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Internal Medicine

Study: Medication Review to Optimize and Potentially Reduce Psychotropic Drug Prescription in Institutionalized Dementia Patients

24 Jan, 2019 | 00:04h | UTC

Consensus and evidence-based medication review to optimize and potentially reduce psychotropic drug prescription in institutionalized dementia patients – BMC Geriatrics (free)

Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)

 


The Herd to the Rescue: How an Invisible Shield Can Keep us Healthy

23 Jan, 2019 | 14:25h | UTC

The herd to the rescue: How an invisible shield can keep us healthy – STAT (free)

Related: Case Report: Fatal Measles Case Highlights Importance of Herd Immunity in Protecting the Vulnerable (free case report and commentary)

 


A Review of Guidelines to Distinguish Between Gastric and Pulmonary Placement of Nasogastric Tubes

23 Jan, 2019 | 01:06h | UTC

A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes – Heart & Lung (free)

 


New Canada’s Dietary Guidelines

23 Jan, 2019 | 01:25h | UTC

Canada’s Dietary Guidelines – Government of Canada (free)

Homepage: Canada’s Food Guide (free resources)

 

Related Commentary on Twitter

 


Study: Safety of Men with Small and Medium Abdominal Aortic Aneurysms Under Surveillance

23 Jan, 2019 | 00:22h | UTC

Safety of Men with Small and Medium Abdominal Aortic Aneurysms Under Surveillance in the National Health Service Screening Programme – Circulation (free PDF)

Commentaries: AAA Rupture Rate in England Supports Current Thresholds for Surveillance, Intervention—With Some Caveats – TCTMD (free) AND Safety of Abdominal Aortic Aneurysm Surveillance – American College of Cardiology (free)

 


Alex Nowbar’s weekly research reviews – 22 January 2019

23 Jan, 2019 | 00:20h | UTC

Alex Nowbar’s weekly research reviews, 22 January 2019 – The BMJ Opinion (free)

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

 


Meta-Analysis: Association of Aspirin Use for Primary Prevention with Cardiovascular Events and Bleeding Events

22 Jan, 2019 | 22:18h | UTC

Association of Aspirin Use for Primary Prevention With Cardiovascular Events and Bleeding Events: A Systematic Review and Meta-analysis – JAMA (link to abstract – $ for full-text)

Commentaries: Expert reaction to study looking at aspirin use in healthy people, and cardiovascular events and bleeding – Science Media Centre (free) AND Aspirin Modest at Best in Primary CV Prevention – MedPage Today (free registration required) AND When to take (or not take) aspirin to prevent heart trouble – CNN (free)

Related: Meta-Analysis: Efficacy and Safety of Aspirin for Primary Prevention of Cardiovascular Events (link to abstract and commentaries) AND Aspirin Did Not Prevent Deaths or Disability in Healthy Older Adults (free study and commentaries)

 


Canadian Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS)

22 Jan, 2019 | 18:02h | UTC

Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS) – Journal of the Canadian Association of Gastroenterology (free)

Related Guidelines: Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 (free) AND American College of Gastroenterology Monograph on Management of Irritable Bowel Syndrome (free) AND Evidence-based clinical practice guidelines for irritable bowel syndrome – Journal of Gastroenterology (free) AND Irritable bowel syndrome in adults: diagnosis and management – National Institute for Health and Care Excellence (NICE) (free)

 


Obstructive Sleep Apnea in Cardiovascular Disease: A Review of the Literature and Proposed Multidisciplinary Clinical Management Strategy

22 Jan, 2019 | 12:40h | UTC

Obstructive Sleep Apnea in Cardiovascular Disease: A Review of the Literature and Proposed Multidisciplinary Clinical Management Strategy – Journal of the American Heart Association (free)

Related Reviews: Sleep Apnea and Cardiovascular Disease: Lessons from Recent Trials and Need for Team Science – Circulation (free) AND Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences – Journal of the American College of Cardiology (free)

 


Perspective: Doing Things for No Reason in the Hospital

22 Jan, 2019 | 00:27h | UTC

Doing things for no reason in the hospital – The BMJ Opinion (free)

“Many of the things we do as doctors continue simply because “that’s the way we’ve always done it,” says Abraar Karan”

 


“Opioids Don’t Work for Most People with Chronic Pain. So Why do We Still Prescribe Them?”

22 Jan, 2019 | 00:26h | UTC

Opioids don’t work for most people with chronic pain. So why do we still prescribe them? – The Guardian (free)

Related study: Meta-Analysis: Opioids for Chronic Noncancer Pain (link to abstract and commentaries)

See also: Opioid Wisely – Choosing Wisely Canada (free) AND Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)

 


Podcast: Sickle Cell Disease, Management & Complications

22 Jan, 2019 | 00:11h | UTC

#136 Sickle Cell Disease, Management & Complications – The Curbsiders Internal Medicine Podcast (free)

 


Study: Duration of Electrocardiographic Monitoring of Emergency Department Patients with Syncope

21 Jan, 2019 | 22:53h | UTC

Duration of Electrocardiographic Monitoring of Emergency Department Patients with Syncope – Circulation (link to abstract – $ for full-text)

Commentaries: How long do people need to be monitored after fainting? Study reveals best ways to catch life-threatening conditions – The Ottawa Hospital (free) AND 2 hours in the ER enough to rule out risky arrhythmias in most syncope patients – Cardiovascular Business (free)

 


Review: Low FODMAPs Diet for Patients with Irritable Bowel Syndrome

21 Jan, 2019 | 10:17h | UTC

Review article: implementation of a diet low in FODMAPs for patients with irritable bowel syndrome—directions for future research – Alimentary Pharmacology and Therapeutics (free)

 


Alcohol-related Liver Disease: Areas of Consensus, Unmet Needs and Opportunities for Further Study

21 Jan, 2019 | 10:08h | UTC

Alcohol-related liver disease: Areas of consensus, unmet needs and opportunities for further study – Journal of Hepatology (free for a limited period)

 


New Treatment for Acquired Thrombotic Thrombocytopenic Purpura

21 Jan, 2019 | 10:12h | UTC

Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: A New Drug for Patients with Thrombotic Thrombocytopenic Purpura – Transfusion News (free)

 


Systematic Review: Subacromial Decompression Surgery for Rotator Cuff Disease

20 Jan, 2019 | 17:14h | UTC

Subacromial decompression surgery for rotator cuff disease – Cochrane Library (free)

Summary: Surgery for rotator cuff disease (free)

Related Studies: Subacromial Decompression vs Diagnostic Arthroscopy for Shoulder Impingement (free study and commentaries) AND Arthroscopic subacromial decompression for subacromial shoulder pain (free study and commentaries)

“The data in this review do not support the use of subacromial decompression in the treatment of rotator cuff disease manifest as painful shoulder impingement.”

 


Systematic Review: Adrenaline and Vasopressin for Cardiac Arrest

20 Jan, 2019 | 17:52h | UTC

Adrenaline and vasopressin for cardiac arrest – Cochrane Library (free)

Summary: Adrenaline and vasopressin for cardiac arrest – Cochrane Library (free)

Related: Randomized Trial: Epinephrine in Out-of-Hospital Cardiac Arrest (link to abstract and commentaries) AND Opinion: Epinephrine Harms/Helps in Out of Hospital Cardiac Arrest (free commentaries) AND Review: The Role of Adrenaline in Cardiopulmonary Resuscitation (free)

 


Evidence‐based Guidelines for Screening of Diabetic Retinopathy

20 Jan, 2019 | 15:12h | UTC

Evidence‐based Danish guidelines for screening of diabetic retinopathy – Acta Ophthalmologica (free)

“There is solid evidence to support a flexible, individualized screening regimen. In particular, it is possible to prolong screening intervals to 24–48 months for patients with no or mild nonproliferative diabetic retinopathy”.

 


Study: Remote, Non‐physician Led Hypertension Management Program

20 Jan, 2019 | 15:13h | UTC

Development of an entirely remote, non‐physician led hypertension management program – Clinical Cardiology (free)

Commentary: Home-based hypertension program produces ‘striking’ results – Brigham and Women’s Hospital (free) AND At-home program helped 91% of patients control their BP in 7 weeks – Cardiovascular Business (free)

 


Autoimmune Hepatitis: Appraisal of Current Treatment Guidelines

20 Jan, 2019 | 14:40h | UTC

Autoimmune hepatitis: Appraisal of current treatment guidelines – World Journal of Hepatology (free)

Related guidelines: 2019 Hellenic Association for the Study of the Liver Clinical Practice Guidelines: Autoimmune hepatitis 2019 – Annals of Gastroenterology (free) AND 2015 EASL Clinical Practice Guidelines: Autoimmune hepatitis – Journal of Hepatology (free PDF)

 


Systematic Review: Antidepressants do not Help Treat Depression in People Living with Dementia

20 Jan, 2019 | 13:47h | UTC

Antidepressants do not help treat depression in people living with dementia – NIHR Signal (free)

Original Article: Antidepressants for treating depression in dementia – Cochrane Library (free)

 


Performance Improvement: Performing an Inadvertent Procedure

19 Jan, 2019 | 18:27h | UTC

Performing an Inadvertent Procedure – JAMA (free for a limited period)

 


Cohort Study: Common Conditions Associated with Hereditary Hemochromatosis Genetic Variants

18 Jan, 2019 | 01:03h | UTC

Common conditions associated with hereditary haemochromatosis genetic variants: cohort study in UK Biobank – The BMJ (free)

Commentaries: Haemochromatosis: disorder that causes body to absorb too much iron from food may be major cause of disease – The Conversation (free) AND Haemochromatosis is linked to more disease than previously thought – The BMJ Opinion (free) AND Health impact of genetic ‘iron-overdose disease’ may have been underestimated – NHS News (free)

 


The EAT–Lancet Commission on Healthy Diets from Sustainable Food Systems

18 Jan, 2019 | 01:04h | UTC

Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems – The Lancet (free articles – registration required)

Summary: EAT-Lancet Commission Brief for Everyone (free)

Commentaries: New Diet Guidelines to Benefit People and the Planet: More Greens for All, Less Meat for Some – The New York Times (10 articles per month are free) AND New ‘planetary health diet’ can save lives and the planet, major review suggests – CNN (free) AND A bit of meat, a lot of veg – the flexitarian diet to feed 10bn – BBC (free)

 

Related Commentary on Twitter

 


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