Family Medicine | Page 361 of 374 | Links Medicus Content Curation & Alerts in Medicine

Cardiovascular Testing and Clinical Outcomes in Emergency Department Patients With Chest Pain

28 Jun, 2017 | 22:04h | UTC

Cardiovascular Testing and Clinical Outcomes in Emergency Department Patients With Chest Pain – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Cardiac Tests in ED Patients Not Tied to Better Outcomes – Medscape (free registration required) AND Cardiac Testing for Slight ACS Risk Just Means More Procedures – MedPage Today (free registration required) AND Cardiac Testing in Emergency Room Chest Pain Patients – American College of Cardiology, Latest in Cardiology (free)

Acupuncture shown to have benefits for treatment of some chronic pain

27 Jun, 2017 | 19:11h | UTC

Acupuncture shown to have benefits for treatment of some chronic pain – NIHR Signal (free)

Original article: Acupuncture for chronic pain and depression in primary care: a programme of research – Programme Grants for Applied Research (free PDF)

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26 Jun, 2017 | 17:32h | UTC

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”

Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection

26 Jun, 2017 | 17:52h | UTC

Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection: A Systematic Review With Meta-Regression Analysis – Gastroenterology (free)

Source: EvidenceAlerts (free resource to find articles of interest)

In this meta-analysis including 19 randomized trials, probiotics given within 2 days of the first antibiotic dose (more effective than if started later) reduced the risk of Clostridium difficile infection (CDI) by >50% in hospitalized adults. 1 case of CDI would be prevented for every 23−144 patients treated with probiotics when antibiotics are started. “There was no convincing evidence of superior efficacy for any of the tested probiotic formulations, delivery methods (drink or capsule), or probiotic doses”.

Adult weight management: guidance for commissioners and providers

26 Jun, 2017 | 15:54h | UTC

Adult weight management: guidance for commissioners and providers – Public Health England (free video and resources)

Respiratory medicine: Six things physicians and patients should question

26 Jun, 2017 | 15:04h | UTC

New Choosing Wisely Canada List: Respiratory medicine: Six things physicians and patients should question (free) (RT @ChooseWiselyCA see Tweet)

See more on the Choosing Wisely initiative in our April 5 issue, see #6.

Richard Lehman’s journal review, 26 June 2017

26 Jun, 2017 | 13:57h | UTC

Richard Lehman’s journal review, 26 June 2017 – The BMJ Blogs (free)

Richard Lehman reviews the latest research in the top medical journals

Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure

25 Jun, 2017 | 14:37h | UTC

Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Do mortality rates differ according to baseline heart rates for those taking beta-blockers? – Cardiovascular Business (free) AND Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure – PracticeUpdate (free registration required)

“In HFrEF, beta blockers reduce mortality – but only for those in sinus rhythm says new work in JACC” (RT @JACCJournals see Tweet)

Obesity now kills more people worldwide than car crashes, terror attacks, and Alzheimer’s combined

25 Jun, 2017 | 16:20h | UTC

Obesity now kills more people worldwide than car crashes, terror attacks, and Alzheimer’s combined – VOX (free)

See original study on the Global Burden of Obesity and related commentaries in our June 13^th issue (see #1)

“Five takeaways from a giant study on an epidemic governments can’t ignore”.

Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia

25 Jun, 2017 | 15:15h | UTC

Prevalence of Axial Spondyloarthritis Among Patients With Fibromyalgia: A Magnetic Resonance Imaging Study With Application of the Assessment of SpondyloArthritis International Society Classification Criteria – Arthritis Care & Research (link to abstract – $ for full-text)

Commentary: Does Fibromyalgia Mask Spondyloarthritis? – MedPage Today (free registration required)

Small study (99 patients) showed some patients diagnosed with fibromyalgia have imaging changes suggestive of axial Spondyloarthritis, suggesting that Fibromyalgia may mask an underlying Spondyloarthropathy.

Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder

25 Jun, 2017 | 14:13h | UTC

KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) (free PDF) (RT @goKDIGO see Tweet)

Executive summary: 2017 KDIGO Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update: what’s changed and why it matters (free PDF)

News release and available resources: CKD-Mineral and Bone Disorder (CKD-MBD) (free)

Interesting initiative for improving quality and reducing readmissions from skilled nursing facilities

25 Jun, 2017 | 14:24h | UTC

Necessity is the mother of invention: an innovative hospitalist-resident initiative for improving quality and reducing readmissions from skilled nursing facilities – Journal of Community Hospital Internal Medicine Perspectives (free) (RT @HMVJC see Tweet)

In this model of care, a hospitalist-led team, including the resident on the geriatrics rotation, followed patients discharged from the hospital to the skilled nursing facility, leading to significant decrease in readmission rates.

ACG and CAG Clinical Guideline: Management of Dyspepsia

23 Jun, 2017 | 18:40h | UTC

ACG and CAG Clinical Guideline: Management of Dyspepsia – American College of Gastroenterology and Canadian Association of Gastroenterology (free PDF)

Topical antimicrobial agents for treating foot ulcers in people with diabetes

25 Jun, 2017 | 13:56h | UTC

Topical antimicrobial agents for treating foot ulcers in people with diabetes – Cochrane Library (link to summary – & for full-text)

“Topical antimicrobial dressing may increase foot ulcer healing in people with diabetes” (RT @CochraneUK see Tweet)

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers

23 Jun, 2017 | 14:41h | UTC

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers – Medscape (free registration required)

Unpublished results, presented at the 13th World Congress of Biological Psychiatry, suggesting baclofen is an effective alternative for high-risk alcohol consumption.

Guided graded exercise self-help as a treatment of fatigue in chronic fatigue syndrome

23 Jun, 2017 | 18:33h | UTC

Guided graded exercise self-help plus specialist medical care versus specialist medical care alone for chronic fatigue syndrome (GETSET): a pragmatic randomised controlled trial – The Lancet (free)

Invited commentary: Guided graded exercise self-help as a treatment of fatigue in chronic fatigue syndrome (free)

Commentary: Self-help graded exercise programme may curb CFS fatigue – OnMedica (free)

What’s the best way for children to lose weight?

23 Jun, 2017 | 13:46h | UTC

News release: Latest health evidence shows that making changes to diet, physical activity and behaviour may reduce obesity in children and adolescents – Cochrane Library (free)

Review 1: Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years (link to summary – $ for full-text)

Review 2: Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years (link to summary – $ for full-text)

Commentary: What’s the best way for children to lose weight? Here’s what the research says – The Conversation (free)

Women and Heart Disease: New Data Reaffirm Lack of Awareness By Women and Physicians

23 Jun, 2017 | 14:37h | UTC

Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women: The Women’s Heart Alliance – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Women and Heart Disease: New Data Reaffirm Lack of Awareness By Women and Physicians – American College of Cardiology, Latest in Cardiology (free) AND Women’s CV Risk Underestimated, Underassessed – MedPage Today (free registration required) AND Greater emphasis on preventing, treating heart disease in women needed – American College of Cardiology, via EurekAlert (free)

Women continue to underestimate their risk of cardiovascular disease.

Breast Cancer Risk Assessment and Screening in Average-Risk Women

23 Jun, 2017 | 01:44h | UTC

Breast Cancer Risk Assessment and Screening in Average-Risk Women – American College of Obstetricians and Gynecologists (free)

Commentary: OB/GYN Group Revises Breast Screening Recommendations for Average-Risk Women Physician’s First Watch (free)

Related guideline with a more conservative approach: Breast Cancer: Screening – U.S.Preventive Services Task Force (free)

Improving Awareness of and Screening for Health Risks Among Sex Workers

23 Jun, 2017 | 01:39h | UTC

Improving Awareness of and Screening for Health Risks Among Sex Workers – American College of Obstetricians and Gynecologists (free)

News release: Ob-Gyn Awareness of Sex Workers’ Health Risks During Routine Visits is Essential

Commentary: Group Offers Guidance on Screening for Female Sex Workers – Physician’s First Watch (free)

Update on anti-TNF agents and other new drugs for IBD

23 Jun, 2017 | 13:27h | UTC

Clinical Review: Update on anti-tumor necrosis factor agents and other new drugs for inflammatory bowel disease – The BMJ (free)

What is people-centered care? And why does it matter?

23 Jun, 2017 | 01:05h | UTC

WHO Framework on integrated people-centered health services (free resources)

Video: WHO – What is people-centered care? And why does it matter? Our new video explains! (free) (RT @WHO see Tweet)

“Integrated people-centered health services means putting the comprehensive needs of people and communities, not only diseases, at the center of health systems, and empowering people to have a more active role in their own health”.