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Daily Archives: March 12, 2019

Randomized Trial: Thyroidectomy vs. Medical Management for Euthyroid Patients with Hashimoto Disease and Persisting Symptoms

12 Mar, 2019 | 17:28h | UTC

Thyroidectomy Versus Medical Management for Euthyroid Patients With Hashimoto Disease and Persisting Symptoms: A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Thyroidectomy Seems to Improve Quality of Life in Hashimoto Disease – NEJM Journal Watch (free) AND Thyroidectomy more effective than medication for Hashimoto disease with persisting symptoms – 2 Minute Medicine (free)

“Results are applicable only to a subgroup of patients with Hashimoto disease, and follow-up was limited to 18 months.”

 


Systematic Review: Epidural Analgesia for Adults Undergoing Cardiac Surgery with or Without Cardiopulmonary Bypass

12 Mar, 2019 | 13:29h | UTC

Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass – Cochrane Library (free)

Summary: Epidural analgesia for heart surgery with or without the heart lung machine in adults – Cochrane Library (free)

“Compared with systemic analgesia, epidural analgesia may reduce the risk of myocardial infarction, respiratory depression, and atrial fibrillation / atrial flutter, as well as the duration of tracheal intubation and pain, in adults undergoing cardiac surgery.”

 


Brazilian Guidelines for the Management of Psychomotor Agitation

12 Mar, 2019 | 13:15h | UTC

Brazilian guidelines for the management of psychomotor agitation – Brazilian Journal of Psychiatry (free articles)

Part 1. Non-pharmacological approach

Part 2. Pharmacological approach

 


Consensus on Noninvasive CNS Neuromodulation for Chronic Pain Management

12 Mar, 2019 | 13:06h | UTC

Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP) – Pain Reports (free)

 


Consensus Statement: Management of Adult Patients with Traumatic Brain Injury Receiving Oral Anticoagulant Therapy

12 Mar, 2019 | 13:01h | UTC

Diagnostic and therapeutic approach in adult patients with traumatic brain injury receiving oral anticoagulant therapy: an Austrian interdisciplinary consensus statement – Critical Care (free)

 


Perspective: Listening to Older Patients Who Want to Stop Dialysis

12 Mar, 2019 | 12:54h | UTC

Listening to Older Patients Who Want To Stop Dialysis – Kaiser Health News (free)

Related: Dialysis Is a Way of Life for Many Older Patients. Maybe It Shouldn’t Be (free) AND Prioritizing Patient and Caregiver Values in the Delivery of High-Quality Medical Management Without Dialysis (free) AND Care Practices for Patients with Advanced Kidney Disease Who Forgo Maintenance Dialysis (free)

 


Tue, March 12 – 10 Stories of The Day!

12 Mar, 2019 | 03:00h | UTC

 

1 – Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies: A Scientific Statement from the American Heart Association – Circulation (free PDF)

Commentary: The Heart-Kidney, Kidney-Heart Connection and Our Improving Understanding of a Complex and Intimate Relationship – American Heart Association (free)

Top Things to Know: Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies – American Heart Association (free)

 

2 – WHO launches new global influenza strategy – World Health Organization (free)

See Report: Global influenza strategy 2019-2030 – World Health Organization (free)

Commentaries: World must prepare for inevitable next flu pandemic, WHO says – Reuters (free) AND WHO launches strategy to fight ‘inevitable’ flu pandemics – MedicalXpress (free)

 

3 – Signs and Symptoms That Rule out Community-Acquired Pneumonia in Outpatient Adults: A Systematic Review and Meta-Analysis – Journal of the American Board of Family Medicine (free)

Adults with an acute respiratory infection who have normal vital signs (temperature < 37,8 / respiratory rate < 20 / heart rate < 100) and a normal pulmonary examination are very unlikely to have CAP.

 

4 – Physical manoeuvers as a preventive intervention to manage vasovagal syncope: A systematic review – PLOS One (free)

Related: 2018 ESC Guidelines for the diagnosis and management of syncope (free) AND 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (free) AND Review: The Management of Vasovagal Syncope (free)

 

5 – Reexamining Recommendations for Treatment of Hypercholesterolemia in Older Adults – JAMA (free for a limited period)

“This Viewpoint discusses the 2018 ACC/AHA cholesterol management guideline recommendation to consider statin treatment in adults aged >75 years with LDL levels 70-189 mg/dL, arguing that trial evidence does not support it…”

 

6 – Guide to Statistics and Methods: Overview of Cost-effectiveness Analysis – JAMA (free for a limited period)

 

7 – FDA Safety Alert: Safe Use of Surgical Staplers and Staples – Letter to Health Care Providers – U.S Food & Drug Administration (free)

Commentary: FDA Alerts Clinicians About Surgical Staple Risks – NEJM Journal Watch (free)

Related: Hidden FDA Reports Detail Harm Caused By Scores Of Medical Devices – Kaiser Health News (free)

 

8 – Review: Three neglected numbers in the CBC: The RDW, MPV, and NRBC count – Cleveland Clinic Journal of Medicine (free)

 

9 – Christopher Martyn’s research reviews, 11 March 2019 – The BMJ Opinion (free)

Christopher Martyn reviews the latest research from the top medical journals.

 

10 – Selective laser trabeculoplasty versus eye drops for first-line treatment of ocular hypertension and glaucoma (LiGHT): a multicentre randomised controlled trial – The Lancet (free)

Commentaries: Laser trabeculoplasty as first-line glaucoma treatment – The Lancet (free) AND 15-minute laser is best treatment for glaucoma patients, says study – The Guardian (free) AND 15-minute laser treatment best for glaucoma – OnMedica (free)

 


WHO Launches New Global Influenza Strategy

12 Mar, 2019 | 02:51h | UTC

WHO launches new global influenza strategy – World Health Organization (free)

See Report: Global influenza strategy 2019-2030 – World Health Organization (free)

Commentaries: World must prepare for inevitable next flu pandemic, WHO says – Reuters (free) AND WHO launches strategy to fight ‘inevitable’ flu pandemics – MedicalXpress (free)

 


Meta-Analysis: Signs and Symptoms That Rule out Community-Acquired Pneumonia in Outpatient Adults

12 Mar, 2019 | 02:49h | UTC

Signs and Symptoms That Rule out Community-Acquired Pneumonia in Outpatient Adults: A Systematic Review and Meta-Analysis – Journal of the American Board of Family Medicine (free)

Adults with an acute respiratory infection who have normal vital signs (temperature < 37,8 / respiratory rate < 20 / heart rate < 100) and a normal pulmonary examination are very unlikely to have CAP.

 


Systematic Review: Physical Maneuvers as a Preventive Intervention to Manage Vasovagal Syncope

12 Mar, 2019 | 02:47h | UTC

Physical manoeuvers as a preventive intervention to manage vasovagal syncope: A systematic review – PLOS One (free)

Related: 2018 ESC Guidelines for the diagnosis and management of syncope (free) AND 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (free) AND Review: The Management of Vasovagal Syncope (free)

 


AHA Statement on Cardiorenal Syndrome – Classification, Pathophysiology, Diagnosis, and Treatment Strategies

12 Mar, 2019 | 02:52h | UTC

Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies: A Scientific Statement from the American Heart Association – Circulation (free PDF)

Commentary: The Heart-Kidney, Kidney-Heart Connection and Our Improving Understanding of a Complex and Intimate Relationship – American Heart Association (free)

Top Things to Know: Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies – American Heart Association (free)

 


Viewpoint: Reexamining Recommendations for Treatment of Hypercholesterolemia in Older Adults

12 Mar, 2019 | 02:46h | UTC

Reexamining Recommendations for Treatment of Hypercholesterolemia in Older Adults – JAMA (free for a limited period)

“This Viewpoint discusses the 2018 ACC/AHA cholesterol management guideline recommendation to consider statin treatment in adults aged >75 years with LDL levels 70-189 mg/dL, arguing that trial evidence does not support it…”

 


Guide to Statistics and Methods: Overview of Cost-effectiveness Analysis

12 Mar, 2019 | 02:45h | UTC

Overview of Cost-effectiveness Analysis – JAMA (free for a limited period)

 


FDA Safety Alert on Surgical Staplers and Staples

12 Mar, 2019 | 02:44h | UTC

Safe Use of Surgical Staplers and Staples – Letter to Health Care Providers – U.S Food & Drug Administration (free)

Commentary: FDA Alerts Clinicians About Surgical Staple Risks – NEJM Journal Watch (free)

Related: Hidden FDA Reports Detail Harm Caused By Scores Of Medical Devices – Kaiser Health News (free)

 


Three Neglected Numbers in the CBC: The RDW, MPV, and NRBC count

12 Mar, 2019 | 02:43h | UTC

Review: Three neglected numbers in the CBC: The RDW, MPV, and NRBC count – Cleveland Clinic Journal of Medicine (free)

 


Randomized Trial: Selective Laser Trabeculoplasty vs. Eye Drops for First-line Treatment of Ocular Hypertension and Glaucoma

12 Mar, 2019 | 02:41h | UTC

Selective laser trabeculoplasty versus eye drops for first-line treatment of ocular hypertension and glaucoma (LiGHT): a multicentre randomised controlled trial – The Lancet (free)

Commentaries: Laser trabeculoplasty as first-line glaucoma treatment – The Lancet (free) AND 15-minute laser is best treatment for glaucoma patients, says study – The Guardian (free) AND 15-minute laser treatment best for glaucoma – OnMedica (free)

 


Christopher Martyn’s Research Reviews, 11 March 2019

12 Mar, 2019 | 02:42h | UTC

Christopher Martyn’s research reviews, 11 March 2019 – The BMJ Opinion (free)

Christopher Martyn reviews the latest research from the top medical journals.

 


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