BMJ talk medicine

The highlights of the latest edition of the journal brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie.

Read the UpFront of the May 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/3/183

The full issue is now online: https://fg.bmj.com/content/13/3

Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Andreas Obermair. Dr. Obermair is a gynecological oncologist in Brisbane, Australia, promoting surgery with proven better patient outcomes.

Highlights:

- Facing and dealing with adversity in life

- Goals for making gynecological oncology safer, less invasive, and smarter; ensuring that patients are not scared of treatment; and increasing the effectiveness of treatment

- Exploring novel options of therapy and seeking strategies for newer treatments. Only if we are not satisfied with what we do today can we hope to achieve a better outcome tomorrow.

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Amanda Friend(1) to discuss the methods employed for fertility preservation for children of various ages and sexes who are undergoing cancer treatment.

Read the paper 'Inconsistencies in fertility preservation for young people with cancer in the UK' for free for one month on the ADC website: https://adc.bmj.com/content/107/3/265 and in March's issue.

The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.

Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

(1) Leeds Institute of Medical Research, University of Leeds, and Paediatric and Adolescent Oncology, Leeds Teaching Hospitals NHS Trust, UK

In this week's episode, Helen Macdonald is joined by Joseph Ross, US research editor for The BMJ, and Juan Franco, editor of BMJ EBM.

They begin by discussing a review of obesity interventions in primary care, and Joe wonders if GPs are really the best people to tackle the issue.

https://www.bmj.com/content/377/bmj-2021-069719

Cervical screening in the UK now includes HPV testing, and they look at research which examines whether this could mean longer periods between screening tests.

https://www.bmj.com/content/377/bmj-2021-068776

They all enjoy a new State of the Art Review into Revascularization in stable coronary artery disease.

https://www.bmj.com/content/377/bmj-2021-067085

Juan and Joe look at a review into combinations of covid-19 vaccinations - and wonder whether we'll ever see more trials to fit into this meta-analysis.

https://www.bmj.com/content/377/bmj-2022-069989

Finally, they find out how your political persuasion has affected mortality in the US, with new research that links Republican and Democrat voters with differential changes in mortality.

https://www.bmj.com/content/377/bmj-2021-069308

In this podcast, we are joined by Dr James Robson and Professor Craig Ritchie to discuss all things ‘brain health’. We discuss what is meant by this term, why it is important, and what some of the steps people can take to optimise their brain health.

Related resources:

Lancet Commission https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext

Sport and Exercise for Brain Health MOOC https://www.futurelearn.com/admin/courses/sport-and-exercise-for-brain-health/1

In this episode of the Heart podcast, Digital Media Editor, Dr. James Rudd, is joined by Dr. Buber from Seattle. They discuss all aspects of CPET testing for heart failure and many other indications. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2022/04/10/heartjnl-2021-319617

A recent investigation, by The BMJ, showed a worrying increase in incidence of violence, directed to wards GPs, and reported to the police. In this episode of Deep Breath in, Tom and Jenny are joined by Gareth Iacobucci, assistant news editor for The BMJ who broke the story.

They'll hear from a GP affected, and get some advice on preventing violence, and deescalation, from two mental health experts, who deal with the most agitated patients.

Our guests:

Adam Janjua, a GP in Fleetwood, Lancashire.

Marcela Schilderman, a consultant psychiatrist at South London and the Maudsley NHS Foundation Trust

and Anita Bignell, a mental health nurse, at South London and the Maudsley NHS Foundation Trust

Reading list

Violent incidents at GP surgeries double in five years, BMJ investigation finds

https://www.bmj.com/content/377/bmj.o1333

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. David Viveros-Carreño. Dr. Viveros-Carreño is a Gynecologic Oncologist at Instituto Nacional de Cancerología, Clínica Universitaria Colombia and Clínica Los Nogales in Bogotá, Colombia.

Highlights:

- Fertility-sparing surgery after neoadjuvant chemotherapy in cervical cancer >4 cm is feasible, but the evidence is limited and should be considered as an experimental intervention.

- A complete pathological response occurred in 56% of patients.

- At least one pregnancy was achieved in 67% of cases and 60% were pre-term deliveries.

This month we chat with three students recently awarded for their papers at the SAVIR injury conference in the USA.

Stephen Oliphant is a Doctoral Candidate, School of Criminal Justice, Michigan State University; Kelsey Conrick is a Doctoral Student, School of Social Work, University of Washington; and Mudia Uzzi is a Doctoral Candidate, Health Policy Research Scholar at Robert Wood Johnson Foundation, Department of Health, Behavior and Society Johns Hopkins University.

Read these and the other Abstracts from the SAVIR conference on the Injury Prevention website:

"Do handgun purchase waiting periods save lives? Evidence from a synthetic control approach" - https://injuryprevention.bmj.com/content/28/Suppl_1/A6.2

"Modeling the association of structural racism with disparities in firearm homicide victimization" - https://injuryprevention.bmj.com/content/28/Suppl_1/A23.1

"Investigating violence disparities through an intersectional lens: using additive interaction approaches to explore the relationship of redlining and racialized economic segregation on non-fatal shootings in Baltimore city, Maryland" - https://injuryprevention.bmj.com/content/28/Suppl_1/A57.2.

Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Maria Arechederra, young researcher at the Hepatology Program in the Center for Applied Medical Research (CIMA) from the University of Navarra in Pamplona, Spain, on the paper "Next-generation sequencing of bile cell-free DNA for the early detection of patients with malignant biliary strictures" which is published in paper copy in Gut in June 2022, and available online: https://gut.bmj.com/content/71/6/1141

Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).