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Family Medicine

Guideline: pharmacological management of patients with type 2 diabetes and cardiovascular diseases

2 Mar, 2018 | 01:55h | UTC

2018 consensus of the Taiwan Society of Cardiology and the Diabetes Association of Republic of China (Taiwan) on the pharmacological management of patients with type 2 diabetes and cardiovascular diseases – Journal of the Chinese Medical Association (free)

Related guideline: Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes, 2018 – American Diabetes Association (free)

 


Meta-Analysis: Clinical course of untreated cervical intraepithelial neoplasia grade 2 under active surveillance

2 Mar, 2018 | 01:51h | UTC

Clinical course of untreated cervical intraepithelial neoplasia grade 2 under active surveillance: systematic review and meta-analysis – The BMJ (free)

Editorial: Treatment or surveillance for CIN2? (free)

Commentaries: Treatment or surveillance for CIN2: when less is more – The BMJ Opinion (free) AND Some irregular cervical lesions could be monitored rather that treated immediately – OnMedica (free) AND Regular monitoring rather than immediate treatment justified for some cervical lesions – EurekAlert (free)

 


Research: Infant Hospitalizations and Mortality After Maternal Vaccination

2 Mar, 2018 | 01:45h | UTC

Infant Hospitalizations and Mortality After Maternal Vaccination – Pediatrics (free)

Commentaries: Maternal vaccination during pregnancy not associated with infant hospitalization, mortality – 2 Minute Medicine (free) AND Getting Recommended Vaccines During Pregnancy Doesn’t Lead to Harm in Infants – Physician’s First Watch (free)

 


Too Late To Operate? Surgery Near End Of Life Is Common, Costly

2 Mar, 2018 | 01:33h | UTC

Too Late To Operate? Surgery Near End Of Life Is Common, Costly – NPR (free)

 


Meta-Analysis: Can Exercise Improve Cognitive Symptoms of Alzheimer’s Disease?

2 Mar, 2018 | 01:31h | UTC

Can Exercise Improve Cognitive Symptoms of Alzheimer’s Disease? A Meta-Analysis – Journal of the American Geriatrics Society (free)

Commentarires: Aerobic exercise may mildly delay, slightly improve Alzheimer’s symptoms – American Geriatrics Society, via EurekAlert (free) AND Aerobic exercise slows cognitive decline in Alzheimer’s disease – Reuters (free)

 


Review: Medical Management of the Postoperative Bariatric Surgery Patient

2 Mar, 2018 | 01:29h | UTC

Medical Management of the Postoperative Bariatric Surgery Patient – Endotext (free)

Related Guideline: Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management (free)

 


Pediatric Gastroesophageal Reflux Clinical Practice Guidelines

2 Mar, 2018 | 01:26h | UTC

Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) – Journal of Pediatric Gastroenterology and Nutrition (free)

 


Research: Primary Care Physicians’ Work in the Electronic Health Record Era

2 Mar, 2018 | 01:21h | UTC

A Time-Motion Study of Primary Care Physicians’ Work in the Electronic Health Record Era – Family Medicine (free)

Commentary: EHR Time Exceeds Patient Face Time in Family Practice Visits – Medscape (free registration required)

Related: Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout – National Academy of Medicine (free) AND Date Night with the EHR – NEJM Catalyst (free) AND Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free) AND Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians(free)

 


Research: Measures of General and Central Adiposity and the Risk of Myocardial Infarction

2 Mar, 2018 | 01:19h | UTC

Sex Differences in the Association Between Measures of General and Central Adiposity and the Risk of Myocardial Infarction: Results From the UK Biobank – Journal of the American Heart Association (free for a limited period)

Commentaries: Wait and hip measurement better indicator of heart attack risk than obesity – OnMedica (free) AND Larger waist, hips may raise women’s heart attack risk – MedicalNewsToday (free)

 


Meta-Analysis: Comparative Effectiveness and Safety of Cognitive Enhancers for Treating Alzheimer’s Disease

2 Mar, 2018 | 01:23h | UTC

Comparative Effectiveness and Safety of Cognitive Enhancers for Treating Alzheimer’s Disease: Systematic Review and Network Meta-analysis – Journal of the American Geriatrics Society (free)

Source: Medscape (free registration required)

“Cognitive enhancers in general have minimal effects on cognition according to minimal clinically important difference and global ratings. The drugs appear safe, but this must be interpreted cautiously because trial participants may have less comorbidity and fewer adverse effects than those treated with these drugs in clinical practice”.

 


Research: Association of Varicose Veins With Incident Venous Thromboembolism and Peripheral Artery Disease

2 Mar, 2018 | 01:20h | UTC

Association of Varicose Veins With Incident Venous Thromboembolism and Peripheral Artery Disease – JAMA (link to abstract – $ for full-text)

Commentaries: Patients with varicose veins at greater risk for thrombosis, other vascular diseases – Cardiovascular Business (free) AND Varicose Veins Linked to Greater Risk for VTE, PAD – NEJM Physician’s First Watch (free) AND Varicose Veins May Increase Likelihood of Blood Clots – Physician’s Weekly (free)

 


Research: Impact of frailty on outcomes after discharge in older surgical patients

2 Mar, 2018 | 01:18h | UTC

Impact of frailty on outcomes after discharge in older surgical patients: a prospective cohort study – Canadian Medical Association Journal (free)

Commentary: Frailty associated with readmission risk and postdischarge mortality in older surgical patients – ACP Hospitalist (free)

Related Systematic Review: Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis – BMC Medicine (free) AND Commentary: Age itself is not a risk factor for complications after surgery among older patients – OnMedica (free)

 


Richard Lehman’s journal review – 26 February 2018

2 Mar, 2018 | 01:00h | UTC

Richard Lehman’s journal review, 26 February 2018 – The BMJ Opinion (free)

Richard Lehman reviews the latest research in the top medical journals.

 


Research: Bariatric Surgery Associated With Reduced Need For Diabetes Medications 6 Years Later

2 Mar, 2018 | 01:10h | UTC

Association Between Bariatric Surgery and Rates of Continuation, Discontinuation, or Initiation of Antidiabetes Treatment 6 Years Later – JAMA Surgery (link to abstract – $ for full-text)

Commentaries: Bariatric Surgery Associated With Reduced Need For Diabetes Medications at Six Years – MedicalResearch (free) AND Roughly Half of Obese Patients Who Have Bariatric Surgery Are Off Type 2 Diabetes Meds at 6 Years – TCTMD (free)

See related studies on the long-term effects of Bariatric Surgery in our January 17th issue (see #1, #2 and #3)

 


FDA Safety Alert: Clarithromycin Associated with Increased Risk of Heart Problems or Death in Patients With Heart Disease

2 Mar, 2018 | 00:59h | UTC

FDA Safety Alert: Clarithromycin (Biaxin): Drug Safety Communication – Potential Increased Risk of Heart Problems or Death in Patients With Heart Disease (free)

Commentaries: FDA: Antibiotic Linked to Increased Risk of Death in Heart Disease Patients – MPR (free) AND FDA: Clarithromycin Risks Persist in Patients With CAD – TCTMD (free) FDA Alert: Clarithromycin Risky in Patients With Heart Disease – Medscape (free registration required)

 


Research: Spironolactone Vs Clonidine for Resistant Hypertension

2 Mar, 2018 | 00:54h | UTC

Spironolactone Versus Clonidine as a Fourth-Drug Therapy for Resistant Hypertension: The ReHOT Randomized Study (Resistant Hypertension Optimal Treatment) – Hypertension

Commentary: Spironolactone bests clonidine as fourth drug for resistant hypertension – Univadis (free registration required)

 


An Overview of Meta-analysis for Clinicians

1 Mar, 2018 | 22:11h | UTC

An overview of meta-analysis for clinicians – Korean Journal of Internal Medicine (free)

 


Fever of Unknown Origin: the Value of FDG-PET/CT

27 Feb, 2018 | 17:20h | UTC

Fever of Unknown Origin: the Value of FDG-PET/CT – Seminars in Nuclear Medicine (free)

 


Community-Acquired Pneumonia in Children: the Challenges of Microbiological Diagnosis

27 Feb, 2018 | 16:34h | UTC

Community-Acquired Pneumonia in Children: the Challenges of Microbiological Diagnosis – Journal of Clinical Microbiology (free)

Source: Critical Care Reviews Newsletter

 


Review: Skin Manifestations of Diabetes Mellitus

27 Feb, 2018 | 16:37h | UTC

Skin Manifestations of Diabetes Mellitus – Endotext (free)

 


Behavioural and emotional disorders in childhood: A brief overview for paediatricians

27 Feb, 2018 | 16:30h | UTC

Behavioural and emotional disorders in childhood: A brief overview for paediatricians – World Journal of Clinical Pediatrics (free)

 


Meta-Analysis: Neurocognitive and Educational Outcomes in Children and Adolescents with CKD

27 Feb, 2018 | 15:47h | UTC

Neurocognitive and Educational Outcomes in Children and Adolescents with CKD: A Systematic Review and Meta-Analysis – Clinical Journal of the American Society of Nephrology (free)

Commentaries: Analysis finds lower IQ in children with chronic kidney disease – American Society of Nephrology, via ScienceDaily (free) AND CKD Linked to Cognitive Impairment in Kids – MedPage Today (free registration required)

 


Research: Bedtime Low Dose Amitriptyline in Chronic Neck Pain

27 Feb, 2018 | 15:44h | UTC

Randomized double-blind controlled study of bedtime low dose amitriptyline in chronic neck pain – European Journal of Pain (link to abstract – $ for full-text)

Commentary: Low-dose amitriptyline reduces idiopathic chronic neck pain – Univadis (free registration required)

 


Potential workload in applying clinical practice guidelines for patients with chronic conditions and multimorbidity

23 Feb, 2018 | 01:08h | UTC

Potential workload in applying clinical practice guidelines for patients with chronic conditions and multimorbidity: a systematic analysis – BMJ Open (free) (via @acpatient and @MaryDixonWoods)

 


Guideline: Peripheral arterial disease: diagnosis and management

23 Feb, 2018 | 01:04h | UTC

Guideline: Peripheral arterial disease: diagnosis and management – National Institute for Health and Care Excellence (NICE) (free)

 


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