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Volume 11 (2013) - July 2013

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Research article   Open Access Highly Accessed

The relationship of Asperger’s syndrome to autism: a preliminary EEG coherence study

Frank H Duffy, Aditi Shankardass, Gloria B McAnulty, Heidelise Als BMC Medicine 2013, 11:175 (31 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

EEG-derived measures of brain connectivity show that Asperger's syndrome and autism in children are closely related, but there are neurophysiological differences between the groups, suggesting that Asperger’s should be considered a separate entity.

Research article   Open Access

Safety of TNF-α inhibitors during IBD pregnancy: a systematic review

Ole Nielsen, Edward V Loftus Jr, Tine Jess BMC Medicine 2013, 11:174 (31 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Evidence from a systematic review shows the use of tumor necrosis factor-alpha inhibitors for inflammatory bowel disease (IBD) is safe during pregnancy, but these biologics should be discontinued if IBD is in remission.

Commentary   Open Access

Insights into physical activity and cardiovascular disease risk in young children: IDEFICS study

Robert G McMurray BMC Medicine 2013, 11:173 (30 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Robert McMurray comments on a study identifying age- and gender-specific exercise recommendations to prevent clustering of cardiovascular disease (CVD) risk factors in children, and suggests that a case-by-case approach is required. 

Research article   Open Access Highly Accessed

Physical activity and clustered cardiovascular disease risk factors in young children: a cross-sectional study (the IDEFICS study)

David Jiménez-Pavón, Kenn Konstabel, Patrick Bergman, Wolfgang Ahrens, Hermann Pohlabeln, Charalampos Hadjigeorgiou, Alfonso Siani, Licia Iacoviello, Dénes Molnár, Stefaan De Henauw, Yannis Pitsiladis, Luis A Moreno, On behalf of the IDEFICS consortium BMC Medicine 2013, 11:172 (30 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Cardiovascular disease (CVD) risk factor clustering can occur in inactive children <6 years, suggesting that current guidelines are insufficient and 60-85 min/day of exercise, of which at least 20 min is vigorous, should be recommended.

Research article   Open Access Highly Accessed

Hospital admissions for vitamin D related conditions and subsequent immune-mediated disease: record-linkage studies

Sreeram V Ramagopalan, Raph Goldacre, Giulio Disanto, Gavin Giovannoni, Michael J Goldacre BMC Medicine 2013, 11:171 (25 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Patients admitted to hospital for vitamin D (vitD) deficiency are more likely to have immune-mediated diseases including Crohn's disease, diabetes and rheumatoid arthritis, suggesting that vitD deficiency could be involved in autoimmunity pathogenesis

Research article   Open Access

Comparative assessment of absolute cardiovascular disease risk characterization from non-laboratory-based risk assessment in South African populations

Thomas A Gaziano, Ankur Pandya, Krisela Steyn, Naomi Levitt, Willie Mollentze, Gina Joubert, Corinna M Walsh, Ayesha A Motala, Annamarie Kruger, Aletta E Schutte, Datshana P Naidoo, Dorcas R Prakaschandra, Ria Laubscher BMC Medicine 2013, 11:170 (24 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

A non-laboratory based cardiovascular disease (CVD) risk score has similar ranking performance to laboratory-based scores in South African populations, suggesting the score could be used to predict disease risk in countries where laboratory testing is not practical.

Commentary   Open Access

Understanding breast cancer stem cell heterogeneity: time to move on to a new research paradigm

Ferdinando Mannello BMC Medicine 2013, 11:169 (23 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Ferdinando Mannello comments on research in BMC Cancer exploring the differences between breast cancer stem cells and non-cancerous cells, discussing how such work could improve understanding of carcinogenesis, heterogeneity and drug resistance.

Review   Open Access Highly Accessed

Bridging the clinical gaps: genetic, epigenetic and transcriptomic biomarkers for the early detection of lung cancer in the post-National Lung Screening Trial era

John F Brothers, Kahkeshan Hijazi, Celine Mascaux, Randa A El-Zein, Margaret R Spitz, Avrum Spira BMC Medicine 2013, 11:168 (19 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Early detection of lung cancer is important so patients can be treated as soon as possible; Avrum Spira and colleagues review genetic and genomic biomarkers in development for early diagnosis, and discuss how they could reduce lung cancer deaths.

Research article   Open Access

Chronic cerebrospinal venous insufficiency is not associated with cognitive impairment in multiple sclerosis

Ralph HB Benedict, Bianca Weinstock-Guttmam, Karen Marr, Vesela Valnarov, Cheryl Kennedy, Ellen Carl, Christina Brooks, David Hojnacki, Robert Zivadinov BMC Medicine 2013, 11:167 (18 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Presence and severity of chronic cerebrospinal venous insufficiency (CCSVI) in multiple sclerosis (MS) patients, assessed by extra-cranial and trans-cranial doppler sonography, is not associated with cognitive decline and depression in these patients.

Commentary   Open Access

Should we go nuts about nuts?

Sabine Rohrmann, David Faeh BMC Medicine 2013, 11:165 (16 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Sabine Rohrmann and David Faeh comment on a recent trial reporting that individuals who eat over three servings of nuts a week have a lower mortality risk, but suggest further investigations should determine the quantity and type of nuts to be eaten, and the underlying mechanisms responsible.

Research article   Open Access Highly Accessed

Frequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial

Marta Guasch-Ferré, Mònica Bulló, Miguel Martínez-González, Emilio Ros, Dolores Corella, Ramon Estruch, Montserrat Fitó, Fernando Arós, Julia Wärnberg, Miquel Fiol, José Lapetra, Ernest Vinyoles, Rosa Lamuela-Raventós, Lluís Serra-Majem, Xavier Pintó, Valentina Ruiz-Gutiérrez, Josep Basora, Jordi Salas-Salvadó, on behalf of the PREDIMED study group BMC Medicine 2013, 11:164 (16 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

A large trial in a Mediterranean population finds an inverse trend between regular nut consumption and mortality in individuals with high cardiovascular risk, and suggests that nuts but not olive oil, may also have a protective effect on premature mortality in individuals.

Research article   Open Access

Vitamin D receptor ChIP-seq in primary CD4+ cells: relationship to serum 25-hydroxyvitamin D levels and autoimmune disease

Adam E Handel, Geir K Sandve, Giulio Disanto, Antonio J Berlanga-Taylor, Giuseppe Gallone, Heather Hanwell, Finn Drabløs, Gavin Giovannoni, George C Ebers, Sreeram V Ramagopalan BMC Medicine 2013, 11:163 (12 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

There is a correlation between vitamin D (vitD) levels and the number of vitD receptor binding sites,  which are enriched at autoimmune disease-associated loci when vitD levels are sufficient, providing a link between vitD and disease.

Research article   Open Access

Evaluation of the acceptability and usefulness of an information website for caregivers of people with bipolar disorder

Lesley Berk, Michael Berk, Seetal Dodd, Claire Kelly, Stefan Cvetkovski, Anthony Francis Jorm BMC Medicine 2013, 11:162 (11 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Online guidelines for caregivers of adult bipolar disorder patients are useful and inexpensive, but according to an online survey, those caring for patients with severe forms of the disorder require a more complex stepped-care approach for support and guidance.

Opinion   Open Access Highly Accessed

Personalizing guidelines for diabetes management: twilight or dawn of the expert?

Stavroula A Paschou, Richard David Leslie BMC Medicine 2013, 11:161 (10 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Stavroula Paschou and David Leslie discuss the limitations of guidelines for managing type 2 diabetes and recommend that a more personalized approach is required, taking multiple targets and therapies into account.

Research article   Open Access

Targeting insulin resistance in type 2 diabetes via immune modulation of cord blood-derived multipotent stem cells (CB-SCs) in stem cell educator therapy: phase I/II clinical trial

Yong Zhao, Zhaoshun Jiang, Tingbao Zhao, Mingliang Ye, Chengjin Hu, Huimin Zhou, Zhaohui Yin, Yana Chen, Ye Zhang, Shanfeng Wang, Jie Shen, Hatim Thaker, Summit Jain, Yunxiang Li, Yalin Diao, Yingjian Chen, Xiaoming Sun, Mary Fisk, Heng Li BMC Medicine 2013, 11:160 (9 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Trial shows promising results for patients with type 2 diabetes by using cord blood stem cells to re-educate mononuclear cells before returning them to the patient’s circulation, resulting in improved long term metabolic control.

Debate   Open Access

Is network meta-analysis as valid as standard pairwise meta-analysis? It all depends on the distribution of effect modifiers

Jeroen P Jansen, Huseyin Naci BMC Medicine 2013, 11:159 (4 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Jansen and Naci discuss the use of network meta-analyses (used for multiple treatment comparisons) and conclude that validity is comparable to standard pairwise meta-analyses if there are no imbalances in the distribution of effect modifiers.

Question and Answer   Open Access

Video Q&A: Rapid urine LAM test for HIV-associated TB - potential to reduce deaths? An interview with Stephen Lawn

Stephen D Lawn BMC Medicine 2013, 11:158 (4 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

In this Q&A, we talk to Stephen Lawn about the point-of-care LAM test for HIV-associated TB, which could save lives by improving rapid diagnosis and treatment.

Debate   Open Access

Diabetic retinopathy in sub-Saharan Africa: meeting the challenges of an emerging epidemic

Philip I Burgess, Gerald Msukwa, Nicholas AV Beare BMC Medicine 2013, 11:157 (2 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Philip Burgess and colleagues discuss the emerging epidemic of diabetic retinopathy in sub-Saharan Africa, arguing that clinical services and research for diabetes should be expanded, with models of care being tailored to resource-limited settings.

Research article   Open Access

Factors associated with patient, and diagnostic delays in Chinese TB patients: a systematic review and meta-analysis

Ying Li, John Ehiri, Shenglan Tang, Daikun Li, Yongqiao Bian, Hui Lin, Caitlin Marshall, Jia Cao BMC Medicine 2013, 11:156 (2 July 2013)

Abstract | Full text | PDF | PubMed |  Editor’s summary

Delays in diagnosing tuberculosis (TB) in China are a major barrier to effective management; a meta-analysis finds these delays are mediated by individual and health system factors, suggesting interventions to raise TB awareness will be useful.


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