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Internal Medicine

Randomized Trial: Dual Antiplatelet Therapy in Acute Ischemic Stroke and High-Risk TIA

18 May, 2018 | 02:36h | UTC

Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA – New England Journal of Medicine (free)

Editorial: Antiplatelet Therapy after Ischemic Stroke or TIA (free)

Commentary: Dual Antiplatelet Therapy or Aspirin Alone After TIA or Minor Stroke? – NEJM Physician’s First Watch (free)

 


Clinical Guideline: Pharmacotherapy for Neuropathic Pain

18 May, 2018 | 02:33h | UTC

Executive summary of the Clinical Guidelines of Pharmacotherapy for Neuropathic Pain: second edition by the Japanese Society of Pain Clinicians – Journal of Anesthesia (free)

 


Guideline Summary: Cardio-Onco-Hematology in Clinical Practice

18 May, 2018 | 02:35h | UTC

Summary: The Practice of Cardio-Oncology in Spain: Position Statement From Scientific Societies Involved in Cancer and Heart Disease – American College of Cardiology (free)

Original Guideline: Cardio-Onco-Hematology in Clinical Practice. Position Paper and Recommendations – Revista Espanola de Cardiologia (free)

Related Guidelines and Reviews: Prevention and Monitoring of Cardiac Dysfunction in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline (free) AND 2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines (free) AND Canadian Cardiovascular Society Guidelines for Evaluation and Management of Cardiovascular Complications of Cancer Therapy (free) AND Cardiotoxicity of anticancer treatments: Epidemiology, detection, and management – CA: A Cancer Journal for Clinicians (free)

 


Systematic Review: Psychological Therapies for Treatment-resistant Depression in Adults

18 May, 2018 | 02:31h | UTC

Psychological therapies for treatment-resistant depression in adults – Cochrane Library (free)

Summary: Are psychological therapies effective in treating depression that did not get better with previous treatment? – Cochrane Library (free)

 


Randomized Controlled Trial: Exercise Training Does Not Slow Dementia Progression

18 May, 2018 | 02:29h | UTC

Dementia And Physical Activity (DAPA) trial of moderate to high intensity exercise training for people with dementia: randomised controlled trial – The BMJ (free)

Commentaries: Exercise Doesn’t Slow Cognitive Decline in Patients with Dementia – NEJM Physician’s First Watch (free) AND Rigorous exercise does not halt dementia decline, study concludes – The Guardian (free) AND Expert reaction to effects of exercise on dementia in old people – Science Media Centre (free) AND Exercise ‘doesn’t slow’ progression of dementia – NHS Choices (free)

 


Randomized Controlled Trials: Treatments for Mild Asthma Compared

18 May, 2018 | 02:28h | UTC

Inhaled Combined Budesonide–Formoterol as Needed in Mild Asthma – New England Journal of Medicine (link to abstract – $ for full-text)

Quick Take Video Summary: Inhaled Combined Therapy as Needed in Mild Asthma (free)

Related Trial: As-Needed Budesonide–Formoterol versus Maintenance Budesonide in Mild Asthma – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: International Study Suggests Alternative Treatment for Mild Asthma – McMaster University, via NewsWise (free) AND On Demand as Effective as Maintenance Therapy for Mild Asthma – Medscape (free registration required)

 


Review: Management of Acute Right Ventricle Failure

16 May, 2018 | 01:22h | UTC

Diagnostic workup, etiologies and management of acute right ventricle failure – Intensive Care Medicine (free for a limited period)

Source: Critical Care Reviews Newsletter

 


Research: Amyloid PET Scan for Predicting Alzheimer’s Disease in Mild Cognitive Impairment

16 May, 2018 | 01:19h | UTC

Use of Flutemetamol F 18–Labeled Positron Emission Tomography and Other Biomarkers to Assess Risk of Clinical Progression in Patients With Amnestic Mild Cognitive Impairment – JAMA Neurology (free)

Commentaries: Biomarkers, PET imaging may predict cognitive decline en route to Alzheimer’s – Health Imaging (free) AND Amyloid PET Scan Can Predict Progression to Alzheimer’s in Patients With Mild Cognitive Impairment – MedicalResearch.com (free)

Related Studies: Elevated Brain Amyloid and Subsequent Cognitive Decline Among Cognitively Normal Persons (link to abstract and free commentaries) AND Identifying incipient dementia individuals using machine learning and amyloid imaging (free full-text and commentaries) AND High performance plasma amyloid-β biomarkers for Alzheimer’s disease (link to abstract and free commentaries)

 


Study: Visual Screening Tool Improves Prediction of Developing Dementia

16 May, 2018 | 01:18h | UTC

Improving Prediction of Dementia in Primary Care – Annals of Family Medicine (free)

Commentaries: Screening Tool Improves Dementia Prediction – Medscape (free registration required) AND Visual Test Could Help Predict Dementia Risk in Elders – NEJM Physician’s First Watch (free)

 


Cohort Study: Colonoscopy Adenoma Findings and Long-term Colorectal Cancer Incidence

16 May, 2018 | 01:13h | UTC

Association of Colonoscopy Adenoma Findings With Long-term Colorectal Cancer Incidence – JAMA (free for a limited period)

Related Review: Optimizing post‐polypectomy surveillance: A practical guide for the endoscopist – Digestive Endoscopy (free) AND Optimal Colonoscopy Surveillance Interval after Polypectomy – Clinical Endoscopy (free)

Related Guidelines: Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer (free) AND Korean Guidelines for Postpolypectomy Colonoscopy Surveillance – Digestive Endoscopy (free) AND Colorectal cancer surveillance after index colonoscopy: Guidance from the Canadian Association of Gastroenterology (free) AND Post-polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Guideline (free)

Advanced adenomas seem to be associated with subsequent increased risk for colorectal cancer, but nonadvanced adenomas may not be associated with increased risk.

 


Richard Lehman’s Journal Review – 14 May 2018

16 May, 2018 | 01:04h | UTC

Richard Lehman’s journal review, 14 May 2018 – The BMJ Opinion (free)

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

 


Guideline: Deprescribing Benzodiazepines

16 May, 2018 | 01:01h | UTC

Deprescribing benzodiazepine receptor agonists – Canadian Family Physician (free) (via @Deprescribing)

Related: CaDeN Deprescribing Guidelines and Algorithms (free) AND 11 Drugs You Should Seriously Consider Deprescribing – Medscape Slideshow (free registration required) AND Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)

 


Guideline: Screening for Impaired Vision in Adults Aged 65 years and Older

16 May, 2018 | 00:57h | UTC

Screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings – Canadian Task Force on Preventive Health Care (free)

See also: Summary of recommendations for clinicians and policy-makers (free)

Commentaries: Screening for impaired vision in older adults: New Canadian guideline – Canadian Medical Association Journal, via EurekAlert (free) Canadian Guideline Recommends Against Vision Screening of Older Adults in Primary Care Settings – NEJM Physician’s First Watch (free)

 


Viewpoint: Management Reasoning

16 May, 2018 | 00:55h | UTC

Management Reasoning: Beyond the Diagnosis – JAMA (free for a limited Period)

 


Meta-Analysis: Resistance Exercise for Depressive Symptoms

16 May, 2018 | 00:54h | UTC

Association of Efficacy of Resistance Exercise Training With Depressive Symptoms: Meta-analysis and Meta-regression Analysis of Randomized Clinical Trials – JAMA Psychiatry (link to abstract – $ for full-text)

Commentaries: Resistance Exercise Might Improve Depression Symptoms – NEJM Physician’s First Watch (free) AND Resistance exercise may reduce depressive symptoms in adults – MedicalXpress (free) AND Resistance Exercise Training May Alleviate Some Depressive Symptoms – MedicalResearch.com (free)

 


Acute Pulmonary Embolism Review: Focus on the Clinical Picture

16 May, 2018 | 00:49h | UTC

Acute Pulmonary Embolism: Focus on the Clinical Picture – Korean Circulatory Journal (free)

Source: Critical Care Reviews Newsletter

 


Opinion: Conflicting Evidence on Health Effects of Salt Reduction Calls for a Redesign of Guidelines

16 May, 2018 | 00:42h | UTC

Conflicting Evidence on Health Effects Associated with Salt Reduction Calls for a Redesign of the Salt Dietary Guidelines – Progress in Cardiovascular Diseases (free)

 


Retrospective Cohort: Achieved Systolic BP and Cardiovascular Outcomes in Patients with Type 2 Diabetes Mellitus

16 May, 2018 | 00:35h | UTC

Effect of Achieved Systolic Blood Pressure on Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus: A Population-Based Retrospective Cohort Study – Diabetes Care (link to abstract – $ for full-text)

Commentaries: Diabetics with lower achieved SBP may be at greater risk for cardiovascular disease – Cardiovascular Business (free) AND No reduced CVD risk for SBP <120 mm hg in type 2 diabetes – MedicalXpress (free)

 


AHA Advice for Patients: Are BP Measurement Mistakes Making You Chronically Ill?

15 May, 2018 | 12:37h | UTC

Are blood pressure measurement mistakes making you chronically ill? – American Heart Association News (free text and infographic)

Commentary: BP measurement: you’re probably doing it wrong – Univadis (free registration required)

 


Randomized Trial: Restrictive vs. Liberal Fluids for Major Abdominal Surgery

15 May, 2018 | 05:05h | UTC

Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery – New England Journal of Medicine (free)

Editorial: Finding the Right Balance (free)

Commentaries: Restrictive fluids tied to kidney injury after major abdominal surgery – MDedge (free) AND Restricting Fluids During Abdominal Surgery Shows No Benefit, Possible Renal Risk – Medscape (free registration required)

 


Short Review: Essential Tremor

14 May, 2018 | 05:51h | UTC

Clinical Pearl: Essential Tremor – NEJM Resident 360 (free)

 


EULAR Recommendations: Pain Management in Inflammatory Arthritis and Osteoarthritis

11 May, 2018 | 02:58h | UTC

EULAR recommendations for the health professional’s approach to pain management in inflammatory arthritis and osteoarthritis – Annals of Rheumatic Diseases (free)

Commentary: EULAR Releases Recommendations for Pain Management in OA, Inflammatory Arthritis – Rheumatology Advisor (free)

 


AUA Guideline: Erectile Dysfunction

11 May, 2018 | 02:56h | UTC

Erectile Dysfunction – American Urology Association (2018) (free)

 


Randomized Trial: Outcomes in Atrial Fibrillation Ablation

11 May, 2018 | 02:53h | UTC

CABANA: No Outcomes Benefit In First Big Trial Of AF Ablation – Cardiobrief (free)

Related Commentaries: Catheter ABlation vs ANtiarrhythmic Drug Therapy in Atrial Fibrillation – CABANA – American College of Cardiology (free) AND CABANA Misses Primary Endpoint, but Electrophysiologists See Support for Ablation – TCTMD (free)

 


Randomized Controlled Trial: High-Dose vs. Low-Dose Statin in Stable Coronary Artery Disease

10 May, 2018 | 17:55h | UTC

High-Dose Versus Low-Dose Pitavastatin in Japanese Patients With Stable Coronary Artery Disease (REAL-CAD): A Randomized Superiority Trial – Circulation (free)

With a median follow-up of 3.9 years, high-dose as compared with low-dose pitavastatin significantly reduced the risk of the primary end point (4.3% vs 5.4%; NNT = 90), a composite of cardiovascular death, nonfatal myocardial infarction, nonfatal ischemic stroke, or unstable angina requiring emergency hospitalization.

 


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