News You Can Use

Sciatica

by jmiller on March 27, 2015

This review article (NEJM, March 25) provides an update on the anatomy of the sciatic nerve; symptoms and examination findings’ imaging and electrological testing; nonspinal causes; conservative treatment; surgical treatment caused by lumbar disk disease; surgical techniques; and  guidelines and systematic reviews.  Click here to read full text.

Application of “Less is More” to low back pain DDDD

by jmiller on March 3, 2015

“An initiative of the National Physicians Alliance, the project titled “Promoting Good Stewardship in Clinical Practice”, developed a list of the top 5 activities in primary care for which changes in practice could lead to higher-quality care and better use of finite clinical resources.  One of the top 5 recommendations was “Don’t do imaging for low back pain within the first 6 weeks unless red flags are present.”  This article presents data that support this recommendation.  (Arch Intern Med, July 2012) Click here to read full-text

Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case-control, cohort and intervention studies

by jmiller on March 3, 2015

“Increasing evidence suggests that the Mediterranean diet can reduce the risk of CVD,  Olive oil is the hallmark of this dietary pattern.  Available studies support an inverse association of olive oil consumption with stroke (and with stroke and CHD combined), but no significant association with CHD.”  (Br J Nutr April 2015)   Click here to read full text.

Wanted: Your scholarly activities

by Medical Staff Office on January 29, 2015

For a period covering the past few years, we have begun to  compile a compendium of scholarly activities carried out by our medical staff. These activities include:

- peer-reviewed grants
- peer-reviewed publications and abstracts
- posters and presentations
- textbooks or invited reviews
- panels at professional society meetings
- invited lectures and similar efforts

Use this link to see the results of the first effort dating back  to 2012. You will find this .pdf format to be searchable by name or key word, but not sortable.

The compendium is available  from either the Medical Staff homepage  or by the public from the Research Institute page.

It is, of course, a never-completed task as new accomplishments occur regularly. We likely are missing much suitable information. Please take the time to supplement our compendium with your own information if we have not included it.

You can  supply us with the information missing by using this form to add a new activity or edit a previously submitted publication (please indicate edit). This form gets submitted to the Medical Staff Office and we will amend the existing compendium.

Please call 443-481-4150 with any questions.

The rise of the medical scribe industry: implications for the advancement of electronic health record

by jmiller on January 16, 2015

Use of medical scribes – unlicensed individuals hired to enter information into the EHR under clinician supervision – has increased substantially.  This article addresses the risks engendered by the rise of a medical scribe industry and its potential for becoming integral to US health care delivery.  Despite scribes’ reported value, this industry should be viewed as what it is: a workaround or adaptation to the suboptimal state of today’s EHRs.  The use of scribes can pose potential risks to patients if they are allowed to enter orders into the EHR.  Further, it should not be a substitute for much-needed EHR innovation and transition to more highly effective and more functionally efficient EHR systems.  Click here to read full text.

Long-term outcomes of bariatric surgery: A National Institutes of Health symposium

by jmiller on January 16, 2015

This article and invited commentary (JAMA Surgery, Dec) concludes: “high-quality evidence shows that bariatric surgical procedures result in greater weight loss than nonsurgical treatments and are more effective at inducing initial type 2 diabetes mellitus remission in obese patients.”  Click here to read full-text.

The postthrombotic syndrome: evidence-based prevention, diagnosis, and treatment strategies

by jmiller on January 16, 2015

This scientifice statement from the American Hear Association (Circulation, Dec 2014) provides an up-to-date overview of the postthrombotic syndrome (PTS), a frequent, chronic complication of deep venous thrombosis (DVT), and to provide practical recommendations for its optimal prevention, diagnosis, and management.  The intended audience for this scientific statement includes clinicians, and other healthcare professionals caring for patients with DVT.  Click here to read full text.

Paget’s disease of bone: an Endocrine Society Clinical Practice Guideline

by jmiller on January 16, 2015

This guideline (J Clin Endocrinol Metab, Dec 14) recommends “that plain radiographs be obtained of the pertinent regions of the skeleton in patients with suspected Paget’s disease.  If the diagnosis is confirmed, we suggest that a radionucleotide bone scan be done to determine the extent of the disease.  After diagnosis of Paget’s disease, we recommend measurement of serum total alkaline phosphatase or, when warranted, a more specific marker of bone formation or bone resorption to assess the response to treatment or evolution of the disease in untreated patients.  We suggest treatment with besphosphonate for most patients with active Paget’s disease who are at risk for future complications,  Click here to read full text.

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