Dr. Sydney Burwell, Dean of Harvard Medical School 1956

My students are dismayed when I say to them "Half of what you are taught as medical students will in 10 years have been shown to be wrong.
And the trouble is, none of your teachers know which half."



Wednesday, January 29, 2014

Mixed Bag

Featured in NEJM Journal Watch: Are Dietary FODMAPs a Cause of Irritable Bowel Syndrome?
In a randomized trial, IBS symptoms improved with a diet low in short-chain carbohydrates known as FODMAPs, which include fructose, lactose, and polyol sweeteners. Writing in NEJM Journal Watch, Allan Brett concludes: "Clinicians should consider recommending a low-FODMAP diet to IBS patients with abdominal bloating, flatus, and diarrhea." Journal Watch

Drugs cut need for surgery for Crohn's disease sufferers by more than half
The requirement of bowel surgery is dramatically reduced by up to 60% in patients who develop Crohn's disease if they receive prolonged treatment with drugs called thiopurines, says a new study. MedicalXpress

New Ragweed Allergy Immunotherapy Gets Votes of Confidence from FDA Advisers
An FDA advisory committee voted on Tuesday in support of the safety and efficacy of an experimental sublingual tablet to treat ragweed allergy. Adults with ragweed allergy would take Ragwitek — made up of ragweed pollen extracts — daily beginning at least 12 weeks before the start of ragweed pollen season until the season ends. Journal Watch

Chiro pain grounds limited says placebo study
Adeverse events and reactions after chiropractic treatment may not be the result of the treatment itself, a Murdoch University study has found. The study, published in Spine, used 'sham' or placebo therapy and other methods to assess the effects of chiropractic treatment on patients. MedicalXpress

First-line sonographic diagnosis of pneumothorax in major trauma: accuracy of e-FAST and comparison with multidetector computed tomography
Thoracic ultrasound (e-FAST) is a rapid and accurate first-line, bedside diagnostic modality for the diagnosis of pneumothorax in unstable patients with major chest trauma during the primary survey in the emergency room. Ianniello S, Di Giacomo V, Sessa B, Miele V. Radiol Med. 2014 Jan 28. [Epub ahead of print] PMID: 24469989


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