JournalSpotting.

Are you well aware of the health risks to adults from air pollution, but want to know more about the risk to pregnant women and their unborn children?Your ears are in the right place.The wonderful Professor Cathy Thornton helps us pick apart:The effects of air pollution on mothers, fetuses and pregnancy outcomes.The long-term effects on children.The evidence behind this.What you can do to help.We will be having a break from JournalSpotting for a few months! But don't unsubscribe. We may well be back in a few months, and better than ever. xxSupport the showVisit the website on www.journalspotting.com. Follow us on Twitter @JournalSpotting.Email us on journalspotting@gmail.com.Get our JournalClub App on https://journalclub.messly.comShare us with all your colleagues!

Wondering how we have reached 2023, you still are the only one in the hospital who can do an LP overnight, half your patients have dementia with no cure, and people are still researching vitamin C?Your ears are in the right placeDr Barney Hirons flies solo and covers:The best dementia trials from the last few months:Blood pressure reduction reduces risk.Ultra-processed food worsens cognition.Correcting hearing loss corrects the risk.Ketones for Alzheimer's. Really?Lecanemab in Alzheimer's - the blockbuster and why it IS important. Others:Vitamin C in pregnant smokers. Save the baby's lungs!LP after -ve CT in SAH. No need?Support the showVisit the website on www.journalspotting.com. Follow us on Twitter @JournalSpotting.Email us on journalspotting@gmail.com.Get our JournalClub App on https://journalclub.messly.comShare us with all your colleagues!

Aware that microplastics are bad for the environment but want to better understand their effects on human health?Your ears are in the right place.We chat with the brilliant Professor Barbro Melgert from the University of Groningen, Netherlands. Don't know her? She is an expert performing cutting-edge research on the effects of microplastics on humans and shares with us her fascinating, if not daunting, findings.We cover:What microplastics are.How they form.Where they are found (spoiler... EVERYWHERE).Why what you wear matters. Their effect on the environment.What her research has shown and the consequences for human health.  What you should do to reduce risk and plastic.And... Ventilate ventilate ventiliate!Support the showVisit the website on www.journalspotting.com. Follow us on Twitter @JournalSpotting.Email us on journalspotting@gmail.com.Get our JournalClub App on https://journalclub.messly.comShare us with all your colleagues!

Love a Christmas tune? Ever wondered if the lyrics are detrimental or beneficial to health?Your ears are in the right place!LJ and Barney, with help from Jon, performed a thematic analysis of the top 41 Christmas song lyrics from 2021, then completed a semi-systematic review analysing their risks and benefits to health! The conclusion? A list of recommendations on which songs to listen to, and which to avoid based on their underlying health messages.We cover the risks and benefits of:Alcohol and sugar binging, Cold exposure,Kissing,Chestnuts,Indoor fires,Giving vs consumerism,Turkeys,Loneliness,Singing & dancing,Inequality & war,& MORE...!All references are on this shared  Google Doc.Merry Christmas Journal Junkies!!Support the showVisit the website on www.journalspotting.com. Follow us on Twitter @JournalSpotting.Email us on journalspotting@gmail.com.Get our JournalClub App on https://journalclub.messly.comShare us with all your colleagues!

Worried that the ocean is dying, and your favourite dolphin may well become extinct?! Want to know what you can do to help?Your ears are in the right placeFirstly LJ and Barney outline the good and bad of COP27.Barney then interviews the inspiring Dr Richard Hixson, chair of Healthcare Ocean.We cover:Why the oceans are essential for the planet.Why the oceans are at risk.The biggest problem sources.The role of healthcare.The importance of NHS procurement, and what needs to change.What YOU can do as a healthcare professional!Interested in sunscreen which has been proven safe for the ocean reefs? Aethic is recommended by Richard (and as far as we know he has no investment in them)!Support the showVisit the website on www.journalspotting.com. Follow us on Twitter @JournalSpotting.Email us on journalspotting@gmail.com.Get our JournalClub App on https://journalclub.messly.comShare us with all your colleagues!

Barney, LJ, and Jon are back with all the most interesting and practice-changing articles published in the last month:

Want to understand the planetary impact of the medications you prescribe, whilst enjoying your high tea?Your ears are in the right place.ClimateZone host Dr LJ Smith discusses the role of pharmacy with the awesome Tracy Lyons and Minna Eii, co-founders of the excellent organisation Pharmacy Declares.In the interview, we discuss:Carbon lifecycles of medications.How Carbon is not the whole problem.How climate change is affecting procurement and storage of vital meds.What healthcare professionals NEED to do.Ideas for QIPs!After:The JournalSpotters chat about their latest Climate Challenge - making a Climate Haiku!Support the showVisit the website on www.journalspotting.com. Follow us on Twitter @JournalSpotting.Email us on journalspotting@gmail.com.Get our JournalClub App on https://journalclub.messly.comShare us with all your colleagues!

Wondering what to do with the post-op patient in front of you with new AF, who drinks buckets of tea, takes multivitamins for dinner, and is just getting over pneumonia? Your ears are in the right place.Jon and Barney tackle 2 topics of recent research: latest evidence in diet and 'secondary' AF.Articles we digest for your spongey brains:Diet etc:Tea reduces mortality! MortaliTEA!Flavanoids in CVD / cerebrovascular diseaseLink with Ca and hot teaTime-restricted eating vs notFasting in cancerBin the vitamins: paper and editorial'Secondary' AF:AF post pneumonia riskAF peri-surgery riskFollow us, rate us, share us... go on Journal Junkies, you know you want to!Support the show by buying us a coffee (or monetary equivalent)!Support the show

Want to get active fighting Climate Change, but need some inspiration on things to do, people to talk to and a large dose of Climate Joy?Your ears are in the right place.We talk to the incredible medical students: MEHAJABEEN FARID,MARINA POLITIS,&LIZZIE O'BRIEN.They are fighting Climate Change. This wide-ranging discussion covers COP26, activism, medical education, Climate anxiety, Climate Joy, the pressure on the younger generation, and how YOU can get involved.LJ and Barney also discuss tips on talking to work colleagues and the next climate challenge!Follow on Twitter, share with you friends, rate us all over the place and keep active in fighting climate change by whatever means you can.

Were your school teachers right? Are psychedelics really dangerous tree hugging hippy drugs? Or are they safe medications that might play a crucial role in modern medicine? Your ears are in the right place.Fascinating discussion with psychedlic medicine expert Prof Allan Young on:The history of Psychedlics.How they work.The evidence behind them.The risks & the benefits.What is currently being investgated.What the future holds.Get up to date.Help us grow! Share us everywhere and rate us wherever you listen!Follow us on Twitter @journalspotting.

Confused over which drink to offer your patients? Orange juice or Coffee? Is the sugar bad for them, or is caffeine worse? Which has more fibre? Don't those septic people need vitamin C?Your ears are in the right place.Dr Camille and Barnaby Hirons cover the latest and greatest in the medical literature including:4-hour ED targets - useless government orders or life savers?Choosing wisely - the most low-value care which we need to scrapThunderstorm Asthma - it exists! And it may pose a real issue for patientsYoga for Migraines - can it help?Magic mushroom safety and the Latest on Psychedelic medicationsVit C in sepsis. Forget it.Coffee reduces mortality, but what if you add sugar?Pulse oximetry in patients of colour - still a problem: first and second studyPickle juice in leg cramps... surely not?!Check up our follow-up interview with psychedelic expert  Prof Allan Young... coming soon!Follow us, rate us, share us... go on Journal Junkies, you know you want to!

Feel even more anxious about the climate crisis after the termostat hit 40 degrees? Your ears are in the right place. LJ interviews the inspiring Dr. Rosie SpoonerWe cover:How the climate crisis will affect children and their healthHow to talk about the climate crisis with childrenHow to find hope while facing the climate crisis.The CliamteZone team then discuss their latest challenge: try and cut out fast fashion!Excellent links for you to browse, amuse and amaze:Children, Cities and Climate LSHTM Report RCPCH position statement on the impact of climate change on global child health A coping review of climate change and child healthThe good on you website

*Warning* the experiences and stories described may be disturbing for some listeners. Are you trying to imagine what it might be like for a medic, maybe such as yourself, on the front line of a war? Do you want to understand how you can help?Your ears are in the right place.We speak with Taras, a doctor working in the closest hospital to the frontline in the South of Ukraine. He takes us through his life, his daily routine, the cases he sees and the devastating impact this is having on the society around him.We discuss the pressures he is experiencing, and his views on where money from charities should go.His recommended charity for donations: United24 Subscribe / rate on Spotify / Apple.Follow us on Twitter / Instagram. Send us FEEDBACK JournalSpotting@gmail.com. Share with your pals/colleagues/random groups on WhatsApp. 

Wondering if you should get that X-ray on your pregnant lady who is suffering from hip pain whilst doing Tai Chi, which is associated with inpatient hypertensive spikes that might (just might) be related to your bad singing?No?Well, your ears are still in the right place.Today you have Jon, Barney and Alvin delving into the latest and greatest of medical literature!We cover:Steroid injections for OA - sure?Radiology in pregnancy - risky?Pregnancy HTN - treat?IP Hypertensive episodes - leave?Radiofrequency denervation for HTN - maybe not when on call?Aspirin cessation and use in primary prevention - stop?Music  for mental and physical health - sing!Tai chi or Muscle strengthening - do!Nasal Swab or rectal exam for cardioversion?! Hmmmm.....As always:Subscribe / rate on Spotify / Apple.Follow us on Twitter / Instagram. Send us FEEDBACK JournalSpotting@gmail.com. Share with your pals/colleagues/random groups on WhatsApp. 

Worried about the effect the awful war in Ukraine is having on their doctors and healthcare system? Want to hear their experiences first-hand and find out how you can help?Your ears are in the right place.A change from our usual Round-Ups and Climate shake-ups, today we talk candidly to two inspiring Ukrainian doctors. Dr Andrei  Semikhodskii: A geneticist living in England, who set up a wonderful charity which sends ambulances with bespoke medicine and equipment directly to Ukrainian hospitals that need it most. Links:JustGiving Page click here.King's Health Partners Lifelines page.Professor Uliana Pidvalna: Living in Lviv, she talks openly about life as a doctor in Ukraine, how medics are coping, and the cases they are seeing. We also discuss the incredible positive and determined attitude of Ukrainian people!Links discussed:Defend Ukraine site - a large number of verified and official charities.Medical supplies charity sites, here and hereIf you like this episode, let us know and we will make more! Twitter @JournalSpotting, or email journalspotting@gmail.com!

Want to hear key medical literature facts to help become that awesome doctor, whilst also being able to tell if people like beer by their facial expressions?Your ears are in the right place.Dr LJ Smith, Dr Camille Hirons, Dr Jonathan Hudson and Dr Barnaby Hirons scour and digest the latest and greatest medical literature out there... and some other fun stuff too: Why pulse oximeters miss deadly hypoxia in people of colour. How paracetamol and sodium can kill. Are sweeteners a safe alternative to sugar? Empagliflozin in acute heart failure - EPULSE trial. Should we be banning tanning salons? Metoprolol vs Diltiazem in AF with RVR? How much exercise to save lives? Drug induced liver injury causes.Facial expressions drinking beer!Tell us what you think! Twitter @JournalSpotting, journalspotting@gmail.com, www.journalspotting.com.Rate us on apple podcasts or spotify.Share us everywhere.Want a free JS mug for your doctors' mess? Just get in touch.

Want to do more to combat climate change but current events and your state of Weltshmerz is holding you back?  Do you need some positive practice-changing, actionable advice? Your ears are in the right place!LJ and Katia interview the brilliant Dr Alex Wilkinson.We cover:The huge carbon cost of inhalers.The key stats and evidence.Why change is needed and how to make it.Barriers to change and how to overcome them.With Barney & Jon we discuss our latest climate challenge- contacting MPs about a Climate Issue- hear how we got on and get advice on how to proceed. Excellent links for you to browse, amuse and amaze:Alex's articles:The environmental impact of inhalers for asthma; a green challenge and a golden opportunity. Costs of switching to low global warming potential inhalers. An economic and carbon footprint analysis of NHS prescription data in England. Other great links:BBC Inside health interview (with Alex) Green Inhaler websitePrescQIPP inhaler carbon footprintsOpenprescribing - local data with benchmarking for MDI/DPI use GP network Greener Practice: resources relevant to both primary and secondary care Follow and share us on Twitter / Insta / FB / Whatsapp!If you want a JS mug for your doctors mess - get in touch!

We're back for another Journal Roundup and check out www.journalspotting.com for the full backcatalogue. Barney, LJ, Katia, and Jon cover:We unpick the facts and figures behind COVID-19 vaccination and the risk of myocarditis.

Listen to interview with world experts on the links between climate change and cardiovascular disease. Featuring: Professor Annette Peters director of the Institute of Epidemiology, Helmhotz Zentrum, Germany Dr. Mark Miller Senior Research Fellow within the University/BHF Centre for Cardiovascular Science at the University of Edinburgh.

Do you love your medical podcasts, but sometimes wish your favourite shows would just team up for the odd awesome episode??Your ears are definitely in the right place.Jon and Barney are joined by brilliant MDTea hosts Dr Iain Wilkinson and Dr Stephen Collins. Together they deliver a masterclass in many aspects of elderly care and we uncover the greatest medical literature in the world! (From the last few months).1) Physical Activity in Hopital patients - They do too little but you can help.2) Bisphosphonates meta-analysis - harm v benefit.3) Mirtazapine in  patients with dementia - should we use?4) Subsegmental PEs - who cares about them?5) Lifelong anticoagulation - hard decisions need these facts. 6) Athletes at higher risk of AF - sorry!7) POCUS- can it change outcomes?Subscribe / rate on Spotify / Apple. Follow us on Twitter / Instagram. Send us FEEDBACK JournalSpotting@gmail.com. Share with your pals/colleagues/random groups on WhatsApp. 

Trying to keep up with Climate Change facts,  but really, you want to know what you can do as a healthcare professional more than suggesting your patients should watch Cowspiracy on Netflix?This is an interview with Climate legend Robin Stott. We cover:Amazing climate activist stories including his arrest with extinction rebellion - documented in this Lancet article: Doctors and civil disobedience.The successes and failures of COP26Climate Justice - what it is and how to solve itWhat you can do as a healthcare professionalLinks:The UK Health Alliance's Editorial, published simultaneously in > 200 journals including the LancetMore on Contractions and Convergence for CO2 emissionsWealth of resources on UK Health Alliance website including education, advice, how to talk to patients about climate etc Don't forget to rate us on Apple / Spotify and share with all your friends, colleagues, and excitable pets.Follow us on Twitter @JournalSpottingSend feedback, silly memes to JournalSpotting@gmail.com

Trying to keep up with the medical literature, but it's another COVID Christmas and you can't wait to unwrap your stocking filled with lateral flows, rota gaps, and cancelled leave…you're ears are in the right place.Barney & Jon are back to cover the latest medical literature.We cover:How long is too long for a liver transplant?The harms of tramadol?HFPeF gets a breakthrough.ARB vs ACEi: a battle you didn't know you cared about.Personalised your steroids in COPD.Why Iron & infections don't mix?Studied so much they should call it COVIDamin DObesity trends that break the scales.For full episode details and show notes, head to journalspotting.comGet in touch @JournalSpotting on Twitter, Instagram, or Facebook.or email us journalspotting@gmail.com

Trying to get to medical conferences but no one knows the study leave code, no one will cover your shift, you don't like online learning, and anyway, you actually thought BTS was an Asian boyband?Your ears are in the right place.With fantastic Professors, Consultants and Trainees, we unofficially cover the best bits from BTS Winter Meeting 2021.In Part 1, hosted by Dr Barnaby Hirons  and Dr Katia Florman, we cover:Social determinants of health by Dr SmithPollution and nutrition: destroying lungs by Dr HironsInfection highlights by Dr FlormanPleural essentials with Dr MurrayTB and NTM - the latest with Dr BurmanStopping ageing with Dr HironsBTS programme & abstracts link hereRate us and give us feedback wherever you like!Email JournalSpotting@gmail.comTwitter @JournalSpotting 

Trying to get to medical conferences but no one knows the study leave code, no one will cover your shift, you don't like online learning, and anyway, you actually thought BTS was an Asian boyband?Your ears are in the right place.With fantastic Professors, Consultants and Trainees, we unofficially cover the best bits from BTS Winter Meeting 2021.In Part 1, hosted by Dr Barnaby Hirons  and Dr Katia Florman, we cover:Crucial Cough updates with Prof McGarveyZero Tolerance for COPD exacerbations with Prof HurstHigh Flow Tx in COPD with Dr D'CruzScaling heights in COPD with Dr TaylorEos and Feno severity in asthma with Prof CouillardInhaler recycling with Dr RobinsonBTS programme & abstracts link hereRate us and give us feedback wherever you like!Email JournalSpotting@gmail.comTwitter @JournalSpotting 

Wondering how a plant-based diet might benefit your patients and the climate? We sit down with plant-based diet expert Dr Shireen Kassam to discuss the climate impact of diet, the evidence for a plant-based diet in reversing chronic diseases, and how we can discuss it with our patients.Links mentioned: https://plantbasedhealthprofessionals.com/ https://www.pcrm.org/ https://ourworldindata.org/food-choice-vs-eating-local?country=https://www.nationalfoodstrategy.org/ Important citations:Bodai, B.I. et al. (2017) ‘Lifestyle Medicine: A Brief Review of Its Dramatic Impact on Health and Survival', The Permanente Journal. doi: 10.7812/TPP/17-025. Budhathoki S, Sawada N, Iwasaki M, et al. (2019) 'Association of Animal and Plant Protein Intake With All-Cause and Cause-Specific Mortality', JAMA Intern Med. Published online August 26. doi:10.1001/jamainternmed.2019.2806Coronary artery disease: The role of plant-based diets in coronary artery disease Diabetes:  Satija, A. et al. (2016) ‘Plant-Based Dietary Patterns and Incidence of Type 2 Diabetes in US Men and Women: Results from Three Prospective Cohort Studies', PLoS Medicine. doi: 10.1371/journal.pmed.1002039Climate impacts: Scheelbeek P, Green R, Papier K, et al. (2020) 'Health impacts and environmental footprints of diets that meet the Eatwell Guide recommendations: analyses of multiple UK studies'. BMJ Open;10:e037554. doi:10.1136/ bmjopen-2020-037554 Willett, W. et al. (2019) ‘Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems', Lancet, 6736, pp. 3–49. doi: 10.1016/S0140-6736(18)31788-4.Changing food systems

Trying to keep up with the medical literature but...You've just watched Squid Games, you're feeling a bit stressed, and you thought some light-hearted medical education was just the ticket?Your ears are in the right place.Tonight your ears are joined by Barney, Cami and Alvin as we wade through an amazing collection of medical literature to bring you the best, most interesting and practice-changing information out there...In order:Respiratory RS - what O2 to use in COVID?AF - to screen or not?Metabolism over life - is this why we get fat later in life?Statins in elderly - to stop or not?Exercise in polluted areas - do the risks outweigh benefits?Cycling for diabetes - GET ON YOUR BIKES!Alcohol preventing diabetes - no, really?Sleep duration and delirium riskCan watching TV cause DVTs?Physician attire - what not to wearENJOY. And if you do enjoy, why not rate us on apple? And follow us on Twitter (please). And send wedding congratulations to Jon and Katia. I think that's it. 

Trying to keep up with the medical literature but... As it's change-over time, you are far more preoccupied with finding where the staff toilet is, the code for this, and where on earth you can buy coffee?Your ears are in the right placeIn Ep40 we get our favourite Haematology Professor, Beverley Hunt OBE, to discuss our last Round Up's key articles. Including:Do we REALLY believe the idea that we should give treatment dose anticoagulant to moderate Covid but a  prophylactic dose to patients in ICU?Therapeutic Anticoagulation with Heparin in Critically Ill Patients with Covid-19 | NEJMShould we be using D-dimers in pregnancy?D-dimer to rule out venous thromboembolism during pregnancy: A systematic review and meta-analysisThe DiPEP studyAnd are age-adjusted D-dimers the way to go?Multi-center implementation of automated age-adjusted D-dimer results reduces unnecessary PE imagingListen to find out. Rate us on Apple Podcasts. Enjoy.

Trying to keep up with the medical literature but you are too busy considering whether not driving to work for the environment might mean you could ward round from home today?Your ears are in the right place.Today's interview is with the awesome Professor Richard Smith, author of Lancet article:A strategy to reduce the carbon footprint of clinical trialsWe cover:Love Island bodiesRichard's careerUK health Alliance and their work - their global editorial, A Call For Emergency Action, is now releasedWhat is the issue with Clinical Trials?What do we need to aim for in healthcare?Where we are atWhat we need to do - as an organisation and as individualsAlso check out his  brilliant blogs:BMJ blogNon-medical blog

JournalSpotting is back from its summer break.Jon & Barney are joined by Dr. Dave McCreary all the way from Australia. Dave runs the RCEM podcast and joins JournalSpotting to bridge the chasm between A&E and medics and share some evidence-based pearls.We cover:Why COVID is still *****How does the delta variant present and does my microchip work?Have we figured out how to anticoagulate in COVID-19?More evidence for age-adjusted D-dimers?Do you use D-Dimers in Pregnancy?Do we still need to create arbitrary bridging protocols for surgery?Is that double shot espresso really causing your patients AF?How effective is smoking cessation at improving lung cancer survival?Does smoking cessation improve mental health symptoms?Can an app save my back pain?Which central line is safest for chemo?Kiwis for constipation?Is this podcast making me any smarter?For full episode details and show notes, head to journalspotting.comGet in touch @JournalSpotting on Twitter, Instagram, or Facebook.or email us journalspotting@gmail.com

Welcome to after the summer break!LJ, Katia, Barney, and Jon kick off a new series and get their teeth stuck into the link between climate change and health.In this introduction episode we bring you up to speed with what climate change what climate change actually is and why its a health problem.Topics discussed:What is climate changeWhy is climate change a health crisis?What is the role of healthcare professionals?What is the role of the health service (in particular the NHS)?Listen up for our climate challenge and try and join us on a plastic-free month. Share your experience with us @Journalspotting and journalspotting@gmail.com.Key links:Lancet Countdown on health and climate changeCostello & Montgomery paper on the role of healthcare professionalsThe sustainable physician & Sustainability in quality improvement by Frances MortimerGreener NHS: Delivering a Net Zero Health ServiceViews of health care professionals on climate change and health: a multinational survey study

Trying to keep up with the medical literature butEngland have just scored a goal against an average team in  Euro 2020 and you just can't help singing 3 lions on a shirt over and over…Your ears are in the right place. In this bumper episode, Jon and Barney are joined by the RCP podcast superstar Dr Amie Burbridge as we digest the key practice changing articles from the last month or so.Listen to the end to change how you view ventilation, and bums, forever.To LP or not when suspecting SAH with a normal CT?Good news with new Malaria vaccine.COVID Zone:      Recovery - Tocilizumab and Convalescent Plasma.       Methlypred vs Dexamethasone.Risk of malignancy with CT abdomen.Finally a shorter TB course?Nursing ratios reducing mortality.Haemoglobin levels vs position .Sleep and risk of depression.Anal oxygen delivery (yes, really).

Struggling to keep up with all the recent developments in HIV? You're ears are in the right place: We chat with Dr. Tristan Barber, HIV consultant at the Royal Free Hospital, London. He helps us go through some exciting and important developments in HIV medicine including:- Back to the basics of HIV management- Two drug regimens- Injectable drugs- Chronic inflammation and chronic disease risk- Vaccines for HIV- Cure of HIV- HIV and COVID- any lessons to learn? A big thank you to Tristan and if you'd like to check out more head to journalspotting.c

Trying to keep up with the medical literature but apparently JournalSpotting HQ has a team of actual beavers who chew and digest all the articles then present them in a light-hearted podcast. So why bother?In #33 Dr Barney Hirons and Dr Jon Hudson  cover the latest and greatest in medical literature. Including:   - What BP is optimum based on the latest meta-analysis?- What to give for generalised epilepsy - Valporate or Keppra? - How Mushrooms really could  reduce the risk of cancer- Magic mushrooms vs Escitalopram in Depression- Sleep duration and Dementia risk- Teeth number and Dementia risk (?!)- Long COVID, and how it really sucks- Coffee habits from Mendelian Randomisation- Is weight gain after quitting smoking dangerous?- Burnout riskAlong with some general geeky medic/pizza/rat chat!Follow on Twitter @JournalSpotting or email JournalSpottng@gmail.com!

For full episode details and show notes, head to journalspotting.comTrying to keep up with the medical literature but the pubs are open, the sun is out and you have no idea how long it will last?!Your ears are in the right placeThis episode rounds up the best literature and articles from (around) March 2021.We cover:# When to use albumin & terlipressin in cirrhosis# Clots & COVID-19 Vaccines# High flow Oxygen in suspected ACS# Delaying dialysis in severe AKI# Contrast-induced nephropathy: fact or fiction?# Another Vitamin D study# Inhalers for COVID-19# Shortening antibiotic courses in CAP# When to restart a DOAC after bleeding--------------Get in touch via Instagram, Facebook, Twitter, or journalspotting@gmail.com.

The JournalSpotters chat to the fist author of the ATTIRE trial, a big RCT looking at albumin use in cirrhosis patients.Dr. Louise China is a senior clinical fellow at the Royal Free Hospital, London and has spent many years investigating the role of albumin in patients with liver cirrhosis. We chat to Louise about:An overview of decompensated cirrhosisWhen to use Albumin in patients with cirrhosisThe design of the ATTIRE trialWhat can we learn from the ATTIRE trialTop tips for managing patients with cirrhosisAdvice for medics looking to get involved in researchA big thank you to Lousie for taking some time out of her busy job as a hepatologist (and her time dreaming of being back scuba diving)!China L, Freemantle N, Forrest E, Kallis Y, Ryder SD, Wright G, Portal AJ, Becares Salles N, Gilroy DW, O'Brien A; ATTIRE Trial Investigators. A Randomized Trial of Albumin Infusions in Hospitalized Patients with Cirrhosis. N Engl J Med. 2021 Mar 4;384(9):808-817. doi: 10.1056/NEJMoa2022166. PMID: 33657293.

Have you been wondering how that busy congested main road you commute along every day is bad for your health and the health of your patients?We chat with Professor Frank Kelly world expert on the impact of air pollution on health. This conversation will help us better understand how these pollutants are a dangerous exposure for many diseases and what is being done about it.We discuss:What are the different kinds of pollutants in the air?How we established a causal link between air pollution and health outcomes?What are the key organ systems affected by air pollutants?What is the current status in London, the UK, and the world regarding our ability to mitigate the effects of air pollution?Important links:London air: a world-class air monitoring networkBreathe London: the app to help people navigate air pollutionThe famous six city studyThe Oxford Street studyFor more episodes check out: journalspotting.com

For full show notes and more check out journalspotting.com-----------Trying to keep up with the medical literature butSQUIRREL!! .... You keep getting distracted?Your ears are in the right place.Happy International Women's Day! Check out our chosen inspirational women:Dr Marlies Ostermann Dr Elizabeth Blackwell Anna JonesMothers everywhere!This month Jon and Barney are accompanied by Dr. Katia Florman  and Dr. Camille Hirons as we cover a HUGE selection of impressive and practice-changing articles. Journal Junkies, get your fill:Our blockbuster: Semaglutide in obesity. A gamechanger.The cost of liberal oxygen in COPDAvacopan in ANCA associated vasculitisHb targets and transfusions in MIsRate of PEs in COPDThe risk of antibiotic UTI prophylaxisProbiotics for Parkinson's constipationNOACS vs Warfarin and Dementia riskAF screening and deep learning AF / Stroke predictionFossil Fuels mortalityWhy 5 fruit & veg is probably enoughPhew! That's a lot to cover... Thanks JounalSpotters!Don't forget to review us on apple and get in touch on Twitter, FB and Instagram @JournalSpotting 

This is part 2 of our BTS Winter 2021 special.The JournalSpotters packed their virtual backpacks and headed to the British Thoracic Society's Winter Conference 2021. This a huge international conference, covering all things lung.We've brought together some of the best speakers along with some new JournalSpotters to bring you all the best update and pearls from the conference. In part 2 we cover:Air pollution and the havoc it is causing in the UK, in Africa and in the World. We discuss the cost of the NHS amongst all this, particularly focusing on inhalers. We talk about what we can all do about it and why there is reason to be hopeful!Featuring: Dr. Laura-Jane Smith, Respiratory Consultant.Claire McBrien, Respiratory RegistrarVicky Tayler, Respiratory RegistrarEmma Lombard, Respiratory traineeA big thank you to all our speakers and contributors:

The JournalSpotters packed their virtual backpacks and headed to the British Thoracic Society's Winter Conference 2021. This a huge international conference, covering all things lung.We've brought together some of the best speakers along with some new JournalSpotters to bring you all the best update and pearls from the conference. In part 1 we cover:Discrimination in COVID times The cost of COVID to our healthcare services, D-dimers in COVID, Post TB lung disease, Why the circadian rhythm really is important clinicallyTop pleural facts.Featuring:Dr. Jamilah Meghji- clinical academic respiratory medicineDr. Marina Soltan- NIHR  Respiratory RegistrarDr. Sam Bartlett-Pestell- Respiratory RegistrarDr. Stefano Palazzo- Respiratory RegistrarDr. Amy Downes- Respiratory RegistrarA big thank you to all our speakers and contributors!

Have you been trying to keep up with the medical literature, but you don't have the time, don't know where to start, and would like someone to do the legwork for you?Your ears are in the right place.We cover:Alteplase and improved stroke outcomesTranexamic acid and SAHAblation trial AFAAA and fluoroquinolonesOccult blood and risk of ischaemic strokeFaecal transplant for melanomaGut microbiome and link to depressionLow socioeconomic status and cardiac arrestType 2 MI medicationsSurgery and type 2 diabetesOxygen saturation and ethnicityTopical steroidsAcute appendicitis and antibioticsGet in touch:Twitter,  Facebook, Instagram, or journalspotting@gmail.com

Looking for the right gateway drug to help start up an insatiable medical literature habit? JournalJunkies, your ears are in the right place!Today we interview Dr James Galloway, rheumatologist, semi- ornithologist, clinical lecturer, and head of the TACTIC trial at King's Hospital.He helps guide us through the mysteries of immunomodulation in COVID in understandable terms. What do the trials show us? Why? And, what is on the COVID horizon? 02:00    Introductions02:45    Why the birds aren't coming to your garden04:45    The Recovery Trial08:00   Why Steroids?09:35    REMAP CAP13:45    The conflicting Tocilizumab data17: 40    What is Tocilizumab and why might it work?24:50     The value of CRP monitoring27:00      Who to give Tocilizumab to29:40     TACTIC trial34:30     Why study SGLT2 inhibitors37:00     The future Tx of Severe COVID40:00     The JournalSpotting Gateway drug

Have you been trying to keep up with the COVID literature, but too shattered after work these days to read anything except the local take out menu?Your ears are in the right place, we help you get up to date on what you need to know in COVID-19, including:TOCILIZUMAB: Why it's been approved and when you might be using it.ICU DELIRIUM: Why you should put the benzos away and get the iPad out.ASYMPTOMATIC TRANSMISSION:What percentage of your family actually had COVID at Christmas?VENOUS THROMBOEMBOLISM:  Wondering why everyone is messing around with the prophylaxis dose?OXYGEN: is it safe in the early 90's?PRONING: what's the point and do patients actually do it?ACE INHIBITORS: can we finally declare them safe in COVID?

Want to know how to be more green at work, but you can only sigh as you plop your 1 millionth item of pristine plastic PPE from that morning into the bin?Your ears are in the right place.Today we interview Ms Chantelle Rizan; mountain biker, ENT fellow and environment warrior... She has published numerous articles on the topic of what healthcare does to our environment and, crucially, what we can do to improve it.Timeline:0200    Introducing Chantelle Rizan0630   The situation with our environment1130   Contribution of the NHS on the situation 1535   Impact of COVID pandemic on this2130   The issues with surgery / theatres2800   The role of waste disposal and recycling 3140   What is needed from organisation / government point of view?3420  What can individual doctor do?3910  Planetary Health edition of the Bulletin - thoughts and conclusions4130  Take home pointsArticles discussed:Plastics in healthcare: time for a re-evaluationThe carbon footprint of waste streams in a UK hospitalThe Carbon Footprint of Surgical Operations Using surgical sustainability principles to improve planetary health and optimise surgical services following the COVID-19 pandemic

Trying to keep up with the general medicine literature but, in an environmentally friendly frenzy, you've used up all your shiny BMJs as wrapping paper?Your ears are in the right place.In this episode, Jon and Barney are joined by Alvin and Camille, and together we wade through the murky medical literature so you don't have to.1) Blockbuster trial of the month: Semaglutide - the saviour of NASH? (04:40)2) Bereavement and stroke - what is the link? (08:05)3) Combo pill may, or may not, save us all (10:40)4) Topic of the month: Statins in the elderly. Maybe the elderly benefit more than we think, and those side effects aren't as significant as your patient thinks... (13:10)5) Which crystalloid in DKA? There can only be one winner. (19:00)6) What's the link between sarcopenia and orthostatic hypotension? (21:18)7) Natural remedies which might actually work in UC (24:05)8) Inotropic drugs which could save lives in HFrEF (27:22)9) Why you should check Vit D in your asthmatics (30:25)10) Anticholinergic drugs and dementia risk (33:15)11) A Case Study of ST elevation in a young patient (36:16)

Have you been trying to keep up with the medical literature, but you've been too busy trying to keep track of vote counts for Biden in small counties in Arizona you've never heard of?We have an awesome Round-Up of the key medical articles from September with Katia and Alvin! Enjoy!--------------------------Finerenone: FIDELIO-DKD trialKDIGO guidelinesNighttime BP and adverse cardiovascular events NSBB cirrhosisIron - vitamin C and heart failureSC-ICD; UNTOUCHEDHyponatraemia- SALSAIntermittent fasting trial: TREAT trialMicrobleeds and embolic stroke of unknown sourceNaps for improving your brain function!Irrelevant chat:Chicken DippaaaazButterfield DietFind us on JournalSpotting.com, on Twitter / Facebook / Instagram @JournalSpottingLeave a review on apple podcasts or email us any thoughts on journalspotting@gmail.com!

Trying to keep up with COVID literature but there are more important things to consider, like, is your pumpkin carved as Trump even orange enough?Your ears are in the right place.COVID-19 is back (and never actually left)! After a blockbuster opening run in the first half of 2020 taking the world by storm, it's back with a sequel that promises to be even bigger, even more gripping, and maybe even more deadly.We're back to bring you the latest key COVID literature updates you need to know as you head out the door in the morning to face COVID-19.In this update we cover:SOLIDARITY trialRECOVERY trialREACT working groupACTT-1Convalescent Plasma4C ScoreCase Fatality RateFace Masks in the populationAt-risk patient groups: ILD, Asthama, ImmunosuppressionVentilation masterclassBeards and FFP-3COVID-19 and domestic Dogs

Trying to keep up with the literature but you're too exited IT'S AUTUMN! Whoo-Hoo! Oh wait, it's cold, wet, and Christmas is still months away. At least we have conkers. ----------We have an awesome Round Up of the key medical articles from September with Annalan and Katia! Enjoy!Here are the timestamps:Introductions                   01:00 Colchicine for the heart   04:50SGLT2s for everyone!      08:30Coffee in colorectal Ca    13:10Tumeric for arthritis          15:50Once weekly insulins       18:30 OOH Cardiac arrests        20:00Giant Cell Arteritis            22:45Pollution kills                    25:05Morphine for COPD         29:00Prasugrel vs Ticagrelor    31:45Candy Case Study           35:42Find us on JournalSpotting.com, on Twitter / Facebook / Instagram @JournalSpottingLeave a review on apple podcasts or email us any thoughts on journalspotting@gmail.com!

Trying to read up on Latent TB but the thought of wading through complicated literature about a dormant bug makes you wish you were, well, dormant? Your ears are in the right place!A comprehensive Interview on everything you need to know about Latent TB with the mystical TB Guru of South London, Dr Ronan Breen!0200 : Introductions0300: Why Robber rob banks0415: What is Latent TB (LTB)?0600: LTB prevalence and who we should test1145: IGRAs and our immune response1230: Healthcare staff risk1730: The patients choice2110: Testing, Mantoux - pros and cons2645: Progression to TB3110: Excluding active TB3930: Options for Tx4430: CDC direction4650: S/Es to watch for5620: Future of LTB5945: Take HomesLiterature:NICE TB 2016 (updated 2019)Risk of untreated LTB, BMJCDC treatment regimesWHO on LTB

Have you been trying to keep up with the medical literature, but its eat out to help out, and nothing is getting in the way of 50% your favourite pizza joint?In this months episode:..How to use D-dimers to diagnose cerebral venous thrombosis...(04:17)Heldner, Mirjam R et al. “Prediction of cerebral venous thrombosis with a new clinical score and D-dimer levels.” Neurology vol. 95,7 (2020): e898-e909. doi:10.1212/WNL.0000000000009998...Do we still need metronidazole for pneumonia?...(07:13) Marin-Corral, Judith et al. “Aspiration risk factors, microbiology and empiric antibiotics for patients hospitalized with community-acquired pneumonia.” Chest, S0012-3692(20)31905-X. 17 Jul. 2020, doi:10.1016/j.chest.2020.06.079...Ambulatory pneumothorax management...(09:45) Hallifax, Rob J et al. “Ambulatory management of primary spontaneous pneumothorax: an open-label, randomised controlled trial.” Lancet (London, England) vol. 396,10243 (2020): 39-49. doi:10.1016/S0140-6736(20)31043-6...SIADH management: more to it than just fluid restriction?... (16:37)Krisanapan, Pajaree et al. “Efficacy of Furosemide, Oral Sodium Chloride, and Fluid Restriction for Treatment of Syndrome of Inappropriate Antidiuresis (SIAD): An Open-label Randomized Controlled Study (The EFFUSE-FLUID Trial).” American journal of kidney diseases : the official journal of the National Kidney Foundation vol. 76,2 (2020): 203-212. doi:10.1053/j.ajkd.2019.11.012...How harmful are steroid bursts?... (22:15)Yao, Tsung-Chieh et al. “Association Between Oral Corticosteroid Bursts and Severe Adverse Events : A Nationwide Population-Based Cohort Study.” Annals of internal medicine vol. 173,5 (2020): 325-330. doi:10.7326/M20-0432...Candesartan's role in cognitive decline... (25:11)Hajjar, Ihab et al. “Effects of Candesartan vs Lisinopril on Neurocognitive Function in Older Adults With Executive Mild Cognitive Impairment: A Randomized Clinical Trial.” JAMA network open vol. 3,8 e2012252. 3 Aug. 2020, doi:10.1001/jamanetworkopen.2020.12252...Weight loss: when do you go hunting for cancer?... (29:16)Nicholson, Brian D et al. “Prioritising primary care patients with unexpected weight loss for cancer investigation: diagnostic accuracy study.” BMJ (Clinical research ed.) vol. 370 m2651. 13 Aug. 2020, doi:10.1136/bmj.m2651...Baloxavir: the antiviral no ones talking about...yet...(33:15)Ikematsu, Hideyuki et al. “Baloxavir Marboxil for Prophylaxis against Influenza in Household Contacts.” The New England journal of medicine vol. 383,4 (2020): 309-320. doi:10.1056/NEJMoa1915341...Is race/ethnicity a factor in physician burnout?... (29:16)Garcia, Luis C et al. “Burnout, Depression, Career Satisfaction, and Work-Life Integration by Physician Race/Ethnicity.” JAMA network open vol. 3,8 e2012762. 3 Aug. 2020, doi:10.1001/jamanetworkopen.2020.12762

Are you trying to keep up with the latest medical literature but your journals keep getting blown away by the industrial fan you've bought to try and survive this sweaty heat wave? Your ears are in the right place! In this months episode:...Tranexamic acid in UGI bleeding: more harm than good?...(04:35)HALT-IT Trial Collaborators. “Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial.” Lancet (London, England) vol. 395,10241 (2020): 1927-1936. doi:10.1016/S0140-6736(20)30848-5...Cocoa beans in acute ischaemic stroke?...(08:15) Modrau, Boris et al. “Theophylline as an Add-On to Thrombolytic Therapy in Acute Ischemic Stroke: A Randomized Placebo-Controlled Trial.” Stroke vol. 51,7 (2020): 1983-1990. ...Ticagrelor for stroke prevention?...(12:40) Johnston, S Claiborne et al. “Ticagrelor and Aspirin or Aspirin Alone in Acute Ischemic Stroke or TIA.” The New England journal of medicine vol. 383,3 (2020): 207-217. ...Probiotics for your mood?... (16:28)Noonan S, Zaveri M, Macaninch E, et al Food & mood: a review of supplementary prebiotic and probiotic interventions in the treatment of anxiety and depression in adults BMJ Nutrition, Prevention & Health 2020...Probiotics in care homes... (22:15)Butler, Christopher C et al. “Effect of Probiotic Use on Antibiotic Administration Among Care Home Residents: A Randomized Clinical Trial.” JAMA vol. 324,1 (2020): 47-56. ...Tofu to reduce mortality?... (25:11)Cai, Xiaoyan et al. “Association between prediabetes and risk of all cause mortality and cardiovascular disease: updated meta-analysis.” BMJ (Clinical research ed.) vol. 370 m2297. 15 Jul. 2020,...Coffee time: the facts and myths... (29:16)van Dam, Rob M et al. “Coffee, Caffeine, and Health.” The New England journal of medicine vol. 383,4 (2020): 369-378....Does MTX actually cause ILD?...(33:15)Juge, Pierre-Antoine et al. “Methotrexate and rheumatoid arthritis associated interstitial lung disease.” The European respiratory journal, 2000337. 9 Jul. 2020, JOURNALBITES (38:13)Vitamin D & diabetes preventionAn app for cardiac arrestNoradrenaline dysregulates the immune responseAI & Skin disease...Putting the Ash in hand wASH...(42:40)-------------------------------------Check out the awesome infographics on Twitter @JournalSpotting or our website