All over England, buddleias have been in flower for weeks already, often sprawling over railway embankments and waste ground, or lodged in the mortar of high walls and chimneys to the greater peril of the populace. […]
Category: Richard Lehman’s weekly review of medical journals
JAMA 18 Jul 2007 Vol 298
This trial prejudged its outcome by calling itself the Women’s Healthy Eating and Living (WHEL) study; it was based on the supposition that a diet very high in vegetables, fruit, and fibre and low in fat might reduce cancer-related events and mortality in women with breast cancer. […]
NEJM 19 Jul 2007 Vol 35
A big international trial gives a nice clear answer to an important clinical question: might patients with peripheral vascular disease do better taking warfarin as well as an antiplatelet agent? […]
BMJ 21 Jul 2007 Vol 335
This study of self-monitoring in type 2 diabetes calls into question a widely-used and expensive intervention and has drawn a stream of responses ever since it was first posted on the BMJ website some weeks ago. […]
Lancet 21 Jul 2007 Vol 370
A useful short reminder piece about new treatments for age-related macular degeneration. The story is much as was told in the New England Journal last October, under the apt heading “The Price of Sight”: […]
Ann Intern Med 17 Jul 2007 Vol 147
When penicillin was a new drug in short supply, its use in gonorrhea became the subject of heated debate; after that, decades passed before the first penicillin-resistant gonococci emerged and led to the abandonment of penicillin in favour of fluoroquinolone antibiotics. […]
Saying of the Week:
Man’s one method, whether he reasons or creates, is to half-shut his eyes against the dazzle and confusion of reality. R Louis Stevenson […]
JAMA 11 Jul 2007 Vol 298
Because it is often difficult to conduct randomised trials in children, paediatrics can sometimes remain a bastion of untested dogma, as with the vexed question of recurrent urinary tract infections in children. […]
NEJM 12 Jul 2007 Vol 357
Carriers of BRCA1 and BRCA2 mutations are of course much more likely to get breast cancer, but is it also true, as sometimes stated, that their cancers are more aggressive? […]
BMJ 14 Jul 2007 Vol 335
Reading research papers is for most doctors an effort of duty rather than love, and although I have tried for nearly ten years to make it sound like fun, even for me the same usually applies. […]