The Rounds Table

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Originally Aired Jan 30: Eosinophilic esophagitis, outbreaks associated with duodenoscopy, and the rise of private endoscopy clinics Samir and Amol want you to understand the following: 1. Eosinophilic esophagitis is an important and under-recognized clinical condition that causes significant symptoms and is very treatable. 2. Endoscopy, and particularly duodenoscopy, is an important potential source of infection transmission. ...

The post Re-Play: Gastroenterology Edition with Dr. Samir Grover, Gastro-naut appeared first on Healthy Debate.

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Amol and Nathan want you to understand the following: 1. A large randomized evaulation of a quality improvement intervention demonstrated a modest but significant reduction in rates of cesarean-section in Quebec. 2. A large double-blind randomized-controlled-trial of over 1100 patients showed that pentoxifylline is not beneficial in the treatment of alcoholic hepatitis and prednisolone may have mild ...

The post A Hippocratic Dilemma: Reducing rates of c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis. appeared first on Healthy Debate.

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This week: The MARQUIS study of interventions to reduce medication errors in hospital, super-utilizer patients, and the potential of community health workers for population health and medical education. Amol and Shail want you to understand the following: 1. Medication errors are an important problem in hospital and a multi-faceted intervention can be effective in addressing this issue. 2. ...

The post What we loved at SGIM 2015: Medication Safety, Super-Utilizers, and Community Health Workers appeared first on Healthy Debate.

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Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ...

The post Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.

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This week: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy of beta-lactam vs beta-lactam plus macrolide vs respiratory fluoroquinolone for the ...

The post The Antibiotics Jam: Community Acquired Pneumonia and Skin Infections appeared first on Healthy Debate.

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This week: A Randomized Controlled Trial of Resident Call Schedules in the ICU and The Natural History of Benign Thyroid Nodules. Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in the ICU in terms of resident sleepiness or patient outcomes. 2. Benign thyroid nodules are ...

The post Take me to the Bank: Resident call schedules in the ICU and Thyroid Nodules appeared first on Healthy Debate.

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Originally aired September 3, 2014: Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that a high quality Randomized Controlled Trial demonstrates that paracetamol is ...

The post Replay: We’re Back (pain)! Perioperative Atrial Fibrillation, Paracetamol and back pain appeared first on Healthy Debate.

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This week: The TITRE2 trial about hemoglobin transfusion strategies after cardiac surgery and the RETRACE study about intracranial bleeding in patients on warfarin. Nathan and Amol want you to understand the following: 1. In cardiac surgery patients, a restrictive transfusion strategy was no different than liberal transfusion in terms of combined clinical outcomes of infectious and vascular events ...

The post All About Bleeding: Transfusion targets after cardiac surgery and intracranial bleeding on warfarin appeared first on Healthy Debate.

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This week: New studies of PCSK9 inhibitors for lipid lowering and a randomized controlled trial of early peanut exposure to prevent allergy Fahad and Amol want you to understand the following: 1. PCSK9 inhibitors are new cholesterol-lowering monoclonal antibodies that have been shown to reduce LDL beyond standard therapy with statins and have been associated with reduced ...

The post Peanut Placebo, Nocebo, PCSK9: Lipid lowering and peanut allergy appeared first on Healthy Debate.

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Originally aired March 11, 2014: obesity, palliative care, hepatitis c Amol, Fahad, and Travis want you to: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic options in chronic Hepatitis C infection and their associated cost ...

The post We turned one! “Too rich for my blood: Obesity, palliative care, hepatitis c” appeared first on Healthy Debate.