Family Medicine
Type 2 diabetes and osteoporosis: a guide to optimal management
11 Jul, 2017 | 21:48h | UTCType 2 diabetes and osteoporosis: a guide to optimal management – Journal of Clinical Endocrinology & Metabolism (link to abstract – $ for full-text)
Commentaries: Specific diabetes medications to protect bone health recommended – Endocrine Society, via ScienceDaily (free) AND Advice for Optimal Management of Diabetes and Osteoporosis – Medscape (free registration required)
Alendronate may reduce hip fracture risk in older patients using prednisolone
12 Jul, 2017 | 14:55h | UTCAssociation Between Alendronate Use and Hip Fracture Risk in Older Patients Using Oral Prednisolone – JAMA (link to abstract – $ for full-text)
Commentaries: Alendronate Cuts Hip-Fracture Rates in High-Risk Elderly – Medscape (free registration required) AND Alendronate helps cut hip fracture risk with prednisolone – OnMedica (free) AND Alendronate Might Help Protect Against Hip Fracture in Patients Taking Prednisolone – Physician’s First Watch (free)
Retrospective cohort suggests alendronate might reduce fracture risk in the short term in elderly patients taking prednisolone.
Positive airway pressure doesn’t reduce cardiovascular events and death in adults with sleep apnea
12 Jul, 2017 | 15:01h | UTCAssociation of Positive Airway Pressure With Cardiovascular Events and Death in Adults With Sleep Apnea: A Systematic Review and Meta-analysis – JAMA (link to abstract – $ for full-text)
Commentaries: More Doubt Cast on CPAP for Reducing CVD Risk in Sleep Apnea Patients – MedPage Today (free registration required) AND Positive airway pressure doesn’t reduce heart risk with sleep apnea – Reuters (free)
“PAP for obstructive sleep apnea improves quality of life but not CV events or BP with up to 5 years of follow up” (RT @AnilMakam see Tweet)
Diagnosis and Management of Resistant Hypertension
11 Jul, 2017 | 21:39h | UTCSummary with 10 key points to remember: Diagnosis and Management of Resistant Hypertension – American College of Cardiology, Latest in Cardiology (free)
Original article: Diagnosis and management of resistant hypertension – Heart (link to abstract – $ for full-text)
Electrocardiograms in Low-Risk Patients Undergoing An Annual Health Examination
11 Jul, 2017 | 19:22h | UTCElectrocardiograms in Low-Risk Patients Undergoing An Annual Health Examination – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: More than 20% of low-risk patients receive an ECG as part of annual health exam – Institute for Clinical Evaluative Sciences (ICES) (RT @ICESOntario and @ChooseWiselyCA see Tweet) (free) AND ECGs Common in Low-Risk Patients After Annual Health Exam, Leading to More Cardiac Care – American College of Cardiology, Latest in Cardiology (free) Routine ECG With Annual Physical Questioned – MedPage Today (free registration required)
Meningococcal vaccine may protect against gonorrhoea
11 Jul, 2017 | 19:10h | UTCEffectiveness of a group B outer membrane vesicle meningococcal vaccine against gonorrhoea in New Zealand: a retrospective case-control study – The Lancet (link to abstract – $ for full-text)
Commentaries: More reason to use Meningococcal B vaccine – it could also cut the Clap – The Conversation (author’s commentary – free) AND Meningococcal Vaccine May Provide Immunity Against Gonorrhea – Medscape (free registration required) AND Meningitis vaccine may also cut risk of ‘untreatable’ gonorrhoea, study says – The Guardian (free)
Coffee Drinking and Mortality Studies
11 Jul, 2017 | 17:59h | UTCAssociation of Coffee Consumption With Total and Cause-Specific Mortality Among Nonwhite Populations – Annals of Internal Medicine (link to abstract – $ for full-text)
Related study: Coffee Drinking and Mortality in 10 European Countries: A Multinational Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: No, These Two Studies Don’t Prove That Coffee Leads To Longer Life – Forbes (free) AND Coffee cuts risk of dying from stroke and heart disease, study suggests – The Guardian (free) AND Drinking coffee reduces risk of death from all causes, study finds – Imperial College of London (free)
Beverage Intake During Pregnancy and Childhood Adiposity
11 Jul, 2017 | 18:27h | UTCBeverage Intake During Pregnancy and Childhood Adiposity – Pediatrics (free)
Commentaries: Consumption of sugar sweetened beverages during pregnancy linked to childhood obesity – 2 Minute Medicine (free) AND Drinking sugary beverages in pregnancy linked to kids’ later weight gain – Science News (free)
Mandatory vaccination to fight against preventable disease
11 Jul, 2017 | 18:13h | UTCFrance is making 11 vaccines mandatory to fight against preventable disease – World Economic Forum (free)
Related: Editorial: The Guardian view on vaccinations: a matter of public health (free)
Related 2: A short history of vaccine objection, vaccine cults and conspiracy theories – The Conversation (free)
See more on mandatory vaccination in other countries in our May 29 issue, see #6
Early Hearing Detection and Vocabulary of Children With Hearing Loss
11 Jul, 2017 | 17:00h | UTCEarly Hearing Detection and Vocabulary of Children With Hearing Loss – Pediatrics (free)
Commentary: Early Detection Improved Vocabulary Scores in Kids with Hearing Loss – MedPage Today (free registration required)
RCT: Palliative Care in Heart Failure
11 Jul, 2017 | 17:07h | UTCPalliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial (link to abstract – $ for full-text)
Commentaries: Palliative Care Intervention Improves Quality of Life in Advanced Heart Failure Patients – American College of Cardiology, Latest in Cardiology (free) AND Palliative Care Improves Heart Failure Quality-of-Life – MedPage Today (free registration required)
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors
11 Jul, 2017 | 17:12h | UTCEditorial 1: Healthful Physical Activity and Diet Promotion—For the Many or the Few? (free)
Editorial 2: Cardiovascular Risk Factor Control for All (free)
Editorial 3: Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk Factors: Is Behavioral Counselling Necessary? (free)
The JAMA Network – For The Media: USPSTF Recommendation Regarding Behavioral Counseling for Cardiovascular Disease Prevention (free)
Shared Decision Making: The Importance of Diagnosing Preferences
11 Jul, 2017 | 16:46h | UTCShared Decision Making: The Importance of Diagnosing Preferences – JAMA Internal Medicine (free)
Related: Editorial: Sharing Medicine – A JAMA Internal Medicine Series (free) AND Sharing as the Future of Medicine – JAMA Internal Medicine (free)
Post-Surgical Complications
11 Jul, 2017 | 16:45h | UTCPost-Surgical Complications – emDocs (free)
Practical review of this common problem in the emergency department.
Women with High-Risk Pregnancies Are More Likely To Develop Heart Disease
10 Jul, 2017 | 14:59h | UTCWomen with High-Risk Pregnancies Are More Likely To Develop Heart Disease – NPR (free)
Related review: Adverse Pregnancy Conditions, Infertility, and Future Cardiovascular Risk: Implications for Mother and Child – Cardiovascular Drugs and Therapy (free)
Richard Lehman’s journal review / 10 July 2017
10 Jul, 2017 | 14:59h | UTCRichard Lehman’s journal review / 10 July 2017 – The BMJ Blogs (free)
Richard Lehman reviews the latest research in the top medical journals
Management of Small Renal Masses
10 Jul, 2017 | 14:54h | UTCManagement of Small Renal Masses: American Society of Clinical Oncology Clinical Practice Guideline (free)
Summary: National Guideline Clearinghouse (free)
Free Online Course. Health for All Through Primary Health Care
9 Jul, 2017 | 00:52h | UTCJust Started! Free Online Course. Health for All Through Primary Health Care – Johns Hopkins University and Coursera
Effective Care for High-Need Patients
10 Jul, 2017 | 14:53h | UTCEffective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health (free PDF)
See also: News release (free) AND Executive summary (free PDF) AND Key Points (free PDF) AND Characteristics of Successful Care Models for High-Need Patients (free PDF)
See more resources on high-need, high-cost patients in our July 4th issue (see #2)
Source: STAT News Newsletter
“Nearly half of the nation’s spending on health care is driven by 5 percent of patients, and improving health outcomes and curbing spending in health care will require identifying who these high-needs patients are and providing coordinated services” (from EurekAlert)
The weird power of the placebo effect, explained
9 Jul, 2017 | 00:47h | UTCThe weird power of the placebo effect, explained – VOX (free)
Related: Placebos can work even when patients know what they are – World Economic Forum (free)
Breaking multiple unhealthy habits all at once has modest impact
9 Jul, 2017 | 00:41h | UTC3 – Breaking multiple unhealthy habits all at once has modest impact, but not always… – NIHR Signal (free)
Original article: Multiple Risk Behavior Interventions: Meta-analyses of RCTs – American Journal of Preventive Medicine (free)
“Review suggests it might be sensible to tackle smoking and diet separately, rather than at the same time” (RT @NIHR_DC see Tweet)
Global burden of respiratory syncytial virus in young children
9 Jul, 2017 | 00:42h | UTCInvited commentary: Determining the burden of respiratory syncytial virus disease: the known and the unknown (free)
Commentary: Experts urge action to cut child deaths from deadly lung virus – University of Edinburgh, via EurekAlert (free)
“We estimated that globally in 2015, 33.1 million episodes of RSV-ALRI, resulted in about 3.2 million hospital admissions, and 59 600 in-hospital deaths in children younger than 5 years”. (RT @greg_folkers see Tweet)
Antibiotic-resistant gonorrhoea on the rise, new drugs needed
9 Jul, 2017 | 00:44h | UTC1 – Scientists warn that antibiotic-resistant gonorrhoea is on the rise – World Health Organization (free)
News Release: Antibiotic-resistant gonorrhoea on the rise, new drugs needed – Word Health Organization (free)
Commentaries: Untreatable gonorrhoea on the rise worldwide – Nature News (free) AND New data show gonorrhea increasingly resistant to antibiotics STAT News (free) AND WHO warns of imminent spread of untreatable superbug gonorrhea – Reuters (free) AND Untreatable gonorrhoea ‘superbug’ spreading around world, WHO warns – The Guardian (free)
Related guideline: WHO guidelines for the treatment of Neisseria gonorrhoeae
Salt intake and Cardiovascular Disease
9 Jul, 2017 | 00:28h | UTCSalt intake and Cardiovascular Disease – European Heart Journal (free)
Commentary: CardioBrief: Int’l Experts Call Sodium Guidelines Far Too Restrictive – MedPage Today (free)
Summary of the technical report on sodium intake and cardiovascular disease with key recommendations for individuals and policymakers.
Pretreatment fasting plasma glucose and insulin modify dietary weight loss success
9 Jul, 2017 | 00:38h | UTCPretreatment fasting plasma glucose and insulin modify dietary weight loss success: results from 3 randomized clinical trials – American Journal of Clinical Nutrition (link to abstract – $ for full-text)
Commentaries: Fasting blood sugar, fasting insulin identified as new biomarkers for weight loss – University of Copenhagen, via ScienceDaily (free) AND Low-Fat or Low Carb for Weight Loss? It Depends on Your Glucose Metabolism – EbioMedicine (free)
Individuals with diabetes or pre-diabetes seem to have better results with low-carb diets.


