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Commentary   Open Access

Do statins lower testosterone and does it matter?

Allan D Sniderman, George Thanassoulis BMC Medicine 2013, 11:58 (28 February 2013)

Abstract | Provisional PDF |  Editor’s summary

Allan Sniderman and George Thanassoulis comment on a meta-analysis showing reduction of testosterone by statins, but argue that range of changes rather than average changes need to be considered when measuring the effects of specific drugs.

Research article   Open Access

The effect of statins on testosterone in men and women, a systematic review and meta-analysis of randomized controlled trials

C Mary Schooling, Shiu Lun Au Yeung, Guy Freeman, Benjamin J Cowling BMC Medicine 2013, 11:57 (28 February 2013)

Abstract | Provisional PDF |  Editor’s summary

According to a meta-analysis, treatment with statins, a drug commonly prescribed to patients at risk of cardiovascular disease, can reduce testosterone levels in both men and women, although the cause for this needs to be determined by further studies.

Commentary   Open Access

Maternal plasma sequencing: a powerful tool towards fetal whole genome recovery

Elisavet A Papageorgiou, Philippos C Patsalis BMC Medicine 2013, 11:56 (27 February 2013)

Abstract | Provisional PDF |  Editor’s summary

Elisavet Papageorgiou and Philippos Patsalis comment on a novel noninvasive method of fetal haplotype and phenotype analysis, and discuss how this study, published in Genome Medicine, can lead to better prenatal diagnosis of fetal abnormalities. 

Commentary   Open Access

Neural connectivity abnormalities in autism: Insights from the tuberous sclerosis model

Charlotte Tye, Patrick Bolton BMC Medicine 2013, 11:55 (27 February 2013)

Abstract | Provisional PDF |  Editor’s summary

Charlotte Tye and Patrick Bolton comment on a study showing that neural networks differ in tuberous sclerosis patients with and without autism spectrum disorder (ASD), and describe how the results support the theory of altered neural circuitry in ASD.

Research article   Open Access

Brain functional networks in syndromic and non-syndromic autism: a graph theoretical study of EEG connectivity

Jurriaan M Peters, Maxime Taquet, Clemente Vega, Shafali S Jeste, Ivan Sanchez Fernandez, Jacqueline Tan, Charles A Nelson, Mustafa Sahin, Simon K Warfield BMC Medicine 2013, 11:54 (27 February 2013)

Abstract | Provisional PDF |  Editor’s summary

Graph theory measurements in autistic patients with and without tuberous sclerosis complex reveal more short-range neural connections compared with non-autistic controls, offering mechanistic insight into the neurobiological mechanisms of autism.

Commentary   Open Access

Fascin-1 is a novel biomarker of aggressiveness in some carcinomas

Vathany Kulasingam, Eleftherios P Diamandis BMC Medicine 2013, 11:53 (26 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Vathany Kulasingam and Eleftherios Diamandis comment on a meta-analysis reporting that fascin-1 is associated with cancer mortality and metastasis, and discuss why further research is required before this protein can be used as a biomarker.

Research article   Open Access

Association of fascin-1 with mortality, disease progression and metastasis in carcinomas: a systematic review and meta-analysis

Vanessa Y Tan, Sarah J Lewis, Josephine C Adams, Richard M Martin BMC Medicine 2013, 11:52 (26 February 2013)

Abstract | Provisional PDF | PubMed | Cited on BioMed Central |  Editor’s summary

Evidence from a systematic review and meta-analysis shows that fascin-1 is associated with risk of metastasis and mortality in several cancer types, suggesting that it could be developed as a clinical biomarker or therapeutic target for cancer.

Commentary   Open Access

New guidelines for the initial management of head injury

Carolyn M Benson, G Bryan Young BMC Medicine 2013, 11:51 (25 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Carolyn Benson and Bryan Young comment on the updated Scandinavian guidelines for initial treatment of head injury, but note that some recommendations cannot be implemented in clinical settings with limited access to specific screening facilities.

Guideline   Open Access

Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update

Johan Unden, Tor Ingebrigtsen, Bertil Romner, Scandinavian Neurotrauma Committee (snc) BMC Medicine 2013, 11:50 (25 February 2013)

Abstract | Provisional PDF | PubMed | Cited on BioMed Central |  Editor’s summary

The Scandinavian Neurotrauma Committee presents an evidence and consensus-based update of guidelines for the initial management of minimal, mild and moderate head injuries in adults, but highlight that the recommendations also need to be validated in non-Scandinavaian clinical settings.

Commentary   Open Access

Geriatric consultation services - are wards more effective than teams?

Ian D Cameron, Susan Kurrle BMC Medicine 2013, 11:49 (22 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Although comprehensive geriatric assessment (CGA) by mobile teams can improve outcomes for mortality in frail older patients, Ian Cameron & Susan Kurrle argue that ward-based CGA is more effective for streaming patients that need complex treatment.

Research article   Open Access

Impact of geriatric consultation teams on clinical outcome in acute hospitals: a systematic review and meta-analysis

Mieke Deschodt, Johan Flamaing, Patrick Haentjens, Steven Boonen, Koen Milisen BMC Medicine 2013, 11:48 (22 February 2013)

Abstract | Provisional PDF | PubMed | Cited on BioMed Central |  Editor’s summary

According to a meta-analysis, comprehensive geriatric assessment (CGA) by mobile teams improves patient mortality rate, but has limited impact on functional status and length of hospital stay, so further research is needed to understand which patients should be targeted.  

Research article   Open Access

Combined impact of traditional and non-traditional health behaviors on mortality: a national prospective cohort study in Spanish older adults

David Martinez-Gomez, Pilar Guallar-Castillon, Luz M Leon-Munoz, Esther Lopez-Garcia, Fernando Rodriguez-Artalejo BMC Medicine 2013, 11:47 (22 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Adherence to non-traditional health behaviors such as interacting with friends, as well as not smoking and eating healthily, could reduce mortality risk in older adults, highlighting the importance of combining these factors for a healthy lifestyle.

Research article   Open Access

Gut microbiota in children with type 1 diabetes differs from that in healthy children: a case-control study

Mora Murri, Isabel Leiva, Juan Miguel Gomez-Zumaquero, Fernando Cardona, Federico Soriguer, Francisco J Tinahones, Maria Isabel Queipo-Ortuno BMC Medicine 2013, 11:46 (21 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Gut microbiota are present at lower quantity and have different composition in children with type 1 diabetes compared with healthy children, possibly due to altered gut permeability, and modification of these bacteria could control diabetes development.

Research article   Open Access

Shifting from glucose diagnosis to the new HbA1c diagnosis reduces the capability of the Finnish Diabetes Risk Score (FINDRISC) to screen for glucose abnormalities within a real-life primary healthcare preventive strategy

Bernardo Costa, Francisco Barrio, Josep L Pinol, Juan J Cabre, Xavier Mundet, Ramon Sagarra, Jordi Salas-Salvado, Oriol Sola-Morales, Research Group De-plan-cat/predice BMC Medicine 2013, 11:45 (21 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

The predictive ability of a screening tool for diabetes is reduced when the proposed new hemoglobin-based criteria are used for diagnosis instead of glucose, suggesting that glucose should be measured to assess diabetes risk using this score.

 

Research article   Open Access

High end of normal ACTH and cortisol levels are associated with specific cardiovascular risk factors in pediatric obesity: a cross-sectional study

Flavia Prodam, Roberta Ricotti, Valentina Agarla, Silvia Parlamento, Giulia Genoni, Caterina Balossini, Gillian E Walker, Gianluca Aimaretti, Gianni Bona, Simonetta Bellone BMC Medicine 2013, 11:44 (20 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

High levels of adrenocorticotropic hormone and cortisol are associated with distinct cardiovascular disease (CVD) risk factors in obese children, suggesting complex mechanisms underlie interactions between hormones and metabolic impairments in obesity.

Research article   Open Access

Dapagliflozin add-on to metformin in type 2 diabetes inadequately controlled with metformin: a randomized, double-blind, placebo-controlled 102-week trial

Clifford J Bailey, Jorge L Gross, Delphine Hennicken, Nayyar Iqbal, Traci A Mansfield, James F List BMC Medicine 2013, 11:43 (20 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

In a 102 week trial, addition of dapagliflozin to metformin therapy for type 2 diabetes patients was effective for glycemic control in those who are inadequately controlled by metformin alone, suggesting a novel therapeutic option for those requiring long-term management.

Research article   Open Access

Maternal caffeine intake during pregnancy is associated with birth weight but not with gestational length: results from a large prospective observational cohort study

Verena Sengpiel, Elisabeth Elind, Jonas Bacelis, Staffan Nilsson, Jakob Grove, Ronny Myhre, Margaretha Haugen, Helle M Meltzer, Jan Alexander, Bo Jacobsson, Anne-Lise Brantsaeter BMC Medicine 2013, 11:42 (19 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Caffeine intake from various sources during pregnancy is associated with increased risk of the baby being small for gestational age and decreased birth weight, which may have implications for the recommended consumption of caffeine.

Opinion   Open Access

Tackling overweight and obesity: does the public health message match the science?

Katherine Hafekost, David Lawrence, Francis Mitrou, Therese A O'Sullivan, Stephen R Zubrick BMC Medicine 2013, 11:41 (18 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Many weight-loss interventions based on a simple model of energy balance fail to achieve long-term results; Stephen R Zubrick and colleagues recommend that multiple factors affecting energy regulation should be considered in order to tackle obesity.

Commentary   Open Access

Evidence-based medicine and values-based medicine: partners in clinical education as well as in clinical practice

Ed Peile BMC Medicine 2013, 11:40 (15 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Linking values-based and evidence-based medicine in an education strategy promotes better practice; Ed Peile discusses the importance of this for decision processes, highlighting the influence of well designed education strategies. 

Research article   Open Access Highly Accessed

Promoting networks between evidence-based medicine and values-based medicine in continuing medical education

Myriam M Altamirano-Bustamante, Nelly F Altamirano-Bustamante, Alberto Lifshitz, Ignacio Mora-Magana, Adalberto De Hoyos, Maria Teresa Avila-Osorio, Silvia Quintana-Vargas, Jorge A Aguirre, Jorge Mendez, Chiharu Murata, Rodrigo Nava-Diosdado, Oscar Martinez-Gonzalez, Elisa Calleja, Raul Vargas, Juan Manuel Mejia-Arangure, Araceli Cortez-Dominguez, Fernand Vedrenne-Gutierrez, Perla Sueiras, Juan Garduno, Sergio Islas-Andrade, Fabio Salamanca, Jesus Kumate-Rodriguez, Alejandro Reyes-Fuentes BMC Medicine 2013, 11:39 (15 February 2013)

Abstract | Provisional PDF | PubMed | Cited on BioMed Central |  Editor’s summary

A Continuing Medical Education intervention, aimed at strengthening links between evidence-based and values-based medicine in healthcare personnel, improves high-order values such as openness to change, which are essential for improving medical care.

Research article   Open Access

Sodium vanadate combined with L-ascorbic acid delays disease progression, enhances motor performance, and ameliorates muscle atrophy and weakness in mice with spinal muscular atrophy

Huei-Chun Liu, Chen-Hung Ting, Hsin-Lan Wen, Li-Kai Tsai, Hsiu-Mei Hsieh-Li, Hung Li, Sue Lin-Chao BMC Medicine 2013, 11:38 (14 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Combined therapy of sodium vanadate with L-ascorbic acid delays disease progression and enhances motor performance in mice, as well as reducing toxicity, indicating an improved strategy for treating of late onset spinal muscular atrophy (SMA)

Review   Open Access

Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review

Mazin S Ibrahim, Muhammad A Khan, Ikram Nizam, Fares S Haddad BMC Medicine 2013, 11:37 (13 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Fares Haddad and colleagues review peri-operative interventions for improved patient outcomes after total knee and hip replacements, which aim to improve patient quality of life and lessen the economic burden by reducing length of hospital stay.

Commentary   Open Access

A practical method to target individuals for outbreak detection and control

Gerardo Chowell, Cecile Viboud BMC Medicine 2013, 11:36 (12 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Gerardo Chowell and Cécile Viboud comment on a novel method that identifies risk of influenza transmission and allows early detection of infection in schools, but caution that this promising method needs testing on outbreaks in different settings.

Research article   Open Access

A low-cost method to assess the epidemiological importance of individuals in controlling infectious disease outbreaks

Timo Smieszek, Marcel Salathe BMC Medicine 2013, 11:35 (12 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

A low-cost ranking method for modeling the spread of influenza in schools identifies subpopulations at higher risk of early infection than randomly selected communities, which could be effective for predicting and preventing epidemics.

Commentary   Open Access

Managing the risk of lithium-induced nephropathy in the long-term treatment of patients with recurrent affective disorders

Emanuel Severus, Michael Bauer BMC Medicine 2013, 11:34 (11 February 2013)

Abstract | Provisional PDF | PubMed |  Editor’s summary

Emanuel Severus and Michael Bauer comment on recent research that showed kidney toxicity is associated with duration of lithium treatment and age, and discuss the importance of managing renal function in patients on long-term lithium therapy.

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