Top medicine articles for July 2014

A collection of some interesting medical articles published recently:

Migraines Linked to Increased Risk of 'Silent Strokes'

Doctor’s Salaries Are Not the Big Cost - NYTimes -- "There is a startling secret behind America’s health care hierarchy: Physicians, the most highly trained members in the industry’s work force, are on average right in the middle of the compensation pack. That is because the biggest bucks are currently earned not through the delivery of care, but from overseeing the business of medicine.

The base pay of insurance executives, hospital executives and even hospital administrators often far outstrips doctors’ salaries: $584,000 on average for an insurance chief executive officer, $386,000 for a hospital C.E.O. and $237,000 for a hospital administrator, compared with $306,000 for a surgeon and $185,000 for a general doctor.

Among doctors, there is growing frustration over the army of businesspeople around them and the impact of administrative costs, which are reflected in inflated charges for medical services."

25% of US adults consult online physician-rating sites - Doctors Check Online Ratings From Patients and Make Changes. Online ratings "can be pretty brutal. However, part of being a physician now is having to deal with these.” "When we decided to quit ignoring it and embraced it, it totally changed the game" - WSJ

FDA Approves New Drug for Crohn Disease and UC: vedolizumab (Entyvio), an injectable monoclonal antibody. Vedolizumab, an integrin receptor antagonist

Interferon-free regimen with 3 drugs effective in Hep C with Cirrhosis (ABT-450/r–Ombitasvir, Dasabuvir, Ribavirin) -- Combination of nucleotide polymerase inhibitor sofosbuvir and antiviral ribavirin effective in HCV Genotypes 2 and 3

The relative risk reduction of 20% in breast-cancer mortality associated with mammography comes at a price. Abolish Mammography Screening Programs, says the Swiss Medical Board. The report caused an uproar

In obese patients with uncontrolled DM2, intensive medical therapy plus bariatric surgery was better than drugs alone

First dialysis machine was made with aluminium from a bomber that was shot down and bits from an automobile engine

At least 10% of adults and nearly all children who receive renal-replacement therapy have an inherited kidney disease

Kidney disease in farming communities worldwide remains a mystery: heavy metals and pesticides? indigenous herbs? OTC pain killers? chronic dehydration?

Worldwide, chronic kidney disease affects 8—16% of population, number of deaths almost doubled in the past decade

The articles were selected from Twitter and my RSS subscriptions. Please feel free to send suggestions for articles to clinicalcases AT and you will receive acknowledgement in the next edition of this publication.

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