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Daily Archives: February 16, 2023

M-A | Association between antimicrobial stewardship programs and antibiotic use globally

16 Feb, 2023 | 15:21h | UTC

Association Between Antimicrobial Stewardship Programs and Antibiotic Use Globally: A Systematic Review and Meta-Analysis – JAMA Network Open

Commentaries:

Antibiotic stewardship programs linked to reduced antibiotic prescribing, consumption worldwide – CIDRAP

Antimicrobial Stewardship Programs Beneficial for Cutting Antibiotic Use – HealthDay

 


RCT | Rivaroxaban shows promise compared to Enoxaparin in the acute phase of an acute coronary syndrome

16 Feb, 2023 | 15:20h | UTC

Effect of Rivaroxaban vs Enoxaparin on Major Cardiac Adverse Events and Bleeding Risk in the Acute Phase of Acute Coronary Syndrome: The H-REPLACE Randomized Equivalence and Noninferiority Trial – JAMA Network Open

Invited Commentary: Rivaroxaban for Patients With Acute Coronary Syndromes—Where Do We Stand? – JAMA Network Open

 

Commentary on Twitter

 


Guideline | Diagnosis and management of subarachnoid hemorrhage caused by a ruptured aneurysm

16 Feb, 2023 | 15:23h | UTC

Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management – National Institute for Health and Care Excellence

 


RCT | Laser treatment does not improve sexual dysfunction in survivors of breast cancer

16 Feb, 2023 | 15:19h | UTC

Effect of Fractional Carbon Dioxide vs Sham Laser on Sexual Function in Survivors of Breast Cancer Receiving Aromatase Inhibitors for Genitourinary Syndrome of Menopause: The LIGHT Randomized Clinical Trial – JAMA Network Open

Invited commentary: Genitourinary Syndrome of Menopause and the False Promise of Vaginal Laser Therapy – JAMA Network Open

Related:

RCT | Laser no better than sham treatment for genitourinary syndrome of menopause

M-A | Carbon dioxide laser vs. vaginal estrogen for genitourinary syndrome of menopause.

Perspective: From vaginal laser treatment to spa breaks – it’s the great menopause gold rush.

RCT: Laser treatment not better than sham treatment on symptom severity in women with postmenopausal vaginal symptoms.

Consensus Document: The Clinical Role of LASER for Vulvar and Vaginal Treatments in Gynecology and Female Urology

 

Commentary on Twitter

 


Regulations on palliative sedation: an international survey across eight European countries

16 Feb, 2023 | 15:17h | UTC

Regulations on palliative sedation: an international survey across eight European countries – European Journal of Public Health

 


RCT | Adjuvant nivolumab plus ipilimumab not better than placebo for localized renal cell carcinoma after nephrectomy

16 Feb, 2023 | 15:15h | UTC

Adjuvant nivolumab plus ipilimumab versus placebo for localised renal cell carcinoma after nephrectomy (CheckMate 914): a double-blind, randomised, phase 3 trial – The Lancet (link to abstract – $ for full-text)

 


Hidden harms of indoor air pollution — five steps to expose them

16 Feb, 2023 | 15:13h | UTC

Hidden harms of indoor air pollution — five steps to expose them – Nature

 

Commentary on Twitter

 


Excess mortality among US physicians during the COVID-19 pandemic

16 Feb, 2023 | 15:14h | UTC

Excess Mortality Among US Physicians During the COVID-19 Pandemic – JAMA Internal Medicine

Commentaries:

More than 600 US doctors died than expected early in COVID pandemic – CIDRAP

Hundreds of U.S. Doctors Lost Their Lives During Pandemic – HealthDay

 

Commentary on Twitter

 


Rare, overlooked, or underappreciated causes of recurrent abdominal pain: a primer for gastroenterologists

16 Feb, 2023 | 15:12h | UTC

Rare, Overlooked, or Underappreciated Causes of Recurrent Abdominal Pain: A Primer for Gastroenterologists – Clinical Gastroenterology and Hepatology

 

Commentary from the author on Twitter

 


M-A | Blood pressure lowering effects of B-blockers as add-on or combination therapy

16 Feb, 2023 | 15:10h | UTC

Blood pressure lowering effects of β-blockers as add-on or combination therapy: A meta-analysis of randomized controlled trials – Journal of Clinical Hypertension

Related: Diverse pharmacological properties, trial results, comorbidity prescribing and neural pathophysiology suggest European hypertension guideline downgrading of beta-blockers is not justified – Blood Pressure

 


RCT | Orlistat and a low-carb diet show promising results for the treatment of Metabolic-Associated Fatty Liver Disease

16 Feb, 2023 | 15:07h | UTC

Summary: The study aimed to compare the effects of orlistat or a high-protein/lower-carbohydrate diet with a control diet in Asian patients with obesity and metabolic-associated fatty liver disease (MAFLD) over 24 weeks. The primary endpoint was the relative change in liver fat content (LFC) assessed by MRI-PDFF. A total of 118 patients were randomly assigned to the control group, orlistat group, or experimental diet group. All three groups demonstrated improvement in liver steatosis at week 24, with the orlistat group and the experimental diet group both showing a significant decrease in LFC compared to the control group.*

Article: Treatment of Obesity and Metabolic-Associated Fatty Liver Disease with a Diet or Orlistat: A Randomized Controlled Trial – American Journal of Clinical Nutrition

Commentary: The efficiency of lifestyle intervention, orlistat, and experimental diet therapy in patients with obesity and metabolic-associated fatty liver disease – News Medical

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


10-year follow-up on preterm prelabor rupture of membranes: induced labor vs. expectant management childhood outcomes

16 Feb, 2023 | 15:05h | UTC

Summary: This study aimed to compare the long-term outcomes of children born after singleton pregnancies complicated by preterm prelabor rupture of membranes and managed by induction of labor vs. expectant management in RCTs undergone between 2007 and 2011. The study assessed the children’s cognition, motor function, and behavior as the primary outcomes. It found that expectant management did not improve long-term outcomes compared to induction of labor for children born after pregnancies with preterm prelabor (between 34 0/7 and 36 6/7 weeks of pregnancy) rupture of membranes. The confidence in the results of this follow-up study is diminished because only 35% of the children who participated in the original trials participated in the follow-up study.

Article: Childhood outcomes after induction of labor or expectant management for preterm prelabor rupture of membranes: a 10-year follow-up of the PPROMEXIL trials – American Journal of Obstetrics & Gynecology

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


M-A | Worldwide prevalence of antibiotic-associated Stevens-Johnson syndrome and toxic epidermal necrolysis

16 Feb, 2023 | 15:04h | UTC

Summary: The article examined the prevalence Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) associated with antibiotics worldwide. The analysis included 38 studies involving 2,917 patients, which showed that 28% of SJS/TEN cases were associated with antibiotics. Among antibiotic-associated SJS/TEN, the sulfonamide class was associated with 32% of cases, followed by penicillins, cephalosporins, fluoroquinolones, and macrolides.

Article: Worldwide Prevalence of Antibiotic-Associated Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Systematic Review and Meta-analysis – JAMA Dermatology (free for a limited period)

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


Pediatric edible cannabis exposures and acute toxicity in the US: 2017–2021

16 Feb, 2023 | 15:00h | UTC

Pediatric Edible Cannabis Exposures and Acute Toxicity: 2017–2021 – Pediatrics

Commentaries:

The Number of American Kids Eating Cannabis Has Surged Dramatically – Science Alert

2017 to 2021 Saw Increase in Pediatric Edible Cannabis Exposure – HealthDay

 


Reconstructive burnout after mastectomy: implications for patient selection

16 Feb, 2023 | 15:02h | UTC

Reconstructive Burnout after Mastectomy: Implications for Patient Selection – Plastic and Reconstructive Surgery

News Release: ‘Reconstructive burnout’ – Study looks at patients who start breast reconstruction after mastectomy, but don’t complete it – Wolters Kluwer

Commentary: One in Four Patients Experience Breast Reconstruction Burnout – HealthDay

 


Cohort Study | Antibiotics, hormonal therapies, oral contraceptives, and NSAIDS linked to increased risk of inflammatory bowel disease

16 Feb, 2023 | 14:59h | UTC

Associations of Antibiotics, Hormonal Therapies, Oral Contraceptives, and Long-Term NSAIDS With Inflammatory Bowel Disease: Results From the Prospective Urban Rural Epidemiology (PURE) Study – Clinical Gastroenterology and Hepatology (link to abstract – $ for full-text)

Commentary: Antibiotics, hormonal medications, oral contraceptives, and long-term NSAID tied with IBD – Medical Dialogues

 


Perspective | A short history of saturated fat: the making and unmaking of a scientific consensus

16 Feb, 2023 | 14:57h | UTC

A short history of saturated fat: the making and unmaking of a scientific consensus – Current Opinion in Endocrinology & Diabetes and Obesity

 

Commentary from the author on Twitter (thread – click for more)

 


RCT | Intraoperative intravenous infusion of esmketamine in patients undergoing thoracic surgery

16 Feb, 2023 | 14:56h | UTC

Intraoperative Intravenous Infusion of Esmketamine Has Opioid-Sparing Effect and Improves the Quality of Recovery in Patients Undergoing Thoracic Surgery: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial – Pain Physician (PDF)

 


M-A | Radiofrequency therapies for trigeminal neuralgia

16 Feb, 2023 | 14:51h | UTC

Radiofrequency Therapies for Trigeminal Neuralgia: A Systematic Review and Updated Meta-analysis – Pain Physician (PDF)

 


M-A | Efficacy of endovascular therapy for basilar and vertebral artery occlusion

16 Feb, 2023 | 14:50h | UTC

Efficacy of endovascular therapy for basilar and vertebral artery occlusion: A systematic review and meta-analysis of randomized controlled trials – European Journal of Internal Medicine

Related:

M-A | Mechanical thrombectomy in acute basilar artery stroke.

RCTs | Thrombectomy improved recovery in basilar artery stroke but increased procedural complications and hemorrhages.

Registry-based cohort study: Endovascular treatment vs. best medical management in acute basilar artery occlusion strokes.

RCT: Endovascular therapy for stroke due to basilar-artery occlusion – “endovascular therapy and medical therapy did not differ significantly with respect to a favorable functional outcome”.

 


A good use of time? Providing evidence for how effort is invested in primary and secondary outcome data collection in trials

16 Feb, 2023 | 14:48h | UTC

A good use of time? Providing evidence for how effort is invested in primary and secondary outcome data collection in trials – Trials

 


SR | The impact of interventions to prevent neonatal healthcare-associated infections in low- and middle-income countries

16 Feb, 2023 | 14:47h | UTC

The Impact of Interventions to Prevent Neonatal Healthcare-associated Infections in Low- and Middle-income Countries: A Systematic Review – The Pediatric Infectious Disease Journal

 


SR | The impact of antimicrobial stewardship in children in low- and middle-income countries

16 Feb, 2023 | 14:46h | UTC

The Impact of Antimicrobial Stewardship in Children in Low- and Middle-income Countries: A Systematic Review – The Pediatric Infectious Disease Journal

 


Digital health interventions for adult patients with cancer evaluated in randomized controlled trials: scoping review

16 Feb, 2023 | 14:45h | UTC

Digital Health Interventions for Adult Patients With Cancer Evaluated in Randomized Controlled Trials: Scoping Review – Journal of Medical Internet Research

 


M-A | Cost-effectiveness of internet interventions compared with treatment as usual for people with mental disorders

16 Feb, 2023 | 14:43h | UTC

Cost-effectiveness of Internet Interventions Compared With Treatment as Usual for People With Mental Disorders: Systematic Review and Meta-analysis of Randomized Controlled Trials – Journal of Medical Internet Research

 


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