Top articles in medicine in May 2012

Here are my suggestions for some of the top articles in medicine in May 2012:

The primary care doctor is a rapidly evolving species - and in the future could become an endangered one - NEJM

Japanese rail workers have to pass a daily smile scan. Even a faux smile may increase happiness - Lancet

Mental Illness: "Checklist diagnoses" cost less in time and money but fail compared to comprehensive evaluation - NEJM

Only 50% of people with major depression in the general population receive any treatment for depression

Natalizumab-Associated Progressive Multifocal Leukoencephalopathy (PML) - NEJM lists the risk factors

Azithromycin and the Risk of Cardiovascular Death - NEJM: 7 additional cardiovascular deaths per 1 million courses; patients in the highest decile of risk for cardiovascular disease had an estimated 245 additional cardiovascular deaths per 1 million courses.

Coffee consumption was inversely associated with total and cause-specific mortality. Whether this was a causal or associational finding cannot be determined - NEJM

The Right Way to Try to Buy Happiness: By using money to create memories with your family, build things with your hands or even sleep more, you stand a pretty good chance of being happier.

Up to 21% of adults will develop tinnitus - 2% of population have severely impaired quality of life because of it

Aspirin Prevents the Recurrence of Venous Thromboembolism, with no increase in risk of major bleeding - NEJM

Women who worked the night shift were 40% more likely to develop breast cancer

Hyperglycemia on admission predicts death in patients with community acquired pneumonia without pre-existing diabetes

How can I treat toenail fungus? Ask Doctor K from Harvard Medical School

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to and you will receive acknowledgement in the next edition of this publication.

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