The Rounds Table

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VOICE: Tenofovir and Emtricitabine for HIV pre-exposure prophylaxis in African women and SARAH: Hand exercises in Rheumatoid Arthritis Fahad and Amol want you to understand the following: 1. Pre-exposure prophylaxis was not effective in a population of African women. Medication adherence was apparently excellent based on self-report and pill counting, however serum drug levels demonstrated that it ...

The post SARAH’s VOICE: Pre-exposure prophylaxis in HIV and exercise for the rheumatoid hand appeared first on Healthy Debate.

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The CHIPS trial of Hypertension in Pregnancy and TIPPS trial of Thrombophilia in Pregnancy Janice and Amol want you to understand the following: 1. Tight blood pressure control in pregnancy does not affect fetal outcomes in pregnancy compared with loose blood pressure control. The only difference in maternal outcomes is a reduced risk of severe hypertension ...

The post Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy 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 The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.

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Originally aired July 2, 2014: Cryptogenic Stroke and Atrial Fibrillation, Naloxegol for Opioid-Induced Constipation Fahad and Amol want you to: 1. Appreciate the importance of subclinical atrial fibrillation in cryptogenic stroke and consider longer monitoring to detect it. 2. Recognize Naloxegol as a targeted therapy for opioid-induced constipation that is more effective than placebo but its effectiveness has not been compared directly ...

The post Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation appeared first on Healthy Debate.

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Factor XI Antisense Oligonucleotides for Post-operative VTE and Intra-arterial Treatment for Stroke Nathan and Amol want you to understand the following: 1. Factor XI is a promising treatment target for preventing VTE, with a recent study showing that an antisense oligonucleotide was more effective in reducing VTE and had less associated bleeding than enoxaparin. 2. Intra-arterial ...

The post These are not real stock tips: Post-op DVT Prophylaxis and Intra-arterial Treatment of Stroke appeared first on Healthy Debate.

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Eosinophilic esophagitis 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. 3. The rise of outpatient endoscopy clinics requires the development of an appropriate remuneration, regulatory, ...

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

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Neighbourhood Disadvantage and 30-day Rehospitalization; Teixobactin – a Novel Antibiotic Reena and Amol want you to understand the following: 1. Neighbourhood disadvantage was associated with an increased risk of readmission similar to the presence of chronic diseases like COPD. 2. Teixobactin is a new antibiotic with activity against gram positive organisms that was discovered using ...

The post From SES to Soil: Neighbourhood Disadvantage and A Groundbreaking New Antibiotic appeared first on Healthy Debate.

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Originally Aired October 1, 2014: Blood Transfusions in Upper GI Bleeding, Aspirin in DVT prophylaxis, Vasopression and Steroids in Cardiac Arrest, MRSA Decolonization, Fluid and Sodium Restriction in Heart Failure Fahad and Amol want you to gain familiarity with a number of major new studies in hospital medicine published in 2013. Continuing Medical Education Internists can ...

The post Best of Hospital Medicine 2013 Part II appeared first on Healthy Debate.

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Originally Aired September 24, 2014: Fecal Transplantation & Probiotics for C. difficile; Prone Positioning in ARDS; Steroids in COPD; Hospital Management of Diabetes. Fahad and Amol want you to gain familiarity with a number of major studies in hospital medicine published in 2013. 1. Fecal transplantation is effective for recurrent C. difficile infection. 2. Probiotics are ...

The post Best of Hospital Medicine 2013 Part I appeared first on Healthy Debate.

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This week, Travis and Amol want you to recognize that: 1. Recognize whole exome sequencing is an important new method of identifying genetic mutations associated with disease. 2. Understand that the 4-year follow-up of the PROTECT AF study showed that left atrial appendage closure devices may be superior to warfarin in preventing strokes in patients with atrial ...

The post Value Judgments: Whole exome sequencing and left atrial appendage closure devices appeared first on Healthy Debate.