geoffrey modest medical blogs

  New guidelines for blood pressure management in those with chronic kidney disease (CKD), from Kidney Disease: Improving Global Outcomes (KDIGO), an update of their 2012 guidelines: see https://kdigo.org/wp-content/uploads/2016/10/KDIGO_BP_Exec_Summary_final.pdf for the executive summary, or their 92-page full guidelines at https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2021-BP-GL.pdf     Details:   -- the goal for this working group was to assess blood pressure measurement as well as blood pressure targets in CKD patients (though they still have chapters on lifestyle interventions, blood pressure management in those with kidney transplants, children, as per below)    -- blood pressure measurements:      -- they note that routine (casual) office-based blood pressure was not used in the large randomized controlled trials assessing the deleterious effects of hypertension, so the results of these study-based measurements (...

  The CDC just published their 1 st   public health recommendations for fully vaccinated people (see   https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html   )   General points: -- there is increasing evidence suggesting that fully vaccinated people are less likely to have asymptomatic infections and potentially less likely to transmit the SARS-CoV-2 virus to others (see their document  https://www.cdc.gov/coronavirus/2019-ncov/more/fully-vaccinated-people.html  and my recent blog on this, which includes a couple of newer studies:  http://gmodestmedblogs.blogspot.com/2021/03/covid-vaccines-seem-to-decrease.html -- they acknowledge the burden of social isolation, noting that “the benefits of reducing social isolation and relaxing some measures such as quarantine requirements may outweigh the residual risk of fully vaccinated people becoming ill with Covid-19 or transmitting SARS-CoV-2 to others”.    ...