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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.
Featured Article
SUMMARY AND COMMENT
Aldosterone Antagonists and Heart Failure
- October 21, 2009
- Frederick A. Masoudi, MD, MSPH
- Cardiology
Potholes remain in the road toward adoption of evidence-based guideline recommendations.
- Reviewing:
- Albert NM et al. JAMA 2009 Oct 21; 302:1658
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
Chest Compression Fraction and Survival from Cardiac ArrestFree
- October 30, 2009
- Aaron E. Bair, MD, MSc, FAAEM, FACEP
- Emergency Medicine
Minimizing interruption of chest compressions is associated with improved survival.
- Reviewing:
- Christenson J et al. Circulation 2009 Sep 29; 120:1241
SUMMARY AND COMMENT
H. pylori and Gastric Cancer
- October 30, 2009
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
- Gastroenterology
Eradication of H. pylori infection did not significantly reduce the incidence of gastric cancer.
- Reviewing:
- Mabe K et al. World J Gastroenterol 2009 Sep 14; 15:4290
SUMMARY AND COMMENT
Depression Is Bad for Your Heart
- October 26, 2009
- Steven Dubovsky, MD
- Psychiatry
And attaining remission significantly improves mortality risk in patients with acute coronary syndromes.
- Reviewing:
- Glassman AH et al. Arch Gen Psychiatry 2009 Sep; 66:1022
SUMMARY AND COMMENT
Tiotropium Attenuates Symptoms in Moderate COPD but Does Not Slow Progression
- October 27, 2009
- Bruce Soloway, MD
- General Medicine
Tiotropium can be as effective for patients with early-stage COPD as it is for patients with more-severe disease.
- Reviewing:
- Decramer M et al. Lancet 2009 Oct 3; 374:1171
FEATURE
Screening for Prostate and Breast Cancers
- October 29, 2009
- Thomas L. Schwenk, MD
- General Medicine
Have the benefits been overstated?
SUMMARY AND COMMENT
HLA-DR Recovery and Risk for Secondary Infections in Sepsis
- October 28, 2009
- Thomas Glück, MD
- Infectious Diseases
Slow recovery of depressed HLA-DR was associated with increased risk for secondary infections.
- Reviewing:
- Lukaszewicz A-C et al. Crit Care Med 2009 Oct; 37:2746
SUMMARY AND COMMENT
Cardiovascular Implantable Electronic Device Infections: The Surge Continues
- October 28, 2009
- Larry M. Baddour, MD
- Infectious Diseases
The incidence of infection is increasing faster than the rate of implantation.
- Reviewing:
- Voigt A et al. Pacing Clin Electrophysiol 2009 Sep 30
SUMMARY AND COMMENT
A Glimmer of Hope for HIV VaccinesFree
- October 22, 2009
- Frances H. Priddy, MD, MPH, and Carlos del Rio, MD
- HIV/AIDS Clinical Care
A large trial has shown that a vaccine can protect against HIV acquisition. The task now is to figure out how to build on this initial success.
- Reviewing:
- Rerks-Ngarm S et al. N Engl J Med 2009 Oct 20
SUMMARY AND COMMENT
Intranasal Naloxone Is Effective for Opioid Overdose
- October 30, 2009
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Time from patient contact to clinical response was the same with intranasal and intravenous naloxone.
- Reviewing:
- Robertson TM et al. Prehosp Emerg Care 2009 Oct-Dec; 13:512
SUMMARY AND COMMENT
Chest X-Ray Abnormalities Associated with H1N1 Influenza Infection
- October 30, 2009
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Patchy consolidation, often bilateral, was the most common finding.
- Reviewing:
- Agarwal PP et al. AJR Am J Roentgenol 2009 Oct 12
Journal Watch Hospital Medicine discusses authoritative journal articles about wide-reaching topics within Hospital Medicine, including hospital administration, managed care, healthcare cost and quality, and other topics of critical importance to hospitalists.
