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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 … learn more

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 … learn more

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 … learn more

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 … learn more

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 … learn more

Albumin and surgical site infection risk in orthopaedics: meta-analysis

by jmiller on May 16, 2017

This article (BMC Surgery, April), concludes “that the meta-analysis demonstrated that an albumin level <3.5 g/dl had an almost 2.5 fold increased risk of SSI in orthopaedics,   Click here to read full-text.… learn more

Screening for thyroid cancer: USPSTF Recommendation Statement

by jmiller on May 16, 2017

The article concludes:  “The USPSTF recommends against screening for thyroid cancer in asymptomatic adults.”  (JAMA, May 9)  Click here to read full text.… learn more

In the news: Risk of acute myocardial infarction with NSAIDS in real world use: bayesian meta-analysis of individual patient data

by jmiller on May 16, 2017

What this study adds:   (BMJ, May 3)  “Using a Bayesian meta-analysis of individual patient data and studying real world settings, it is shown that all traditional NSAIDS, including naproxen, appear to be associated with an increased risk of acute myocardial … learn more

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