Corticosteroids in Children with Bacterial Meningitis
Summary and Comment Subscription required
Adjuvant steroids did not affect mortality in children with bacterial meningitis.
Lipid Levels in Acute Coronary Syndrome
Summary and Comment Subscription required
These findings document much smaller acute changes in lipid values after ACS than those found previously.
By Kirsten E. Fleischmann, MD, MPH
May 13, 2008
Covering:
Pitt B et al., J Am Coll Cardiol 2008 Apr 15; 51:1440
Miller M., J Am Coll Cardiol 2008 Apr 15; 51:1446
Is Tight Glycemic Control Beneficial Perioperatively?
Summary and Comment Subscription required
In a meta-analysis, perioperative mortality was significantly lower with insulin infusions than with control interventions, but the authors have doubts about the data.
By Allan S. Brett, MD
May 13, 2008
Covering:
Gandhi GY et al., Mayo Clin Proc 2008 Apr; 83:418
Screening for MSRA Using PCR
Fewer patients in the rapid-testing group than in the conventional-culture group acquired MRSA, but the difference was not significant.
Multislice CT for Pulmonary Embolism Makes Leg Ultrasound Unnecessary
Summary and Comment Subscription required
A simplified diagnostic approach is efficient and less costly than the standard protocol.
By Bruce Soloway, MD
May 8, 2008
Covering:
Righini M et al., Lancet 2008 Apr 19; 371:1343
Should Patients Be Fed Orally After Upper GI Surgery?
Summary and Comment Subscription required
No difference was noted in postoperative complications with enteral-tube or oral feeding.
By Thomas L. Schwenk, MD
May 8, 2008
Covering:
Lassen K et al., Ann Surg 2008 May; 247:721
Daly JM and Donahoo HC., Ann Surg 2008 May; 247:730
Thiazolidinediones and Risk for Fractures
Summary and Comment Subscription required
In an observational study, users of TZDs had higher risk for fractures than those taking other antidiabetes medications.
More Data on Aromatase Inhibitors for Breast Cancer
Summary and Comment Subscription required
Extending endocrine therapy beyond 5 years prevents some breast cancer relapses.
By Allan S. Brett, MD
May 8, 2008
Covering:
Muss HB et al., J Clin Oncol 2008 Apr 20; 26:1956
Mamounas EP et al., J Clin Oncol 2008 Apr 20; 26:1965
Goss PE et al., J Clin Oncol 2008 Apr 20; 26:1948
Smoking Prevention Intervention in Adolescents
Summary and Comment Subscription required
A specific provider- and peer-delivered intervention raised both continuing abstinence rates among nonsmokers and cessation rates among smokers.
Studies Reveal How Influenza Virus Antigenic Variation Develops and Spreads
Summary and Comment Subscription required
During the past decade, influenza strains causing winter epidemics worldwide have originated in the Asian tropics.
By Anthony L. Komaroff, MD
May 8, 2008
Covering:
Russell CA et al., Science 2008 Apr 18; 320:340
Rambaut A et al., 2008 Apr 16