News You Can Use

ACOG Practice Bulletin148: Thyroid disease in pregnancy and ACOG Practice Bulletin 149: Endometrial Cancer

by jmiller on June 26, 2015

ACOG issued two new Practice Bulletins  (Obstet Gynecol, April) .  The thyroid bulletin expresses concerns over uncontrolled thyrotoxicosis and hypothyroidism having adverse pregnancy outcomes. It also impacts fetal development.  In addition, medications that affect the maternal thyroid gland can cross the placenta and affect the fetal thyroid glancd.  Endometrial carcinoma is the most commonly diagnosed gynecologic malignancy.  This article reviews the epidemiology, pathophysiology, and diagnostic and management startegies for this type of cancer.   To read full-text, click here.

An official ATS/AACN/ACCP/ESICMSCCM Policy Statement: Responding to requests for potentially inappropriate treatments in Intensive Care Units

by jmiller on June 25, 2015

Concludes:  “The multisociety statement on responding to requests for potentially inapproprate treatments in intensive care units provides guidance for clinicians to prevent and manage disputes in patients with advanced critical illness.“  Am J Resp Crit Care Med, June 1)  Click here to read full-text.

Cannaboids for medical use: A systematic review and meta-analysis

by jmiller on June 25, 2015

Concludes: “There was moderate-quality evidence to support the use of cannabinoids for the treatment of chronic pain and spasticity.  There was low-quality evidence suggesting that cannabinoids were associated with improvements in nausea and vomiting due to chemotherapy, weight gain in HIV infections, sleep disorders, and Tourette syndrome.  Cannabinoids were associated with an increased risk of short-term adverse effects.  (NEJM, June) Editorial and “Medical marijuana for treatment of chronic pain and other medical and psychiatric problems:  a clinical review” also attached.  Click here to read full-text.

Interventional radiology: A half century of innovation

by jmiller on May 13, 2015

“The evolution of modern interventional radiology beganover half century ago with a simple question. Was it possible to use the same diagnostic imaging tools that had revolutionizedthe practice of medicine to guide the real-time treatment of disease? This disruptive concept led to rapid treatment advances in every organ system of the body. It became clear that by utilizing imaging some patients could undergo targeted procedures, eliminating the need for major surgery, while others could undergo procedures for previously unsolvable problems. The breadth of these changes now encompasses all of medicine and has forever changed the way we think about disease. In this brief reviewarticle, major advances in the field, as chronicled in the pages of Radiology, will be chronicled”.    Click here to read full article.

Recent advances in brain and spine imaging

by jmiller on May 12, 2015

Advanced MR imaging techniques have found extensive utility in the clinical practice of neuroradiology. A variety of these techniques are incorporated into imaging protocols for routine use, specific applications to particular disease entities, or as problem-solving tools on an ad hoc basis. This article summarizes and illustrates the spectrum of advanced MR imaging tools used clinically in the practice of neuroradiology.  (Radiol Clin N A, May)  Click here to read full-text.

Thank you, AAMC Nursing Staff!

by jmiller on May 11, 2015

At the Nurse’s Dinner last week, I had the unexpected pleasure of receiving  the “AAMC Nursing Colleague Excellence Award”.  It is an honor and a privilege to receive this award and to work with such a fabulous nursing staff.  Thank you!

-Joyce Miller, Medical Librarian

What’s the evidence for evidence based medicine?

by jmiller on May 11, 2015

“What’s in a name?  The answer begins with the name, which physicians find both amusing and insulting, as if in the dark ages before EBM, physicians practiced without evidence.  EBM’s power comes in part, from branding. The art and alchemy of medicine reside not in evidence based guidelines, but in the mind and expertise of committed physicians.  The challenge for EBM is keeping the patient front and center while negotiating the vagaries of the evidence.”  (Maryland Medicine, May)  Click here to read full text.

Should patients stop taking aspirin for primary prevention?

by jmiller on May 11, 2015

“In view of current evidence, we do not recommend routinely using aspirin for pimary prevention of cardiovascular disease, even in patients with diabetes mellitus.  The decision must be indificualized on the basis of the patient’s risks of cardiovascular disease and bleeding, especiallly the risk of serious bleeding events such as gastrointestinal and intracranial hemorrhage.”  (Cleve Clin J Med, Feb)   Click here to read full text.

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