General Medicine: Archives

SUMMARY AND COMMENT

Quadrupling Inhaled Steroid Dose to Prevent Asthma Exacerbations

• October 15, 2009
• Allan S. Brett, MD

In selected patients, this approach might diminish the need for oral steroids.

• Reviewing:
• Oborne J et al., Am J Respir Crit Care Med 2009 Oct 1; 180:598

SUMMARY AND COMMENT

Mild Gestational Hypertension and Preeclampsia at Term

• October 15, 2009
• Bruce Soloway, MD

Induction of labor lowers maternal morbidity.

• Reviewing:
• Koopmans CM et al., Lancet 2009 Sep 19; 374:979

SUMMARY AND COMMENT

Dialysis in Elders

• October 14, 2009
• Thomas L. Schwenk, MD

When dialysis is initiated in older patients, death or substantial functional decline often is noted at 1 year.

• Reviewing:
• Kurella Tamura M et al., N Engl J Med 2009 Oct 15; 361:1539 Arnold RM and Zeidel ML., N Engl J Med 2009 Oct 15; 361:1597

SUMMARY AND COMMENT

Clinical Course of Advanced DementiaFree

• October 14, 2009
• Allan S. Brett, MD

As we suspected: Advanced dementia is a terminal illness. Interview CME

• Reviewing:
• Mitchell SL et al., N Engl J Med 2009 Oct 15; 361:1529

SUMMARY AND COMMENT

New Approach to Treating Tuberculosis

• October 13, 2009
• Anthony L. Komaroff, MD

Targeting nonreplicative bacteria might avert long courses of therapy for TB patients.

• Reviewing:
• Lin G et al., Nature 2009 Oct 1; 461:621

SUMMARY AND COMMENT

Amiodarone or Dronedarone for Atrial Fibrillation?

• October 13, 2009
• Kirsten E. Fleischmann, MD, MPH

Dronedarone is safer but less effective.

• Reviewing:
• Piccini JP et al., J Am Coll Cardiol 2009 Sep 15; 54:1089

SUMMARY AND COMMENT

"Hospital at Home" for Elders with Acute Heart Failure

• October 13, 2009
• Jamaluddin Moloo, MD, MPH

Compared with hospitalization, home care was associated with similar mortality and lower costs.

• Reviewing:
• Tibaldi V et al., Arch Intern Med 2009 Sep 28; 169:1569 Kao H and Walter LC., Arch Intern Med 2009 Sep 28; 169:1576

SUMMARY AND COMMENT

STI and HIV Services Fall Short for Sexually Active Young Women

• October 13, 2009
• Robert W. Rebar, MD

More than one third of young women who receive contraceptive services are not concurrently offered STI or HIV services.

• Reviewing:
• Farr SL et al., Am J Obstet Gynecol 2009 Aug; 201:142.e1

SUMMARY AND COMMENT

PPIs and Antiplatelet Drugs: Is the Interaction Clinically Relevant?Free

• October 8, 2009
• Bruce Soloway, MD

PPIs attenuated antiplatelet effects somewhat, but outcomes were similar with or without PPIs.

• Reviewing:
• O'Donoghue ML et al., Lancet 2009 Sep 19; 374:989

SUMMARY AND COMMENT

Screening Test for Stroke-Related Dysphagia

• October 8, 2009
• Allan S. Brett, MD

Most patients who had problems swallowing in the ED had dysphagia on formal evaluations by speech pathologists.

• Reviewing:
• Turner-Lawrence DE et al., Ann Emerg Med 2009 Sep; 54:344