, long-term paracetamol use and blood pressure, in people with high blood pressures – Science Media Centre

Blood pressure warning over long-term paracetamol use – BBC

 


COVID-19 infections increase risk of heart conditions up to a year later, study finds.

8 Feb, 2022 | 10:15h | UTC

News Release: COVID-19 infections increase risk of heart conditions up to a year later, study finds – Washington University in St. Louis

Original Study: Long-term cardiovascular outcomes of COVID-19 – Nature Medicine

 


Practice guidelines for office and out-of-office blood pressure measurement.

8 Feb, 2022 | 10:02h | UTC

2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement – Journal of Hypertension

 


In patients taking anticoagulants (DOAC or Warfarin), a respiratory tract infection not treated with antibiotics is associated with a greater than twofold increase in the risk of bleeding during the next 0-14 days.

8 Feb, 2022 | 08:46h | UTC

Respiratory tract infection and risk of bleeding in oral anticoagulant users: self-controlled case series – The BMJ

 

Commentary on Twitter

 


Gamma-Glutamyl Transferase (γ-GT) – an old dog with new tricks?

8 Feb, 2022 | 08:35h | UTC

Gamma-Glutamyl Transferase (γ-GT) – an old dog with new tricks? – Liver International

 


Cluster-Randomized Trial: A multicomponent diagnostic strategy (on-site molecular testing for tuberculosis, guided restructuring of clinic workflows, and monthly feedback of quality metrics) significantly improved the rates of a confirmed diagnosis of tuberculosis within 14 days after presentation.

8 Feb, 2022 | 08:43h | UTC

Multicomponent Strategy with Decentralized Molecular Testing for Tuberculosis – New England Journal of Medicine (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Podcast: Palpitation Pearls.

8 Feb, 2022 | 08:34h | UTC

#320 Palpitations with Dr. Joshua Cooper – The Curbsiders

 


Podcast: Dyslipidemia in Children.

8 Feb, 2022 | 08:33h | UTC

#41: The Good, the Bad, and the Fasting: Dyslipidemia with Dr. Stephen Daniels – The Cribsiders Pediatric Medicine

 


EULAR recommendations for cardiovascular risk management in rheumatic and musculoskeletal diseases, including systemic lupus erythematosus and antiphospholipid syndrome.

7 Feb, 2022 | 08:43h | UTC

EULAR recommendations for cardiovascular risk management in rheumatic and musculoskeletal diseases, including systemic lupus erythematosus and antiphospholipid syndrome – Annals of Rheumatic Diseases

 


Guideline: Management and follow-up of gallbladder polyps – “If the patient has no risk factors for malignancy, and a gallbladder polypoid lesion of 5 mm or less, follow-up is not required”.

7 Feb, 2022 | 08:39h | UTC

Management and follow-up of gallbladder polyps: updated joint guidelines between the ESGAR, EAES, EFISDS and ESGE – European Radiology

 


Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis.

7 Feb, 2022 | 08:41h | UTC

Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis – Wilderness and Environmental Medicine

Related Guidelines:

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Frostbite: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for the Treatment and Prevention of Drowning: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection

Wilderness Medical Society Clinical Practice Guidelines for Water Disinfection for Wilderness, International Travel, and Austere Situations

Wilderness Medical Society Clinical Practice Guidelines for Diabetes Management

 


AUA/SMSNA Guideline: Disorders of Ejaculation.

7 Feb, 2022 | 08:37h | UTC

Disorders of Ejaculation: An AUA/SMSNA Guideline – American Urological Association

 


Summary: 2021 CDC guidelines on sexually transmitted infections.

7 Feb, 2022 | 08:33h | UTC

2021 CDC guidelines on sexually transmitted infections – Family Medicine

Original Guideline: CDC releases new guidelines for the treatment of sexually transmitted infections.

Related: WHO Guidelines for the management of symptomatic sexually transmitted infections.

 


Cluster Randomized Trial: Personalizing psychotherapy treatment intensity (stratified care) has the potential to improve depression treatment outcomes compared to a stepped care model, in which most patients initially access only low-intensity treatments, progressing to more intensive psychotherapies as needed.

7 Feb, 2022 | 08:28h | UTC

Stratified Care vs Stepped Care for Depression: A Cluster Randomized Clinical Trial – JAMA Psychiatry

Author Interview: Stratified Care vs Stepped Care for Depression

Commentary: Tailoring Psychotherapy Intensity to Patients More Effective Than Stepped Care Approach, Study Finds – Psychiatric News Alert

 


Therapies for Olfactory Dysfunction — an Update.

7 Feb, 2022 | 08:29h | UTC

Therapies for Olfactory Dysfunction — an Update – Current Allergy and Asthma Reports (if the link is paywalled, try this one)

 


Review: video-based telemedicine for kidney disease care.

7 Feb, 2022 | 08:22h | UTC

Video-Based Telemedicine for Kidney Disease Care: A Scoping Review – Clinical Journal of the American Society of Nephrology

Editorial: Telehealth and Kidney Disease Care: Role after the Public Health Emergency? – Clinical Journal of the American Society of Nephrology

Patient Voice: Patient Views on Telehealth for Kidney Disease Care – Clinical Journal of the American Society of Nephrology

 


Implementation of a pharmacist-to-dose direct oral anticoagulant (DOAC) protocol was associated with a 44% reduction in DOAC-related medication errors at an academic medical center.

7 Feb, 2022 | 08:10h | UTC

A pharmacist-to-dose direct oral anticoagulant protocol on medication errors at an academic medical center – Journal of the American College of Clinical Pharmacy (link to abstract – $ for full-text)

Commentary: Pharmacist-to-Dose DOAC Protocol Reduces Medication Errors – American College of Cardiology

 


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