New ACP Guidelines for Nonradicular Low Back Pain Veronica Hackethal, MD
February 27, 2017
The American College of Physicians (ACP) has released updated guidelines for the noninvasive treatment of nonradicular subacute, acute, and chronic low back pain in primary care. The guidelines, along with updated evidence reviews, are published online February 13 in the Ann...
Among new users of PPIs, more than half of those who go on to develop chronic kidney damage while taking the medication have no signs of acute kidney injury (AKI) beforehand, a new study shows.
Yan Xie, MPH, from Veterans Affairs (VA) Saint Louis Health Care System, Missour...
Blood Pressure Targets in Older Patients: Many Guidelines, Much Confusion An Interview With Franz Messerli, MD
February 23, 2017
In 2014, the Joint National Committee (JNC) 8 relaxed the systolic blood pressure (SBP) goal for people ≥ 60 years from < 140 mm Hg to < 150 mm Hg.[1] The American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) joint practice guideli...
Treat the Risk, Not Just the Numbers, for Hypertension, From Heartwire CME, Authors: News Author: Larry Hand CME Author: Charles P. Vega, MD
January 21, 2016
Clinical Context
High blood pressure is a highly common finding in the United States, affecting tens of millions of US adults. However, the best practice for the management of high blood pressure remains controversial. The authors of the current study provide a background in the debate over ...
http://www.medscape.com/cardiology/news BP Targets Far Below Guidelines Cut Mortality, CV Events: SPRINT Trial
September 15, 2015
WASHINGTON, DC ( updated with commentary ) — A large study funded by the National Institutes of Health (NIH) has found that a more intensive strategy of lowering blood pressure—one that aims to achieve a systolic blood-pressure target of 120 mm Hg—reduces the risk of d...
http://www.medscape.org/viewpublication/30113 Treatment vs Risk: Updated Look at ACC/AHA Statin Guidelines.
September 15, 2015
CLINICAL CONTEXT
The 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines for cholesterol management defined new eligibility criteria for statin treatment. It was previously undetermined whether the new criteria would improve identification of ...
Defending Testosterone, Debunking the Myths
July 30, 2015
Abraham Morgentaler, MD. June 04, 2015
Testosterone: A Fear-Fueled Debate
The effects of testosterone deficiency (also called "hypogonadism" or, informally, "low T") have been recognized for millennia. The treatment of hypogonadism has been described in medical textbooks for decades, and the symptoms are observed...
A pragmatic guide to asymptomatic bacteriuria and testing for urinary tract infections (UTIs) in people aged over 65 years
July 23, 2015
14 | July 2015 | best tests
Asymptomatic bacteriuria is not necessarily bad bacteria
It is a common misconception that urine from a healthy person is sterile. In reality bacteria from the gastrointestinal tract can readily enter the bladder via the urethra. Once in the bladder, bacteria are often el...
Aspirin Benefits Outweigh Risks in Macular Degeneration
July 19, 2015
Laird Harrison; July 16, 2015
VIENNA — Patients can continue to take aspirin as recommended by their primary care physicians without fear of worsening their macular degeneration, researchers say.
"Taking patients off aspirin can cause premature morbidity and mortality," said Kent Small, MD, from Los A...
The ABCDEFs of Direct Oral Anticoagulant Monitoring
July 16, 2015
By Will Boggs MD July 01, 2015
NEW YORK (Reuters Health) - The first six letters of the English alphabet form the basis of a new checklist for monitoring patients receiving direct oral anticoagulants (DOACs) for stroke prevention in atrial fibrillation.
"The checklist was designed as a knowledge-translat...
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