Fri November 8 – 10 Stories of The Day!

1 – Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap: A Scientific Statement From the American Heart Association – Circulation (free PDF)

Commentary: The Management of Subclinical Atrial Fibrillation: The Pathway to True Medical Expertise – American Heart Association (free)

Top Things to Know: Subclinical and Device-Detected Atrial Fibrillation (free)

Related: Apple Watch Can Spot Atrial Fibrillation, But More Research is Needed (several commentaries on the subject)

2 – Vaping—Seeking Clarity in a Time of Uncertainty – JAMA (free for a limited period)

Author Interview: Vaping—Seeking Clarity in a Time of Uncertainty (free audio)

Related: “EVALI” (e-cigarette, or vaping, product use-associated lung injury): CDC Updates Guidance and Creates New Name (free)

3 – Cardiovascular risk of electronic cigarettes: a review of preclinical and clinical studies – Cardiovascular Research (free)

Commentaries: Vaping not worth potential heart risk, researchers say – Ohio State University (free) AND Vaping risks significant, says new review – News Medical (free) AND E-cigs may damage the heart, study says – MedicalXpress (free)

4 – Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review – Infections, Disease & Health (free)

5 – Effect of lung recruitment maneuver on oxygenation, physiological parameters and mortality in acute respiratory distress syndrome patients: a systematic review and meta-analysis – Intensive Care Medicine (free)

Related: Alveolar recruitment in acute respiratory distress syndrome: should we open the lung (no matter what) or may accept (part of) the lung closed? – Intensive Care Medicine (free) AND Recruitment maneuver does not provide any mortality benefit over lung protective strategy ventilation in adult patients with acute respiratory distress syndrome: a meta-analysis and systematic review of the randomized controlled trials – Journal of Intensive Care (free) AND Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial – JAMA (free study and editorial)

6 – Randomized Trial of Perioperative Probiotics Among Patients Undergoing Major Abdominal Operation – Journal of the American College of Surgeons (link to abstract – $ for full-text)

Source: EvidenceAlerts

“A significantly higher readmission rate was observed among those exposed to probiotics. Additional studies remain warranted.”

7 – Genomic and epidemiological evidence of bacterial transmission from probiotic capsule to blood in ICU patients – Nature Medicine (link to abstract – $ for full-text)

Related: Systematic Review: Harms Reporting in Trials with Probiotics (link to abstract and commentaries) AND The Problem With Probiotics – The New York Times (free)

8 – American Academy of Pediatrics – Section on Surgery: Five Things Physicians and Patients Should Question – Choosing Wisely (free)

Commentary: Choosing Wisely Examines Pediatric Surgical Practices to Avoid – NEJM Journal Watch (free)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

9 – Ann Robinson’s journal review, 7 November 2019 – The BMJ Opinion (free)

Ann Robinson reviews the latest research from the top medical journals.

10 – Insomnia symptoms and risk of cardiovascular diseases among 0.5 million adults: A 10-year cohort – Neurology (free PDF)

Commentaries: Difficulty sleeping linked with raised risk of heart attack and stroke – NHS Choices (free) AND Insomnia in adults linked to heart attack and stroke – CNN (free) AND Insomnia maybe a significant risk factor for heart attacks and strokes – News Medical (free)