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    Health & Fitness

    Clinical Conversations

    From NEJM Journal Watch, this podcast features lively interviews, concise summaries, and expert commentary that busy clinicians need to stay current and improve patient care.

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    Copyright: © 2008-2020 NEJM Journal Watch

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    Latest Episodes:
    Podcast 21: An interview with Dr. Steven T. DeKosky about his JAMA paper showing that ginkgo extract does not prevent dementia Nov 21, 2008
    Show notes

    It’s the usual offering: the week’s news summarized, an interview, and a quick exit. This week we talk with Steven DeKosky about his JAMA paper on the (lack of) usefulness of ginkgo extract in preventing dementia. The links will point you to a good resource on these alternative therapies and what’s known about them. Don’t hesitate to leave us a comment at 617-440-4374. News links:

    Statins and cardiovascular risks

    • Journal Watch Cardiology
    • Physician’s First Watch
    • New England Journal of Medicine article

    Guidelines on second-generation antidepressants

    • Physician’s First Watch
    • Annals of Internal Medicine article
    Interview links:
    • National Center for Complementary and Alternative Medicine site
    • Journal Watch Psychiatry coverage
    • Physician’s First Watch coverage
    • JAMA article

    The post Podcast 21: An interview with Dr. Steven T. DeKosky about his JAMA paper showing that ginkgo extract does not prevent dementia first appeared on Clinical Conversations.

    Podcast 20: While we take a week off, we offer the reprise of an interview with Dr. Steven Woloshin of Dartmouth Medical School. Nov 18, 2008
    Show notes

    We interviewed Steven Woloshin back in June about a method of showing patients the magnitude of the risks they face from habits like smoking. We reprise the interview while we take some time off to recharge our batteries. Interview link:

    First Watch coverage of Woloshin’s study in JNCI

    The post Podcast 20: While we take a week off, we offer the reprise of an interview with Dr. Steven Woloshin of Dartmouth Medical School. first appeared on Clinical Conversations.

    Podcast 19: An interview with Dr. Susan Davis about using testosterone in postmenopausal women who have low libido. Plus, the week’s news. Nov 07, 2008
    Show notes

    This week’s podcast features an interview with the Australian researcher Susan Davis. She’s just had a study in NEJM about the effect of testosterone on low libido in postmenopausal women. We also have the usual news roundup. Enjoy! (If you don’t, let us know at 1-617-440-4374.) Journal Watch links:

    • CDC: Most Americans with Prediabetes Don’t Know They Have It
    • Low Maternal Caffeine Intake Linked to Fetal Growth Restriction

    • FDA Approves Drug Treatment for Overactive Bladder

    • Testosterone Patch Improves Sexual Desire in Postmenopausal Women

    Interview link:
    • New England Journal of Medicine abstract
    Journal links:
    • MMWR article on prediabetes
    • BMJ article on maternal caffeine intake
    • FDA announcment on bladder drug
    • New England Journal of Medicine abstract on testosterone
    Election links:
    • The 2008 election results

    The post Podcast 19: An interview with Dr. Susan Davis about using testosterone in postmenopausal women who have low libido. Plus, the week’s news. first appeared on Clinical Conversations.

    Podcast 18: News plus an interview with Prof. Riccardo Utili about infective endocarditis in the elderly Oct 31, 2008
    Show notes

    This week we look at why infective endocarditis among the elderly has characteristics very different from its manifestations in younger patients. Prof. Riccardo Utili of the Second University of Naples is our guest. And of course we start with a brief news roundup. Journal Watch links:

    • Breast Cancer Less Likely to Recur in Women with Vasomotor, Joint Symptoms During Early Treatment
    • Comorbidities Associated with Delays in MS Diagnosis
    • Statin Use Associated with Drops in PSA Levels
    • Age Determines Clinical Characteristics of Infective Endocarditis
    Journal links:
    • Breast cancer article from the Lancet Oncology
    • Multiple sclerosis article from Neurology
    • JNCI article on statins and PSA levels
    Interview links:
    • Archives of Internal Medicine study on age and endocarditis
    Voting links:
    • Federal Election Commission
    • Presidential voting history

    The post Podcast 18: News plus an interview with Prof. Riccardo Utili about infective endocarditis in the elderly first appeared on Clinical Conversations.

    Podcast 17: News plus an interview with Dr. Arto Strandberg regarding midlife smoking Oct 24, 2008
    Show notes

    This week Dr. Arto Strandberg, a general practitioner who does his research at the University of Helsinki, talks with us about the effects of midlife smoking on later-life living. Plus we have the usual news roundup. Journal Watch links:

    • ACIP Recommends Pneumococcal Vaccine for Smokers
    • ADA Updates Algorithm for Management of Hyperglycemia in Type 2 Diabetes
    • Guidelines on GERD Management Issued
    • Hip Fracture Risk Elevated in Heart Failure Patients
    Journal links:
    • Associated Press story
    • Diabetes Care guidelines
    • Gastroenterology guidelines
    • Circulation article
    Interview links:
    • Archives of Internal Medicine article
    X-ray story links:
    • Nature video

    The post Podcast 17: News plus an interview with Dr. Arto Strandberg regarding midlife smoking first appeared on Clinical Conversations.

    Podcast 16: This week’s news, plus an interview recorded earlier this year with Dr. John Douglas of the CDC’s Division of STD Prevention Oct 17, 2008
    Show notes

    We had trouble reaching our intended interviewee in Finland. so we rescheduled that for next week. Instead, we’re bringing you an interview with Dr. John Douglas of the CDC that we recorded in March. He talks with us about the implications of a finding that one in four young women in the U.S. has a sexually transmitted disease. But first, news.

    Journal Watch Links:

    • Aspirin, Antioxidants Offer No Primary Cardiovascular Protection in Diabetes
    • Homocysteine-Lowering with B Vitamins Doesn’t Slow Cognitive Decline in Alzheimer Disease
    • AAP Guidelines Recommend Doubling Children’s Vitamin D Intake
    • Smoking in Middle Age Confers Poor Quality of Life Years Later

    Journal Links:

    • BMJ on aspirin and antioxidants in diabetics at risk for CVD
    • JAMA on B-vitamin supplementation in AD
    • Pediatrics guidelines on Vitamin D
    • Archives article on midlife smoking
    • Brian Eno and Will Wright discuss creativity and music and much else.

    The post Podcast 16: This week’s news, plus an interview recorded earlier this year with Dr. John Douglas of the CDC’s Division of STD Prevention first appeared on Clinical Conversations.

    Podcast 15: The week’s news, plus an interview with Dr. Alexi A. Wright about her article in JAMA on end-of-life conversations and their cascading ben... Oct 10, 2008
    Show notes

    The medical news gods were generous this week, providing a wealth of stories to choose from. Plus, the Nobel prizes were announced. We’re especially fortunate to have an interview with a researcher whose findings relate directly to your clinical work. Journal Watch links:

    • Patients and Caregivers Benefit from End-of-Life Discussions
    • Tiotropium Alleviates Symptoms, Doesn’t Reduce Rates of FEV1 Decline in COPD
    • USPSTF Updates Colorectal Cancer Screening Guidelines
    • Carotid Stenting vs. Endarterectomy: Longer-Term Outcomes
    News story links:
    • JAMA abstract on end-of-life discussions
    • NEJM article (free) on tiotropium
    • USPSTF recommendations (free) in Annals of Internal Medicine
    • Lancet Neurology abstract of first carotid study
    Interview links:
    • JAMA abstract on end-of-life discussions
    Nobel links:
    • Nature news article

    The post Podcast 15: The week’s news, plus an interview with Dr. Alexi A. Wright about her article in JAMA on end-of-life conversations and their cascading benefits first appeared on Clinical Conversations.

    Podcast 14: News roundup and interview with Dr. Michael Hochman about his JAMA paper on how the news media cover drug research. Oct 06, 2008
    Show notes

    The week ending Oct. 3, 2008, was relatively slow for medical news, but crammed with news of every other sort. This week’s interview features Michael Hochman, a third-year resident in internal medicine who has just published a paper on how the media cover research on new drugs. It seems they don’t make a habit of reporting funding sources.

    Journal Watch links:
    • AHA Recommends Screening Patients with Coronary Heart Disease for Depression
    • News Media Coverage of Drug Trials Faulted
    Journal links:
    • Circulation article on screening
    • Simple screening questionnaire
    Interview links:
    • JAMA abstract
    Science link:
    • Scientific illustration

    The post Podcast 14: News roundup and interview with Dr. Michael Hochman about his JAMA paper on how the news media cover drug research. first appeared on Clinical Conversations.

    Podcast 13: News and interview with Dr. Stephen Hetz, co-editor of “War Surgery in Afghanistan and Iraq” and director of medical education at Beaumont... Sep 27, 2008
    Show notes

    This week’s podcast includes an interview with Stephen Hetz, co-editor of the recently published book “War Surgery in Afghanistan and Iraq.”

    Journal Watch links

    • Thrombolysis for Stroke Within 4.5 Hours Is Safe and Effective
    • Extending the Time Frame for Alteplase: The ECASS III Trial
    • Continuous Glucose Monitoring in Diabetic Pregnant Women
    • Maternal Influenza Vaccination Reduces Infant Influenza, Febrile Respiratory Illness
    • Maternal Influenza Immunization Protects Infants
    • Novel Approach to Infant Influenza
    • Survival After MI Better with Drug-Eluting Than with Bare-Metal Stents

    Story links

    • NEJM alteplase abstract
    • NEJM alteplase editorial
    • BMJ glucose monitoring article
    • NEJM on maternal influenza vaccination
    • NEJM stents abstract

    Interview link

    • Ordering “War Surgery” through the Government Printing Office

    New Yorker link

    • Finnegan article online

    The post Podcast 13: News and interview with Dr. Stephen Hetz, co-editor of “War Surgery in Afghanistan and Iraq” and director of medical education at Beaumont Army Medical Center, El Paso. first appeared on Clinical Conversations.

    Podcast 12: News and interview with Dr. Anne Schuchat, Director of CDC’s National Center for Immunization and Respiratory Diseases Sep 06, 2008
    Show notes

    This week’s podcast includes an interview with Anne Schuchat about U.S. childhood immunization rates, along with the usual news roundup.

    Journal Watch links

    • Physical Activity May Boost Cognitive Function in Older Adults
    • Vytorin (Simvastatin + Ezetimibe) Shows Little Benefit for Aortic Stenosis
    • New Questions and a Few Answers on Vytorin and Cancer Risks
    • Vytorin: Navigating Uncharted Waters
    • Omega-3s Improve Outcomes in Heart Failure Patients, Rosuvastatin Does Not

    Exercise and cognitive impairment

    • http://firstwatch.jwatch.org/cgi/content/full/2008/903/3
    • http://jama.ama-assn.org/cgi/content/full/300/9/1027
    • http://jama.ama-assn.org/cgi/content/extract/300/9/1077

    Vytorin’s risks and efficacy

    • http://content.nejm.org/cgi/content/full/NEJMoa0804602
    • http://content.nejm.org/cgi/content/full/NEJMsa0806603
    • http://content.nejm.org/cgi/content/short/NEJMe0807200v1
    • http://firstwatch.jwatch.org/cgi/content/full/2008/902/1
    • http://firstwatch.jwatch.org/cgi/content/full/2008/902/2
    • http://cardiology.jwatch.org/cgi/content/full/2008/902/2

    Omega-3 versus rosuvastatin in heart failure

    • http://www.thelancet.com/journals/lancet/article/PIIS0140673608612398/abstract
    • http://www.thelancet.com/journals/lancet/article/PIIS0140673608612404/abstract
    • http://firstwatch.jwatch.org/cgi/content/full/2008/903/1

    Dr. Anne Schuchat interview links

    • http://www.cdc.gov/vaccines/
    • http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5735a1.htm

    The post Podcast 12: News and interview with Dr. Anne Schuchat, Director of CDC’s National Center for Immunization and Respiratory Diseases first appeared on Clinical Conversations.

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