Latest Articles
- Laparoscopic repair of giant paraesophageal hernias: An update for internists
Laparoscopic repair is safe and can provide excellent results.
- In-hospital initiation of statins: Taking advantage of the ‘teachable moment’
For a variety of reasons, starting a statin in the hospital increases long-term compliance.
- Withholding nutrition at the end of life: Clinical and ethical issues
The decision to withhold or withdraw enteral or parenteral nutrition at the end of life should be based on medical need, in collaboration with the family and patient, if possible.
- Staphylococcus aureus bacteremia: Using echocardiography to guide length of therapy
Empiric long-term antibiotic therapy is no longer uniformly recommended for all cases of S aureus bacteremia, although experts disagree about the optimal length of therapy.
- The Lescol Intervention Prevention Study (Lips)
The trial showed a significant reduction in cardiac events in patients who received a statin drug immediately after a successful percutaneous coronary intervention. Currently, this is seldom done.
- Proteinuria: How to evaluate an important finding
Proteinuria should be taken seriously, even in outpatients without symptoms.
- Atrial fibrillation: Rate control is as good as rhythm control for some, but not all
Many clinicians are questioning the need to restore or maintain sinus rhythm in atrial fibrillation. What did four recent trials show ?