professionalism

Over the last days fellow colleagues shared many articles, evidence, opinion papers and other noteworthy news on the Among Doctors network. Let’s have a look at the top picks of these news:

• Association between rotating night shift work and risk of coronary heart disease among women
  Among women who worked as registered nurses, longer duration of rotating night shift work was associated with a statistically significant but small absolute increase in CHD risk.
• Medical error is the third leading cause of death in the US
  A recently published article in BMJ estimates that medical error is the third biggest cause of death in the US, after heart disease and cancer. The authors mention that medical errors leading to patient death may be under-recognised in many countries, such as the UK and Canada.
• Systematic review of antibiotic treatment for acute calculous cholecystitis
  Antibiotics are not indicated for the conservative management of acute calculous cholecystitis or in patients scheduled for cholecystectomy.
• Addition of dipeptidyl peptidase-4 inhibitors to sulphonylureas and risk of hypoglycaemia
  Addition of DPP-4 inhibitors to sulphonylurea to treat people with type 2 diabetes is associated with a 50% increased risk of hypoglycaemia and to one excess case of hypoglycaemia for every 17 patients in the first six months of treatment.
• Effects of a mindfulness-based weight loss intervention in adults with obesity
  Mindfulness enhancements to a diet-exercise program did not show substantial weight loss benefit but may promote long-term improvement in some aspects of metabolic health in obesity that requires further study.
• Short-course oral steroids as an adjunct therapy for chronic rhinosinusitis
  There might be an improvement in symptom severity, polyps size and condition of the sinuses when assessed using CT scans in patients taking oral corticosteroids when these are used as an adjunct therapy to antibiotics or intranasal corticosteroids.
• Is physician burnout a looming public danger?
  With over 50% of doctors feeling burned out, physician burnout should not be considered as a mere professional problem, as its repercussions may affect patients.