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#KidneyWk – Study: Baclofen Associated with Increased Risk of Encephalopathy in Patients with Chronic Kidney Disease

10 Nov, 2019 | 14:35h | UTC

Association of Baclofen with Encephalopathy in Patients With Chronic Kidney Disease – JAMA (free for a limited period)

Commentary: Common muscle relaxant causes severe confusion in patients with kidney disease – University of Western Ontario (free)

#KidneyWk – Just presented at the American Society of Nephrology Kidney Week 2019

 


#KidneyWk – [Not Published Yet] Randomized Trial: Less Expensive Azathioprine as Good as Mycophenolate Mofetil in Kidney Transplant Recipients on Steroid-Free Low-Dose Cyclosporine Immunosuppression

10 Nov, 2019 | 14:33h | UTC

Mycophenolate Mofetil versus Azathioprine in Kidney Transplant Recipients on Steroid-Free Low-Dose Cyclosporine Immunosuppression: The ATHENA Trial – 2019 American Transplant Congress (free)

#KidneyWk – Just presented at the American Society of Nephrology Kidney Week 2019

 


Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology – 2019

10 Nov, 2019 | 13:59h | UTC

Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology – 2019 – Arquivos Brasileiros de Cardiologia (free PDF)

Related Guidelines: 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease (free guideline and resources) AND Cardiovascular disease: risk assessment and reduction, including lipid modification – National Institute for Health and Care Excellence (free) AND Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update – Canadian Medical Association Journal (free)

 


A New Twenty-first Century Science for Effective Epidemic Response

10 Nov, 2019 | 13:41h | UTC

A new twenty-first century science for effective epidemic response – Nature (free for a limited period)

 


Podcast: Management of Multimorbidity

10 Nov, 2019 | 13:55h | UTC

#181 The Multimorbidity Games with Josh Uy MD – The Curbsiders Internal Medicine Podcast (free text and audio)

See also: Episode List

Related: Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal (free) AND Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free)

 


FDA Safety Communication: Biotin Supplements May Result in Falsely Low Troponin Results

10 Nov, 2019 | 13:43h | UTC

UPDATE: The FDA Warns that Biotin May Interfere with Lab Tests: FDA Safety Communication – U.S Food and Drug Administration (free)

Commentary: FDA Updates Warning on Biotin Interfering with Lab Results – NEJM Journal Watch (free)

“…the FDA is particularly concerned about biotin interference causing a falsely low result for troponin, a clinically important biomarker to aid in the diagnosis of heart attacks, which may lead to a missed diagnosis and potentially serious clinical implications. The FDA continues to receive adverse events reports indicating biotin interference caused falsely low troponin results.”

 


Practice-Changing? – Randomized Trial: Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy Reduces Postoperative Hypocalcemia Risk

10 Nov, 2019 | 13:45h | UTC

Association of Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy With Postoperative Hypocalcemia Risk: Results of the PARAFLUO Multicenter Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Invited Commentary: New Technique to Reduce the Risk For Hypocalcemia in Thyroid Surgery (free for a limited period)

 


Meta-Analysis: Intravenous vs. Intravenous/Oral Antibiotics for Perforated Appendicitis in Pediatric Patients

10 Nov, 2019 | 13:34h | UTC

Intravenous versus intravenous/oral antibiotics for perforated appendicitis in pediatric patients: a systematic review and meta-analysis – BMC Pediatrics (free)

 


Meta-Analysis: Tool-Assisted Target Weight Adjustments in Chronic Dialysis Patients

10 Nov, 2019 | 13:38h | UTC

Meta-Analysis of Randomized Controlled Trials Using Tool-Assisted Target Weight Adjustments in Chronic Dialysis Patients – Kidney International Reports (free)

 


Study Commentary: Can C-reactive Protein Improve Treatment for COPD Exacerbations?

10 Nov, 2019 | 13:25h | UTC

Can C-reactive protein improve treatment for COPD exacerbations? – PulmCCM (free)

Original Study: Randomized Trial: C-Reactive Protein Can Guide Antibiotics for COPD Exacerbations (link to abstract and commentaries)

 


Guideline Summary: Obesity Hypoventilation Syndrome

10 Nov, 2019 | 13:11h | UTC

New guidelines on obesity hypoventilation syndrome released – PulmCCM (free)

Original Article: ATS Guideline: Evaluation and Management of Obesity Hypoventilation Syndrome (free article and news release)

 


Recent Advances in Therapies for Eating Disorders

10 Nov, 2019 | 13:02h | UTC

Recent advances in therapies for eating disorders – F1000Research (free)

Related Guidelines: Eating disorders: recognition and treatment – NICE Guideline (free) AND Gynecologic Care for Adolescents and Young Women With Eating Disorders – American College of Obstetricians and Gynecologists (free)

 


[Abstract Only] Randomized Trial: Treatments for Relapsed or Refractory FLT3-mutated Acute Myeloid Leukemia Compared

10 Nov, 2019 | 12:57h | UTC

Gilteritinib or Chemotherapy for Relapsed or Refractory FLT3-Mutated AML – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: ADMIRAL: Gilteritinib vs Chemotherapy in Relapsed or Refractory FLT3-Mutated AML – The ASCO Post (free)

 


Review: Management of Cervical Spine Trauma in Children

10 Nov, 2019 | 13:05h | UTC

Management of cervical spine trauma in children – European Journal of Trauma and Emergency Surgery (free)

 


Viewpoint: Vaping—Seeking Clarity in a Time of Uncertainty

8 Nov, 2019 | 08:28h | UTC

Vaping—Seeking Clarity in a Time of Uncertainty – JAMA (free for a limited period)

Author Interview: Vaping—Seeking Clarity in a Time of Uncertainty (free audio)

Related: “EVALI” (e-cigarette, or vaping, product use-associated lung injury): CDC Updates Guidance and Creates New Name (free)

 


NCCN Guidelines: Gestational Trophoblastic Neoplasia

10 Nov, 2019 | 12:51h | UTC

Gestational Trophoblastic Neoplasia, Version 2.2019, NCCN Clinical Practice Guidelines in Oncology – Journal of National Comprehensive Cancer Network (free)

 


NCCN Guidelines Insights: Kidney Cancer

10 Nov, 2019 | 12:49h | UTC

NCCN Guidelines Insights: Kidney Cancer, Version 2.2020 – Journal of National Comprehensive Cancer Network (free)

 


Fri November 8 – 10 Stories of The Day!

8 Nov, 2019 | 08:42h | UTC

 

1 – Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap: A Scientific Statement From the American Heart Association – Circulation (free PDF)

Commentary: The Management of Subclinical Atrial Fibrillation: The Pathway to True Medical Expertise – American Heart Association (free)

Top Things to Know: Subclinical and Device-Detected Atrial Fibrillation (free)

Related: Apple Watch Can Spot Atrial Fibrillation, But More Research is Needed (several commentaries on the subject)

 

2 – Vaping—Seeking Clarity in a Time of Uncertainty – JAMA (free for a limited period)

Author Interview: Vaping—Seeking Clarity in a Time of Uncertainty (free audio)

Related: “EVALI” (e-cigarette, or vaping, product use-associated lung injury): CDC Updates Guidance and Creates New Name (free)

 

3 – Cardiovascular risk of electronic cigarettes: a review of preclinical and clinical studies – Cardiovascular Research (free)

Commentaries: Vaping not worth potential heart risk, researchers say – Ohio State University (free) AND Vaping risks significant, says new review – News Medical (free) AND E-cigs may damage the heart, study says – MedicalXpress (free)

 

4 – Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review – Infections, Disease & Health (free)

 

5 – Effect of lung recruitment maneuver on oxygenation, physiological parameters and mortality in acute respiratory distress syndrome patients: a systematic review and meta-analysis – Intensive Care Medicine (free)

Related: Alveolar recruitment in acute respiratory distress syndrome: should we open the lung (no matter what) or may accept (part of) the lung closed? – Intensive Care Medicine (free) AND Recruitment maneuver does not provide any mortality benefit over lung protective strategy ventilation in adult patients with acute respiratory distress syndrome: a meta-analysis and systematic review of the randomized controlled trials – Journal of Intensive Care (free) AND Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial – JAMA (free study and editorial)

 

6 – Randomized Trial of Perioperative Probiotics Among Patients Undergoing Major Abdominal Operation – Journal of the American College of Surgeons (link to abstract – $ for full-text)

Source: EvidenceAlerts

“A significantly higher readmission rate was observed among those exposed to probiotics. Additional studies remain warranted.”

 

7 – Genomic and epidemiological evidence of bacterial transmission from probiotic capsule to blood in ICU patients – Nature Medicine (link to abstract – $ for full-text)

Related: Systematic Review: Harms Reporting in Trials with Probiotics (link to abstract and commentaries) AND The Problem With Probiotics – The New York Times (free)

 

8 – American Academy of Pediatrics – Section on Surgery: Five Things Physicians and Patients Should Question – Choosing Wisely (free)

Commentary: Choosing Wisely Examines Pediatric Surgical Practices to Avoid – NEJM Journal Watch (free)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 

9 – Ann Robinson’s journal review, 7 November 2019 – The BMJ Opinion (free)

Ann Robinson reviews the latest research from the top medical journals.

 

10 – Insomnia symptoms and risk of cardiovascular diseases among 0.5 million adults: A 10-year cohort – Neurology (free PDF)

Commentaries: Difficulty sleeping linked with raised risk of heart attack and stroke – NHS Choices (free) AND Insomnia in adults linked to heart attack and stroke – CNN (free) AND Insomnia maybe a significant risk factor for heart attacks and strokes – News Medical (free)

 


Cardiovascular Risk of Electronic Cigarettes: A Review of Preclinical and Clinical Studies

8 Nov, 2019 | 08:22h | UTC

Cardiovascular risk of electronic cigarettes: a review of preclinical and clinical studies – Cardiovascular Research (free)

Commentaries: Vaping not worth potential heart risk, researchers say – Ohio State University (free) AND Vaping risks significant, says new review – News Medical (free) AND E-cigs may damage the heart, study says – MedicalXpress (free)

 


AHA Scientific Statement: Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap

8 Nov, 2019 | 08:38h | UTC

Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap: A Scientific Statement From the American Heart Association – Circulation (free PDF)

Commentary: The Management of Subclinical Atrial Fibrillation: The Pathway to True Medical Expertise – American Heart Association (free)

Top Things to Know: Subclinical and Device-Detected Atrial Fibrillation (free)

Related: Apple Watch Can Spot Atrial Fibrillation, But More Research is Needed (several commentaries on the subject)

 


Meta-Analysis: Effect of Lung Recruitment Maneuver on Oxygenation, Physiological Parameters and Mortality in ARDS Patients

8 Nov, 2019 | 08:00h | UTC

Effect of lung recruitment maneuver on oxygenation, physiological parameters and mortality in acute respiratory distress syndrome patients: a systematic review and meta-analysis – Intensive Care Medicine (free)

Related: Alveolar recruitment in acute respiratory distress syndrome: should we open the lung (no matter what) or may accept (part of) the lung closed? – Intensive Care Medicine (free) AND Recruitment maneuver does not provide any mortality benefit over lung protective strategy ventilation in adult patients with acute respiratory distress syndrome: a meta-analysis and systematic review of the randomized controlled trials – Journal of Intensive Care (free) AND Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial – JAMA (free study and editorial)

 


[Abstract Only] Randomized Trial Suggests Possible Harm from Perioperative Probiotics Among Patients Undergoing Major Abdominal Operation

8 Nov, 2019 | 07:49h | UTC

Randomized Trial of Perioperative Probiotics Among Patients Undergoing Major Abdominal Operation – Journal of the American College of Surgeons (link to abstract – $ for full-text)

Source: EvidenceAlerts

“A significantly higher readmission rate was observed among those exposed to probiotics. Additional studies remain warranted.”

 


Systematic Review: Strategies to Reduce Non-ventilator-associated Hospital-acquired Pneumonia

8 Nov, 2019 | 08:14h | UTC

Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review – Infection, Disease & Health (free)

 


Ann Robinson’s journal review—7 November 2019

8 Nov, 2019 | 07:15h | UTC

Ann Robinson’s journal review, 7 November 2019 – The BMJ Opinion (free)

Ann Robinson reviews the latest research from the top medical journals.

 


[Abstract Only] Study: Evidence of Bacterial Transmission from Probiotic Capsule to Blood in ICU Patients

8 Nov, 2019 | 07:36h | UTC

Genomic and epidemiological evidence of bacterial transmission from probiotic capsule to blood in ICU patients – Nature Medicine (link to abstract – $ for full-text)

Related: Systematic Review: Harms Reporting in Trials with Probiotics (link to abstract and commentaries) AND The Problem With Probiotics – The New York Times (free)

 

Related Commentary on Twitter

 


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