Here are my suggestions for some of the top articles in medicine for July 2012:Participation in sport is associated with a 20-40% reduction in all-cause mortality. Exercise is a fifth vital sign! http://goo.gl/gyxYf
Renal denervation to treat resistant hypertension: Guarded optimism - CCJM http://goo.gl/svAvZ
Dengue: A reemerging concern for travelers. There is no antiviral treatment - CCJM http://goo.gl/gY6DO
POLST: An improvement over traditional advance directives - CCJM http://goo.gl/NhhbX POLST = Physician Orders for Life-Sustaining Treatment
Tonsillectomy changes: More children are operated for sleep disordered breathing and fewer for recurrent pharyngitis http://goo.gl/UXTfO
Bariatric surgery provides sustained weight loss, major improvements in severely obese individuals with diabetes type 2 http://goo.gl/OkV61
Twitter Use at American Society of Clinical Oncology Annual Meetings: 14-40 doctors generated 29% of meeting dialogue http://goo.gl/fw94I
Tweeting the Meeting: An In-Depth Analysis of Twitter Activity at Kidney Week 2011 - PLoS ONE http://goo.gl/eOmLO
Is your cat hosting a human suicide parasite? Toxoplasma gondii in chicagotribune http://goo.gl/oMW8M
How safe is your hospital? Consumer Reports magazine rates best (and worst) hospitals http://goo.gl/uHcTh
Conservatives Are Happier Than Liberals, and Extremists Are Happiest of All - NYTimes http://goo.gl/h67w9
Chronic hyperglycaemia and microvascular disease contribute to cognitive dysfunction, mental and motor slowing in both DM 1 and 2 http://goo.gl/hTTcK
5-10% of people per year with prediabetes will progress to diabetes (same proportion converts back to normoglycemia) http://goo.gl/oYbTk
Suicide is second to only accidental death as the leading cause of mortality in young men across the world. High-lethality methods of suicide are preferred by young men: hanging and firearms in high-income countries, pesticide poisoning in the Indian subcontinent, and charcoal-burning in east Asia. Lancet, 2012, http://goo.gl/DqMfF
Ethics of mitochondrial donation discussed in The Lancet http://goo.gl/JAVFC
Hepatitis E virus (HEV) was discovered during the Soviet occupation of Afghanistan in the 1980s, after an outbreak of unexplained hepatitis at a military camp. A pooled faecal extract from affected soldiers was ingested by a member of the research team. He became sick, and the new virus (named HEV), was detected in his stool by electron microscopy. Globally, HEV is the most common cause of acute viral hepatitis. http://goo.gl/vkaGB
The seventh cholera pandemic began in 1961 and still affects 3-5 million people each year, killing 120 000 http://goo.gl/bz07X
Psychiatry's identity crisis - The Lancet http://goo.gl/XfsM6
Paralympic medicine - Lancet review - 20 sports at Summer Paralympic Games, 5 at Winter Paralympic Games http://goo.gl/rpJhI
The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to clinicalcases@gmail.com and you will receive an acknowledgement in the next edition of this publication.