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Summary of new diabetes recommendations with 8 areas that are important to primary care providers

3 Mar, 2016 | 20:47h | UTC

Diagnosis and Management of Diabetes: Synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes – Annals of Internal Medicine (free full text)


Regular aspirin use reduces the risk for colon cancer

4 Mar, 2016 | 11:57h | UTC

Population-wide Impact of Long-term Use of Aspirin and the Risk for Cancer – JAMA Oncology (free full text)

Aspirin for Cancer Prevention: One Step Closer (Invited Commentary) – JAMA Oncology (free full text)

Effect of Long-term Use of Aspirin on the Risk for Cancer (Author Video Interview) – JAMA Oncology (free video)

Effect of Long-term Use of Aspirin on the Risk for Cancer (JAMA Report Video) – JAMA Oncology (free video)


Point of view: Ten Commandments for patient-centred treatment

7 Mar, 2016 | 10:22h | UTC

Ten Commandments for patient-centred treatment –  British Journal of General Practice (free full text)


Very interesting infographic! CPR and ECC for paramedics

1 Mar, 2016 | 15:48h | UTC

What paramedics need to know about the new CPR and ECC guidelines – CanadiEM (free)


In the past 40 years (1972 – 2012) coronary heart disease mortality has decreased by 82% (men) and 84% (women) in Finland due mostly to primary prevention and risk factor reduction

2 Mar, 2016 | 12:32h | UTC

Primary prevention and risk factor reduction in coronary heart disease mortality among working aged men and women in eastern Finland over 40 years: population based observational study – British Medical Journal (free full text)


Increased risk of CV events in noncardiac surgery in the first year after stent implantation but not thereafter

2 Mar, 2016 | 12:57h | UTC

Perioperative Cardiovascular Risk of Prior Coronary Stent Implantation Among Patients Undergoing Noncardiac Surgery – Journal of The American College of Cardiology (link to abstract – subscription required for full text)

Perioperative CV Risk of Prior Stents and Noncardiac Surgery – Summary in “Latest in Cardiology” from the American College of Cardiology (free full text)


All teens should be screened for depression, according to recent USPSTF recommendations

3 Mar, 2016 | 20:55h | UTC

Screening for Depression in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement – Annals of Internal Medicine (free full text)


Ultrasound fetal abnormalities found in 29% of pregnant women infected by Zika!

6 Mar, 2016 | 14:18h | UTC

Zika Virus Infection in Pregnant Women in Rio de Janeiro: Preliminary Report – New England Journal of Medicine (free full text)

Alarming new data shows high risk of birth defects in Zika-affected pregnancies (free full text)


New Carpal Tunnel Syndrome Guidelines

7 Mar, 2016 | 10:52h | UTC

Management of Carpal Tunnel Syndrome Evidence-Based Clinical Practice Guideline: Adopted by the American Academy of Orthopaedic Surgeons Board of Directors (PDF) (free full text)

Carpal Tunnel Syndrome Guidelines Published – NEJM Physician’s First Watch Commentary (free full text)


Meta-analysis: antihypertensives might be harmful in DM patients with systolic BP less than 140 mm Hg

26 Feb, 2016 | 00:50h | UTC

Effect of antihypertensive treatment at different blood pressure levels in patients with diabetes mellitus: systematic review and meta-analyses – British Medical Journal (free full text)

Antihypertensives in Diabetes Patients with BPs Less than 140 Tied to Higher CV Mortality – NEJM Physician’s First Watch Commentary (free full text)


Point of view: disagreement over the new consensus definitions for sepsis and septic shock

29 Feb, 2016 | 15:43h | UTC

Top ten problems with the new sepsis definition – PulmCrit (free full text)

New consensus definitions for sepsis and septic shock


The 2015 Year in Cardiology – European Heart Journal (8 free review articles)

28 Feb, 2016 | 20:33h | UTC

The 2015 Year in Cardiology

 

1 – Acute coronary syndromes

2 – Coronary intervention

3 – Peripheral Circulation

4 – Valvular Heart disease

5 – Heart Failure

6 – Prevention

7 – Imaging

8 – Arrhythmia and device therapy


New American Pain Society guideline on the management of postoperative pain

29 Feb, 2016 | 16:37h | UTC

Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council (free full text)

New APS Guideline on Postoperative Pain – Medscape Commentary (free registration required)


Weekly reviews by others

23 Feb, 2016 | 12:02h | UTC

Richard Lehman’s weekly review of medical journals – 22 February 2016

The 219th Critical Care Reviews Newsletter – February 21st 2016


AHA Scientific Statement – Preventing and Experiencing Ischemic Heart Disease as a Woman

1 Mar, 2016 | 11:30h | UTC

Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science – A Scientific Statement From the American Heart Association (PDF) (free full text)

Summary – Top Ten Things To Know (PDF) (free full text)

Other Supporting Materials


Aspirin before cardiac surgery is not harmful or helpful

28 Feb, 2016 | 20:16h | UTC

Stopping vs. Continuing Aspirin before Coronary Artery Surgery – New England Journal of Medicine (link to abstract – subscription required for full text)

Discontinue Aspirin before Coronary Artery Surgery? – NEJM Physician’s First Watch Commentary (free full text)

Aspirin Before CABG Does Not Increase Bleeding Risk, Says Study – Medscape Commentary (free registration required)


New Consensus Definitions for Sepsis and Septic Shock

23 Feb, 2016 | 11:03h | UTC

The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) – JAMA (free full text)

Editorial: New Definitions for Sepsis and Septic Shock: Continuing Evolution but With Much Still to Be Done – JAMA (free full text)

Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) – JAMA (free full text)

Developing a New Definition and Assessing New Clinical Criteria for Septic Shock: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) – JAMA (free full text)


Review article: cost effective strategies to reduce cardiovascular disease and related mortality

26 Feb, 2016 | 01:00h | UTC

Resource Effective Strategies to Prevent and Treat Cardiovascular Disease – Circulation (free full text)


Cochrane review: mild therapeutic hypothermia improves neurological outcome after cardiac arrest

22 Feb, 2016 | 12:57h | UTC

Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation – Cochrane Library (link to abstract – subscription required for full text)


IDSA and AASLD new guidelines for the treatment of Hepatitis C

26 Feb, 2016 | 00:22h | UTC

HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C – Infectious Diseases Society of America and American Association (IDSA) for The Study of Liver Diseases (AASLD)


ESC position paper on acute heart failure: which patients can be safely discharged from the emergency department and which require hospitalization?

22 Feb, 2016 | 13:34h | UTC

European Society of Cardiology – Acute Cardiovascular Care Association position paper on safe discharge of acute heart failure patients from the emergency department – European Heart Journal: Acute Cardiovascular Care (free full text)


Cochrane review: dopamine increases the risk of arrhythmia compared with norepinephrine and might increase mortality

23 Feb, 2016 | 11:25h | UTC

Vasopressors for hypotensive shock – Cochrane Library (link to abstract – subscription required for full text)


Canadian guidelines on screening for colorectal cancer recommend against colonoscopy

24 Feb, 2016 | 11:26h | UTC

Colorectal Cancer (2016): summary of recommendations for clinicians and policy makers – Canadian Task Force on Preventive Health Care (free full text)

Recommendations on screening for colorectal cancer in primary care [PDF] – Canadian Task Force on Preventive Health Care (free full text)

Canadian Guidelines Recommend Against Colonoscopy for Cancer Screening in Average-Risk Patients – NEJM Physician’s First Watch Commentary (Free)


Meta-analysis: treating anemia with erythropoietin-stimulating agents does not seem to improve health-related quality of life for patients with chronic Kidney Disease

19 Feb, 2016 | 19:04h | UTC

The Effect of Erythropoietin-Stimulating Agents on Health-Related Quality of Life in Anemia of Chronic Kidney Disease: A Systematic Review and Meta-analysis – Annals of Internal Medicine (link to abstract – subscription required for full text)


Higher nurse to patient ratio linked to lower inpatient mortality

16 Feb, 2016 | 21:36h | UTC

Registered nurse, healthcare support worker, medical staffing levels and mortality in English hospital trusts: a cross-sectional study – BMJ Open (free full text)

Higher nurse to patient ratio linked to reduced risk of inpatient death – BMJ Blogs (free full text)


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