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Internal Medicine

Review | Covid-19 vaccines — immunity, variants, boosters.

1 Sep, 2022 | 11:57h | UTC

Covid-19 Vaccines — Immunity, Variants, Boosters – New England Journal of Medicine

 


Reports of asymptomatic monkeypox suggest that, at the very least, some infections go unnoticed.

1 Sep, 2022 | 11:54h | UTC

Reports of Asymptomatic Monkeypox Suggest That, at the Very Least, Some Infections Go Unnoticed – JAMA

 


RCT | In patients with rheumatoid arthritis, Tofacitinib is associated with increased risk of infections compared to TNF inhibitors.

1 Sep, 2022 | 11:50h | UTC

Infections in patients with rheumatoid arthritis receiving tofacitinib versus tumour necrosis factor inhibitors: results from the open-label, randomised controlled ORAL Surveillance trial – Annals of Rheumatic Diseases

 

Commentary on Twitter

 


Study Commentary | Zinc for the prevention or treatment of respiratory tract infections: a new systematic review.

1 Sep, 2022 | 11:46h | UTC

Zinc for the prevention or treatment of respiratory tract infections: A new systematic review – Science-Based Medicine

Original Study: M-A: Zinc might help to stave off respiratory infection symptoms and cut illness duration – “But quality of evidence variable, and no clarity on optimal formulation or dose”.

 


Meta-analysis of observational studies | Leisure activities and the risk of dementia.

1 Sep, 2022 | 11:44h | UTC

Leisure Activities and the Risk of Dementia: A Systematic Review and Meta-Analysis – Neurology

News Release: Which Leisure Activities Are Linked to Lower Risk of Dementia? – American Academy of Neurology

 


Study shows dentists should give antibiotics to high-risk patients to help prevent infectious endocarditis.

1 Sep, 2022 | 11:43h | UTC

News Release: Dentists should give antibiotics to high-risk patients to help prevent life-threatening heart infection – The University of Sheffield

Original Study: Antibiotic Prophylaxis Against Infective Endocarditis Before Invasive Dental Procedures – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: UK dentists should give antibiotics to patients at risk of heart infection – study – The Guardian

 


RCT | The effect of a liberal approach to glucose control in critically ill patients with type 2 diabetes.

1 Sep, 2022 | 11:37h | UTC

The Effect of a Liberal Approach to Glucose Control in Critically Ill Patients with Type 2 Diabetes: A multicenter, parallel-group, open-label, randomized clinical trial – American Journal of Respiratory and Critical Care Medicine (link to abstract – $ for full-text)

 

Commentary from the author on Twitter

 


Systematic Review | The effect of heparin and its preparations on disseminated intravascular coagulation mortality and hospitalization.

1 Sep, 2022 | 11:34h | UTC

The Effect of Heparin and Its Preparations on Disseminated Intravascular Coagulation Mortality and Hospitalization: A Systematic Review – International Journal of Clinical Practice

 


M-A | The impact of early versus late initiation of renal replacement therapy in critically ill patients with acute kidney injury on mortality and clinical outcomes.

1 Sep, 2022 | 11:33h | UTC

The impact of early versus late initiation of renal replacement therapy in critically ill patients with acute kidney injury on mortality and clinical outcomes: a meta-analysis – Clinical Kidney Journal

Related:

Comparison of two delayed strategies for renal replacement therapy initiation for severe acute kidney injury (AKIKI 2): a multicentre, open-label, randomised, controlled trial – The Lancet (link to abstract – $ for full-text)

Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury – New England Journal of Medicine

Delayed versus early initiation of renal replacement therapy for severe acute kidney injury: a systematic review and individual patient data meta-analysis of randomised clinical trials – The Lancet

Timing of renal replacement therapy initiation for acute kidney injury in critically ill patients: a systematic review of randomized clinical trials with meta-analysis and trial sequential analysis – Critical Care

Comparison between watchful waiting strategy and early initiation of renal replacement therapy in the critically ill acute kidney injury population: an updated systematic review and meta-analysis – Annals of Intensive Care

 


Guideline | Fecal immunochemical testing in patients with signs or symptoms of suspected colorectal cancer.

31 Aug, 2022 | 11:52h | UTC

Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) – Gut

Commentary: Guidelines update: use of FIT in colorectal cancer referrals – PULSE

 


Review/Perspective | European hypertension guideline downgrading of beta-blockers is not justified.

31 Aug, 2022 | 11:51h | UTC

Diverse pharmacological properties, trial results, comorbidity prescribing and neural pathophysiology suggest European hypertension guideline downgrading of beta-blockers is not justified – Blood Pressure

 


RCT | Remote physician visits are noninferior to in-home physician visits for patients receiving acute hospital-level care at home (home hospital).

31 Aug, 2022 | 11:49h | UTC

Remote vs In-home Physician Visits for Hospital-Level Care at Home: A Randomized Clinical Trial – JAMA Network Open

Author Interview: Remote vs In-home Physician Visits for Hospital-Level Care at Home – JAMA

 

Commentary on Twitter

 


Practice guidance for the use of Terlipressin for liver cirrhosis–related complications.

31 Aug, 2022 | 11:46h | UTC

Practice guidance for the use of terlipressin for liver cirrhosis–related complications – Therapeutic Advances in Gastroenterology

 


Guideline | Adult- and late-onset male hypogonadism.

31 Aug, 2022 | 11:36h | UTC

Adult- and late-onset male hypogonadism: the clinical practice guidelines of the Italian Society of Andrology and Sexual Medicine (SIAMS) and the Italian Society of Endocrinology (SIE) – Journal of Endocrinological Investigation

 


Cluster RCT | Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain.

31 Aug, 2022 | 11:33h | UTC

Effect of Different Interventions to Help Primary Care Clinicians Avoid Unsafe Opioid Prescribing in Opioid-Naive Patients With Acute Noncancer Pain: A Cluster Randomized Clinical Trial – JAMA Health Forum

 

Commentary on Twitter

 


Cohort Study | Association of leisure time physical activity types and risks of all-cause, cardiovascular, and cancer mortality among older adults.

31 Aug, 2022 | 11:29h | UTC

Association of Leisure Time Physical Activity Types and Risks of All-Cause, Cardiovascular, and Cancer Mortality Among Older Adults – JAMA Network Open

News Release: Many types of leisure time activities may lower risk of death for older adults – NIH News Releases

Commentaries:

Want to lower your risk of early death? 3 activities are most beneficial, study says – CNN

Any Type of Leisure-Time Physical Activity Tied to Lower Mortality Risk – HealthDay

 

Commentary on Twitter

 


Cohort Study | Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.

31 Aug, 2022 | 11:30h | UTC

Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism – Academic Emergency Medicine

 


#ESCCongress | Effect of statin therapy on muscle symptoms: an individual participant data meta-analysis of large-scale, randomized, double-blind trials.

30 Aug, 2022 | 12:16h | UTC

Effect of statin therapy on muscle symptoms: an individual participant data meta-analysis of large-scale, randomised, double-blind trials – The Lancet

News Release: Cardiovascular protection from statins greatly outweighs the risk of muscle symptoms – European Society of Cardiology

Commentary: Only Very Small Risk of Muscle Symptoms With Statins: CTT Collaboration – TCTMD

 


#ESCCongress – Meta-analysis of randomized trials | Angiotensin receptor blockers and Beta-blockers in Marfan syndrome: an individual patient data meta-analysis of randomized trials.

30 Aug, 2022 | 12:15h | UTC

Angiotensin receptor blockers and β blockers in Marfan syndrome: an individual patient data meta-analysis of randomised trials – The Lancet

News Release: Drug combination may delay need for surgery in patients with Marfan syndrome – TCTMD

Commentary: ARBs Halve Rate of Aortic Root Enlargement in Marfan: Meta-analysis – TCTMD

 


#ESCCongress – M-A | Patients with heart failure benefit from dapagliflozin regardless of ejection fraction.

30 Aug, 2022 | 12:14h | UTC

News Release: Patients with heart failure benefit from dapagliflozin regardless of ejection fraction – European Society of Cardiology

Original Study: Dapagliflozin across the range of ejection fraction in patients with heart failure: a patient-level, pooled meta-analysis of DAPA-HF and DELIVER – Nature Medicine

Related:

#ESCCongress – RCT | Dapagliflozin reduced the risk of worsening heart failure or cardiovascular death in patients with heart failure with mildly reduced or preserved ejection fraction.

Randomized Trial: SGLT2 Inhibitor Improves Outcomes in Patients with Heart Failure Even in the Absence of Diabetes

 


Consensus Statement | Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis.

30 Aug, 2022 | 12:10h | UTC

Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement – European Heart Journal

 

Commentary on Twitter

 


#ESCCongress | In critically ill patients with COVID-19, full-dose anticoagulation reduced thrombotic events but increased the risk of bleeding.

30 Aug, 2022 | 12:12h | UTC

Anticoagulation and Antiplatelet Therapy for Prevention of Venous and Arterial Thrombotic Events in Critically Ill Patients with COVID-19: COVID-PACT – Circulation

News Release: Trial supports full-dose anticoagulation to prevent blood clots in COVID-19 patients – European Society of Cardiology

Related:

Anticoagulants for people hospitalised with COVID‐19 – Cochrane Library

Anticoagulation in Patients With COVID-19: JACC Review Topic of the Week – Journal of the American College of Cardiology

Efficacy and safety of heparin full-dose anticoagulation in hospitalized non-critically ill COVID-19 patients: a meta-analysis of multicenter randomized controlled trials – Journal of Thrombosis and Thrombolysis

Efficacy and safety of intensified versus standard prophylactic anticoagulation therapy in patients with Covid-19: a systematic review and meta-analysis – Open Forum Infectious Diseases

Point/Counterpoint: Should therapeutic heparin be administered to acutely ill hospitalized patients with COVID-19?

 

Commentary on Twitter

 


Guideline | Management of medication overuse and medication overuse headache.

30 Aug, 2022 | 12:08h | UTC

Management of medication overuse (MO) and medication overuse headache (MOH) S1 guideline – Neurological Research and Practice

 


Salt substitutes vs. regular salt: a quick look.

30 Aug, 2022 | 12:02h | UTC

Salt substitutes vs. regular salt: a quick look – Evidently Cochrane

Original Study: Replacing salt with low‐sodium salt substitutes (LSSS) for cardiovascular health in adults, children and pregnant women – Cochrane Library

Related:

Effects of salt substitutes on clinical outcomes: a systematic review and meta-analysis – Heart (link to abstract – $ for full-text)

Cluster RCT: A household salt substitution intervention is a cost-effective intervention for preventing stroke and improving quality of life.

#ESCCongress – Cluster RCT: Among patients at increased risk for stroke, salt substitution (75% sodium chloride and 25% potassium chloride by mass) reduced the rates of stroke, major cardiovascular events, and death from any cause.

RCT: Reduced-sodium added-potassium salt substitute reduces blood pressure in hypertensive patients

Potassium Enriched Salt Substitution Could Prevent a Large Number of Cardiovascular Deaths

Cluster Randomized Trial: Effect of Salt Substitution on Community-wide Blood Pressure and Hypertension Incidence

 

Commentary on Twitter

https://twitter.com/CochraneLibrary/status/1563130897159028737

 


Case series of acute cholecystitis associated with the use of Glucagon-Like Peptide-1 Receptor agonists reported to the US Food and Drug Administration.

30 Aug, 2022 | 11:59h | UTC

Acute Cholecystitis Associated With the Use of Glucagon-Like Peptide-1 Receptor Agonists Reported to the US Food and Drug Administration – JAMA Internal Medicine (free for a limited period)

Related: Meta-analysis of randomized trials: GLP1 receptor agonists increase the risk of gallbladder and biliary diseases (RR, 1.37; 95% CI, 1.23-1.52).

 


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