AccessMedicine from McGraw-Hill

• Echocardiographic Contrast Agents: Safe and Efficacious This commentary discusses the safety of ultrasonic contrast agents and the authors urges their use in echocardiography.
  AccessMedicine from McGraw-Hill, November 2009
• Genome-Wide Association Studies of Coronary Artery Disease This is not the end. It is not even the beginning of the end. However, it is perhaps the end of the beginning.
  AccessMedicine from McGraw-Hill, October 2009
• Roflumilast in Moderate to Severe Chronic Obstructive Pulmonary Disease PDE-4 inhibitors -- an important step for treating severe COPD?
  AccessMedicine from McGraw-Hill, October 2009
• Gastroesophageal Reflux and Insomnia Sleep-related GER disrupts sleep, causes insomnia, and is associated with daytime functional impairment.
  AccessMedicine from McGraw-Hill, October 2009
• Warfarin Pharmacogenetics An important brief review with clinical implications. Genetic variation clearly affects warfarin dose requirements and predilection to toxicity.
  AccessMedicine from McGraw-Hill, September 2009
• A New Oral Direct Thrombin Inhibitor for Atrial Fibrillation May be Superior to Warfarin The results of this trial are encouraging, and suggest that a safe, effective alternative to warfarin may have arrived.
  AccessMedicine from McGraw-Hill, September 2009
• Primary Care Physicians Diagnosis of Major Depression Has Modest Accuracy About 15% of individuals in general medical practices have major depression. Are PCPs able to identify it?
  AccessMedicine from McGraw-Hill, September 2009
• Percutaneous Coronary Intervention versus Coronary-Artery Bypass Grafting for Severe Coronary Artery Disease: A Review of the SYNTAX Trial Although CABG resulted in lower rates of the combined endpoint at 1 year, important information in the SYNTAX trial should not be casually overlooked.
  AccessMedicine from McGraw-Hill, September 2009
• Fluid and Electrolyte Management of the Surgical Patient One component of fast-track surgery is perioperative fluid restriction. Is that reasonable in all cases?
  AccessMedicine from McGraw-Hill, August 2009
• Denosumab: A Potential New Treatment for Osteoporosis Denosumab is an innovative agent that builds upon knowledge of how key hormones regulate osteoclastogenesis.
  AccessMedicine from McGraw-Hill, August 2009
• Simple Abscesses -- Can We Poke without the Pack? Challenging the common wisdom that packing is critical to the care and healing of cutaneous abscesses.
  AccessMedicine from McGraw-Hill, August 2009
• TMC207: A Diarylquinoline with Promising Results against Multidrug-Resistant Tuberculosis in the Exploratory Stage of a Two-Stage Phase 2 Trial These authors have obtained encouraging results of the efficacy and safety of a novel antituberculosis agent, which could have important ramifications.
  AccessMedicine from McGraw-Hill, August 2009
• Biliary Dyskinesia This brief review provides current information, including a recent international consensus opinion to distinguish functional biliary disorders from other functional abdominal pain syndromes.
  AccessMedicine from McGraw-Hill, July 2009
• Upper Abdominal Vein Thromboses A 30-year-old Hispanic female presents 26 days following a spontaneous delivery of a intrauterine fetal demise of unknown etiology.
  AccessMedicine from McGraw-Hill, July 2009
• Emergency Medicine: Upper GI Bleeding and Outpatient ManagementSettling the Score Is there a simple way to identify low-risk UGI bleeders who could be discharged to home from the ED and managed as outpatients? Read on.
  AccessMedicine from McGraw-Hill, July 2009
• Migraine with Aura in Women Is Associated with Cerebellar Brain Infarctions Contrary to common belief, migraine is systemic with a variety of manifestations.
  AccessMedicine from McGraw-Hill, July 2009
• Polypill Use for Cardiovascular Risk Factor Reduction A brief review of the current evidence on the use of a polypill for preventing cardiovascular disease.
  AccessMedicine from McGraw-Hill, June 2009
• Emergence of Meningococcal Resistance to Ciprofloxacin in North America Ciprofloxacin-resistant meningococcal disease in the United States has arrived. Be on the alert.
  AccessMedicine from McGraw-Hill, June 2009
• Emergency Medicine: Comparison of Two Methods of Pediatric Resuscitation and Critical Care Management Errors in medication administration cause an estimated 7,000 deaths annually. When it occurs in children, it is an unacceptable tragedy.
  AccessMedicine from McGraw-Hill, June 2009
• Antithrombotic Therapy in Chronic Atrial Fibrillation Preventing stroke in patients with Afib is a challenge. This report on ACTIVE offers an alternative to warfarin, but problems remain.
  AccessMedicine from McGraw-Hill, June 2009
• The Appendix and Inflammatory Bowel Disease An appendectomy may have unexpected benefits in patients at risk for ulcerative colitis.
  AccessMedicine from McGraw-Hill, May 2009
• Smoking Likely a Risk Factor for ALS This paper may be the beginnings of identifying a link between a toxic environmental exposure and a disorder where treatments are so badly needed.
  AccessMedicine from McGraw-Hill, May 2009
• Evidence-Based Treatment of Hypercalcemia Loop diuretics versus bisphosphonates and calcitonin. Are you using best evidence for treating hypercalcemia?
  AccessMedicine from McGraw-Hill, May 2009
• HHV-6 Found as Potential Causative Agent in Cases of Unexplained Encephalitis The surprisingly large percentage of patients testing positive for Human herpesvirus 6 in this study is tantalizing
  AccessMedicine from McGraw-Hill, May 2009
• Aspirin "Resistance": Is There an Elephant in the Room? Should there be a test for aspirin resistance?
  AccessMedicine from McGraw-Hill, April 2009