Recent Posts

October 1st, 2010

Podcast 103: eGFR and cardiovascular risk assessment

Welcome back. We take a look this week at a study from Iceland that looks at whether estimated glomerular filtration rates have a role in estimating cardiovascular risk. Our interview is with Cambridge University’s Dr. Emanuele Di Angelantonio.

Your comments are welcome, both here and to my email address: jelia@jwatch.org.

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September 26th, 2010

Podcast 102: Short compression stockings would seem to have no further role clinically.

Prof. Martin Dennis chats with us about his latest trial, comparing the utility of thigh- versus below-knee-length stockings for patients immobilized after stroke. The latest results show the superiority of thigh-length stockings, but at the further risk of skin breaks in these vulnerable patients. Taken together with the results of his earlier work, at the very least the use of below-knee-length compression stockings — now widely used in patients undergoing surgery — must be called into question.

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September 17th, 2010

Podcast 101: Osteoarthritis, chondroitin, and glucosamine — one of these things doesn’t belong.

Answer: Osteoarthritis. Two are nostrums and the other is a disease, but the nostrums have no appreciable effect — on osteoarthritis at least. We discuss a BMJ meta-analysis that uses novel methods to prove the point.

The good news is that neither chondroitin nor glucosamine is dangerous, but the bad news is that we spend so much hoping that this is the right combination to alleviate arthritic pain.

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September 10th, 2010

Podcast 100: Practical informed consent

We’re not talking about philosophy here, but practical clinical approaches to making sure your patients understand what they’re agreeing to, and have the information to ask the right questions before they sign that form.

It’s podcast 100. I’m always looking for ways to make this useful, and if you have any reactions, please drop a line to jelia@jwatch.org. Thank you!

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September 3rd, 2010

Podcast 99: Blacks’ higher rate of stent thrombosis apparently has a genetic basis.

It was thought that the increased risk among blacks undergoing stenting had to do with factors such as comorbid conditions and socioeconomics. But in a study in Circulation, their rate of stent thrombosis was higher than non-blacks, even after adjusting for those factors (and despite the fact that as a group, black were more adherent to their clopidogrel regimens).

We discuss things with the paper’s senior author, Dr. Ron Waksman.

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August 20th, 2010

Podcast 98: Leafy green vegetables apparently lower one’s risks for type 2 diabetes

Our interview this week is with a research nutritionist whose BMJ meta-analysis found a 14% reduction in risk for type 2 diabetes among those with the highest intake (versus those with the lowest) of leafy green vegetables. It’s a meta-analysis, and not a randomized controlled trial, and it’s interesting. Listen in.

We’re off next week, so I’ll see you again in early September.

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