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Internal Medicine

[Abstract Only] Randomized Trial: Polypill for Cardiovascular Disease Prevention in an Underserved Population

19 Sep, 2019 | 08:19h | UTC

Polypill for Cardiovascular Disease Prevention in an Underserved Population – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Polypill Drops BP, LDL Cholesterol in a Disadvantaged US Population – TCTMD (free) AND One daily combo pill helps lower heart disease risk in study of underserved patients – American Heart Association (free) AND Fixed Dose Combination Polypill Can Reduce Barriers to Cardiovascular Care – MedicalResearch.com (free) AND One pill with four drugs may lower heart risks in poor population – Reuters (free) AND All-in-One Pill Reduces Blood Pressure, Cholesterol Levels in U.S. Study – Vanderbilt University Medical Center (free)

Related Randomized Trial: Effectiveness of Polypill for Primary and Secondary Prevention of Cardiovascular Diseases (link to abstract and commentaries)

See also: Clinical Impact of the Polypill for Cardiovascular Prevention in Latin America: A Consensus Statement of the Inter-American Society of Cardiology – Global Heart (free) AND Perspective: The Polypill and the Long Journey to Major Impact (opinion and reviews on the subject) AND Research: Low-Dose ‘Triple Pill’ Lowers Blood Pressure More Than Usual Care (free commentaries)

 


Alex Nowbar’s journal review—18 September 2019

19 Sep, 2019 | 08:11h | UTC

Alex Nowbar’s journal review, 18 September 2019 – The BMJ Opinion (free)

Alex Nowbar reviews the latest research from the top medical journals.

 


[Abstract Only] Study: Blood Culture Results Before and After Antimicrobial Administration in Patients with Severe Manifestations of Sepsis

18 Sep, 2019 | 10:12h | UTC

Blood Culture Results Before and After Antimicrobial Administration in Patients with Severe Manifestations of Sepsis: A Diagnostic Study – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Initiating empirical therapy for sepsis reduces blood culture sensitivity – MedicalXpress (free) AND Study changes guidelines for sepsis management – University of Arizona College of Medicine (free)

 


[Abstract Only] Study: Benefits and Harms of Aspirin for Primary Prevention of Cardiovascular Disease

18 Sep, 2019 | 08:36h | UTC

Personalized Prediction of Cardiovascular Benefits and Bleeding Harms From Aspirin for Primary Prevention: A Benefit–Harm Analysis – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Aspirin may benefit some people without cardiovascular disease, new analysis finds – ACP Internist (free) AND Some Adults Without Heart Disease May Benefit From Aspirin – MedicalResearch.com (free) AND Expert reaction to study looking at benefits and harms of aspirin in people without cardiovascular disease – Science Media Centre (free)

 


AAOS Systematic Literature Review: Summary on the Management of Surgical Site Infections

18 Sep, 2019 | 02:51h | UTC

AAOS Systematic Literature Review: Summary on the Management of Surgical Site Infections – JAAOS – Journal of the American Academy of Orthopaedic Surgeons (free)

Original Guideline: Management of Surgical Site Infections – American Academy of Orthopedic Surgeons (free) / Full Guideline (free PDF)

Source: Medscape

 


Review: Improving the Quality of Life of People with Advanced Respiratory Disease and Severe Breathlessness

18 Sep, 2019 | 02:29h | UTC

Improving the quality of life of people with advanced respiratory disease and severe breathlessness – Breathe (free)

Related Guideline: Danish respiratory society position paper: palliative care in patients with chronic progressive non-malignant lung diseases – European Clinical Respiratory Journal (free)

 


New NICE Guidelines: Management of Pneumonia in Adults

17 Sep, 2019 | 08:31h | UTC

Diagnosis and Management Pneumonia in Adults – National Institute for Health and Care Excellence (free)

Related NICE Guidelines: Pneumonia (community-acquired): antimicrobial prescribing (free) AND Pneumonia (hospital-acquired): antimicrobial prescribing (free)

See also: NICE Antimicrobial prescribing guidelines (resource covering many common conditions) AND NICE Summary of antimicrobial prescribing guidance – managing common infections (free PDF)

 


Viewpoint: “It’s All in Your Head”—Medicine’s Silent Epidemic

17 Sep, 2019 | 08:01h | UTC

“It’s All in Your Head”—Medicine’s Silent Epidemic – JAMA Neurology (free for a limited period)

 


Cohort Study: Donepezil Associated with Increased Risk of Rhabdomyolysis

17 Sep, 2019 | 08:07h | UTC

Risk of rhabdomyolysis with donepezil compared with rivastigmine or galantamine: a population-based cohort study – Canadian Medical Association Journal (free)

Commentaries: Commonly used drug for Alzheimer’s disease doubles risk of hospitalization – Canadian Medical Association Journal (free) Study: Common Alzheimer’s disease drug doubles hospitalization risk – UPI (free) AND Rhabdomyolysis risk with donepezil double that of other AD meds – OnMedica (free)

 


Scientific Statement: Review of Current Evidence and Clinical Recommendations on the Effects of Low-carbohydrate and Very-low-carbohydrate (Including Ketogenic) Diets for the Management of Body Weight and Other Cardiometabolic Risk Factors

17 Sep, 2019 | 07:25h | UTC

Review of current evidence and clinical recommendations on the effects of low-carbohydrate and very-low-carbohydrate (including ketogenic) diets for the management of body weight and other cardiometabolic risk factors: A scientific statement from the National Lipid Association Nutrition and Lifestyle Task Force – Journal of Clinical Lipidology (free)

 


Review: Understanding Tumor Lysis Syndrome

17 Sep, 2019 | 07:40h | UTC

Understanding tumor lysis syndrome – Intensive Care Medicine (free for a limited period)

 


Cohort Study: Lower Carbohydrate Diets and All-cause and Cause-specific Mortality

17 Sep, 2019 | 07:19h | UTC

Lower carbohydrate diets and all-cause and cause-specific mortality: a population-based cohort study and pooling of prospective studies – European Heart Journal (free)

Commentary: Lower Carbohydrate Diets, All-Cause and Cause-Specific Mortality – American College of Cardiology (free)

 


Cohort Study: Associations of Subjective Memory Complaints and Simple Memory Task Scores with Future Dementia in the Primary Care Setting

17 Sep, 2019 | 01:05h | UTC

Associations of Subjective Memory Complaints and Simple Memory Task Scores With Future Dementia in the Primary Care Setting – Annals of Family Medicine (free)

Commentary: Memory complaints, simple scores predict dementia in primary care – Univadis (free registration required)

 


Review: Association Between Antipsychotic Medication Use and Diabetes

17 Sep, 2019 | 01:01h | UTC

Association Between Antipsychotic Medication Use and Diabetes – Current Diabetes Reports (free)

 


ACC Consensus Decision Pathway for Heart Failure Hospitalizations

16 Sep, 2019 | 02:24h | UTC

2019 ACC Expert Consensus Decision Pathway on Risk Assessment, Management, and Clinical Trajectory of Patients Hospitalized With Heart Failure – Journal of the American College of Cardiology (free)

Key Points to Remember: ACC Consensus Decision Pathway for Heart Failure Hospitalizations – American College of Cardiology (free)

 


[Abstract Only] Study: High Prevalence of Obstructive Sleep Apnea in Patients with Resistant Hypertension

16 Sep, 2019 | 02:18h | UTC

Prevalence, Characteristics and Association of Obstructive Sleep Apnea with Blood Pressure Control in Patients with Resistant Hypertension – Annals of the American Thoracic Society (link to abstract – $ for full-text)

Commentaries: Most patients with resistant hypertension have sleep apnoea – OnMedica (free) AND More Severe OSA Leads to Higher Blood Pressure in Patients with Resistant Hypertension – American Thoracic Society (free) AND Obstructive Sleep Apnea Common in Patients with Resistant Hypertension – MedicalResearch.com (free)

 


ACE inhibitors and ARBs: Managing Potassium and Renal Function

16 Sep, 2019 | 02:14h | UTC

ACE inhibitors and ARBs: Managing potassium and renal function – Cleveland Clinic Journal of Medicine (free)

Editorial: ACE inhibitor and ARB therapy: Practical recommendations (free)

 


Meta-Analysis: Parenteral Methotrexate Better Than Oral MTX for Achieving Reduction in Disease Activity in Patients with Rheumatoid Arthritis

15 Sep, 2019 | 23:59h | UTC

Comparison of oral versus parenteral methotrexate in the treatment of rheumatoid arthritis: A meta-analysis – PLOS One (free)

Commentary: Rheumatoid arthritis: parenteral MTX tops pills for efficacy – Univadis (free registration required)

 


Evaluation and Management of Angioedema in the Emergency Department

15 Sep, 2019 | 23:43h | UTC

Evaluation and Management of Angioedema in the Emergency Department – West Journal of Emergency Medicine (free)

Source: Medscape

 


Updates in Pathophysiology, Definition and Classification of Hepatorenal Syndrome

15 Sep, 2019 | 23:34h | UTC

News in pathophysiology, definition and classification of hepatorenal syndrome: A step beyond the International Club of Ascites (ICA) consensus document – Journal of Hepatology (free for a limited period)

Related Article: Diagnosis and management of acute kidney injury in patients with cirrhosis: revised consensus recommendations of the International Club of Ascites – Gut (free PDF)

Related Guidelines: Cirrhosis in Over 16s: Assessment and Management – National Institute for Health and Care Excellence (free) AND 2018 KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications – Clinical and Molecular Hepatology (free) AND 2018 Recommendations of the Brazilian Society of Hepatology for the management of acute kidney injury in patients with cirrhosis (free PDF) AND Evidence-based clinical practice guidelines for liver cirrhosis 2015 – Journal of Gastroenterology (free) AND Chinese guidelines on the management of ascites and its related complications in cirrhosis – Hepatology International (free)

 


NICE Guideline: Tuberculosis

13 Sep, 2019 | 08:27h | UTC

Tuberculosis – National Institute for Health and Care Excellence (free)

Related: WHO Guidelines on Tuberculosis Infection Prevention and Control (free guidelines)

 


The Lancet Commission: Management of Multidrug-resistant and Incurable Tuberculosis

13 Sep, 2019 | 08:22h | UTC

The Lancet Respiratory Medicine Commission: 2019 update: epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant and incurable tuberculosis – The Lancet (free registration required)

Related Articles: Management of drug-resistant tuberculosis – The Lancet (free registration required) AND Challenges and controversies in childhood tuberculosis – The Lancet (free)

Editorial: Tuberculosis needs accelerated and continued attention (free)

Related: WHO Consolidated Guidelines on Drug-resistant Tuberculosis Treatment (free) AND Randomized Trial: 9-month Treatment for Multi-drug Resistant TB is as Effective as 24-month Treatment (free)

 


Meta-analysis: Combined Lifestyle Factors and Risk of Incident Type 2 Diabetes and Prognosis Among Individuals with Type 2 Diabetes

13 Sep, 2019 | 08:16h | UTC

Combined lifestyle factors and risk of incident type 2 diabetes and prognosis among individuals with type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies – Diabetologia (free)

Commentary: Diabetes Risk Plummets by 75% When Multiple Risk Factors Tackled – Medscape (free registration required)

 


Chest Radiograph Signs Suggestive of Pericardial Disease

13 Sep, 2019 | 08:14h | UTC

Chest Radiograph Signs Suggestive of Pericardial Disease – American College of Cardiology (free)

 


Pneumococcal Disease: A Systematic Review of Health Utilities, Resource Use, Costs, and Economic Evaluations of Interventions

13 Sep, 2019 | 08:11h | UTC

Pneumococcal Disease: A Systematic Review of Health Utilities, Resource Use, Costs, and Economic Evaluations of Interventions – Value in Health (free)

Related: Pneumococcal infection in adults: burden of disease – Clinical Microbiology and Infection (free) AND The remaining challenges of pneumococcal disease in adults – European Respiratory Review (free)

 


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