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Internal Medicine

Cohort Study | Risk factors for heart disease and stroke are largely similar in men and women globally.

14 Sep, 2022 | 13:18h | UTC

News Release: Risk factors for heart disease and stroke are largely similar in men and women globally, finds study – McMaster University

Original Study: Metabolic, behavioural, and psychosocial risk factors and cardiovascular disease in women compared with men in 21 high-income, middle-income, and low-income countries: an analysis of the PURE study – The Lancet (link to abstract – $ for full-text)

 

Commentary on Twitter

https://twitter.com/TheLancet/status/1569636002762817536

 


RCT | Extended duration thromboprophylaxis (continued for 56 days postoperatively) is not beneficial after surgical resection of colorectal cancer.

14 Sep, 2022 | 13:22h | UTC

Efficacy and safety of extended duration to perioperative thromboprophylaxis with low molecular weight heparin on disease-free survival after surgical resection of colorectal cancer (PERIOP-01): multicentre, open label, randomised controlled trial – The BMJ

 


Cohort Study | Prospective associations of daily step counts and intensity with cancer and cardiovascular disease incidence and mortality and all-cause mortality.

14 Sep, 2022 | 13:17h | UTC

Prospective Associations of Daily Step Counts and Intensity With Cancer and Cardiovascular Disease Incidence and Mortality and All-Cause Mortality – JAMA Internal Medicine

Commentaries:

Higher Step Counts Equal Better CV Health: UK Biobank – TCTMD

Pace as important as 10,000 steps for health, finds new research – University of Sidney

How Many Steps a Day (and How Fast) to Lengthen Your Life? – HealthDay

 


M-A of randomized trials | In patients hospitalized with community-acquired pneumonia, corticosteroids reduce the need for mechanical ventilation without significant effects on mortality, treatment failure, or adverse events.

14 Sep, 2022 | 13:16h | UTC

Effect of corticosteroids on mortality and clinical cure in community-acquired pneumonia: A systematic review, meta-analysis, and meta-regression of randomized control trials – CHEST Journal (link to abstract – $ for full-text)

Related: Corticosteroids for CAP, influenza and COVID-19: when, how and benefits or harm? – European Respiratory Review

 


Cohort Study | Incidence of antipsychotic use among community dwellers with and without Parkinson’s disease.

14 Sep, 2022 | 13:07h | UTC

Incidence of antipsychotic use among community dwellers with and without Parkinson’s disease – Parkinsonism & Related Disorders

Commentaries:

Elevated Incidence of Antipsychotic Use Found Prior to Parkinson Disease Diagnosis – AJMC

Antipsychotics Use Climbs in Years Before Parkinson’s Diagnosis: Study – Parkinson’s News Today

 


RCT | Dexamethasone is not effective for the treatment of dyspnea in patients with cancer and increases the risk of adverse events.

13 Sep, 2022 | 13:22h | UTC

Effect of dexamethasone on dyspnoea in patients with cancer (ABCD): a parallel-group, double-blind, randomised, controlled trial – The Lancet Oncology (free for a limited period)

 

Commentary on Twitter

 


Dementia: evidence, experience and resources.

13 Sep, 2022 | 13:20h | UTC

Dementia: evidence, experience and resources – Evidently Cochrane

 


RCT | A double-dose influenza vaccination during hospitalization for acute coronary syndrome did not improve outcomes compared to standard-dose outpatient vaccination.

13 Sep, 2022 | 13:19h | UTC

Influenza vaccination strategy in acute coronary syndromes: the VIP-ACS trial – European Heart Journal

 

Commentary on Twitter

 


Review / Perspective | Which patients with aortic stenosis should be referred to surgery rather than transcatheter aortic valve implantation?

13 Sep, 2022 | 13:18h | UTC

Which patients with aortic stenosis should be referred to surgery rather than transcatheter aortic valve implantation? – European Heart Journal

 

Commentary on Twitter

https://twitter.com/ESC_Journals/status/1526080012729864198

 


M-A | Blood type linked to the risk of stroke before age 60.

13 Sep, 2022 | 13:17h | UTC

Contribution of Common Genetic Variants to Risk of Early Onset Ischemic Stroke – Neurology (link to abstract – $ for full-text)

News Releases:

Is your blood type linked to your risk of stroke before age 60? – American Academy of Neurology

Blood Type Linked To Stroke Risk Before 60 – University of Maryland

 


Cohort Study | Incidence, timing, and causes of late bleeding after TAVR.

13 Sep, 2022 | 13:10h | UTC

Incidence, Timing, and Causes of Late Bleeding After TAVR in an Asian Cohort – JACC: Asia

Editorial: Late Bleeding Following TAVR in Japan: An Important Cause of Mortality – JACC: Asia

Commentary: Late Bleeding Not Rare, Ups Mortality After TAVI in All-Asian Cohort: OCEAN-TAVI – TCTMD

 


Retrospective Cohort Study | Outcomes of partial oral antibiotic treatment for complicated S. aureus bacteremia in people who inject drugs.

13 Sep, 2022 | 13:09h | UTC

Outcomes of Partial Oral Antibiotic Treatment for Complicated S. aureus Bacteremia in People Who Inject Drugs – Clinical Infectious Diseases (free PDF for a limited period)

 

Commentaries on Twitter

 


Review | Acute pancreatitis: diagnosis and treatment.

13 Sep, 2022 | 13:04h | UTC

Acute Pancreatitis: Diagnosis and Treatment – Drugs

Commentaries:

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

 


Levoketoconazole in the treatment of patients with endogenous Cushing’s syndrome: a double-blind, placebo-controlled, randomized withdrawal study.

13 Sep, 2022 | 13:02h | UTC

Levoketoconazole in the treatment of patients with endogenous Cushing’s syndrome: a double-blind, placebo-controlled, randomized withdrawal study – Pituitary

Related study: Efficacy and safety of levoketoconazole in the treatment of endogenous Cushing’s syndrome (SONICS): a phase 3, multicentre, open-label, single-arm trial – The Lancet Diabetes & Endocrinology (link to abstract – $ for full-text)

 


Practical Recommendations | How to deal with sleep problems during heat waves.

11 Sep, 2022 | 23:00h | UTC

How to deal with sleep problems during heatwaves: practical recommendations from the European Insomnia Network – Journal of Sleep Research

Commentary: How to sleep in a heat wave, according to experts – CNN

 


Two large clinical trials showed Vitamin D supplements do not reduce the risk of Covid-19.

11 Sep, 2022 | 22:56h | UTC

Study 1: Effect of a test-and-treat approach to vitamin D supplementation on risk of all cause acute respiratory tract infection and covid-19: phase 3 randomised controlled trial (CORONAVIT) – The BMJ

Study 2: Prevention of covid-19 and other acute respiratory infections with cod liver oil supplementation, a low dose vitamin D supplement: quadruple blinded, randomised placebo controlled trial – The BMJ

Editorial: Can vitamin D protect against covid-19? – The BMJ

News Release: No link between vitamin D supplements and reduced risk of covid-19 – BMJ Newsroom

 


Cohort study showed a possible link between artificial sweeteners and heart disease.

11 Sep, 2022 | 22:55h | UTC

News Release: Possible link between artificial sweeteners and heart disease – BMJ Newsroom

Original Study: Artificial sweeteners and risk of cardiovascular diseases: results from the prospective NutriNet-Santé cohort – The BMJ

 


Monkeypox: disease epidemiology, host immunity and clinical interventions.

11 Sep, 2022 | 22:54h | UTC

Monkeypox: disease epidemiology, host immunity and clinical interventions – Nature Reviews Immunology

 

Commentary on Twitter

 


Guideline | Perioperative care of patients undergoing major complex spinal instrumentation surgery.

11 Sep, 2022 | 22:49h | UTC

Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care – Journal of Neurosurgical Anesthesiology

 


Nonadherence was revealed through measurements of serum concentrations of antihypertensive drugs in one-third of patients with resistant hypertension previously evaluated as adherent.

11 Sep, 2022 | 22:35h | UTC

Nonadherence by Serum Drug Analyses in Resistant Hypertension: 7‐Year Follow‐Up of Patients Considered Adherent by Directly Observed Therapy – Journal of the American Heart Association

 


M-A | Combination therapy with rifaximin and lactulose in hepatic encephalopathy.

11 Sep, 2022 | 22:33h | UTC

Combination therapy with rifaximin and lactulose in hepatic encephalopathy: A systematic review and meta-analysis – PLOS One

Commentary: Rifaximin Plus Lactulose Linked to Greater Effectiveness, Decreased Mortality in HE – AJMC

 


Early versus delayed non–vitamin k antagonist oral anticoagulant therapy after acute ischemic stroke in atrial fibrillation: a registry-based randomized controlled noninferiority study.

8 Sep, 2022 | 14:46h | UTC

Early Versus Delayed Non–Vitamin K Antagonist Oral Anticoagulant Therapy After Acute Ischemic Stroke in Atrial Fibrillation (TIMING): A Registry-Based Randomized Controlled Noninferiority Study – Circulation (free for a limited period)

Related: Defining key design elements of registry-based randomised controlled trials: a scoping review – Trials

 

Commentary on Twitter

 


Guideline Summary | Management of patients with suspected or confirmed antibiotic allergy.

8 Sep, 2022 | 14:42h | UTC

Management of Patients with Suspected or Confirmed Antibiotic Allergy. Executive Summary of Guidance from the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Allergy and Clinical Immunology (SEAIC), the Spanish Society of Hospital Pharmacy (SEFH) and the Spanish Society of Intensive Medicine and Coronary Care Units (SEMICYUC) – Journal of Investigational Allergology and Clinical Immunology (PDF)

Related:

The prevalence of penicillin allergy labeling ranged from 0.9% to 10.2% across practices in a large pediatric cohort, raising questions regarding the validity of those labels and the unnecessary use of second-line antibiotics that may follow.

The prevalence of penicillin allergy labeling ranged from 0.9% to 10.2% across practices in a large pediatric cohort, raising questions regarding the validity of those labels and the unnecessary use of second-line antibiotics that may follow.

M-A: Most patients with allergy to Penicillin can be given Cefazolin

Systematic review: Safety and efficacy of de-labelling penicillin allergy in adults using direct oral challenge

Penicillin allergy labels increase second-line broad-spectrum antibiotic prescribing for pediatric respiratory tract infections

Podcast: A Clinical Pharmacologist’s Perspective on Penicillin Allergy

Study: Development and Validation of a Penicillin Allergy Clinical Decision Rule

Management of a surgical patient with a label of penicillin allergy: narrative review and consensus recommendations – British Journal of Anaesthesia

NICE: Double Check Patients with ‘Penicillin Allergy’ to Avoid Increased MRSA Risk

Cohort Study: Risk of Meticillin Resistant Staphylococcus Aureus and Clostridium Difficile in Patients with a Documented Penicillin Allergy

 


International consensus statement on obstructive sleep apnea.

8 Sep, 2022 | 14:41h | UTC

International consensus statement on obstructive sleep apnea – Allergy & Rhinology (PDF)

 


Systematic Review | Chest physiotherapy for pneumonia in adults.

8 Sep, 2022 | 14:36h | UTC

Chest physiotherapy for pneumonia in adults – Cochrane Library

Summary: Chest physiotherapy for pneumonia in adults – Cochrane Library

 


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