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Delirium in hospitalized older adults

by jmiller on October 25, 2017

Clinical Practice article (NEJM, Oct 12) focuses on delirium presenting the clinical problem; strategies and evidence; management; prevention; guidelines; and conclusions and recommendations.  “Agitation should be managed with non-pharmacologic strategies first.  Physical restraints should be avoided.  Antipsychotic agents should be … learn more

“Global Surgery” by Dr. Adrian Park is now in our electronic medical libary.

by jmiller on September 20, 2017

“Our intent in creating this book is to tell the story of global surgery, including its brief history and exciting future, and to provide important practical information for those who wish to engage in this most worthy of pursuits. Our … learn more

AudioDigest Platinum – NEW to our electronic Medical Library – Earn CME and MOC credits in your car on the way to work or from your laptop at home!

by jmiller on September 13, 2017

AudioDigest Platinum allows for unlimited CME with institutional access to 16 medical specialties.  Listen to lectures on the go with the Audio Digest Mobile app available on Apple iTunes or Google Play.  Customize auto-loading playlists tailored to an individual user’s … learn more

JAMA Clinical Guideline Symposia: Routine preoperative laboratory tests for elective surgery

by jmiller on August 8, 2017

Major recommendations: For ASA grade 1 or 2 patients undergoing minor surgery, do not routinely offer preop tlab tests.  For ASA grade 3 or 4, consider renal function testing in patients at risk of acute kidney injury.  For ASA grade … learn more

Amyotrophic lateral sclerosis

by jmiller on August 8, 2017

This review article (NEJM, July 13) covers epidemiological features; pathological characteristics; genetic features; concepts in pathogenesis; and therapeutics and beyond. Click here to read full-text.… learn more

Subarachnoid hemorrhage

by jmiller on August 8, 2017

This clinical practice article (NEJM, July 20) reviews the signs and symptoms; strategies and evidence; medical interventions to reduce the risk of re-rupture; treatment of ruptured cerebral aneurysms; treatment of complications arising from subarachnoid hemorrhage and aneurysm treatment; areas of … learn more

In the news: Longer sleep is associated with lower BMI and favorable metabolic profiles

by jmiller on August 2, 2017

“After adjustment for age, ethnicity, sex, smoking, and socioeconomic status, sleep duration was negatively associated with body mass index, waist circumference, and positively associated with body mass index, waist circumference, and positively associated with high-density lipoprotein cholesterol.  Sleep duration tended … learn more

In the news: Coffee drinking and mortality in 10 European countries; Association of coffee consumption with total and cause-specific mortality among Nonwhite populations; and Association of coffee drinking with total and cause-specific mortality

by jmiller on July 12, 2017

“Coffee consumption was inversely associated with total and cause-specific mortality.  Higher consumption of coffee was associated with lower risk for death in African Americans, Japanese Americans, Latinos and whites.  Bottom line:  “Although drinking coffee cannot be recommended as being good … learn more

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