Family Medicine
Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure
25 Jun, 2017 | 14:37h | UTCHeart 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)
Obesity now kills more people worldwide than car crashes, terror attacks, and Alzheimer’s combined
25 Jun, 2017 | 16:20h | UTCSee 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”.
Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia
25 Jun, 2017 | 15:15h | UTCPrevalence 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 | UTCKDIGO 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)
Interesting initiative for improving quality and reducing readmissions from skilled nursing facilities
25 Jun, 2017 | 14:24h | UTCNecessity 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.
ACG and CAG Clinical Guideline: Management of Dyspepsia
23 Jun, 2017 | 18:40h | UTCACG 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 | UTCTopical 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)
Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers
23 Jun, 2017 | 14:41h | UTCSpasticity 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.
Guided graded exercise self-help as a treatment of fatigue in chronic fatigue syndrome
23 Jun, 2017 | 18:33h | UTCInvited 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)
What’s the best way for children to lose weight?
23 Jun, 2017 | 13:46h | UTCNews release: Latest health evidence shows that making changes to diet, physical activity and behaviour may reduce obesity in children and adolescents – Cochrane Library (free)
Review 1: Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years (link to summary – $ for full-text)
Review 2: Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years (link to summary – $ for full-text)
Commentary: What’s the best way for children to lose weight? Here’s what the research says – The Conversation (free)
Women and Heart Disease: New Data Reaffirm Lack of Awareness By Women and Physicians
23 Jun, 2017 | 14:37h | UTCKnowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women: The Women’s Heart Alliance – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Women and Heart Disease: New Data Reaffirm Lack of Awareness By Women and Physicians – American College of Cardiology, Latest in Cardiology (free) AND Women’s CV Risk Underestimated, Underassessed – MedPage Today (free registration required) AND Greater emphasis on preventing, treating heart disease in women needed – American College of Cardiology, via EurekAlert (free)
Related guidelines: Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science: A Scientific Statement From the American Heart Association (free) AND Acute Myocardial Infarction in Women: A Scientific Statement From the American Heart Association (free)
Women continue to underestimate their risk of cardiovascular disease.
Breast Cancer Risk Assessment and Screening in Average-Risk Women
23 Jun, 2017 | 01:44h | UTCCommentary: OB/GYN Group Revises Breast Screening Recommendations for Average-Risk Women Physician’s First Watch (free)
Related guideline with a more conservative approach: Breast Cancer: Screening – U.S.Preventive Services Task Force (free)
Improving Awareness of and Screening for Health Risks Among Sex Workers
23 Jun, 2017 | 01:39h | UTCNews release: Ob-Gyn Awareness of Sex Workers’ Health Risks During Routine Visits is Essential
Commentary: Group Offers Guidance on Screening for Female Sex Workers – Physician’s First Watch (free)
Update on anti-TNF agents and other new drugs for IBD
23 Jun, 2017 | 13:27h | UTCClinical Review: Update on anti-tumor necrosis factor agents and other new drugs for inflammatory bowel disease – The BMJ (free)
What is people-centered care? And why does it matter?
23 Jun, 2017 | 01:05h | UTCWHO Framework on integrated people-centered health services (free resources)
Video: WHO – What is people-centered care? And why does it matter? Our new video explains! (free) (RT @WHO see Tweet)
“Integrated people-centered health services means putting the comprehensive needs of people and communities, not only diseases, at the center of health systems, and empowering people to have a more active role in their own health”.
Why We Overrate the Lifesaving Power of Cancer Tests
23 Jun, 2017 | 01:01h | UTCWhy We Overrate the Lifesaving Power of Cancer Tests – Scientific American (free) (RT @EricTopol see Tweet)
Breastfeeding and the Risk of Maternal Cardiovascular Disease
23 Jun, 2017 | 00:59h | UTCCommentaries: Mother’s heart health tied to breastfeeding – Reuters Health (free) Does breastfeeding prevent heart disease and strokes? – STAT News (free) AND Breastfeeding could help a mother’s heart – in more ways than you think – American Heart Association News (free)
Observational data suggests there may be a protective effect.
Radiation Associated Cardiac Disease
23 Jun, 2017 | 01:03h | UTCReview: Radiation Associated Cardiac Disease – American College of Cardiology, Latest in Cardiology (free)
Related Guidelines and Reviews: Prevention and Monitoring of Cardiac Dysfunction in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline (free) AND 2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines (free) AND Canadian Cardiovascular Society Guidelines for Evaluation and Management of Cardiovascular Complications of Cancer Therapy (free) AND Cardiotoxicity of anticancer treatments: Epidemiology, detection, and management – CA: A Cancer Journal for Clinicians (free)
Preventing Cognitive Decline and Dementia
23 Jun, 2017 | 00:57h | UTCReport: Preventing Cognitive Decline and Dementia: A Way Forward – The National Academies of Sciences, Engineering, and Medicine (free PDF)
Commentaries: When it comes to preventing dementia, not much is proved to work, says expert committee – STAT News (free) AND National Academies Committee Sees Promising but Inconclusive Evidence on Interventions to Prevent Cognitive Decline, Dementia – National Institute on Aging (free)
Co-morbid OSA and insomnia increases depression prevalence and severity in men
23 Jun, 2017 | 00:55h | UTCCo-morbid OSA and insomnia increases depression prevalence and severity in men – Respirology (link to abstract – $ for full-text)
Commentaries: Combo of sleep apnea and insomnia linked to depression in men – Forbes (free) AND Sleep apnea and insomnia combination linked with depression – Wiley, via EurekAlert (free)
Cardiopulmonary resuscitation – 30:2 or just keep going?
22 Jun, 2017 | 15:30h | UTCCardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)
“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.
Every Newborn Action Plan – World Health Organization
22 Jun, 2017 | 01:55h | UTCEvery Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)
Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)
Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.
An update on Zika virus infection
22 Jun, 2017 | 15:20h | UTCAn update on Zika virus infection – The Lancet (free registration required)
“Update on Zika virus infection (2017): review focuses on important updates & gaps in the knowledge” (RT @TheLancet see Tweet)
Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question
21 Jun, 2017 | 21:34h | UTCObstetrics and Gynaecology: Ten Things Physicians and Patients Should Question – Choosing Wisely (free) (RT @ChooseWiselyCA see Tweet)
“New Choosing Wisely recommendations list! @SOGCorg identifies 10 tests, treatments to question in obstetrics and gynecology”
Hormone therapy position statement of The North American Menopause Society
21 Jun, 2017 | 18:44h | UTCPosition Statement: The 2017 hormone therapy position statement of The North American Menopause Society (free PDF)
Commentaries: Hormone Therapy: Updated Position Statement Released – Physician’s First Watch (free) AND NAMS 2017 position statement updates guidelines for hormone therapy use – The North American Menopause Society (NAMS), via EurekAlert (free)