Arch Intern Med 8/22 Aug 2011 Vol 171 The order in which I place these journals does not reflect merit, but dates back to 1998 when I first made some experimental one-line notes on the journals as they arrived in the post. O happy days! There was something good about handling the paper copy, and […]
JAMA 3 Aug 2011 Vol 306 493 This issue of JAMA is devoted to war and violence, things that most of us have not experienced. Those who do experience them, like most of the population of Europe in the generation before mine, are never unscathed. The study here discovers that military veterans with post-traumatic stress […]
JAMA 27 July 2011 Vol 306 The management of early invasive breast cancer has evolved gradually though improved understanding of its natural history together with improved deployment of chemotherapy and radiotherapy. We also now have better ways of detecting micrometastases in lymph nodes and bone marrow and this American study reports on their prognostic significance […]
JAMA 20 July 2011 Vol 306 277 As I try to write, much of America lies torpid in a heat wave approaching 40 degrees centigrade. This issue of JAMA, like last week’s, seems to suffer from a sort of anticipatory heat stroke – not one of the research papers belongs in a generalist journal, and […]
JAMA 13 July 2011 Vol 306 Unusually, I couldn’t find anything to report on from JAMA this week. Last week, its new editor, Howard Bauchner, promised us a new vision for the journal. I liked the old journal very much but it was becoming like an old jumper *– full of comfortable associations but saggy […]
JAMA 6 July 2011 Vol 305 45 Of all the great writers, only Chekhov captures exactly the balance of good and evil in rural life. Before his fame as a writer, he worked in a rural hospital, making the best of what support staff he had and what competencies he had acquired as a medical […]
NEJM 30 June 2011 Vol 364 2483 The world of African emergency medicine is one which many noble British GPs have visited, but I alas am not of their number. I have merely braved the acute takes of celebrated New England hospital, where I learned yesterday that emergency departments throughout the world exhibit a hypotension-fluid […]
JAMA 22 June 2011 Vol 305 2525 Our understanding of the causes of the syndrome we label type 2 diabetes comes in dribs and drabs, and this study of the preventive effect of drugs given for rheumatoid arthritis or psoriasis on the incidence of diabetes counts as a drib; or perhaps a drab. The most […]
JAMA 15 June 2011 Vol 305 2419 Here is a study which may have major resource implications for you and your commissioning group, because it seems to show that there is no mortality benefit over 6.7 years in men who undergo bariatric surgery. You can relax: there will be no need to find money to […]
JAMA 8 June 2011 Vol 305 2295 Ovarian cancer almost always presents too late for a cure, so screening asymptomatic women must offer our best chance of reducing its high mortality. In this ground breaking study, 78 216 women were randomised to usual care or to have CA-125 measurements every year for 6 years and […]