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TOP 10 Medical News Stories

Early administration of antibiotics associated with lower mortality in hospitalized patients with community acquired pneumonia

12 Feb, 2016 | 12:35h | UTC

Antibiotic Therapy for Adults Hospitalized With Community-Acquired Pneumonia: A Systematic Review – JAMA (link to abstract – subscription required for full text)


New Guideline on perioperative care of the geriatric patient

10 Feb, 2016 | 07:32h | UTC

Optimal Perioperative Management of the Geriatric Patient: Best Practices Guideline from The American College of Surgeons and American Geriatrics Society (free full text)

Joint Guideline Addresses Geriatric Perioperative Care – Medscape Commentary (free registration required)


New guidelines for treating status epilepticus from the American Epilepsy Society

11 Feb, 2016 | 15:00h | UTC

Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society (free full text)

Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society [PDF] (free full text)

New Guideline for Treatment of Prolonged Seizures in Children and Adults – News Release from The American Epilepsy Society (free full text)


Mobile telephone text messaging may double the odds of medication adherence

4 Feb, 2016 | 11:06h | UTC

Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease: A Meta-analysis – JAMA (link to abstract – subscription required for full text)

Mobile Phone Text Messaging for Medication Adherence – Summary in “Latest in Cardiology” from the American College of Cardiology (free full text)

Texts Can Improve Drug Adherence for Chronic Disease – Medscape Commentary (free registration required)


Observational study suggests that PPIs are associated with increased risk of chronic kidney disease

2 Feb, 2016 | 17:45h | UTC

Proton Pump Inhibitor Use and the Risk of Chronic Kidney Disease – JAMA (link to abstract – subscription required for full text)

PPIs Associated with Increased Risk for Chronic Kidney Disease – NEJM Physician’s First Watch Commentary (Free)

Proton Pump Inhibitors May Increase Risk for Kidney Disease – Medscape Commentary (Free registration required)


The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women

31 Jan, 2016 | 23:06h | UTC

Screening for Depression in AdultsFinal Recommendation Statement in the U.S. Preventive Services Task Force Website

Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement – Free Full Text in JAMA

Recommendations for Screening for Depression in Adults – JAMA Editorial (Free)

Primary Care Screening for and Treatment of Depression in Pregnant and Postpartum Women: Evidence Report and Systematic Review for the US Preventive Services Task Force – Free Full Text in JAMA

New Depression Screening Guidelines Released – Medscape Commentary (Free registration required)

USPSTF Finalizes Recommendations on Depression Screening in Adults – NEJM Physician’s First Watch Commentary (Free)


New CDC recommendations for pregnant women & women of reproductive age living in areas with Zika virus transmission

8 Feb, 2016 | 14:38h | UTC

Centers for Disease Control and Prevention (CDC) – Update: Interim Guidelines for Health Care Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure — United States, 2016


Acute Myocardial Infarction in Women – AHA Scientific Statement

1 Feb, 2016 | 10:30h | UTC

Acute Myocardial Infarction in Women: A Scientific Statement From the American Heart Association (free full text)

Acute Myocardial Infarction in Women: Top Ten Things to Know – American Heart Association (free full text)

Acute Myocardial Infarction in Women: AHA Statement – 10 Key Points to Remember. Summary in “Latest in Cardiology” from the American College of Cardiology (free full text)

Women who have heart attacks fare much worse than men, study finds – Commentary in STAT: reporting from the frontiers of health and medicine (free full text)

AHA Releases First Scientific Statement on Acute MI in Women – Medscape Commentary (free registration required)


New Lancet Series – Universal breastfeeding could prevent 823,000 child deaths each year

1 Feb, 2016 | 18:15h | UTC

Lancet Series on Breastfeeding (free registration required)

Breastfeeding: achieving the new normal – The Lancet Editorial (free registration required)

Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect – The Lancet (free registration required)

Why invest, and what it will take to improve breastfeeding practices? – The Lancet (free registration required)

Spotlight on infant formula: coordinated global action needed – Comment in The Lancet (free registration required)

Breastfeeding: a smart investment in people and in economies – Comment in The Lancet (free registration required)

Breastfeeding could prevent 800,000 child deaths, Lancet says – The Guardian Commentary (free full text)

Increased breastfeeding could save lives — if governments step up their game. Commentary in STAT: reporting from the frontiers of health and medicine (free full text)


American Diabetes Association: Standards of Medical Care in Diabetes – 2016

9 Jan, 2016 | 15:13h | UTC

 

Access the complete 2016 ADA Guidelines at this link: Free full text

Diabetes Care. 2016 Jan;39 Suppl 1

 

SELECTED ASPECTS OF CARE IN TYPE 2 DIABETES

 

Criteria for screening for diabetes or prediabetes in asymptomatic adult:

– All patient > 45 years, regardless of weight;

– Test all adults who are overweight (BMI ≥25 kg/m2 or ≥23 kg/m2 in Asian Americans) AND have at least one of the following additional risk factors:

>>> physical inactivity Read more >


Weekly Review in Medicine – 4th edition: November 25th to December 1st

3 Dec, 2015 | 15:02h | UTC

GUIDELINES

New WHO Guidelines on HIV – The World Health Organization has published new recommendations on the care of people infected with HIV. The key points of the new guideline are:

– Antiretroviral therapy should be initiated in EVERYONE living with HIV at ANY CD4 cell count.

– Use of daily oral pre-exposure prophylaxis (PrEP) is recommended as a prevention choice for people at substantial risk of HIV infection as part of combination prevention approaches.

Link to guideline and key recommendations Read more >


Exercise seems to be the only effective intervention for the prevention of low back pain

30 Jan, 2016 | 18:58h | UTC

Prevention of Low Back Pain: A Systematic Review and Meta-analysis – JAMA abstract (full text require subscription)

To prevent back pain, orthotics are out, exercise is in – Commentary on The New York Times

Exercise May Help Prevent Low Back Pain, Meta-Analysis Finds – Commentary in NEJM Journal Watch

Exercise Reduces Risk for Low Back Pain – Commentary in Medscape (free registration required)

 


ACP new guideline for the evaluation of possible cancer in patients with hematuria

31 Jan, 2016 | 23:31h | UTC

Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care from the American College of Physicians (Free Full Text in Annals of Internal Medicine)

Summary for patients – Hematuria as a Marker of Occult Urinary Tract Cancer (Free Full Text in Annals of Internal Medicine)

ACP Releases Guideline on Hematuria and Urinary Cancer – NEJM Physician’s First Watch Commentary (Free)

Clinical Guideline on Hematuria Released by ACP – Medscape Commentary (Free registration required)


New Canadian guideline for prevention and management of cardiovascular disease risk in primary care

17 Jul, 2015 | 19:23h | UTC

Toward Optimized Practice (TOP) introduces a new practice guideline: Prevention and Management of Cardiovascular Disease Risk in Primary Care. By removing lipid targets and targeting instead the overall cardiovascular risk of the given patient, the management of lipids and cardiovascular disease risk has been significantly simplified.

 

Some of the key points include:

 

– Screen for cardiovascular disease (CVD) risk beginning at age 40 for men and 50 for women, always using a risk calculator with every lipid measurement to access risk. Consider earlier screening for patients with known traditional cardiovascular risk factors, such as hypertension, family history of premature CVD, smoking and diabetes. Read more >


CHEST Guideline on Antithrombotic Therapy for VTE

30 Jan, 2016 | 19:21h | UTC

Authors

Kearon C, Akl EA, Ornelas J et all

Citation

Antithrombotic Therapy for VTE Disease: CHEST Guideline. Published online January 07, 2016. Chest. 2016.

Context

The American College of Chest Physicians publishes periodically one of the most important guidelines on thrombosis and antithrombotic drugs. Full revision is undertaken every 3 to 4 years and since the last guideline (9th ed, 2012) a group of experts has been reviewing new evidence on a yearly basis to determine which recommendations require updating. This guideline updates include indications for the new oral anticoagulation drugs, the use of aspirin in patients with unprovoked proximal DVT or PE who are stopping anticoagulant therapy and the possibility of home treatment for low-risk pulmonary embolism. Read more >


Weekly Review in Medicine – 1st edition: November 4 to November 10

12 Nov, 2015 | 09:35h | UTC

GLOBAL HEALTH

Cochrane review: pregnant women in developing countries should receive multiple-micronutrient supplementation with iron and folic acid in order to improve birth outcomes. Link to free full text

 

New World Health Organization (WHO) recommendations for prevention and treatment of maternal peripartum infections. Link to free full text

 

Preventing youth violence: an overview of the evidence – New World Health Organization (WHO) Publication and Infographic. Link to free full text Read more >


Weekly Review in Medicine – 2nd edition: November 11 to November 17

18 Nov, 2015 | 19:06h | UTC

GUIDELINES

Menopause: diagnosis and management – New clinical practice guideline from the National Institute for Health and Care Excellence (NICE). Link to free full text

 

Treatment of Rheumatoid Arthritis – Recently Released American College of Rheumatology Guideline. Link to free full text

Read more >


Weekly Review in Medicine – 3rd edition: November 18 to November 24

26 Nov, 2015 | 16:40h | UTC

GUIDELINES

Management of blood transfusions – This new National Institute for Health and Care Excellence (NICE) guideline covers the assessment for and management of blood transfusions in adults, young people and children over 1 year old. The key points for red blood cell transfusion are:

– Use restrictive thresholds for patients who do not: 1) have major hemorrhage; 2) have acute coronary syndrome; or 3) need regular blood transfusions for chronic anemia. Read more >


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