Family Medicine
Cluster RCT: Procalcitonin point-of-care testing may reduce antibiotic prescription for patients with suspected lower respiratory tract infection in primary care.
22 Sep, 2021 | 10:01h | UTC
Cluster RCT: Implementing C reactive protein point-of-care testing in nursing homes may reduce antibiotic prescribing for suspected lower respiratory tract infections.
22 Sep, 2021 | 10:02h | UTC
[Press release – not published yet] Pfizer announces COVID-19 vaccine in children 5 to 11 years produced strong neutralizing antibody responses.
21 Sep, 2021 | 09:57h | UTCCommentaries:
Pfizer says COVID-19 vaccine safe, effective in younger children – CIDRAP
Commentaries on Twitter
I'm so glad to see that Pfizer has data to submit for their vaccine for 5-11 year olds. But any strong assertions about safety, such as for low incidence side-effects like myocarditis, cannot made from a trial of ~1500 children.
— Eric Topol (@EricTopol) September 20, 2021
(thread – click for more)
BREAKING NEWS: Pfizer releases results of 5-11 year old trial for its vaccine. 2-dose 10 microgram regimen (Pfizer uses 30 mcg for 12 and up) administered 21 days apart (sigh, we now know we need longer duration between doses for better effectiveness)https://t.co/43MHnlZgqg
— Monica Gandhi MD, MPH (@MonicaGandhi9) September 20, 2021
(thread – click for more)
https://twitter.com/hildabast/status/1439976038964940803
Residual excessive daytime sleepiness in patients treated for obstructive sleep apnea: guidance for assessment, diagnosis, and management.
22 Sep, 2021 | 09:56h | UTC
COVID will likely shift from pandemic to endemic — but what does that mean?
21 Sep, 2021 | 09:49h | UTCCOVID will likely shift from pandemic to endemic — but what does that mean? – The Conversation
An Update on Coronavirus Disease 2019 (COVID-19) and Pregnancy.
21 Sep, 2021 | 09:51h | UTC
AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee.
21 Sep, 2021 | 09:03h | UTCNews release: AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee – American Academy of Orthopaedic Surgeons
Guideline summary: Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition) – American Academy of Orthopaedic Surgeons
Full paper: Management of Osteoarthritis of the Knee (Non-Arthroplasty) Evidence-Based Clinical Practice Guideline
Six rules that will define our second pandemic winter
21 Sep, 2021 | 09:47h | UTCSix Rules That Will Define Our Second Pandemic Winter – The Atlantic
RCT: Preemptive intervention may improve developmental outcomes in infants showing early signs of autism.
21 Sep, 2021 | 09:01h | UTCEffect of Preemptive Intervention on Developmental Outcomes Among Infants Showing Early Signs of Autism: A Randomized Clinical Trial of Outcomes to Diagnosis – JAMA Pediatrics (free for a limited period)
Commentaries:
Autism therapy aimed at infants may reduce likelihood of later diagnosis – The Guardian
Commentary on Twitter
An Australian randomized clinical trial found that ‘pre-emptive’ therapy during infancy reduced #autism diagnostic behaviors and improved language ability across early childhood https://t.co/Sybbu4hRWL
— JAMA Pediatrics (@JAMAPediatrics) September 20, 2021
Podcast: Advance Your Care Planning.
21 Sep, 2021 | 08:51h | UTC#295 Advance Your Care Planning with Dr. Rebecca Sudore – The Curbsiders
CDC Report: Moderna’s vaccine associated with greater effectiveness (93%) against Covid-19 hospitalization compared to Pfizer (88%) and J&J (71%) vaccines.
19 Sep, 2021 | 23:48h | UTCCommentaries:
CDC: Moderna COVID vaccine most protective against hospital cases – CIDRAP
CDC data: Moderna vaccine has edge in preventing COVID-19 hospitalizations – UPI
Commentary on Twitter
Turns out all vaccines are not equal! https://t.co/yP6eC6o78i via @CDCgov Among adults without immunocompromising conditions, vaccine effectiveness against COVID-19 hospitalization (Mar 11–Aug 15, 21) was ⬆️for @moderna_tx (93%) than @pfizer (88%) and @JNJNews vaccine (71%).
— Carlos del Rio (@CarlosdelRio7) September 17, 2021
Does everybody need a booster shot? – “Why some people might need Covid-19 booster shots — and some might not”.
19 Sep, 2021 | 23:43h | UTCDoes everybody need a booster shot? – Vox
An FDA panel says only high-risk Americans and those 65+ should get covid boosters.
19 Sep, 2021 | 23:45h | UTCAn FDA Panel Says Only High-Risk Americans And Those 65+ Should Get COVID Boosters – NPR
See also:
5 reasons why FDA advisers did not recommend Covid-19 booster shots for everyone – CNN
Top doctors say not so fast to Biden’s boosters-for-all plan – Associated Press
Related:
Third shot: UK to offer COVID booster jabs to over 50s.
COVID-19 vaccine efficacy does not support boosters for general population, review concludes.
COVID vaccine effects wane over time but still prevent death and severe illness.
What’s the evidence for COVID-19 booster shots?
Review: Long COVID symptoms in children rarely persist beyond three months.
19 Sep, 2021 | 23:47h | UTCNews release: Long COVID symptoms in children rarely persist beyond three months – Murdoch Children’s Research Institute
Original study: How Common Is Long COVID in Children and Adolescents? – The Pediatric Infectious Disease Journal
Commentary: Long Covid in children and adolescents is less common than previously feared – The Guardian
Related:
Cohort study: Risk factors for long covid in previously hospitalized children.
M-A: More than 50 long-term effects of COVID-19.
Commentary on Twitter (thread – click for more)
We reviewed 14 studies of persisting symptoms following #COVID19 in #children & #adolescents
Most had major limitations and should be interpreted with caution.
True risk is likely to be nearer 1 in 100 than often quoted 1 in 7.#medpeds #IDTwitter
(Long) 🧵1/n pic.twitter.com/YL2h516sNX
— Nigel Curtis (@nigeltwitt) September 17, 2021
Side effect patterns in a crossover trial of statin, placebo, and no treatment – This N-of-1 trial, now published in full, suggests the nocebo effect causes most of statins muscle adverse effects.
19 Sep, 2021 | 23:30h | UTC
Non-alcoholic fatty liver disease: A patient guideline.
19 Sep, 2021 | 23:35h | UTCNon-alcoholic fatty liver disease: A patient guideline – JHEP Reports
Commentary on Twitter
Finally, here is a guideline specifically designed for patients with NAFLD 👍#4KMedEd #LiverTwitter
(Courtesy of @JHEP_Reports)https://t.co/wGTr50fMyE pic.twitter.com/5djcqKigeB
— Keith Siau (@drkeithsiau) September 19, 2021
Editorial: Brain health and its social determinants.
19 Sep, 2021 | 23:28h | UTCBrain health and its social determinants – The Lancet
Commentary on Twitter
Strong statement from @TheLancet on social determinants of mental health. The American Psychiatric Association has embraced it, as has @rcpsych https://t.co/JfRcj7KXvq
— Sir Michael Marmot (@MichaelMarmot) September 17, 2021
Choosing Wisely: Five things clinicians and patients should question in rural medicine.
19 Sep, 2021 | 23:26h | UTCChoosing Wisely Canada: Rural medicine list of recommendations – Canadian Journal of Rural Medicine
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
RCT: Rivaroxaban does not have an impact on disease progression and symptoms resolution in high-risk adults with mild COVID-19.
17 Sep, 2021 | 10:19h | UTC
Management of COVID-19 ICU-survivors in primary care: – a narrative review.
17 Sep, 2021 | 10:13h | UTCManagement of COVID-19 ICU-survivors in primary care: – a narrative review – BMC Family Practice
COVID-19 in gastroenterology: Where are we now? Current evidence on the impact of COVID-19 in gastroenterology.
17 Sep, 2021 | 10:11h | UTC
AAN Position Statement: Ethical Considerations in Dementia Diagnosis and Care.
17 Sep, 2021 | 10:04h | UTCEthical Considerations in Dementia Diagnosis and Care: AAN Position Statement – Neurology
Review | Prevention of unintentional injuries in children under five years.
17 Sep, 2021 | 09:58h | UTCPrevention of unintentional injuries in children under five years – BMC Pediatrics
Review | Functional gastrointestinal disorders: History taking skills in practice.
17 Sep, 2021 | 09:54h | UTCFunctional gastrointestinal disorders: History taking skills in practice – Clinical Medicine Journal
Review | Thrombophilia testing in the era of direct oral anticoagulants.
17 Sep, 2021 | 09:53h | UTCThrombophilia testing in the era of direct oral anticoagulants – Clinical Medicine Journal


