Recommended in Hospital Medicine

  • Clinical Essentials from PLoS One
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Acute respiratory infections: cutting risk by treating gastroesophageal reflux

This study highlights importance of educating patients on treating GERD.

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  • Clinical Essentials from FDA
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FDA clears first procalcitonin test for lower respiratory infections and sepsis

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  • Clinical Essentials from J Pediatric Infect Dis Soc
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Multidrug-resistant Enterobacteriaceae in children on the rise

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  • Clinical Essentials from Am J Cardiol
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Which aortic valve replacement procedure is better for diabetes patients?

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  • Clinical Essentials from Emerg Infect Dis
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Multidrug-resistant S capitis NRCS-A increases risk for severe neonatal sepsis

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  • Conference Essentials
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Blacks, Hispanics, women and ‘stroke belters’ are less likely to get tPA | ISC

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  • Clinical Essentials from Ann Am Thorac Soc
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Does ICU admission improve outcomes in COPD, HF, or acute MI?

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  • Conference Essentials
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Psychiatric illness may increase stroke risk | ISC

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  • Clinical Essentials from Intensive Care Med
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Pediatric sepsis: 2005 pediatric shock criteria questionable for predicting mortality

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Professional Essentials

  • Patients Will Be Asking

Is stress the cause for my weight gain?

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  • Patients Will Be Asking

Is my time in the weight room what's causing my problems in the bedroom?

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  • US Professional News

Patients assume record sharing is easy for doctors

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  • US Professional News

Medicaid culls at least 65,000 providers from rolls

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  • US Professional News

Burned out physicians less likely to find work meaningful

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  • US Professional News

Health systems expanding, medical practices not so much, survey suggests

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New in Hospital Medicine

  • Clinical Essentials from Vaccine
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Influenza vaccination in healthcare workers: could intradermal administration increase uptake?

One advantage of intradermal vaccination may be the possibility of self-administration.

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  • Clinical Essentials from Respir Med
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Asthma: current smoking cessation measures prove inadequate

More than a third of adults presenting to ED for exacerbation were current smokers.

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  • Clinical Essentials from J Orthop Surg (Hong Kong)
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TKA: local infiltration analgesia cuts post-op pain, but not LOS

Results of a randomized controlled trial.

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  • Clinical Essentials from Circ Heart Fail
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RAAS inhibitors may not be the right choice for the HFpEF patient

These patients have more worsening renal function with limited other benefit.

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  • Clinical Essentials from Eur Respir J
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Asthma linked to increased risk for DVT, PE

Risk for DVT with PE was increased by more than 60% in patients with asthma.

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  • Clinical Essentials from Circ Arrhythm Electrophysiol
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Sleep problems tied to worse heart failure outcomes

Sleep-disordered breathing may be associated with an increased risk for life-threatening arrhythmias in heart failure patients.

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  • Clinical Essentials from J Hosp Infect
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Infection site, urinary catheter insertion prognostic for severe sepsis

Caution, care bundle approach recommended for bacteremic patients with urinary tract infections.

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  • Clinical Essentials from J Perianesth Nurs
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The forearm is not a good substitute for upper arm in BP measures for large patients

These measures are inaccurate, and a specialized cuff should be used instead.

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  • Clinical Essentials from Clinicoecon Outcomes Res
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MS-related healthcare needs fall sharply after initiation of natalizumab

Study shows sharp drop in hospitalizations, corticosteroid use, sick days, and associated costs.

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  • Clinical Essentials from JAMA Neurol
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MS: stem cell transplant nets good long-term outcomes

Most patients were alive 5 y later, and nearly half were free of progression.

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Crohn's disease: 27% of patients progressed within 7 years | ECCO
  • Conference Essentials
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Crohn's disease: 27% of patients progressed within 7 years | ECCO

CD can lead to complications such as strictures or internal penetrating disease that will ultimately require surgery.

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  • Clinical Essentials from Stroke
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Sepsis associated with increased stroke risk up to 365 d postadmission

Patients with sepsis remain at risk for stroke for up to a year after admission.

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  • Clinical Essentials from Otolaryngol Head Neck Surg
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In sleep surgery for OSA, complications likelier in the elderly

The overall complication rate is still low, so surgery is not contraindicated.

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  • Clinical Essentials from J Crit Care
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Sepsis: innovative long-term care programs needed for postdischarge morbidity/mortality

Comorbid conditions, organ system failure prognostic for long-term care in sepsis.

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