Name: Michael Tam
Qualifications: BSc(Med) MBBS MMH(GP) FRACGP
Job title: Lecturer in Primary Care
Professional category: General practitioner
The GP Synergy Evidence-Based Medicine and Critical Appraisal Online Course for GP registrars is completed!
I ran a workshop on Thursday 8 September 2011, at the GPET 2011 Convention on Evidence-based journal clubs for professional development. The presentation can be viewed online (through prezi.com). A warm thank you to Dr Sjoerd Bruggink for allowing me to use his study published in 2010 for a critical appraisal group exercise.
Connolly SJ, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med 2009; 361:1139-1151
Dabigatran (Pradaxa) is non-inferior to warfarin for the prevention of strokes or systemic embolism, in non-valvular atrial fibrillation.
Ernst E. Deaths after chiropractic: a review of published cases. Int J Clin Pract, July 2010; 64(8): 1162-5
Chiropractic, specifically, high-velocity, short-lever thrusts of the upper spine with rotation is associated with numerous deaths.
Rajaraman P, et al. Early life exposure to diagnostic radiation and ultrasound scans and risk of childhood cancer… BMJ 2011; 342: d472
The excess risk of childhood cancer from diagnostic imaging in utero and early infancy remains unclear.
It is with some regret that Morsels of Evidence will reduce its publication schedule to once weekly on Wednesdays. Unfortunately, the staff and contributors have other obligations that prevent them dedicating the necessary time for more frequent publication.
Bleicher K, et al. Prevalence and treatment of osteoporosis in older Australian men: findings from the CHAMP study. MJA 2010;193:387-391
Osteoporosis is very common in men aged over 70 years and probably under-recognised and undertreated; 25% of participants had osteoporosis.
Myers MG, et al. Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension: randomised parallel design controlled trial. BMJ 2011; 342: d286
Automated BP measurement is significantly closer to waking ambulatory BP than conventional manual measurement.