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Coconut oil consumption and cardiovascular risk factors in humans

by jmiller on July 6, 2017

According to the AHA report, Dietary Fats and Cardiovascular Disease: A Presidential Advisory from the AHA” (Circulation, June 16) research has long shown that coconut oil—which has more saturated fat than lard or butter—increases “bad” LDL cholesterol, which thickens arterial walls, making them hard and narrow. But polling shows that 70 percent of Americans consider the oil a health-conscious choice.  A special article was put out by Natural Reviews, confirms that coconut consumption adds to cardiovascular risk factors in humans with overwhelming evidence.   Click here to read full text.

Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

by jmiller on July 6, 2017

An expert panel produced these recommendations based on a linked systematic review, which found that, among patients with a degenerative medial meniscus tear, knee arthroscopy was no better than exercise therapy.  The panel make a strong recommendation against arthroscopy for degenerative knee disease. The article appears in the May 10th issue of BMJ.  Click here to read full-text.

Health and public policy to facilitate effective prevention and treatment of substance use disorders involving illicit and prescription drugs: An American College of Physicians Position Paper

by jmiller on June 19, 2017

“In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions.”  (Ann Intern Med, Mar)  Click here to read full text.

Guidelines for family-centered care in the neonatal, pediatric and adult ICU

by jmiller on June 19, 2017

“These guidelines identify the evidence base for best practices for family-centered care in the ICU.   They provide clinicians with evidence based strategies to optimize the support of the family of critically ill patients in the ICU All recommendations were weak due to the nascency of this field of research.  Recommendations for future research and work-tools support translation of the recommendations into practice.”  (Critical Care Medicine, January)  Click here to read full-text.

Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians

by jmiller on June 19, 2017

The target audience for this guideline includes all clinicians, ant the target patient population includes adults with acute, subacute or chronic low back pain.  Recommendations include nonpharmacological treatment first, NSAIDS secondarily; multimodality interventions such as exercise, yoga biofeedback; last recommendation if everything else fails is opioids after a careful discussion.  (Ann Intern Med, March)  Click here to read full text.

ACOG Practice Guideline: Carrier screening for genetic conditions

by jmiller on June 19, 2017

“If an individual is found to be a carrier for a specific condition, the patient’s reproductive partner should be offered testing in order to receive informed genetic counseling about potential reproductive outcomes.  If both partners are found to be carriers of a genetic condition, genetic counseling should be offered.”  This Committee Opinion offers a detailed discussion of some of the more common genetic conditions for which carrier screening is recommended in at least some segments of the population.  (Ob Gyn, March)  Click here to read full article.

Congratulations to Dr. Adrian Park, editor of the recently published: Global Surgery: The Essentials!

by jmiller on June 1, 2017

Dr. Park’s recently released “Global Surgery”, published by Springer, will be available through the medical library; details to follow.  With so many of our medical staff generously giving of their time and skills to third world mission programs, this book will provide a unique niche in the medical literature by filling an information gap not previously tackled in other surgical resource publications.  This book:

  • Provides a ready resource to equip surgeons to manage clinical scenarios that they might encounter in resource-limited settings
  • Written by experts in the field
  • Enables the reader to work cross culturally

Click here to read a flyer on this book.

Clostridum difficile disease: diagnosis, pathogenesis and treatment update

by jmiller on May 16, 2017

“New and emerging strategies for C difficile, infection treatment include monoclonal antibodies, vaccines, probiotics, biotherapeutics, and new antibiotics.  A successful C difficile prevention and eradication program requires a multidisciplinary approach that includes early disease re4cognition, implementation of guidelines for monitoring adherence to environmental control, judicious hand hygiene, evidence-based treatment and management strategies, and a focused antibiotic stewardship program.  Surgeons are an important part of the clinical team in the management of C difficile infection prevention and treatment.  (Surgery, article in press)  Click here to read full text.

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