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, February 19, 2014

Reviews

Do Epidural Injections Provide Short- and Long-term Relief for Lumbar Disc Herniation? A Systematic Review
The available evidence suggests that epidural injections performed under fluoroscopy by trained physicians offer improvement in pain and function in well-selected patients with lumbar disc herniation. Manchikanti L, Benyamin RM, Falco FJ, Kaye AD, Hirsch JA. Clin Orthop Relat Res. 2014 Feb 11. [Epub ahead of print] PMID: 24515404

Antibiotics for preventing suppurative complications from undifferentiated acute respiratory infections in children under five years of age
The quality of evidence currently available does not provide strong support for antibiotic use as a means of reducing the risk of otitis or pneumonia in children up to five years of age with undifferentiated ARIs. Further high-quality research is needed to provide more definitive evidence of the effectiveness of antibiotics in this population. Alves Galvão MG, Rocha Crispino Santos MA, Alves da Cunha AJ. Cochrane Database Syst Rev. 2014 Feb 18;2:CD007880. [Epub ahead of print] PMID: 24535959

Evaluation of the quality of clinical practice guidelines for the management of esophageal or gastric variceal bleeding
The overall quality of CPGs for the management of esophageal or gastric VB has improved over time. Although the overall quality was not optimal, two guidelines achieved an excellent rating. A summary of recommendations is provided. Ríos E, Serón P, Lanas F, Bonfill X, Quigley EM, Alonso-Coello P. Eur J Gastroenterol Hepatol. 2014 Feb 14. [Epub ahead of print] PMID: 24535595

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