BMJ talk medicine

In this podcast, we focus on the bacterial genitourinary pathogen Mycoplasma genitalium (MGEN). We have known this pathogen for a long-time but only in recent years we have been testing and treating more frequently for this bacteria. In this conversation with Dr Fabiola Martin, STI's Podcast editor, Dr Emma Sweeney, Prof Catriona Bradshaw and Prof Nicola Low provide a clinical and research update on MGEN. Dr Emma Sweeney is a Postdoctoral researcher, The University of Queensland Centre for Clinical Research, Brisbane, Australia. Prof Catriona Bradshaw is a Clinician researcher based at Melbourne Sexual Health Centre, Melbourne, Australia. Prof Nicola Low is an Infectious disease epidemiologist, leading the Sexual and Reproductive Health Research Group at the Institute of Social and Preventive Medicine, University of Bern, Switzerland.

Read the blog post: https://blogs.bmj.com/sti/2022/04/06/mgen/

Some relevant papers published by STI:

Adverse pregnancy and perinatal outcomes, 2022, Frenzer C, Egli-Gany D, Vallely L, et al. https://sti.bmj.com/content/early/2022/03/28/sextrans-2021-055352

Prevalence in different populations, 2018, Baumann L, Cina M, Egli-Gany D, et al. https://sti.bmj.com/content/94/4/255

Persistence, concordance, complications in non-pregnant people, 2019, Cina M, Baumann L, Egli-Gany D, et al. https://sti.bmj.com/content/95/5/328

In this episode we’re going to be talking about misogyny in surgery, recent revelations about sexual harassment in the theatre have emerged - but these behaviours have been endemic for a while, even as the profession seemed to ignore them.

Joining Clara Munro is Baroness Helena Kenned, the author of a recent report into diversity in medicine, who, as a barrister, has long worked on discrimination cases.

The reports mentioned in the episode are from the Royal College of Surgeons;

https://www.rcseng.ac.uk/about-the-rcs/about-our-mission/diversity-review-2021/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Genevieve Bouchard-Fortier. Dr. Bouchard-Fortier is an assistant professor in the Division of Gynecologic Oncology in the Department of Obstetrics and Gynecology at the University of Toronto and a member of the Division of Gynecologic Oncology at the University Health Network/Sinai Health Systems. Her research is focused on improving the quality of care of gynecologic oncology patients as well as developing quality metrics to measure outcomes.

Highlights:

• We implemented a perioperative program to increase same day discharge rate after minimally invasive hysterectomy from 30% to 75% in gynecologic oncology patients.

• ERAS principles significantly improved the same day discharge rate while maintaining a low complication rate.

• Longer surgery, timing of surgery, and narcotic use were significantly associated with overnight admission.

Croaking and wheezing and slightly exhausted… not the average neonatologist but Archimedes this month is brought to you from post-natal palaces and 'post-nasal drip'.

We start thinking about how best to communicate a post-natal diagnosis of Down syndrome(https://adc.bmj.com/content/107/4/409.1), which is prefaced by some thoughts on what it means to undertake a ‘good’ qualitative study(https://adc.bmj.com/content/107/4/409.2). We have more on this on our blog site, in this series: https://blogs.bmj.com/adc/category/qualitative/

We then dive down from the wards into the NICU where we wonder how to shift the clogged secretions of a grot-filled lung, and someone suggests DNAse, which sounds a lot like magic, but magic that can be evidence-based(https://adc.bmj.com/content/107/4/411).

When you’ve had a listen tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself croaked Archi or in active conversation too.

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As healthcare professionals, we meet people from all walks of life and collect stories along the way — stories of illness and convalescence. When we hear interesting stories, there can be an urge to share them. When something bad happens, you may want to talk and offload it onto your friends and family.

As we know, patient confidentiality is a core value in medicine. So what is permissible to share? Is there a way to share these stories while respecting the ethical boundaries?

In this episode, the Sharp Scratch team explores the ethical considerations involved in talking and writing about patients, and discusses the popular literature genre of medical memoirs.

Expert guest: Dr Matt Phillips is a sexual health consultant and a honorary clinical professor in genitourinary medicine and ethics at the University of Central Lancashire.

Recommended reading:

The ethics of medical memoirs. Link: https://www.bmj.com/content/367/bmj.l6270

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This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by Dr. Monica Verduzco-Gutierrez (T: @MVGutierrezMD), who is serving as the AAPM&R Exchange Lecture Speaker during the 2022 AMSSM Annual Meeting.

In this conversation, Dr. Verduzco-Gutierrez discusses her upcoming presentation in Austin, TX, on Post-COVID Syndrome in Athletes and address the following topics:

• Defining Post-COVID Syndrome and its many potential impacts

• How and why she developed a Post-COVID Recovery Clinic

• Her contributions to multi-disciplinary collaborative consensus guidance statements for patients with PASC

• How she generally approaches treating patients with Post-COVID Syndrome

• The differences in rates and severity in Post-COVID Syndrome in athletes compared with other populations

• Her advice for aspiring researchers in sport and exercise science

Resources:

Models of Care for Postacute COVID-19 Clinics: Experiences and a Practical Framework for Outpatient Physiatry Settings (https://pubmed.ncbi.nlm.nih.gov/34793373/)

Multi-disciplinary collaborative consensus guidance statement on the assessment and treatment of breathing discomfort and respiratory sequelae in patients with post-acute sequelae of SARS-CoV-2 infection (PASC)(https://onlinelibrary.wiley.com/doi/10.1002/pmrj.12744)

Multidisciplinary collaborative consensus guidance statement on the assessment and treatment of fatigue in postacute sequelae of SARS-CoV-2 infection (PASC) patients (https://onlinelibrary.wiley.com/doi/full/10.1002/pmrj.12684)

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the April 2022 issue of DTB. They talk about DTB's 60th anniversary, the importance of independent scrutiny of new medicines and the need to question how medicines are licensed and used (https://dtb.bmj.com/content/60/4/50). They highlight the benefits of a comprehensive national register of conflicts of interest and discuss a study that compared a quadpill containing low doses of four antihypertensive agents with a standard dose of irbesartan (https://dtb.bmj.com/content/60/4/56). They also review a study that assessed clinicians' awareness of the harms from long-term use of nitrofurantoin (https://dtb.bmj.com/content/60/4/59) and provide an overview of an article on managing hypertension in pregnancy (https://dtb.bmj.com/content/60/4/60). The editors also look back at the very first issue of DTB that was published on 20th April 1962 (https://dtb.bmj.com/content/s1-1/1).

Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). 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 Rakesh Kalapala, Senior Consultant Gastroenterologist & Therapeutic Endoscopist, Head of GI Motility Lab, Director of Endoscopy at the Center for Obesity & Metabolic Therapy, Member of the International Bariatric and Metabolic Endoscopy Committee, Asian Institute of Gastroenterology Hospitals, Hyderabad, India on the paper 'Endoscopic full-thickness plication for the treatment of PPI-dependent GERD: results from a randomised, sham controlled trial' which is published in paper copy in Gut in April 2022, and is available here: https://gut.bmj.com/content/71/4/686

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).

In this episode of Talk Evidence, Helen Macdonald, the BMJ’s research integrity editor is joined by Joe Ross, US research editor, and Juan Franco, editor in chief of BMJEBM, to talk about all things evidence.

Joe gives us an update about covid, including new research on safety of the vaccine Association between covid-19 vaccination, SARS-CoV-2 infection, and risk of immune mediated neurological events

https://www.bmj.com/content/376/bmj-2021-068373

Juan updates us on a potential new prophylactic for recurrent UTIs, Methenamine hippurate, which could be an alternative to antibiotics.

Alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in women

https://www.bmj.com/content/376/bmj-2021-0068229

Helen tells us about some research which evaluates the way in which intersecting identities combine to make students experience of medical school more difficult.

Marginalized identities, mistreatment, discrimination, and burnout among US medical students

https://www.bmj.com/content/376/bmj-2021-065984

In the first episode of RAPM Focus, Editor-in-Chief Brian Sites, MD, interviews Stephen P. Cohen, MD, first author of the paper “Multicenter study evaluating factors associated with treatment outcome for low back pain injections”. This prospective study looked at 346 patients receiving one of three procedures: epidural steroid injection for sciatica, sacroiliac joint injections for axial low back pain, and facet interventions for axial low back pain. The study was designed to evaluate associations among more than two dozen demographic, clinical, and technical factors on treatment outcomes. Results found that patients with lower baseline pain scores, depressive symptomatology, and obesity experienced smaller pain reductions. Smoking and sleep deprivation were also associated with poorer outcomes.

Dr. Cohen is a professor of anesthesiology and critical care medicine, neurology, physical medicine & rehabilitation and psychiatry and behavioral sciences at the Johns Hopkins School of Medicine and Uniformed Services University of the Health Sciences in Baltimore, MD. He is also chief of pain medicine and director of the Blaustein Pain Treatment Center at Johns Hopkins and director of pain research at Walter Reed National Military Medical Center.

@RAPM_Online