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Hospital Medicine
Concise perspectives and commentary on the latest literature and guidelines relevant to hospital medicine from generalists, specialists, and practicing hospitalists.
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Featured Article
FEATURE
Palliative Sedation to Alleviate Intractable Distress of the Dying Patient
- November 16, 2009
- Stephanie Grossman, MD, FHM, FAAPM
A review of treatment options
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
When Biology Meets Personal Choices
- November 12, 2009
- Anna Wald, MD, MPH
- Women's Health
Risks for ischemic stroke and myocardial infarction were substantially higher in women with lupus anticoagulant who smoked or used oral contraceptives.
- Reviewing:
- Urbanus RT et al. Lancet Neurol 2009 Nov; 8:998
SUMMARY AND COMMENT
Pneumococcal DNA Load in CAP
- November 10, 2009
- Larry M. Baddour, MD
- Infectious Diseases
The Streptococcus pneumoniae DNA load in blood may have both diagnostic and therapeutic implications.
- Reviewing:
- Peters RPH et al. J Clin Microbiol 2009 Oct; 47:3308
SUMMARY AND COMMENT
Mortality in Dialysis Patients
- November 12, 2009
- Thomas L. Schwenk, MD
- General Medicine
Risk was elevated for both cardiovascular and noncardiovascular causes.
- Reviewing:
- de Jager DJ et al. JAMA 2009 Oct 28; 302:1782
SUMMARY AND COMMENT
Maternal Depression: We Must Be Aware
- November 10, 2009
- William P. Kanto, Jr., MD
- Pediatrics and Adolescent Medicine
Among women with symptoms of postpartum depression, having a controlling partner was significantly associated with persistent depression.
- Reviewing:
- Blabey MH et al. Am J Obstet Gynecol 2009 Aug; 201:173.e1
SUMMARY AND COMMENT
Prevention of Flu Transmission in Households
- November 12, 2009
- Richard Saitz, MD, MPH, FACP, FASAM
- General Medicine
Hand hygiene and face masks can help prevent the spread of influenza.
- Reviewing:
- Cowling BJ et al. Ann Intern Med 2009 Oct 6; 151:437
SUMMARY AND COMMENT
Price of Nonadherence to Antihypertensive Medications
- November 10, 2009
- Kirsten E. Fleischmann, MD, MPH
- General Medicine
High adherers had a significantly lower risk for cardiovascular disease.
- Reviewing:
- Mazzaglia G et al. Circulation 2009 Oct 20; 120:1598
SUMMARY AND COMMENT
Anticholinergic Drugs and Acute Urinary Retention
- November 10, 2009
- Allan S. Brett, MD
- General Medicine
Risk is highest during the first several weeks of treatment.
- Reviewing:
- Martín-Merino E et al. J Urol 2009 Oct; 182:1442
SUMMARY AND COMMENT
Revascularization Is Ineffective for Atherosclerotic Renal Artery StenosisFree
- November 12, 2009
- Richard Saitz, MD, MPH, FACP, FASAM
- General Medicine
This procedure conferred substantial risk without clinical benefit.
- Reviewing:
- The ASTRAL Investigators. N Engl J Med 2009 Nov 12; 361:1953
SUMMARY AND COMMENT
Trends in ED Wait Times by Triage Class
- November 13, 2009
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
Increasingly, EDs fail to provide care within the target time for their sickest patients.
- Reviewing:
- Horwitz LI and Bradley EH. Arch Intern Med 2009 Nov 9; 169:1857
SUMMARY AND COMMENT
Immediate vs. Delayed ICU Admission for Patients with CAP
- November 13, 2009
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Direct admission to the ICU is associated with lower mortality and shorter hospital stay.
- Reviewing:
- Renaud B et al. Crit Care Med 2009 Nov; 37:2867
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