Sunday, June 30, 2013

Is performance a good surrogate for quality?

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No, but a casual glance at this paper might give that impression. It deserves a more careful read. From the article: Importance Federa...
Saturday, June 29, 2013

Aspirin and plavix together: dual antiplatelet therapy for early treatment of minor stroke or high risk TIA

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This recently came out in NEJM and everyone's talking about it: In a randomized, double-blind, placebo-controlled trial conducted at ...
Friday, June 28, 2013

Cheyne-Stokes Breathing

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---and its relationship to reduced ejection fraction .
Thursday, June 27, 2013

Metformin versus sulfonylureas and macrovascular disease

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From a recently published cohort study : Patients: Veterans who initiated metformin or sulfonylurea therapy for diabetes. Patients with ch...
Wednesday, June 26, 2013

Cardiac risk after pneumonia

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There is more and more coming out about this. Recently the green journal published Pneumonia: An Arrhythmogenic Disease? Background Rec...
Tuesday, June 25, 2013

Hereditary Hemochromatosis

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Review in American Family Physician.
Monday, June 24, 2013

The post discharge telephone call

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---does not improve outcomes according to this systematic review .
Sunday, June 23, 2013

More evidence of harm related to proton pump inhibitors

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This study found a 1 year increase in mortality in discharged elders, attributable mainly to high dose PPI use. PPIs are great drugs but t...
Saturday, June 22, 2013

Locum hospitalists: pros and cons

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Though hospitalist programs have long relied heavily on locums and continue to do so, increasing controversy surrounds the practice accordin...
1 comment:
Friday, June 21, 2013

Cuba's health care system

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Good on prevention, not so good if you get sick. The authors of this NEJM piece seem to like it but don't romanticize it, they say. O...
Thursday, June 20, 2013

Central venous access: guidelines

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Full text here .
Wednesday, June 19, 2013

A procalcitonin guided algorithm to guide antibiotic therapy in patients with severe sepsis and septic shock

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Via BMC Infectious Diseases .
2 comments:
Tuesday, June 18, 2013

Bicuspid aortic valve

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---- think beyond the valve . It's really a disease of the entire aorta. From the review: A more recent study has looked at the inci...
Monday, June 17, 2013

From hospitalist as clinician to hospitalist as off-loader: how we've changed!

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I should know because I was involved in the movement nearly from the beginning. Back then the distinctive was that hospitalists were doctor...
3 comments:
Sunday, June 16, 2013

Guillain-Barré review

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Once an open access journal, American Family Physician for the past few years has been behind heavy access controls. Every once in a while ...
Saturday, June 15, 2013

Is the state medical board watching your on line behavior?

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A recent paper reports a survey of state medical boards as to how they would respond to hypothetical scenarios:  High consensus was defin...
Friday, June 14, 2013

Electrocardiographic abnormalities in pneumonia

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In this study transient ECG abnormalities were seen around the time of the episode of pneumonia. Some resembled those seen in PE.
Thursday, June 13, 2013

PFO closure after cryptogenic stroke: evidence still lacking

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---after two more trials published in NEJM here and here . There were problems with the data, leaving open the possibility of benefit. But...
Wednesday, June 12, 2013

Improper inhaler technique

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---as a risk factor for poor asthma control .
Tuesday, June 11, 2013

Heart failure with preserved ejection fraction (HFPEF)

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---was formerly known as diastolic heart failure. A recent paper was published in the American Journal of Medicine: Contemporary Prevalenc...