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Internal Medicine

RCT | Heterogeneity in blood pressure response to 4 antihypertensive drugs

17 Apr, 2023 | 13:14h | UTC

Heterogeneity in Blood Pressure Response to 4 Antihypertensive Drugs: A Randomized Clinical Trial – JAMA (free for a limited period)

News Release: Personalized blood pressure treatment more effective – Uppsala University

Commentary: Hypertension: Personalized Treatment May Reduce Need for Higher Doses and Multiple Medications – MedicalResearch.com

 


Phase 2 RCT | High-dose VE303 reduces recurrent Clostridioides difficile infection rates

17 Apr, 2023 | 13:12h | UTC

VE303, a Defined Bacterial Consortium, for Prevention of Recurrent Clostridioides difficile Infection: A Randomized Clinical Trial – JAMA (free for a limited period)

See also: Visual Abstract

 


Cohort Study | Association between hearing aid use and all-cause and cause-specific dementia

17 Apr, 2023 | 13:07h | UTC

Association between hearing aid use and all-cause and cause-specific dementia: an analysis of the UK Biobank cohort – The Lancet Public Health

Commentaries: Preventing dementia through correcting hearing: huge progress but more to do – The Lancet Public Health

News Release: Hearing aids may protect against a higher risk of dementia associated with hearing loss, study suggests – Lancet

Related:

M-A | Association of hearing aids and cochlear implants with cognitive decline and dementia

Dementia and hearing-aid use: a two-way street – Age and Ageing

Association of Hearing Loss With Dementia – JAMA Network Open

 

Commentary on Twitter

 


RCT | Exercise and protein intervention may improve resilience and reduce frailty in seniors

17 Apr, 2023 | 13:04h | UTC

Building resilience and reversing frailty: a randomised controlled trial of a primary care intervention for older adults – Age and Ageing

 


SR | Oral direct thrombin inhibitors vs. conventional anticoagulants for the treatment of pulmonary embolism

17 Apr, 2023 | 13:02h | UTC

Oral direct thrombin inhibitors or oral factor Xa inhibitors versus conventional anticoagulants for the treatment of pulmonary embolism – Cochrane Library

Summary: Are direct oral anticoagulants (a type of ‘blood thinner’) better than traditional anticoagulants for treating a pulmonary embolism (a blood clot in the lung)? – Cochrane Library

 


RCT | Methylprednisolone pulse followed by oral prednisone vs. oral prednisone alone in sarcoidosis tubulointerstitial nephritis

17 Apr, 2023 | 12:58h | UTC

Efficacy and safety of methylprednisolone pulse followed by oral prednisone vs. oral prednisone alone in sarcoidosis tubulointerstitial nephritis: a randomized, open-label, controlled clinical trial – Nephrology Dialysis Transplantation (free for a limited period)

 


RCT | Safety of Fezolinetant for vasomotor symptoms associated with menopause

17 Apr, 2023 | 12:54h | UTC

Safety of Fezolinetant for Vasomotor Symptoms Associated With Menopause: A Randomized Controlled Trial – Obstetrics and Gynecology

Related:

RCT | Fezolinetant for treatment of moderate-to-severe vasomotor symptoms associated with menopause

RCT | Efficacy of Fezolinetant in moderate-to-severe vasomotor symptoms associated with menopause

 


SR | Exercise‐based rehabilitation programs for pulmonary hypertension

17 Apr, 2023 | 12:44h | UTC

Exercise‐based rehabilitation programmes for pulmonary hypertension – Cochrane Library

Summary: Exercise-based rehabilitation in pulmonary hypertension – Cochrane Library

 


SR | Inhaled corticosteroids versus placebo for stable chronic obstructive pulmonary disease

17 Apr, 2023 | 12:40h | UTC

Inhaled corticosteroids versus placebo  for stable chronic obstructive pulmonary disease – Cochrane Library

 


Review | Diagnosis and management of prediabetes

12 Apr, 2023 | 13:28h | UTC

Diagnosis and Management of Prediabetes: A Review – JAMA (free for a limited period)

Editorial: Prediabetes Diagnosis and Management – JAMA (free for a limited period)

Video: Screening for Prediabetes – JAMA

Audio Clinical Review: Diagnosis and Management of Patients With Prediabetes – JAMA

 


RCT | Doxycycline postexposure prophylaxis effective in preventing gonorrhea, chlamydia, and syphilis in MSM

12 Apr, 2023 | 13:30h | UTC

Summary: In this open-label, randomized study involving 501 men who have sex with men (MSM) and transgender women, researchers investigated the effectiveness of postexposure doxycycline in preventing bacterial sexually transmitted infections (STIs), specifically gonorrhea, chlamydia, and syphilis. Participants with a previous STI in the past year, either taking preexposure prophylaxis (PrEP) against HIV or living with HIV, were randomly assigned to receive 200 mg of doxycycline within 72 hours after condomless sex or standard care without doxycycline. STI testing was performed quarterly, with the primary end point being the incidence of at least one STI per follow-up quarter.

Results demonstrated a significant reduction in STI incidence in both the PrEP and persons living with HIV cohorts who received doxycycline.  Overall, the combined incidence of these three STIs was lower by two thirds with doxycycline postexposure prophylaxis compared to standard care. The study also reported five grade 3 adverse events but no serious adverse events attributed to doxycycline. This finding supports the use of doxycycline postexposure prophylaxis among MSM with recent bacterial STIs.

Article: Postexposure Doxycycline to Prevent Bacterial Sexually Transmitted Infections – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Doxycycline after sex found to reduce STI incidence in gay men, transgender women – CIDRAP

 

Commentary on Twitter

 


M-A | Association of inhaled corticosteroids with all-cause mortality risk in patients with COPD

12 Apr, 2023 | 13:25h | UTC

Association of Inhaled Corticosteroids With All-Cause Mortality Risk in Patients With COPD: A Meta-analysis of 60 Randomized Controlled Trials – Chest (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Review | Revised definition of pulmonary hypertension and approach to management

12 Apr, 2023 | 13:22h | UTC

Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer – Journal of the American Heart Association

Related:

#ESCCongress | 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension.

The ‘Ten Commandments’ of the 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension – European Heart Journal

Pulmonary hypertension: An update of Dx and Tx guidelines – Journal of Family Practice

Medications for the treatment of pulmonary arterial hypertension: a systematic review and network meta-analysis – European Respiratory Review

Recent advances in the management of pulmonary hypertension with interstitial lung disease – European Respiratory Review

The physiological basis of pulmonary arterial hypertension – European Respiratory Journal

Topic-Based, Recent Literature Review on Pulmonary Hypertension – Mayo Clinic Proceedings

 


Twenty‐four-hour ambulatory blood pressure profile in patients with reflex syncope vs. matched controls

12 Apr, 2023 | 13:21h | UTC

Twenty‐Four‐Hour Ambulatory Blood Pressure Profile in Patients With Reflex Syncope and Matched Controls – Journal of the American Heart Association

 


Cohort Study | Association of the AHA’s new “Life’s Essential 8” with all-cause and cardiovascular disease-specific mortality

12 Apr, 2023 | 13:20h | UTC

Association of the American Heart Association’s new “Life’s Essential 8” with all-cause and cardiovascular disease-specific mortality: prospective cohort study – BMC Medicine

Commentaries:

Life’s Essential 8: Higher cardiovascular health scores linked to reduced mortality risks – News Medical

The American Heart Association’s life essential 8 scores to predict cardiovascular health – Physician’s Weekly

Related: Life’s Essential 8: Updating and enhancing the AHA construct of cardiovascular health.

 


Guideline | Management of systemic lupus erythematosus

12 Apr, 2023 | 13:16h | UTC

Egyptian recommendations for the management of systemic lupus erythematosus: a consensus, evidence-based, clinical practice guidelines for treat-to-target management – Egyptian Rheumatology and Rehabilitation

 


Review | Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients

12 Apr, 2023 | 13:14h | UTC

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: A narrative review – Thrombosis Research

 


Perspective | Proposal of a model of care for outpatient antimicrobial therapy for infective endocarditis

12 Apr, 2023 | 13:08h | UTC

Outpatient Parenteral Antimicrobial Therapy for Infective Endocarditis—Model of Care – Antibiotics

 

Commentary on Twitter

 


Pharmacological treatments for low back pain in adults: an overview of Cochrane Reviews

11 Apr, 2023 | 14:39h | UTC

Pharmacological treatments for low back pain in adults: an overview of Cochrane Reviews – Cochrane Database of Systematic Reviews

Summary: Pharmacological treatments for low back pain in adults: an overview of Cochrane Reviews – Cochrane Database of Systematic Reviews

Related:

SR | Nonopioid pharmacological management of acute low back pain

M-A | Limited evidence for analgesic effectiveness in acute low back pain treatment

Chronic Low Back Pain: A Narrative Review of Recent International Guidelines for Diagnosis and Conservative Treatment – Journal of Clinical Medicine

M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain

Guideline Interventions for the management of acute and chronic low back pain.

M-A: Little benefit from muscle relaxants for adults with non-specific low back pain.

 


Screening colonoscopy in seniors: common in patients with limited life expectancy and associated with higher complication risks

11 Apr, 2023 | 14:30h | UTC

Frequency of Use and Outcomes of Colonoscopy in Individuals Older Than 75 Years – JAMA Internal Medicine (link to abstract – $ for full-text)

Related: Study reveals overuse of surveillance colonoscopy in older adults with limited life expectancy

 

Commentary:

 


Review | Anticoagulation in patients with liver cirrhosis: friend or foe?

11 Apr, 2023 | 14:17h | UTC

Anticoagulation in Patients with Liver Cirrhosis: Friend or Foe? – Digestive Diseases and Sciences

 


Late mortality in childhood cancer survivors: causes & modifiable risk factors

11 Apr, 2023 | 14:16h | UTC

Specific causes of excess late mortality and association with modifiable risk factors among survivors of childhood cancer: a report from the Childhood Cancer Survivor Study cohort – The Lancet (link to abstract – $ for full-text)

News Release: Healthy lifestyle associated with reduced mortality risk in childhood cancer survivors – St. Jude Children’s Research Hospital

Commentary: Healthy Lifestyles May Be Associated With Reduced Mortality Risk in Pediatric Cancer Survivors – The ASCO Post

 


Review | Evaluation and management of chronic thromboembolic pulmonary hypertension

11 Apr, 2023 | 14:00h | UTC

Evaluation and Management of Chronic Thromboembolic Pulmonary Hypertension – Chest

 


M-A | The risk of long-term cardiometabolic disease in women with premature or early menopause

11 Apr, 2023 | 13:59h | UTC

The risk of long-term cardiometabolic disease in women with premature or early menopause: A systematic review and meta-analysis – Frontiers in Cardiovascular Medicine

 


WHO Report | Dengue & Chikungunya cases spreading beyond known transmission zones in the Americas

10 Apr, 2023 | 14:04h | UTC

Geographical expansion of cases of dengue and chikungunya beyond the historical areas of transmission in the Region of the Americas – World Health Organization

Commentary: WHO: Concerning Spread of Dengue, Chikungunya in Latin America – JAMA

 


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