This week, MD Consult provided another reason to ensure that you don’t slack off on your flossing during the holidays – recent studies suggest that there may be bi-directional links between periodontal disease and rheumatoid arthritis. While the evidence seems to be growing for those connections, a previously-suggested relationship between low vitamin D and breast cancer is now being called into question; further analysis has made the picture somewhat murkier. Also in the news was an overview of the ongoing barriers to optimal epilepsy care faced by both physicians and patients.
In the Journals, the latest issue of Chest has arrived, and it covers a wide variety of topics. One paper explores the affect age has on obese asthma patients; the research suggests that obesity has a much greater impact on younger sufferers. The role of weight in coronary heart disease is also discussed, with an examination of weight loss and exercise training; patients who lost more weight had greater improvement in flow-mediated dilatation. The longer-term psychological effects of ARDS on its survivors were also studied. Another journal taking in a wide range of topics is the new American Family Physician – it looks at just about everything from childbirth to cirrhosis. An editorial regarding the former argues against elective deliveries before 39 weeks and includes links to useful charts, forms and toolkits, while another article looks at cirrhosis prevention and management. The diagnosis and treatment of Crohn’s disease in the general practice setting is also described.
New Clinics include Clinics in Perinatology, which focuses on newborn brain development. The fragile developing motor systems of preterm and low birthweight babies is addressed in one article, including approaches to improving their outcomes. Visual development is the subject of another paper, including the implications for NICU care that can help support these changes. Hearing is addressed as well, and the relevant article warns against the use of commercially-available systems that encourage placing headphones or speakers on the mother’s belly. December’s Hematology/Oncology Clinics of North America looks at acute leukemias, and many recent advances are noted in an editorial. The authors of one paper ask if we have yet reached the goal of being able to cure all patients with acute promyelocytic leukemia, while another looks at current therapeutic strategies in adult acute lymphoblastic leukemia. New approaches, including transplant strategies, are also examined.
We will be taking a break from What’s New on MD Consult next week for the holidays, so check back the first week of January for more. Have a safe and happy holiday season, and we’ll see you in 2012!blog comments powered by Disqus