Clinically silent myocardial scars are common in middle aged and older people, study finds

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Nearly 8% of middle aged and older people in the United States have myocardial scars suggestive of myocardial infarction, almost 80% of which have not been detected by electrocardiography or clinical evaluation, a study published in JAMA has found.

The researchers wrote, “The clinical significance of unrecognized myocardial scar remains to be defined, although prior myocardial scar has been noted pathologically in more than 70% of patients with sudden cardiac death but without prior known coronary artery disease.”

Older patients with diabetes are often overtreated, say researchers

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Older patients with diabetes whose treatment had resulted in very low blood pressure or haemoglobin A1c levels rarely had their medicines reduced or withdrawn, a US study published in JAMA Internal Medicine has found.

The authors said that this represents a lost opportunity to reduce overtreatment among older people that can put them at risk of serious adverse events.

Terminally ill patients could benefit from stopping statins, study says

Discontinuing treatment with statins in patients with terminal illnesses is safe, could improve quality of life, and could reduce costs, US research published in JAMA Internal Medicine concludes.

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The pragmatic randomized trial looked at 381 patients with a mean age of 74.1 years. Half of the patients had cancer, and all had an estimated life expectancy of between one month and one year. The patients had been taking prescribed statins for three months or more for primary or secondary prevention of cardiovascular disease but had no recent active cardiovascular disease

Vegetarians have lower risk of colon cancers, study finds

thebmj_logoVegetarian diets are associated with an overall lower incidence of colorectal cancers, a large prospective cohort trial has found.

The US study, published online by JAMA Internal Medicine, included 77 659 men and women who were assessed by a food frequency questionnaire and categorised into four vegetarian groups (vegan, lacto-ovo vegetarian, pesco-vegetarian, and semi-vegetarian) or a non-vegetarian group. During a mean follow-up of 7.3 years 380 cases of colon cancer and 110 cases of rectal cancer were recorded.

eTOC pilot service

A new service from The Staff Libraryjama

From 16 June we will be piloting our electronic table of contents service (eTOC) which uses emails to update the recipient of the latest content of their favourite journals.  Initially we are focussing on just two of the hundreds of online publications – New England Journal of Medicine (NEJM) and the Journal of American Medical Association (JAMA). However, if there is sufficient interest we hope to extend this to include requests and other quality journals.

Sample content would look like this – following the links would bring up the article abstract. If we do not have a subscription to the journal, we would order the article for you as part of our inter-library loan service.

nejmNew England Journal of Medicine (24 new articles):

Tattoos and Sarcoidosis
Spot Diagnosis
Pharmacology and the Treatment of Complicated Skin and Skin-Structure Infections
Management of Skin Abscesses
Pregnancy and Infection
Adverse Health Effects of Marijuana Use

If you are interested in taking part or would like to know more, please contact Jan Read or email the Staff Library on 66 1362. Thank you.

Athens opens door to a wealth of information

If you haven’t yet registered for an Athens account, then you don’t know what you’re missing!  It’s quick, free and easy to register, just CLICK HERE  where you will be given a username and invited to set up a password.  Once you have these, simply by visiting NICE Evidence at https://www.evidence.nhs.uk/ you will have access to all these online resources.  Brilliant!

123Doc: ebooks and online courses_ 123Doc provides ebooks in all fields of medicine as well as online courses for the postgraduate exams such as MRCP, MRCPCH, MRCS, GPST…. ebooks are from major medical publishers such as OUP, Blackwell, Radcliffe, Manson Publishing…

Best Practice Best Practice provides the latest research evidence, guidelines and expert opinion – presented in a step-by-step approach, covering diagnosis, prognosis, treatment and prevention. It provides a second opinion in an instant, without the need for checking
BMJ Journals Collection
  BMJ Journals Collection comprises of 22 leading medical titles on specialist clinical areas, public health and evidence-based medicine. Available in print and online.
BMJ Learning
  BMJ Learning is an interactive website designed for all healthcare professionals to support their personal development, learning and CME (Continuing Medical Education) needs.
BNF and BNF for children – from Medicines Complete
 Guidance on the actions and uses of drugs prescribed in the UK
British National Formulary 
The official website of the British National Formulary, providing UK Healthcare professionals with authoritative and practical information on the selection and clinical use of medicines in a clear, concise and accessible manner.
EBSCOhost databases 
EBSCO offers the largest scholarly full text collections in the world covering virtually every area of academic study, as well as linking technology integrating library resources, essentially creating a one-stop research environment for researchers.
Informa Healthcare 
Publisher of over 170 pharmaceutical, life science and medical journals, Informa Healthcare provides a wealth of high impact research and review journals
internurse.com 
  Online archive of 9000+ peer-reviewed nursing and midwifery articles from MA Healthcare Ltd publications
JAMA Network Journals 
  JAMA Network Journals publish original high quality, high impact clinical and research articles on a diverse range of medical topics.
Map of Medicine 
 The Map of Medicine is an online knowledge resource that visually organises the latest medical research evidence and best patient practice guidelines.
Micromedex (Health Care Series, Martindale) Funded by the NW Health Care Libraries Unit Unbiased, authoritative drug, acute care, toxicology, patient, education and alternative medicine databases providing trusted clinical decision support.
MyiLibrary
 MyiLibrary provides a faster and easier way to access collections of books, reports, journals, bulletins and other documents published by inter-governmental organisations such as the World Bank, United Nations and International Labour Organisation.
NHS Evidence Journals and Databases 
The NHS Evidence Journals and Databases service brings together all NHS library and information services, and working with other service providers, this aims to deliver the best health library service to all NHS staff, students, patients and carers.
NICE BNF and BNFC Mobile Applications
 Mobile Application access to the British National Formulary (BNF) and British National Formulary for children (BNFC)
Ovid Online
  Access to databases and full text for the HealthCare and Academic communities. Such as AMED, British Nursing Index, Cinahl, Embase, IBSS, Inspec, Medline, PsycInfo & Journals@Ovid.
Oxfordonline.com: Funded by the NW Health Care Libraries Unit and some NW NHS Trusts Products hosted on the oxfordonline.com domain including Oxford Medical Handbooks Online
Oxford Textbook of Medicine: Funded by the NW Health Care Libraries Unit The foremost international textbook of medicine. Unrivalled in its coverage of the scientific aspects and clinical practice of internal medicine and its subspecialties, it is a fixture in the offices and wards of physicians around the world.
ProQuest New Platform 
ProQuest Online Databases.
Royal Marsden Manual Online: Funded by the NW Health Care Libraries Unit The Royal Marsden Hospital Manual of Clinical Nursing Procedures Online Edition. Complete clinical procedure management online!
SAGE Journals Journal content
 JUST ADDED (PDFs, html abstracts) delivery platform.
ScienceDirect 
 Access over 1500 scientific, technical & medical peer-reviewed journals from Elsevier Science and other publishers. Search over 40 million abstracts from scientific articles. Link out to articles from over 80 other publishers.
UCL Hospitals Injectable Medicine Guide 
The UCL Hospitals Injectable Medicines Administration Guide Online provides online access to key information and advice needed for the safe and effective administration of many injectable medicines.
Wiley Online Library
  Access an extensive range of quality journals, reference works and Current Protocols online, covering a range of scientific, medical, technical and professional disciplines. 
Your RSM Press Journals
  Journal of the Royal Society of Medicine

JAMA: Kidney Attack – May 2012

Kidney Attack – — JAMA.

ONLINE FIRST

 

JAMA - current issue cover

JAMA. doi: 10.1001/jama.2012.4315

 

  1. John A. Kellum, MD;
  2. Rinaldo Bellomo, MD;
  3. Claudio Ronco, MD

Some forms of acute vital organ injury leading to death or severe disability have appropriately attracted significant attention among clinicians, researchers, and the public. There is almost universal public understanding of the concept of a heart attack. Many members of the public also are now familiar with the concept of a brain attack. Unlike medical expressions such as myocardial infarction or stroke, lay terms including the word attack convey a sense of urgency and importance. Such terms have helped to achieve considerable progress in treatment or outcome by focusing public attention, encouraging early clinician intervention, and establishing a research agenda.

Read more from this JAMA article here