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MedWorm: Medicine (General)



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in Medicine (General)



Last Build Date: Mon, 28 Mar 2016 17:08:54 +0100

 



Accuracy and precision of the CKD-EPI and MDRD predictive equations compared with inulin for measurement of glomerular filtration rate in a Saudi population

Mon, 28 Mar 2016 14:06:00 +0100

CONCLUSIONS: When compared with inulin clearance, the gold standard, the CKD-EPI creatinine equation is the most accurate, precise and least biased equation for estimation of GFR in the Saudi population and in all subgroups by age, stages of CKD and transplantation status.   LIMITATIONS: Small sample size, and the study did not include comorbid diseases like diabetes, HCV, and other co-morbidities as well as old age (>80 years).      (Source: Annals of Saudi Medicine)

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Previously undetected severe aortic coarctation in an adult: value of MRI

Mon, 28 Mar 2016 14:03:00 +0100

(Source: Annals of Saudi Medicine)



Cancer Patients Who Choose to Die at Home Live Longer: Study

Mon, 28 Mar 2016 09:00:05 +0100

MONDAY, March 28, 2016 -- Cancer patients who chose to die at home lived longer than those who died in hospitals, a large study from Japan found. The findings suggest that doctors shouldn't hesitate to allow dying cancer patients to receive... (Source: Drugs.com - Daily MedNews)



Health Highlights: March 28, 2016

Mon, 28 Mar 2016 07:59:39 +0100

Here are some of the latest health and medical news developments, compiled by the editors of HealthDay: FDA Delays Menu Calorie Content Rules Again Restaurants and other places that sell prepared foods now have until 2017 to comply with 6-year-old... (Source: Drugs.com - Daily MedNews)



Health Tip: Select Running Shoes Based on Your Arches

Mon, 28 Mar 2016 07:00:56 +0100

-- The right fit and comfort of running shoes are essential for pain-free workouts, so consider the shape of your arches when selecting shoes. The American Council on Exercise advises: If you have flat arches that tend to roll in, look for shoes... (Source: Drugs.com - Daily MedNews)



Infant Ear Infections Becoming Less Common

Mon, 28 Mar 2016 07:00:47 +0100

MONDAY, March 28, 2016 -- Painful ear infections remain a scourge of childhood, but fewer American babies are getting them now compared with 20 years ago, new research shows. The study didn't dig into the reasons for the decline. But experts say the... (Source: Drugs.com - Daily MedNews)

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Health Tip: Craving Something Crunchy?

Mon, 28 Mar 2016 07:00:19 +0100

-- When you can't stop thinking about a crunchy, salty snack, give your body a healthier version of what you crave. Consider these healthier alternatives suggested by the American Heart Association: Pour about a 1/4 cup of a whole-grain, no... (Source: Drugs.com - Daily MedNews)



Issue Information

Sun, 27 Mar 2016 22:00:00 +0100

(Source: Journal of Evidence-Based Medicine)



Editorial for Issue 1 of 2016, Journal of Evidence‐Based Medicine

Sun, 27 Mar 2016 22:00:00 +0100

(Source: Journal of Evidence-Based Medicine)



Editorial for the 9th Asian Pacific Evidence‐Based Medicine Seminar

Sun, 27 Mar 2016 22:00:00 +0100

(Source: Journal of Evidence-Based Medicine)



“Away Days” in multicenter randomized controlled trials: a questionnaire survey of their use and a case study on the effect of one Away Day on patient recruitment

Sun, 27 Mar 2016 22:00:00 +0100

ConclusionsAlthough those responsible for managing RCTs in the UK tend to believe that trial Away Days are beneficial, evidence from a multicenter surgical trial shows no improvement on a key indicator of trial success. This points to the need to carefully consider the aims, design, and conduct of Away Days. Further more rigorous research nested within RCTs would be valuable to evaluate the design and conduct of Away Days. (Source: Journal of Evidence-Based Medicine)

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Correlation between miR‐21 expression and laryngeal carcinoma risks: a meta‐analysis

Sun, 27 Mar 2016 22:00:00 +0100

ConclusionmiR‐21expression is notably correlated to laryngeal carcinoma and its clinically pathologic features. It suggests that higher miR‐21 expression may be a risk factor of laryngeal carcinoma and a potential molecular biomarker. For the quantity and quality limitation of the included studies, the conclusion still needs to be further proved by performing more high‐quality studies. (Source: Journal of Evidence-Based Medicine)



Issue Information

Sun, 27 Mar 2016 22:00:00 +0100

(Source: Journal of Evidence-Based Medicine)



SGO: No CIN3 Regression With COX-2 Inhibitor (CME/CE)

Sun, 27 Mar 2016 18:35:03 +0100

(MedPage Today) -- Some evidence of benefit in patients with high VEGF levels (Source: MedPage Today Meeting Coverage)



[New mutation described in a young woman with splenomegaly, diagnosed with Niemann-Pick disease type C].

Sun, 27 Mar 2016 11:36:02 +0100

CONCLUSIONS: p.N916S is a new mutation detected as a cause of NPC disease in a patient without severe neurological symptoms. PMID: 27016452 [PubMed - as supplied by publisher] (Source: Medicina Clinica)



[Tako-Tsubo syndrome as first cardiac manifestation in Steinert's disease].

Sun, 27 Mar 2016 11:36:02 +0100

Authors: Fernández Anguita MJ, Cejudo Del Campo Díaz L, Martínez Mateo V, Paule Sánchez AJ PMID: 27016451 [PubMed - as supplied by publisher] (Source: Medicina Clinica)

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[Anxiety levels in women in the immediate preoperative of elective breast surgery].

Sun, 27 Mar 2016 11:36:02 +0100

Authors: Tena Guerrero JM, Pérez Caballero FL, Buitrago F PMID: 27012673 [PubMed - as supplied by publisher] (Source: Medicina Clinica)



[Numb chin syndrome secondary to solitary schwannoma].

Sun, 27 Mar 2016 11:36:02 +0100

Authors: Sanabria Sanchinel AA, Flores Robles BJ, Santos Lasaosa S PMID: 27012672 [PubMed - as supplied by publisher] (Source: Medicina Clinica)



[Is lower still better? Reflections on Systolic Blood Pressure Intervention Trial study].

Sun, 27 Mar 2016 11:36:02 +0100

Authors: Giner-Galvañ V, Sanz-García FJ, Vicente Navarro D, Esteban Giner MJ PMID: 27012671 [PubMed - as supplied by publisher] (Source: Medicina Clinica)



Pets Help Homeless Youth, Study Finds

Sun, 27 Mar 2016 09:00:30 +0100

SUNDAY, March 27, 2016 -- Pets may bring many health benefits to homeless children, but they can also make it tougher to find shelter or to use other social services, new Canadian research suggests. A team of researchers, led by scientists at the... (Source: Drugs.com - Daily MedNews)



Dosage of copy number variation at 22q11.2 mediates changes in cognition, social function and brain structure in autism spectrum disorder

Sat, 26 Mar 2016 23:00:00 +0100

Publication date: Available online 26 March 2016 Source:Journal of the Formosan Medical Association Author(s): Hsin-I Chen, Yi-Ling Chien, Hsio-Mei Liao, Wei-Hsien Chien, Chia-Hsiang Chen, Yu-Chieh Chen, Susan Shur-Fen Gau Microdeletion at 22q11.2, a common copy number variation (CNV) noted in neurodevelopmental disorders, may be associated with cognitive impairment. However, cognitive function in individuals with microduplication remains unclear. This work presents the genetic, clinical, and brain structural data of two men out of 335 probands with autistic spectrum disorder (ASD) who had different CNV dosages at 22q11.2, and comparison with their siblings, 55 ASD probands, and 73 controls. Both showed severe autistic symptoms, but the proband with microduplication demonstrated b...

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Issue Information

Sat, 26 Mar 2016 23:00:00 +0100

No abstract is available for this article. (Source: Journal of Evaluation in Clinical Practice)



Dr Maurice Matich (Snr).

Sat, 26 Mar 2016 17:04:02 +0100

Authors: Matich M, Matich S, Matich A, Harman R PMID: 27008715 [PubMed - in process] (Source: New Zealand Medical Journal)



George Stewart Purvis.

Sat, 26 Mar 2016 17:04:02 +0100

Authors: Sweetman J PMID: 27008714 [PubMed - in process] (Source: New Zealand Medical Journal)



Time to move beyond industry self-regulation of food marketing in New Zealand.

Sat, 26 Mar 2016 17:04:02 +0100

Time to move beyond industry self-regulation of food marketing in New Zealand. N Z Med J. 2015 Oct 16;128(1423):93-4 Authors: Vandevijvere S, Swinburn B PMID: 27008713 [PubMed - indexed for MEDLINE] (Source: New Zealand Medical Journal)



In Reply.

Sat, 26 Mar 2016 14:24:02 +0100

Authors: Schott G PMID: 27010954 [PubMed - in process] (Source: Deutsches Arzteblatt International)

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We Are Making no Progress.

Sat, 26 Mar 2016 14:24:02 +0100

Authors: Lempert T PMID: 27010953 [PubMed - in process] (Source: Deutsches Arzteblatt International)



Common Sense of Proportion Missing.

Sat, 26 Mar 2016 14:24:02 +0100

Authors: Haas NA PMID: 27010952 [PubMed - in process] (Source: Deutsches Arzteblatt International)



Hypertension Management in Primary Care.

Sat, 26 Mar 2016 14:24:02 +0100

CONCLUSION: After the short follow-up of 5 months, the intervention had no impact on BP control but improved the use of practice strategies. PMID: 27010951 [PubMed - in process] (Source: Deutsches Arzteblatt International)



Hospital Incidence and Mortality Rates of Sepsis.

Sat, 26 Mar 2016 14:24:02 +0100

CONCLUSION: Sepsis and death from sepsis are markedly more common in Germany than previously assumed, and they are on the rise. Sepsis statistics should become a standard component of federal statistical reports on public health, as well as of hospital statistics. Preventive measures and evidencebased treatment should be implemented across the nation. PMID: 27010950 [PubMed - in process] (Source: Deutsches Arzteblatt International)



Flexible bronchoscopy during noninvasive positive pressure mechanical ventilation: two are better than one?

Sat, 26 Mar 2016 14:20:02 +0100

Authors: Scala R Abstract Flexible bronchoscopy (FBO) and non-invasive positive pressure ventilation (NIPPV) are largely applied in respiratory and general intensive care units. FBO plays a crucial role for the diagnosis of lung infiltrates of unknown origin and for the treatment of airways obstruction due to bronchial mucous plugging and haemoptysis in critical patients. NIPPV is the first-choice ventilatory strategy for acute respiratory failure (ARF) of different causes as it could be used as prevention or as alternative to the conventional mechanical ventilation (CMV) via endotracheal intubation (ETI). Some clinical scenarios represent contraindications for these techniques such as severe ARF in spontaneous breathing patients for FBO and accumulated tracheo-bronchial secretions...

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Injuries More Common in Teens Who Focus on Single Sport

Sat, 26 Mar 2016 09:00:32 +0100

SATURDAY, March 26, 2016 -- High school athletes who focus on a single sport may be at increased risk for knee and hip injuries, a new study suggests. "Make sure your children are getting breaks in competition," said study author David Bell,... (Source: Drugs.com - Daily MedNews)



Test your USMLE Step 2 readiness with this most missed question

Sat, 26 Mar 2016 00:00:00 +0100

If you’re gearing up to take the United States Medical Licensing Examination® (USMLE®) Step 2, this series is for you. Each month, we’re giving you an exclusive scoop on the most missed USMLE Step 2 test prep questions and expert strategies to help you beat them. Check out this month’s most challenging question, and view an expert video explanation of the answer from Kaplan Medical. Think you have what it takes to rise above your peers? Test your USMLE knowledge below. Ready. Set. Go. This month’s question that stumped most students: A 22-year-old African immigrant presents to the hospital with acute abdominal pain. The pain is worst in the left upper quadrant and is described as sharp. She has had this pain for the past several days. She has noticed these episodes frequen...



Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions Septic arthritis of the sternoclavicular joint is an unusual infection, especially in otherwise healthy adults. Because it is associated with serious complications such as chest wall abscess, prompt diagnosis and appropriate treatment are required. (Source: Journal of Medical Case Reports)



A lesion to learn: Stroke mimics

Fri, 25 Mar 2016 23:00:00 +0100

Publication date: Available online 26 March 2016 Source:Apollo Medicine Author(s): Mahir Meman, Pushpendra Nath Renjen, Dinesh M. Chaudhari Acute ischemic stroke with neurological deficit is a very debilitating condition, especially in younger patients. IV thrombolysis is the only effective treatment available in most of the centers across India. But delay in hospitalization and bleeding complications are major limitations. In addition to that, stroke mimics are another big problem. Correct identification of stroke mimics needs clinical expertise and imaging studies. Multiple studies indicate safety of thrombolysis in stroke mimics. Here, we are reporting a case to highlight this issue. (Source: Apollo Medicine)



Health system makes cutting-edge telemedicine affordable

Fri, 25 Mar 2016 20:04:00 +0100

With the right kind of equipment, can a video conference between an ambulance and an on-call neurologist deliver the same stroke assessment results as at the bedside in the emergency room? The University of Virginia Health System, after over one year of research, is poised to find out. Previously, AMA Wire® brought you the theory behind the University of Virginia (UVA) Health System’s research efforts to bring telemedicine to the ambulance so they can improve care for patients who are experiencing a stroke. We recently caught up with the UVA team to find out that their telestroke model iTreat is now in action. Andrew M. Southerland, MD, a neurologist with UVA, and his team already have provided this advanced telemedicine service to patients. “We have enrolled seven patients thus f...

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CDC Sets New Guidelines on Sex After Zika Exposure

Fri, 25 Mar 2016 16:00:42 +0100

FRIDAY, March 25, 2016 -- Men who know they've probably been infected with the mosquito-borne Zika virus should not have sex without a condom for six months, according to new federal health guidelines released Friday. Numerous cases of sexually... (Source: Drugs.com - Daily MedNews)



ER Docs Only Ask Half of Suicidal Patients About Guns, Study Shows

Fri, 25 Mar 2016 16:00:14 +0100

FRIDAY, March 25, 2016 -- Only half of suicidal patients in U.S. emergency departments (EDs) are asked if they have access to guns, a new study finds. National guidelines say doctors should ask suicidal patients about their access to guns or other... (Source: Drugs.com - Daily MedNews)



Nearly All U.S. Doctors 'Overprescribe' Addictive Narcotic Painkillers: Survey

Fri, 25 Mar 2016 14:00:47 +0100

FRIDAY, March 25, 2016 -- When American doctors give their patients narcotic painkillers, 99 percent of them hand out prescriptions that exceed the federally recommended three-day dosage limit, new research suggests. And some doctors exceeded that... (Source: Drugs.com - Daily MedNews)



[Editorial] Health and happiness

Fri, 25 Mar 2016 12:07:08 +0100

What makes some individuals and countries happier than others? Whether associated with increased personal wealth, social support, freedom of expression, or longer healthy life, the search for happiness varies as widely as the definition of happiness itself. (Source: LANCET)



[Editorial] Creating a healthier environment for the Chinese population

Fri, 25 Mar 2016 12:07:08 +0100

On March 16, the Chinese Government officially approved its 13th Five-Year Plan—the country's economic and social development blueprint for 2016–20. Notably, environmental protection—for the first time—has been highlighted as a key priority, along with a more moderate annual economic growth at just above 6·5%. As binding targets, water consumption, energy consumption, and carbon dioxide emissions will be cut by 23%, 15%, and 18%, respectively by 2020. In terms of air pollution, the plan particularly requires a minimum of 80% of days “with good air quality” assessed by fine particulate matter (PM2·5) by 2020. (Source: LANCET)

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[Editorial] Cardiology technology—from old to new

Fri, 25 Mar 2016 12:07:08 +0100

Today's Lancet brings together a collection of cardiology research and commentary ahead of the American College of Cardiology (ACC) Annual Meeting, Chicago, IL, USA (April 2–4). The theme of this year's meeting is ignite innovation, as the ACC invites delegates to think in new and disruptive ways, in the context of current rapid technological change. (Source: LANCET)



[Comment] Left-to-right atrial shunting: new hope for heart failure?

Fri, 25 Mar 2016 12:07:08 +0100

So far, no treatments have proven effective for heart failure with preserved ejection fraction—a syndrome with dismal prognosis.1 The syndrome is heterogeneous and associated with many comorbidities. Pathophysiology of the disorder is poorly understood, although a common hallmark is large artery stiffness and heart stiffness, whether related to fibrosis or myocardial titin-based stiffness. As a consequence, the heart's ability to cope with exercise-induced haemodynamic overload is restricted. Exercise would inevitably produce an abrupt rise in pulmonary and left atrial pressure, the main driver of dyspnoea in patients with heart failure with preserved ejection fraction. (Source: LANCET)



[Comment] Learning from role modelling: making the implicit explicit

Fri, 25 Mar 2016 12:07:08 +0100

Role models are central to the formation of physicians' professional identity. So it is important for medical education to understand the processes by which individuals learn from role models.1–3 Although much has been written on role modelling, more data are needed to support thinking on how individuals learn from their role models. A recent study by Passi and Johnson4 casts light on the hidden process of positive role modelling in medicine. (Source: LANCET)



[Comment] Public Health Science conference: a call for abstracts

Fri, 25 Mar 2016 12:07:08 +0100

The Lancet invites abstract submissions for Public Health Science: A National Conference Dedicated to New Research in UK Public Health to be held in Cardiff on Nov 25, 2016. (Source: LANCET)



[Comment] Cardiology: a call for papers

Fri, 25 Mar 2016 12:07:08 +0100

The Lancet is planning a special issue to coincide with the European Society of Cardiology Congress to be held Aug 27–31, 2016, in Rome, Italy. We will consider high quality original research papers that will influence clinical practice, especially those that describe the results of randomised trials. If your work is being presented at the meeting and falls under an embargo policy, please tell us the date, time, and manner or presentation (poster or oral). If your paper is accepted, publication on our website can be scheduled to coincide with the presentation. (Source: LANCET)

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[Comment] Offline: The rule of law—an invisible determinant of health

Fri, 25 Mar 2016 12:07:08 +0100

In January, 2016, in Beijing, Randall Rader, a former Chief Justice of the US Court of Appeals for the Federal Circuit, gave a speech to a private gathering of Chinese Government officials. He had been invited to set out his assessment of China's progress towards the creation of an effective legal system. “The law is the foundation of all prosperity”, he argued. By prosperity he didn't mean only wealth. He included all aspects of a society that underpin its peaceful order and good functioning, including health. (Source: LANCET)



[World Report] Somalia calls for greater coordination in health assistance

Fri, 25 Mar 2016 12:07:08 +0100

Somalia's health minister says more coordinated efforts between the government and external actors could go a long way to improving the health of the population. Sharmila Devi reports. (Source: LANCET)



[Perspectives] Ovarian cancer

Fri, 25 Mar 2016 12:07:08 +0100

On Christmas Day 1809, as the residents of Danville, Kentucky, sang carols in their churches, Jane Todd Crawford prepared for a terrible ordeal. 46 years old and the mother of four children, Crawford believed she was pregnant again with twins, but the full term had passed and her belly continued to swell. On Dec 13, 1809, she consulted the surgeon Ephraim McDowell, who diagnosed a massive ovarian tumour. Born in 1771, McDowell studied medicine in Virginia and Edinburgh, where he might have read John Hunter's discussion of surgery for ovarian cancer. (Source: LANCET)



[Perspectives] A course in reversal

Fri, 25 Mar 2016 12:07:08 +0100

A landmark clinical trial published in this journal in 2006 expanded the evidence base for breast cancer screening with mammography. Subsequently, the US Preventive Services Task Force—a major advisory body for screening guidelines—reconsidered its recommendation for routine mammography among women aged 40–49 years. Vinayak Prasad and Adam Cifu point to this turnabout as an example of “medical reversal”: when a current clinical practice is found to be ineffective or inferior to a previous standard of care. (Source: LANCET)



[Perspectives] Eric Topol: innovator in cardiology and digital medicine

Fri, 25 Mar 2016 12:07:08 +0100

Eric Topol, Professor of Genomics and Director of the Scripps Translational Science Unit in La Jolla, San Diego, California, seems to have the perfect job. He combines one day a week in the clinic, imparting 30 years of knowledge as a leading cardiologist, with his real passion—research in what he sees as the greatest revolution medicine has ever seen. By this he means smart medicine, the era of big data, bioinformatics, and consumer genomics, enthusiastically articulated in his 2015 book The Patient Will See You Now. (Source: LANCET)

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[Perspectives] To truly look inside

Fri, 25 Mar 2016 12:07:08 +0100

200 years ago, in 1816, French physician René Laennec rolled a sheet of paper into a tube to auscultate the chest of a young female patient with suspected tuberculosis. Laennec went on to make his first stethoscope from two pieces of hollowed wood: one was placed against the physician's ear; the other, with a funnel-shaped cone at the end, was placed on the patient's chest. Little did Laennec realise the scientific maelstrom that would greet this new diagnostic instrument, and indeed the parallels that could be drawn to the introduction of handheld ultrasound into clinical practice some 200 years later. (Source: LANCET)



[Obituary] Sam Adjei

Fri, 25 Mar 2016 12:07:08 +0100

Leader in the development of Ghanaian public health. He was born in Accra, Ghana, on June 16, 1948, and died there from cancer on Feb 7, 2016, aged 67 years. (Source: LANCET)



[Correspondence] Child health, the refugees crisis, and economic recession in Greece

Fri, 25 Mar 2016 12:07:08 +0100

According to the UN Refugee Agency,1 roughly 860 000 refugees and migrants without travel documents have entered Greece by sea since 2015, with the Greek islands becoming the main gateway to the European Union. Most refugees (45%) are men, 35% are children, and 20% are women, mostly from Syria, Afghanistan, and Iraq. More than 250 deaths and 149 missing people were recorded in Greek territorial waters in 2015, and almost half of those who have drowned trying to reach Greece were children. Journeys by sea in winter weather are particularly dangerous and children are often soaking wet and extremely cold when they are brought ashore, which leads to a high risk of hypothermia, and in many cases hospital treatment is needed. (Source: LANCET)



[Correspondence] Barriers in palliative care in China

Fri, 25 Mar 2016 12:07:08 +0100

The 2015 Quality of Death Index1 compiled by The Economist Intelligence Unit warned that ageing and booming populations would make palliative care a growing worldwide issue. The Index was based on extensive research and interviews with more than 120 palliative-care experts across the world. The rankings took into account hospitals and hospice environments, staffing numbers and skills, affordability of care, and quality of care. China ranked 71st of 80 countries, and was reported to be “facing difficulties from slow adoption of palliative care and a rapidly aging population”. (Source: LANCET)



[Correspondence] Medical education and medical professionalism in China

Fri, 25 Mar 2016 12:07:08 +0100

In October, 2015, Youyou Tu, a Chinese medical researcher, won the Nobel Prize in Medicine or Physiology for her discovery of artemisinin as an anti-malarial therapy.1 This announcement has drawn national attention and caused fierce controversy in the scientific community in mainland China. (Source: LANCET)

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[Correspondence] Inappropriate use of antibiotics in children in China

Fri, 25 Mar 2016 12:07:08 +0100

Despite WHO's years of advocating appropriate use of antibiotics in children,1 the situation in China remains difficult. In April, 2015, a boy aged 3 years visited a hospital for abdominal pain that was then diagnosed as colitis. 3 weeks later, he died from organ failure induced by Klebsiella pneumoniae—a superbug resistant to most or all forms of available antibiotics.2 (Source: LANCET)



[Correspondence] Challenges arising from China's two-child policy

Fri, 25 Mar 2016 12:07:08 +0100

China's recent two-child policy opens the door for both desired outcomes and unanticipated challenges for some families. In 2015, two teenage girls threatened their parents if they sought to have a second child—one girl threatened to commit suicide1 and the other to become pregnant.2 (Source: LANCET)



[Correspondence] Integrating social health insurance systems in China

Fri, 25 Mar 2016 12:07:08 +0100

Leaders in China recently announced the decision to merge the Urban Resident-based Basic Medical Insurance Scheme and the New Rural Cooperative Medical Scheme, two of its three main social health insurance schemes.1 For the first time, the Chinese Government has officially endorsed a unified insurance scheme for residents in urban and rural areas, with unification of coverage, a fund pooling mechanism, a benefits package and reimbursement rates, a basic medical insurance drug list, unified selection of health providers, and fund management. (Source: LANCET)



[Correspondence] Expectations of medical students in China

Fri, 25 Mar 2016 12:07:08 +0100

On Jan 11, 2016, the National Health and Family Planning Commission issued its guidance for standardised medical training.1 This document proposed an additional 2–4 years of standardised, specialist training for junior doctors in China, to improve the quality of health care. Young doctors and medical students immediately voiced their fierce opposition to the new proposals, and their doubts about the benefits of the new training plan. (Source: LANCET)



[Correspondence] Bioresorbable coronary scaffolds should disappear faster

Fri, 25 Mar 2016 12:07:08 +0100

Why do bioresorbable scaffolds represent a revolution in percutaneous coronary intervention? Permanent coronary stents for a temporary situation (ie, scaffolding during healing) can lead to another disease such as in-stent restenosis or thrombosis, or neoatherosclerosis, due to a foreign body in the artery. Permanent metallic caging of the coronary artery increases the risk of in-stent restenosis or thrombosis. In 1998, the idea of transitory scaffolding emerged: a trial demonstrated the safety in humans of the first fully bioresorbable scaffold. (Source: LANCET)

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[Articles] Unidirectional left-to-right interatrial shunting for treatment of patients with heart failure with reduced ejection fraction: a safety and proof-of-principle cohort study

Fri, 25 Mar 2016 12:07:08 +0100

This first-in-man experience with an implanted left-to-right interatrial shunt demonstrates initial safety and early beneficial clinical and haemodynamic outcomes in patients with heart failure with reduced ejection fraction. Further large-scale randomised studies are warranted. (Source: LANCET)



[Articles] A transcatheter intracardiac shunt device for heart failure with preserved ejection fraction (REDUCE LAP-HF): a multicentre, open-label, single-arm, phase 1 trial

Fri, 25 Mar 2016 12:07:08 +0100

Implantation of an interatrial shunt device is feasible, seems to be safe, reduces left atrial pressure during exercise, and could be a new strategy for the management of HFPEF. The effectiveness of IASD compared with existing treatment for patients with HFPEF requires validation in a randomised controlled trial. (Source: LANCET)



[Series] Management strategies and future challenges for aortic valve disease

Fri, 25 Mar 2016 12:07:08 +0100

The management of aortic valve disease has been improved by accurate diagnosis and assessment of severity by echocardiography and advanced imaging techniques, efforts to elicit symptoms or objective markers of disease severity and progression, and consideration of optimum timing of aortic valve replacement, even in elderly patients. Prevalence of calcific aortic stenosis is growing in ageing populations. Conventional surgery remains the most appropriate option for most patients who require aortic valve replacement, but the transcatheter approach is established for high-risk patients or poor candidates for surgery. (Source: LANCET)



[Series] Mitral valve disease—current management and future challenges

Fri, 25 Mar 2016 12:07:08 +0100

The field of mitral valve disease diagnosis and management is rapidly changing. New understanding of disease pathology and progression, with improvements in and increased use of sophisticated imaging modalities, have led to early diagnosis and complex treatment. In primary mitral regurgitation, surgical repair is the standard of care. Treatment of asymptomatic patients with severe mitral regurgitation in valve reference centres, in which successful repair is more than 95% and surgical mortality is less than 1%, should be the expectation for the next 5 years. (Source: LANCET)



[Series] Valvular aspects of rheumatic heart disease

Fri, 25 Mar 2016 12:07:08 +0100

Acute rheumatic fever and rheumatic heart disease remain major global health problems. Although strategies for primary and secondary prevention are well established, their worldwide implementation is suboptimum. In patients with advanced valvular heart disease, mechanical approaches (both percutaneous and surgical) are well described and can, for selected patients, greatly improve outcomes; however, access to centres with experienced staff is very restricted in regions that have the highest prevalence of disease. (Source: LANCET)

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Simple Steps Can Ease Care of Loved One With Alzheimer's

Fri, 25 Mar 2016 12:00:47 +0100

FRIDAY, March 25, 2016 -- As Alzheimer's disease progresses, patients find that simple tasks become difficult or impossible, but caregivers can help them maintain a sense of independence and dignity, a doctor says. Create a routine that makes days... (Source: Drugs.com - Daily MedNews)



Mild Appendicitis Complication Rates Similar for Surgery, Antibiotics

Fri, 25 Mar 2016 12:00:40 +0100

FRIDAY, March 25, 2016 -- Antibiotics can be used to treat mild appendicitis, but the condition returns in some patients who receive the drugs, researchers report. Surgical removal of the appendix (appendectomy) has long been the standard treatment... (Source: Drugs.com - Daily MedNews)



Distance Matters for Quality Rectal Cancer Care

Fri, 25 Mar 2016 12:00:34 +0100

FRIDAY, March 25, 2016 -- Patients who must travel long distances for rectal cancer radiotherapy are less likely to get the potentially lifesaving treatment, a new study shows. "Travel burden clearly creates a barrier to radiation therapy access for... (Source: Drugs.com - Daily MedNews)



Caffeine Intake -- Even Dad's -- Linked to Miscarriage, Study Says

Fri, 25 Mar 2016 12:00:30 +0100

FRIDAY, March 25, 2016 -- A couple's risk of miscarriage may rise when the woman or man consumes more than two caffeinated drinks a day in the weeks leading up to conception, a new study suggests. Risk of miscarriage also may increase if the... (Source: Drugs.com - Daily MedNews)



Lupus patients’ transition to adult care leaves gaps, delays in care

Fri, 25 Mar 2016 11:40:19 +0100

Patients with childhood-onset systemic lupus erythematosus (SLE) who transitioned to adult care without a formal transitioning process had long periods without care despite having moderate disease... (Source: Pediatric News)

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Seeking Predictor of Survival in Ovarian Cancer (CME/CE)

Fri, 25 Mar 2016 10:35:02 +0100

(MedPage Today) -- Studies examine pCR to speed up trials, approvals (Source: MedPage Today Meeting Coverage)



Troubled Kids' Psychiatric Care Often Delayed by Insurance Rules

Fri, 25 Mar 2016 09:00:59 +0100

FRIDAY, March 25, 2016 -- Children with severe psychiatric problems often have lengthy waits before they're transferred from a hospital emergency department to a psychiatric hospital due to insurance companies' "prior authorization" requirements, a... (Source: Drugs.com - Daily MedNews)



Surgeons' Experience Matters With Thyroid Removal

Fri, 25 Mar 2016 09:00:54 +0100

FRIDAY, March 25, 2016 -- If you need your thyroid gland removed, choosing a surgeon who performs more than 25 thyroid removals a year might minimize your risks, a new study suggests. "This is a very technical operation, and patients should feel... (Source: Drugs.com - Daily MedNews)



Spring a Good Time to Instill Healthy Habits in Kids

Fri, 25 Mar 2016 09:00:32 +0100

FRIDAY, March 25, 2016 -- The arrival of warm weather is a perfect time to make family lifestyle changes that can help children achieve and maintain a healthy weight, a doctor says. In the past 30 years, obesity has more than doubled among children... (Source: Drugs.com - Daily MedNews)



Brain Stimulation May Help People With Anorexia

Fri, 25 Mar 2016 09:00:19 +0100

FRIDAY, March 25, 2016 -- Brain stimulation may ease major symptoms of the eating disorder anorexia nervosa, a typically hard-to-treat condition, a new study suggests. British researchers evaluated anorexia patients before and after they underwent... (Source: Drugs.com - Daily MedNews)

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Adults Don't Need Tetanus Shot Every Decade: Study

Fri, 25 Mar 2016 09:00:16 +0100

FRIDAY, March 25, 2016 -- Adults can get tetanus and diphtheria vaccine boosters every 30 years instead of the recommended 10 years, a new study suggests. "We have always been told to get a tetanus shot every 10 years, but actually, there is very... (Source: Drugs.com - Daily MedNews)



Health Highlights: March 25, 2016

Fri, 25 Mar 2016 07:09:40 +0100

Here are some of the latest health and medical news developments, compiled by the editors of HealthDay: Comedian Garry Shandling Dies at 66 Comedian Garry Shandling died following a "medical emergency" in his Los Angeles home on Thursday. He was... (Source: Drugs.com - Daily MedNews)



Health Tip: Setting Yourself Up for Better Sleep

Fri, 25 Mar 2016 07:00:59 +0100

-- Allowing your mind and body to relax before bed helps prepare you for a better night's sleep. The Harvard Medical School advises: Avoid any sleep-disrupting things, such as alcohol, caffeine or nicotine. Make sure dinner is light and early.... (Source: Drugs.com - Daily MedNews)



FDA Approves Drug to Treat Severe Asthma

Fri, 25 Mar 2016 07:00:00 +0100

(Source: eMedicineHealth.com)



Hepatitis C Kills More People Than HIV Infection

Fri, 25 Mar 2016 07:00:00 +0100

! (Source: eMedicineHealth.com)

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Colon cancer screening: the devil is in the details.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Church J PMID: 27005881 [PubMed - in process] (Source: New Zealand Medical Journal)



Time to establish a New Zealand/ Aotearoa Twin Registry?

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Houghton F PMID: 27005880 [PubMed - in process] (Source: New Zealand Medical Journal)



Perforated sigmoid colon carcinoma within a left inguinal hernia with associated necrotising infection.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Kulasegaran S, Fernando M, Fraser-Jones B, Hammodat H PMID: 27005879 [PubMed - in process] (Source: New Zealand Medical Journal)



Decision-making in an era of cancer prevention via aspirin: New Zealand needs updated guidelines and risk calculators.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Wilson N, Selak V, Blakely T, Leung W, Clarke P, Jackson R Abstract Based on new systematic reviews of the evidence, the US Preventive Services Task Force has drafted updated guidelines on the use of low-dose aspirin for the primary prevention of both cardiovascular disease (CVD) and cancer. The Task Force generally recommends consideration of aspirin in adults aged 50-69 years with 10-year CVD risk of at least 10%, in who absolute health gain (reduction of CVD and cancer) is estimated to exceed absolute health loss (increase in bleeds). With the ongoing decline in CVD, current risk calculators for New Zealand are probably outdated, so it is difficult to be precise about what proportion of the population is in this risk category (roughly equivalent to 5-year CVD risk ≥5%...



Valuing embryos as both commodities and singularities.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Legge M, Fitzgerald R Abstract An argument put forward against gamete and embryo donation, sale and research, is that to do so would treat the gametes or embryos as objects with no intrinsic value as human. Instead, gametes and embryos created and used for donation, sale or research, can be considered more like a commodity created and traded for economic exchange-something that is valuable only for the amount of money or other goods and services that others are willing to exchange. While Kant asserts that humans have dignity rather than object worth, the provision of human gametes and embryos are progressively becoming utilities for resolving childlessness and for certain research investigations. In this paper we discuss the commodity market and the relationship to human r...

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Stroke care delivery at North Shore Hospital, Waitemata District Health Board 2014.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Yeo J, Zhou L, Ratnasabapthy Y PMID: 27005876 [PubMed - in process] (Source: New Zealand Medical Journal)



Social and spatial inequalities in Rotaviral enteritis: a case for universally funded vaccination in New Zealand.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSIONS: This research suggests that targeted rotaviral intervention is inappropriate and supports the introduction of a fully funded rotavirus vaccine in New Zealand in 2014. PMID: 27005875 [PubMed - in process] (Source: New Zealand Medical Journal)



An exploratory study of the health harms and utilisation of health services of frequent legal high users under the interim regulated legal high market in central Auckland.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSIONS: Frequent use of interim licensed SC products was associated with health problems, including dependency. Further research is required to determine the health risks of these products. PMID: 27005874 [PubMed - in process] (Source: New Zealand Medical Journal)



Accuracy of frozen sections for breast cancer sentinel lymph node biopsies within a peripheral New Zealand hospital.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSIONS: The accuracy of frozen section section for sentinel lymph node biopsies in breast cancer at Hawke's Bay District Health Board is acceptable by international standards. However, as further evidence against axillary node dissections in those with sentinel node positive disease mounts, their use in the future may be limited. PMID: 27005873 [PubMed - in process] (Source: New Zealand Medical Journal)



Management of gestational trophoblastic disease: a survey of New Zealand O&G practice.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSION: In spite of the low response rate, our research demonstrates existing practice heterogeneity at every level of care. It also confirms that there is a desire for some form of centralisation in diagnosis and management of GTD, and a definite need for data collection in the form of a national register. PMID: 27005872 [PubMed - in process] (Source: New Zealand Medical Journal)

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Overnight transfusions in New Zealand hospitals: potential risk to patients.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSIONS: This audit has shown an improvement from 22% to 9% in the rate of OT compared to the 2004 audit. Nevertheless, 42% of transfusions were not considered appropriate based on current guidelines, and there is therefore room for improvement. A mean delay of 9 hours from haemoglobin sampling to transfusion suggests that reasons for this delay could be explored to help optimise transfusion start time. Some aspects of OT were worse than previously, with 12% of the OT exceeding 4 hours duration, double the rate of the previous audit. Results showing poor documentation and a high rate of unreported transfusion reactions (69% of reactions) suggest if an adverse transfusion reaction occurs overnight, there is a significant risk that it is less likely to be recognised, treated and/or repor...



Current management of acute diverticulitis: a survey of Australasian surgeons.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSIONS: Newer approaches to management were being utilised by some respondents. The lack of consensus regarding management of AD may be a consequence of a paucity of high-level evidence to support specific management approaches, particularly in patients with uncomplicated AD. PMID: 27005870 [PubMed - in process] (Source: New Zealand Medical Journal)



The proposed change to primary HPV screening in New Zealand: reasons for caution.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Fitzgerald P, Cox B, Miller A, Hill S, Reid J PMID: 27005869 [PubMed - in process] (Source: New Zealand Medical Journal)



Public reporting of health care performance data: what we know and what we should do.

Fri, 25 Mar 2016 05:09:03 +0100

Authors: Hamblin R, Shuker C, Stolarek I, Wilson J, Merry AF PMID: 27005868 [PubMed - in process] (Source: New Zealand Medical Journal)



Water sampler.

Fri, 25 Mar 2016 02:42:02 +0100

Authors: Wong SS PMID: 27002179 [PubMed - in process] (Source: Hong Kong Medical Journal)

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Opportunity costs and local health service spending decisions: a qualitative study from Wales

Fri, 25 Mar 2016 00:00:00 +0100

All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology. In England and Wales, when a health technology is recommended by the National I... (Source: BMC Health Services Research)



Dementia and Physical Activity (DAPA) - an exercise intervention to improve cognition in people with mild to moderate dementia: study protocol for a randomized controlled trial

Fri, 25 Mar 2016 00:00:00 +0100

Dementia is more common in older than in younger people, and as a result of the ageing of the population in developed countries, it is becoming more prevalent. Drug treatments for dementia are limited, and the... (Source: Trials)



Health and happiness

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: 26 March–1 April 2016 Source:The Lancet, Volume 387, Issue 10025 Author(s): The Lancet (Source: The Lancet)



Creating a healthier environment for the Chinese population

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: 26 March–1 April 2016 Source:The Lancet, Volume 387, Issue 10025 Author(s): The Lancet (Source: The Lancet)