No coffee for six months, not even decaf. That's what participants of a trial looking into the effect on atrial fibrillation were asked to do.Also, could we be on the verge of changing guidelines for asthma care in children? Or is it too early to call?And catching cancer early can be important. How far away are we from harnessing blood, urine and even saliva tests to help?ReferencesPFAS inquiry hands down 47 recommendations to better regulate 'forever chemicals' in Australia - ABC News The Lancet series on ultra-processed foodsOrforglipron, an oral small-molecule GLP-1 receptor agonist, for the treatment of obesity in people with type 2 diabetes (ATTAIN-2): a phase 3, double-blind, randomised, multicentre, placebo-controlled trialCaffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation: The DECAF Randomized Clinical TrialBudesonide–formoterol versus salbutamol as reliever therapy in children with mild asthma (CARE): a 52-week, open-label, multicentre, superiority, randomised controlled trial
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Got gut issues? Don't assume it's gluten
There has been a rise in people that cut gluten out of their diet to address gut symptoms, despite not having a diagnosis of coeliac disease. New research is shedding light on what might actually be at play in non-coeliac gluten sensitivity. Also, how a common antibiotic might lower the risk of developing schizophrenia when given to young people at risk. And a look at the cancer prevention strategies that could have a big impact, but that most countries aren't taking on board. ReferencesGovernment expenditure on public health activities in Australia 2023–24 - AIHWGlobal prevalence of hypertension among children and adolescents aged 19 years or younger: an updated systematic review and meta-analysisNon-coeliac gluten sensitivity - the LancetGlobal prevalence of self-reported non-coeliac gluten and wheat sensitivity: a systematic review and metaanalysisDoxycycline Use in Adolescent Psychiatric Patients and Risk of Schizophrenia: An Emulated Target TrialCancers attributable to alcohol - IARCAlcohol: a major preventable cause of cancer (IARC Evidence Summary Brief No. 6)
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Pain isn't all in your head — but psychotherapy can help
If you live with chronic pain, getting referred to a psychologist for pain management can feel like another dismissal. What does a session with a pain psychologist look like, and how effective can it be if you don't have any mental health diagnoses?Also, some practical information for parents introducing allergens to their babies. And how the nervous system might inadvertently be fuelling gastrointestinal cancers. ReferencesDeaths due to acute respiratory infections in Australia - ABSNeurodevelopmental Outcomes of 3-Year-Old Children Exposed to Maternal Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in UteroPain Management NetworkPain Management and Research Centre - patient informationManagement of Chronic Pain - for health professionalsOPEN pain training - for health professionalsNip allergies in the bubThe impact of reversing peanut allergy adviceAre allergen starter packs safe?Sensory neuropeptide CGRP and its co-receptor RAMP1 drive tumour cell growth in gastrointestinal cancers
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Racial inequity in our medical devices
For 50 years we've known pulse oximeters are less accurate on darker skin, and it could lead to misdiagnoses. Also, allergen starter packs are being advertised to parents. Are they safe?Guidelines have been released for male infertility care so men aren't left out. And joint replacements don't last forever, but there are ways to extend their life.ReferencesGuidelines for the management of male infertility - Healthy MaleData Resource Profile: The Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR)Novel Hypoglossal Stimulation Markedly Improves Airflow and Airway Collapsibility in OSARacial Bias in Pulse Oximetry Measurement - NEJMFind a clinical trial
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Challenging weight bias in the doctor’s office
It's a tricky conversation to navigate, so researchers have tried to find out the best way to bring up weight in the doctor's office while dodging bias and stigma.Also, a look at the evidence surrounding transcranial magnetic stimulation (TMS) for depression. The international effort to improve survival from pancreatic cancer. And how a change in guidelines spared tens of thousands of children from peanut allergy. ReferencesGuidelines for Early Food Introduction and Patterns of Food AllergyNew systematic review and meta-analysis shows an association between shingles vaccination and lower risk of heart attack and stroke Shingles (herpes zoster) vaccine - who should get vaccinated?Supporting weight focused discussions in primary care: A qualitative exploration of barriers and facilitatorsDiscussing Weight with Patients in Primary Care in Australia: A Mixed Methods Experimental StudyTGA approves new brain stimulation device for treatment of depression - ABC NewsThe Australian Pancreatic High-RIsk ScrEening (APRISE) StudyThe Pancreatic Cancer Early Detection (PRECEDE) Consortium
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