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.
News You Can Use
“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.
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.
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 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.
“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.
“Routine preoperative testing is not recommended for patients undergoing cataract surgery, because testing neither decreases adverse events nor improves outcomes. Preoperative testing before cataract surgery occurred frequently and was more strongly associated with provider practice patterns than with patient characteristics. Furthermore, the results showed no difference in the prevalence of testing as compared with 20 years ago, before the introduction of guidelines stating that routine properative testing for cataract surgery was not necessary. (NEJM, April 16). Click here to read full text.
“The report of the panel appointed to the eight Joing National Committee on prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC8) is more evidence-based and focused than its predecessors, outlining a management strategy that is simpler and, in some instances, less aggressive. It has both strengths and weaknesses. This article reviews the major components. Click here to read full text.