Patient page on #brachytherapy explains what this #RadOnc technique is & where it is used in managing #cancer care. https://ja.ma/2vuaIbC
In this survey study, 31% of hospices reported at least 1 confirmed instance of medication diversion in the past 90 days https://ja.ma/2HdD4cP
Robotic colectomy and laparoscopic colectomy show competitive results in which robotics may provide the same value but at higher costs. Open surgery is still reserved for particularly difficult cases https://ja.ma/3885fFq
Editorial: Calming Down about Sedation in Critically Ill Patients #CCC49
In a randomized trial in 700 mechanically ventilated ICU patients, 90 day mortality was not different between no sedation compared to arousable sedation. There was a low rate of thromboembolic events but they were more numerous in the sedated group. #CCC49
Important new information about the relationship between POLSTs and overtreatment of patients at the #endoflife #CCC49 https://ja.ma/2SJ1Dn3
Among patients with POLSTs and with chronic life-limiting illness who were hospitalized within 6 months of death, treatment-limiting POLSTs were significantly associated with lower rates of ICU admission compared with full-treatment POLSTs #CCC49 https://ja.ma/3bFUSLl
What makes a good, high-quality doctor? The answer—for patients and families— is intuitively, glaringly obvious: Who can make my loved one better? That's a characteristic not captured by any quality metric https://ja.ma/2Sbv5BS
This cohort study finds depressive symptoms were associated with incident #cardiovasculardisease in middle-aged and older Chinese adults https://ja.ma/2S9v41k
Case-control study finds CSF amyloid and tau biomarkers for Alzheimer disease vary based on race https://ja.ma/2uT19T0
Immunosuppression is an independent risk factor associated with a worse outcome in #ENTSurgery patients with cutaneous head and neck squamous cell carcinoma https://ja.ma/36HaYkd
The FDA has approved a rifabutin / amoxicillin / omeprazole combination pill (marketed as Talicia) for Helicobacter pylori infection to improve adherence and overcome high rates of resistance to standard clarithromycin-based treatment https://ja.ma/2GP4J3D
A 6-mo infant with a congenital superficial papule on the anterior surface of the neck that was not associated with overlying skin changes, pain, or discharge. What is your diagnosis? https://ja.ma/318NL9p
The Westerdam, the 🚢 denied entry to 5 ports despite no confirmed cases of #COVID19 & finally accepted by Cambodia, has subsequently had 1 passenger confirmed. Most of 2200+ passengers & crew, none of whom showed symptoms, are making their way home https://www.nytimes.com/2020/02/16/world/asia/coronavirus-cruise-americans.html
Consider herpes vegetans in the differential of anogenital lesions given the wide array of clinical mimicry and late-stage recalcitrance to therapy https://ja.ma/2u2wXVG
Pancreatic ductal adenocarcinoma (PDAC) is increasing in incidence, improving outcomes, in which germline mutations have been identified in key genes w/aggregate frequency in 4-10% range, many w/therapeutic implications, supporting broad germline testing https://ja.ma/2SDYzbU
Male formulations can be judiciously used in female doses and blood testosterone concentrations must be monitored regularly to protect patients from harmful androgen concentrations. https://ja.ma/38kWV5s
MOG-IgG is detected more often than AQP4-IgG, especially in children evaluated for suspected CNS demyelinating disorders and both rarely coexist https://ja.ma/2uCYJbB
It would not be surprising if commercial #cannabis legalization accompanied by conspicuous marketing leads to increased cannabis use among adolescents, including heavy and problematic use https://ja.ma/381KUBZ
Investigation of public reports and websites examines public comments submitted to state health technology assessment programs https://ja.ma/37U8osP
Surgeons and hospitals should continue to question the value of robotics for colectomy https://ja.ma/2NqLsci @UMichCHOPFellow @KyleSheetz @scottregenbogen @jdimick1
Home quarantine for travelers buys time as new virus spreads. My story, with assists from colleagues at @APHealthScience https://apnews.com/24f0467ead5541ccb228ff70c698eb91
A 54-year-old woman presented with progressively worsening gait disturbance. Physical examination revealed persistent leg extension on stimulation of the patellar tendon, shown in a video. A diagnosis of Huntington’s disease was made.
A 32-day-old male infant was evaluated for suspected abusive head trauma. The patient’s mother called emergency medical services and reported that the patient had fallen off a bed; the baby had not lost consciousness and was behaving normally.
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https://ja.ma/2wmviuW From @JAMANetwork
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In a randomized trial in patients at high bleeding risk, PCI with polymer-based zotarolimus-eluting stents followed by one month of dual antiplatelet therapy was non-inferior to PCI with polymer-free drug-coated stents for safety and effectiveness composite outcomes.
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