Monday, August 29, 2016

Statins were associated with a decreased risk of peptic ulcer

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---in this study .
Sunday, August 28, 2016

Sulfonylurea use and myocardial infarct size

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The adverse effects of sulfonylureas on macrovascular disease have been known for decades. Now we have this : Method...
Saturday, August 27, 2016

Unexplained symptoms

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Sometimes it is better for the patient and more intellectually honest to not force a diagnostic label and just acknowledge un...
Tuesday, August 23, 2016

ER care in VA hospitals

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I found this interesting report from the American Journal of Emergency Medicine: Conclusions Veterans Healt...
Monday, August 22, 2016

Checklists, daily goal assessments, and clinician prompts

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Here's another “systems improvement” initiative that didn't work. From a recent paper : Importance The eff...
Sunday, August 21, 2016

Hypoxic hepatitis

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An article on this topic recently appeared in The American Journal of Emergency Medicine. The paper focused on the post car...

The complex relationships between obesity, hypertension and CKD

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Review here .

Autoimmune hemolytic anemia

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Linked here are two great review articles. This one addresses such questions as “What are the differences between warm and ...
Saturday, July 16, 2016

NEJM report on ACOs

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From the paper : Using Medicare claims from 2009 through 2013 and a difference-in-differences design, we compared ch...
Friday, July 15, 2016

Another Zika virus review

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Free full text from BMJ .
Thursday, July 14, 2016

Zika virus review

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Free full text via NEJM .
Wednesday, July 13, 2016

Higher prevalence of pancreatic cancer in patients newly diagnosed with type 2 diabetes

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This is an association that has long been suspected. Additional evidence for the association was found in this study .
Tuesday, July 12, 2016

The effect of high flow nasal oxygen post-extubation, in patients at low risk

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From a recently reported study : Importance Studies of mechanically ventilated critically ill patients that combine populat...
Monday, July 11, 2016

Hepatitis B and C associated glomerular diseases

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From a recent review : The most common histopathologic presentation of HBV-GN is HBV-associated membranous nephropat...
Sunday, July 10, 2016

How to work up hematuria

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This topic was recently reviewed in Advances in Chronic Kidney Disease. From the body of the paper: On finding a u...
Saturday, July 09, 2016

Progress in the understanding and treatment of hairy cell leukemia

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From a recent review : Initially a uniformly fatal disease, new therapies in rapid succession transformed HCL into a...
Sunday, July 03, 2016

Genetics of eosiniphilic esophagitis

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This is reviewed in a recent paper . Though not inherited in a simple Mendelian fashion it is a disease of genetic predispos...
Saturday, July 02, 2016

Fresh fruit consumption and cardiovascular disease

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From a recent study : In Western populations, a higher level of fruit consumption has been associated with a lower risk of...
Friday, July 01, 2016

Hyponatremia in cirrhosis

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This was the subject of a recent review in Advances in Chronic Kidney Disease. From the article: Cirrhosis is char...
Thursday, June 30, 2016

Proton pump inhibitors and eosinophilic esophagitis

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The question is addressed in this paper . Although EO is in general unresponsive to PPIs there is a subset that is: ...