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General Medicine
The original Journal Watch. Readable summaries and practical interpretation of the most recent and most important research – all from the perspective of practicing physicians.
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Featured Article
SUMMARY AND COMMENT
H1N1 in Adults Can Be SevereFree
- November 19, 2009
- Abigail Zuger, MD
In California, mortality was higher among hospitalized adults than among hospitalized children.
- Reviewing:
- Louie JK et al. JAMA 2009 Nov 4; 302:1896
Recent General Medicine Articles
SUMMARY AND COMMENT
Is HPV Vaccination Cost-Effective for Women Older Than 30?
- November 19, 2009
- Richard Saitz, MD, MPH, FACP, FASAM
A simulation model suggests not.
- Reviewing:
- Kim JJ et al. Ann Intern Med 2009 Oct 20; 151:538
SUMMARY AND COMMENT
Diabetes Control Among Urban Black Americans
- November 19, 2009
- Jamaluddin Moloo, MD, MPH
An intensive support program provided little benefit.
- Reviewing:
- Gary TL et al. Arch Intern Med 2009 Oct 26; 169:1788
PRACTICE WATCH
Contraception for Women Who Receive Anticoagulant Therapy for Venous Thrombosis
- November 12, 2009
- Andrew M. Kaunitz, MD
- Women's Health
The levonorgestrel IUD and injectable contraception are safe and effective options with noncontraceptive benefits.
- Reviewing:
- Culwell KR and Curtis KM. Contraception 2009 Oct; 80:337
SUMMARY AND COMMENT
Birth Defects Associated with Use of Antibiotics During PregnancyFree
- November 18, 2009
- Howard Bauchner, MD
- Pediatrics and Adolescent Medicine
Sulfonamides and nitrofurantoins were associated with birth defects.
- Reviewing:
- Crider KS et al. Arch Pediatr Adolesc Med 2009 Nov; 163:978
SUMMARY AND COMMENT
Folic Acid and Cancer
- November 17, 2009
- Thomas L. Schwenk, MD
Cancer incidence and mortality rose with vitamin use.
- Reviewing:
- Ebbing M et al. JAMA 2009 Nov 18; 302:2119
SUMMARY AND COMMENT
Endothelin-Receptor Blockade: New Approach to Resistant Hypertension
- November 17, 2009
- Bruce Soloway, MD
Mean blood pressure dropped when darusentan was added to optimal therapy, but additional diuresis often was required.
- Reviewing:
- Weber MA et al. Lancet 2009 Oct 24; 374:1423
SUMMARY AND COMMENT
More About Nephrogenic Systemic Fibrosis
- November 17, 2009
- Allan S. Brett, MD
Two case series strengthen the link between gadolinium exposure and NSF in renal failure patients.
- Reviewing:
- Abujudeh HH et al. Radiology 2009 Oct; 253:81
SUMMARY AND COMMENT
New and Unusual Pattern in S. aureus Resistance
- November 17, 2009
- Abigail Zuger, MD
Just because an organism is methicillin-susceptible doesn't mean it is vancomycin-susceptible.
- Reviewing:
- Pillai SK et al. Clin Infect Dis 2009 Oct 15; 49:1169
SUMMARY AND COMMENT
ARBITER 6-HALTS: A Surprise KnockoutFree
- November 15, 2009
- Harlan M. Krumholz, MD, SM
- Cardiology
Niacin's clear win over ezetimibe as an adjunct to statin therapy challenges assumptions about lipid management.
- Reviewing:
- Taylor AJ et al. N Engl J Med 2009 Nov 16:361
CLINICAL PRACTICE GUIDELINE WATCH
Breast Cancer Screening: Who, When, and How?Free
- November 16, 2009
- Andrew M. Kaunitz, MD
- Women's Health
New USPSTF guidelines narrow the proposed age range for screening mammography and recommend biennial screening.
- Reviewing:
- U.S. Preventive Services Task Force. Ann Intern Med 2009 Nov 17; 151:716
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
Preparticipation ECG Screening of Young Athletes: The Controversy Continues
- November 4, 2009
- By Robin Drucker, MD
- Pediatrics and Adolescent Medicine
Implementation of the Lausanne recommendations in a Dutch population yielded similar results as in the original Italian population.
- Reviewing:
- Br J Sports Med 2009 Sep; 43:708
SUMMARY AND COMMENT
We Need to Put Vitamin D Back in Children and AdolescentsFree
- November 4, 2009
- By Alain Joffe, MD, MPH, FAAP
- Pediatrics and Adolescent Medicine
Many U.S. children and adolescents have low vitamin D levels, and such levels are associated with adverse physiologic processes.
- Reviewing:
- Pediatrics 2009 Sep; 124:e362
SUMMARY AND COMMENT
Chest Compression Fraction and Survival from Cardiac ArrestFree
- October 30, 2009
- By Aaron E. Bair, MD, MSc, FAAEM, FACEP
- Emergency Medicine
Minimizing interruption of chest compressions is associated with improved survival.
- Reviewing:
- Circulation 2009 Sep 29; 120:1241
SUMMARY AND COMMENT
Cardiovascular Implantable Electronic Device Infections: The Surge Continues
- October 28, 2009
- By Larry M. Baddour, MD
- Infectious Diseases
The incidence of infection is increasing faster than the rate of implantation.
- Reviewing:
- Pacing Clin Electrophysiol 2009 Sep 30
Journal Watch General Medicine summarizes important medical journal articles about a wide variety of medical subjects including arthritis,asthma, diabetes, genetics, heart disease, hypertension, obesity, palliative care, pneumonia, and thrombocytopenia.
