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Minireview   Open Access

Personalized medicine and atrial fibrillation: will it ever happen?

Steven A Lubitz, Patrick T Ellinor BMC Medicine 2012, 10:155 (4 December 2012)

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

Steven Lubitz and Patrick Ellinor describe recent progress in understanding the genetics of atrial fibrillation, and discuss how genetic information can be applied in the clinic in a personalized approach to risk prediction and treatment.

Research article   Open Access

The impact of statins on psychological wellbeing: a systematic review and meta-analysis

Adrienne O'Neil, Livia Sanna, Cassie Redlich, Kristy Sanderson, Felice Jacka, Lana J Williams, Julie A Pasco, Michael Berk BMC Medicine 2012, 10:154 (3 December 2012)

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

Evidence from a systematic review and meta-analysis reveals mood-related benefits of statins, refuting previous data showing they have adverse effects, and suggests that future trials should examine this effect in patients with depression.

Research article   Open Access

Metabolic profiles characterizing different phenotypes of polycystic ovary syndrome: plasma metabolomics analysis

Yue Zhao, Li Fu, Rong Li, Li-Na Wang, Yan Yang, Na-Na Liu, Chun-Mei Zhang, Ying Wang, Ping Liu, Bin-Bin Tu, Xue Zhang, Jie Qiao BMC Medicine 2012, 10:153 (30 November 2012)

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

Amino acid levels are altered in patients with polycystic ovary syndrome (PCOS) and are related to insulin sensitivity, suggesting that metabolic profiling could be used to monitor PCOS development and assess the risk of developing diabetes.

Review   Open Access Highly Accessed

Comparison of efficacy between incretin-based therapies for type 2 diabetes mellitus

Kaustubh Nisal, Ram Kela, Kamlesh Khunti, Melanie J Davies BMC Medicine 2012, 10:152 (30 November 2012)

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

Melanie Davies and colleagues review the differences between two incretin-based therapies for type 2 diabetes, glucagon-like peptide agonists and dipeptidyl peptidase 4 inhibitors, and recommend effective and safe individualized treatment.

Commentary   Open Access

Pathways to new drug discovery in neuropsychiatry

Michael Berk BMC Medicine 2012, 10:151 (29 November 2012)

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

In an observational study, Wahlquist et al. find a link between oral diabetic drug use and reduced risk of affective disorder; Michael Berk comments on this and other pathways of drug discovery for neuropsychiatry, noting that future discoveries depend on innovation.

Research article   Open Access

Increased risk of affective disorders in type 2 diabetes is minimized by sulfonylurea and metformin combination: a population-based cohort study

Mark L Wahlqvist, Meei-Shyuan Lee, Shao-Yuan Chuang, Chih-Cheng Hsu, Hsin-Ni Tsai, Shu-Han Yu, Hsing-Yi Chang BMC Medicine 2012, 10:150 (29 November 2012)

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

Type 2 diabetes patients treated with a combination of metformin and sulfonylurea have a lower risk of developing affective disorder than those not on these drugs, which may be relevant to reducing mental health problems in diabetes patients.

Opinion   Open Access

Moving towards a population health approach to the primary prevention of common mental disorders

Felice N Jacka, Arnstein Mykletun, Michael Berk BMC Medicine 2012, 10:149 (27 November 2012)

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

Felice Jacka et al. discuss new evidence from studies on diet quality and common mental disorders, and argue that depression and anxiety be ranked amongst prevalent medical conditions influenced by lifestyle, to help develop prevention strategies.

Research article   Open Access

Co-prescription of medication for bipolar disorder and diabetes mellitus: a nationwide population-based study with focus on gender differences

Gjertrud Svendal, Ole Fasmer, Anders Engeland, Michael Berk, Anders Lund BMC Medicine 2012, 10:148 (27 November 2012)

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

There is a stronger association between the use of anti-diabetic agents and mood stabilizers in women than in men, indicating that diabetes and bipolar disorder may have shared risk pathways and women are more at risk of having both conditions.

Research article   Open Access

Mortality and guideline-concordant care for older patients with schizophrenia: a retrospective longitudinal study

Jack Y Tsan, Eileen M Stock, Jazmin M Gonzalez, David S Greenawalt, John E Zeber, Emran Rouf, Laurel A Copeland BMC Medicine 2012, 10:147 (26 November 2012)

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

Schizophrenia is linked to excess mortality and multimorbidity; schizophrenics in the U.S. aged 50 years or over treated appropriately for their comorbidity have improved survival, highlighting the importance of guideline-concordant care.

Debate   Open Access

The physician's unique role in preventing violence: a neglected opportunity?

John C Umhau, Karysse Trandem, Mohsin Shah, David T George BMC Medicine 2012, 10:146 (23 November 2012)

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

Episodes of rage and violence can have a devastating effect on people's lives, but are rarely mentioned by patients; David T George and colleagues recommend that physicians have an important opportunity to recognize and treat the problem.

Commentary   Open Access

A commentary on evidenced-based parenting programs: redressing misconceptions of the empirical support for Triple P

Matthew R Sanders, John A Pickering, James N Kirby, Karen MT Turner, Alina Morawska, Trevor Mazzucchelli, Alan Ralph, Kate Sofronoff BMC Medicine 2012, 10:145 (22 November 2012)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central | 1 comment |  Editor’s summary

A recent systematic review and meta-analysis on the Triple P parenting programme questioned the long-term effectiveness of the programme; Matthew Sanders and colleagues comment on the potential limitations of the analysis, and highlight the evidence-base upon which the programme has been built.

Research article   Open Access Highly Accessed

Apps for asthma self-management: a systematic assessment of content and tools

Kit Huckvale, Mate Car, Cecily Morrison, Josip Car BMC Medicine 2012, 10:144 (22 November 2012)

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

A systematic assessment of apps for asthma self-management finds that none combine reliable information with appropriate supportive tools, thus physicians considering recommending these should apply caution as some apps may be unsafe.

Research article   Open Access

Methodological quality of English-language genetic guidelines on hereditary breast-cancer screening and management: an evaluation using the AGREE instrument

Benedetto Simone, Emma De Feo, Nicola Nicolotti, Walter Ricciardi, Stefania Boccia BMC Medicine 2012, 10:143 (21 November 2012)

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

An evaluation using the AGREE instrument indicates potential limitations in hereditary breast cancer testing guidelines, suggesting the guidelines should be improved to make clear and evidence-based recommendations.

Research article   Open Access

Impact of evergreening on patients and health insurance: a meta analysis and reimbursement cost analysis of citalopram/escitalopram antidepressants

Ali A Alkhafaji, Ludovic Trinquart, Gabriel Baron, Moïse Desvarieux, Philippe Ravaud BMC Medicine 2012, 10:142 (20 November 2012)

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

Pharmaceutical companies employ evergreening strategies to extend their monopoly on a drug; evidence from a meta-analysis of escitalopram versus citalopram suggests that evergreening is economically beneficial, but the clinical effect is uncertain.

Review   Open Access

Notch signaling in pediatric soft tissue sarcomas

Rossella Rota, Roberta Ciarapica, Lucio Miele, Franco Locatelli BMC Medicine 2012, 10:141 (16 November 2012)

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

The clinical management of pediatric soft tissue sarcomas is challenging due to limited treatment efficacy; Franco Locatelli and colleagues review the role of notch signaling in these tumors, and discuss how the pathway could be a therapeutic target.

Research article   Open Access

Mammalian NPC1 genes may undergo positive selection and human polymorphisms associate with type 2 diabetes

Nasser M Al-Daghri, Rachele Cagliani, Diego Forni, Majed S Alokail, Uberto Pozzoli, Khalid M Alkharfy, Shaun Sabico, Mario Clerici, Manuela Sironi BMC Medicine 2012, 10:140 (15 November 2012)

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

Genetic variations in the Niemann-Pick type C1 (NPC1) gene have sex-specific effects on type 2 diabetes risk in a Saudi Arabian cohort, possibly mediated by evolutionary selection pressures of the immune system against filovirus infection.

Commentary   Open Access

Commentary on the clinical management of metabolic syndrome: why a healthy lifestyle is important

Michel de Lorgeril BMC Medicine 2012, 10:139 (14 November 2012)

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

Michel de Lorgeril comments on a systematic review and meta analysis showing that diet and exercise interventions can help resolve metabolic syndrome, and recommends that lifestyle changes should be used as first-line management.

Research article   Open Access Highly Accessed

Effects of lifestyle modification on metabolic syndrome: a systematic review and meta-analysis

Kazue Yamaoka, Toshiro Tango BMC Medicine 2012, 10:138 (14 November 2012)

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

Evidence from a systematic review and meta-analysis shows that lifestyle modification incorporating various diet and exercise programs is an effective way to treat metabolic syndrome (MetS), and can reduce the severity of MetS-related problems.

Research article   Open Access

Costs of delivering human papillomavirus vaccination to schoolgirls in Mwanza Region, Tanzania

Wilm Quentin, Fern Terris-Prestholt, John Changalucha, Selephina Soteli, W John Edmunds, Raymond Hutubessy, David A Ross, Saidi Kapiga, Richard Hayes, Deborah Watson-Jones BMC Medicine 2012, 10:137 (13 November 2012)

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

An economic analysis of a school-based HPV vaccination project in Tanzania finds that vaccines are delivered in a cost-effective manner, and costs can be reduced further by integrating vaccine delivery with other school-based health interventions.

Research article   Open Access

A case study using the United Republic of Tanzania: costing nationwide HPV vaccine delivery using the WHO Cervical Cancer Prevention and Control Costing Tool

Raymond Hutubessy, Ann Levin, Susan Wang, Winthrop Morgan, Mariam Ally, Theopista John, Nathalie Broutet BMC Medicine 2012, 10:136 (13 November 2012)

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

Tanzania is presented as a case study to test the WHO C4P tool, which aims to help low- and middle-income countries estimate costs associated with HPV vaccine delivery, showing that the most important costs are related to social mobilization.

Research article   Open Access

Prognostic value of KRAS genotype in metastatic colorectal cancer (MCRC) patients treated with intensive triplet chemotherapy plus bevacizumab (FIr-B/FOx) according to extension of metastatic disease

Gemma Bruera, Katia Cannita, Daniela Di Giacomo, Aude Lamy, Giancarlo Troncone, Antonella Dal Mas, Gino Coletti, Thierry Frébourg, Jean Sabourin, Mario Tosi, Corrado Ficorella, Enrico Ricevuto BMC Medicine 2012, 10:135 (8 November 2012)

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

Clinical outcome for metastatic colorectal cancer (CRC) after bevacizumab plus chemotherapy is not significantly affected by KRAS genotype, but wild-type KRAS patients with liver-limited CRC may have better prognosis due to integration with surgery.

Research article   Open Access

Cardiac-specific catalase overexpression rescues anthrax lethal toxin-induced cardiac contractile dysfunction: role of oxidative stress and autophagy

Machender R Kandadi, Xuejun Yu, Arthur E Frankel, Jun Ren BMC Medicine 2012, 10:134 (7 November 2012)

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

Catalase protects against effects of anthrax infection in mice by rescuing toxin-induced cardiac contractile dysfunction and intracellular calcium anomalies, via regulation of mitochondrial function and autophagy, providing therapeutic promise in the management of toxin induced cardiovascular complications.

Correspondence   Open Access

Is belief larger than fact: expectations, optimism and reality for translational stem cell research

Tania Bubela, Matthew D Li, Mohamed Hafez, Mark Bieber, Harold Atkins BMC Medicine 2012, 10:133 (6 November 2012)

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

Tania Bubela et al. provide empirical evidence of a disconnect between the reality of progress in clinical application of stem cell therapies and public expectations, so the reporting of expected benefits and realistic timelines of such therapies should be made more transparent.

Commentary   Open Access

Commentary on a recent review of lithium toxicity: what are its implications for clinical practice?

Bruno Müller-Oerlinghausen, Michael Bauer, Paul Grof BMC Medicine 2012, 10:132 (2 November 2012)

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

Mueller-Oerlinghausen, Bauer and Grof comment on a recent meta-analysis about the toxicity profile of lithium, but caution that toxic effects on the kidneys may be underestimated, and individual patient needs should still be taken into account when lithium use is considered by clinicians.

Review   Open Access

Using lithium as a neuroprotective agent in patients with cancer

Mustafa Khasraw, David Ashley, Greg Wheeler, Michael Berk BMC Medicine 2012, 10:131 (2 November 2012)

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

Mustafa Khasraw and colleagues review the toxic effects of radiotherapy and chemotherapy, and explore recent evidence which indicates lithium can be used to protect against the neurocognitive decline in cancer patients receiving cranial radiation.

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