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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
CLINICAL PRACTICE GUIDELINE WATCH
Recommended Adult Immunization Schedule for 2010
- February 9, 2010
- Richard Saitz, MD, MPH, FACP, FASAM
Few changes this year
- Reviewing:
- Advisory Committee on Immunization Practices. Ann Intern Med 2010 Jan 5; 152:36
Recent General Medicine Articles
SUMMARY AND COMMENT
Risk Index Is Adequate for Predicting Perioperative Cardiac Complications
- February 9, 2010
- Richard Saitz, MD, MPH, FACP, FASAM
But the RCRI is not so predictive for death or for complications of vascular surgery.
- Reviewing:
- Ford MK et al. Ann Intern Med 2010 Jan 5; 152:26
SUMMARY AND COMMENT
Cultural Competence Training Isn't Associated with Better Diabetes Outcomes
- February 9, 2010
- Richard Saitz, MD, MPH, FACP, FASAM
Awareness of racial disparities didn't translate into better glucose, lipid, or blood pressure control.
- Reviewing:
- Sequist TD et al. Ann Intern Med 2010 Jan 5; 152:40
SUMMARY AND COMMENT
Septic Shock, Insulin, and Steroids — RevisitedFree
- February 4, 2010
- Allan S. Brett, MD
Intensive insulin therapy did not lower in-hospital mortality in septic shock patients who received hydrocortisone.
- Reviewing:
- The COIITSS Study Investigators. JAMA 2010 Jan 27; 303:341
SUMMARY AND COMMENT
Smoking Cessation and Risk for Type 2 Diabetes
- February 4, 2010
- Richard Saitz, MD, MPH, FACP, FASAM
Excess diabetes risk in quitters is mediated partially by weight gain.
- Reviewing:
- Yeh H-C et al. Ann Intern Med 2010 Jan 5; 152:10
SUMMARY AND COMMENT
Risks Associated with Androgen-Deprivation Therapy
- February 4, 2010
- Allan S. Brett, MD
Diabetes and cardiovascular disease occur significantly more often in men with prostate cancer who receive ADT than in those who don't.
- Reviewing:
- Keating NL et al. J Natl Cancer Inst 2010 Jan 6; 102:39
SUMMARY AND COMMENT
Possible New Class of Drugs for CML
- February 4, 2010
- Anthony L. Komaroff, MD
Patients who develop resistance to imatinib might have a new alternative.
- Reviewing:
- Zhang J et al. Nature 2010 Jan 28; 463:501
SUMMARY AND COMMENT
Gradual or Cold Turkey: When Stopping HT, Is One Better Than the Other?Free
- February 4, 2010
- Robert W. Rebar, MD
- Women's Health
Mode of HT discontinuation did not affect likelihood of hot-flash recurrence.
- Reviewing:
- Lindh-Åstrand L et al. Menopause 2010 Jan/Feb; 17:72
SUMMARY AND COMMENT
Vitamin D Supplementation in Breast-Fed InfantsFree
- February 3, 2010
- Howard Bauchner, MD
- Pediatrics and Adolescent Medicine
Physician recommendation was significantly associated with parents' decision to supplement.
- Reviewing:
- Taylor JA et al. Pediatrics 2010 Jan; 125:105
SUMMARY AND COMMENT
Improving Outcomes in Toddlers with Autism
- February 3, 2010
- Howard Bauchner, MD
- Pediatrics and Adolescent Medicine
An early developmental and behavioral intervention resulted in gains in cognitive ability and adaptive behavior in toddlers.
- Reviewing:
- Dawson G et al. Pediatrics 2010 Jan; 125:e17
SUMMARY AND COMMENT
Population-Based Benefits of Salt Reduction
- February 2, 2010
- Thomas L. Schwenk, MD
Daily intake of 3 g less per person could lower annual U.S. cardiac-related deaths by as many as 92,000.
- Reviewing:
- Bibbins-Domingo K et al. N Engl J Med 2010 Jan 20
Editor's Picks from across Journal Watch
CLINICAL PRACTICE GUIDELINE WATCH
Complicated Intra-Abdominal Infection: Diagnosis and Management
- January 27, 2010
- By Stephen G. Baum, MD
- Infectious Diseases
These guidelines update recommendations published in 2002 and 2003.
- Reviewing:
- Clin Infect Dis 2010 Jan 15; 50:133
SUMMARY AND COMMENT
Soldiers' Wives Suffer Mental Health Effects of Deployment
- January 13, 2010
- By Peter Roy-Byrne, MD
- Psychiatry
The effect of war reaches beyond the soldier, according to this large records review study. CME
- Reviewing:
- N Engl J Med 2010 Jan 14; 362:101
SUMMARY AND COMMENT
How Rigorous Is the Premarket Approval Process for Cardiovascular Devices?
- January 20, 2010
- By Harlan M. Krumholz, MD, SM
- Cardiology
A review of FDA data raises concerns about the strength of the evidence supporting the use of many approved devices.
- Reviewing:
- JAMA 2009 Dec 23/30; 302:2679
SUMMARY AND COMMENT
Incidental Findings on CT Angiography for Evaluation of PEFree
- January 8, 2010
- By J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
In a study of CT angiography in ED patients, incidental findings were more than twice as common as PE.
- Reviewing:
- Arch Intern Med 2009 Nov 23; 169:1961
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.
