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A “no-biopsy” approach to diagnosing celiac disease

Author/s: Mott, T., Gray, C., Storey, J.

PRACTICE CHANGER
CONSIDER A “NO-BIOPSY” APPROACH BY EVALUATING SERUM IMMUNOGLOBULIN (IG) A ANTI-TISSUE TRANSGLUTAMINASE (TTG-IGA) ANTIBODY TITERS IN ADULT PATIENTS WHO PRESENT WITH SYMPTOMS CONCERNING FOR CELIAC DISEASE (CD). AN INCREASE OF ≥ 10 TIMES THE UPPER LIMIT OF NORMAL (ULN) FOR...

Keywords/Tags:
celiac disease Gastroenterology diagnosis Predictive Value of Tests Alternative Approach

Cardiovascular outcomes in adults with hypertension with evening versus morning dosing of usual antihypertensives in the UK (TIME study): a prospective, randomised, open-label, blinded-endpoint clinical trial

Author/s: Mackenzie, I. S., Rogers, A., Poulter, N. R., Williams, B., Brown, M. J., Webb, D. J., Ford, I., Rorie, D. A., Guthrie, G., Grieve, J. W. K., Pigazzani, F., Rothwell, P. M., Young, R., McConnachie, A., Struthers, A. D., Lang, C. C., MacDonald, T. M.

Background: Studies have suggested that evening dosing with antihypertensive therapy might have better outcomes than morning dosing. The Treatment in Morning versus Evening (TIME) study aimed to investigate whether evening dosing of usual antihypertensive medication improves major cardiovascular...

Keywords/Tags:
Intention to Treat Analysis Antihypertensive Agents Cardiovascular Diseases Surveys and Questionnaires United Kingdom

Acid Suppression and Antibiotics Administered During Infancy Are Associated with Celiac Disease

Author/s: Boechler, M., Susi, A., Hisle-Gorman, E., Rogers, P. L., Nylund, C. M.

Objective
To investigate why certain at-risk individuals develop celiac disease, we examined the association of proton pump inhibitors (PPI), histamine-2 receptor antagonist (H2RA), and antibiotic prescriptions in the first six months of life with an early childhood diagnosis of celiac...

Keywords/Tags:
Infancy Retrospective Studies children prescriptions celiac disease

Prune Juice Containing Sorbitol, Pectin, and Polyphenol Ameliorates Subjective Complaints and Hard Feces While Normalizing Stool in Chronic Constipation: A Randomized Placebo-Controlled Trial

Author/s: Koyama, T., Nagata, N., Nishiura, K., Miura, N., Kawai, T., Yamamota, H.

Introduction: The aim of this study was to determine the effectiveness of prune juice on chronic constipation.

Methods: We conducted a double-blind, randomized, placebo-controlled trial in Japanese subjects with chronic constipation.

Results: Prune intake significantly decreased...

Keywords/Tags:
Pectins Feces Dietary Fiber Double-Blind Method randomized control trial

Screening for Depression and Suicide Risk in Children and Adolescents

Author/s: Jin, Jill

Depression is a leading cause of disability in the US. Children and adolescents with depression typically have functional impairments in their performance at school or work as well as in their interactions with their families and peers. Depression can also negatively affect the developmental...

Keywords/Tags:
depression screening adolescents

Anxiety in Children and Adolescents: Screening

Author/s: Carol M. Mangione, MD, MSPH

Anxiety disorder, a common mental health condition in the US, comprises a group of related conditions characterized by excessive fear or worry that present as emotional and physical symptoms. The 2018-2019 National Survey of Children’s Health (NSCH) found that 7.8% of children and adolescents...

Keywords/Tags:
anxiety Anxiety disorders adolescent adolescent psychiatry preventative care USPSTF

Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain

Author/s: McDonagh, M. S., Wagner, J., Ahmed, A. Y., Fu, R., Morasco, B., Kansagara, D., Chou, R.

In an effort to address the opioid epidemic, a prominent goal of current research is to identify alternative treatments with equal or better benefits for pain while avoiding potential unintended consequences that could result in harms.

This 'living' systematic review assesses the...

Keywords/Tags:
Policy Goals chronic pain cannabis use opiod misuse

Confidently rule out CAP in the outpatient setting

Author/s: Mott, T., Echeverri, D., Fondren, L., Hunter, A.

A focus on specific signs and symptoms-without imaging-may rule out community-acquired pneumonia in outpatients.
Keywords/Tags:
Physician-Patient Relations Health Status risk assessment community-acquired pneumonia outpatients

A Hitchhiker's Guide to Worldwide COVID-19 Vaccinations: A Detailed Review of Monovalent and Bivalent Vaccine Schedules, COVID-19 Vaccine Side Effects, and Effectiveness Against Omicron and Delta Variants

Author/s: Goyal, L., Zapata, M., Ajmera, K., Churasia, P., Pandit, R., Pandit, T.

For the primary prevention of coronavirus disease 2019 (COVID-19), there are currently four different vaccines available in the USA. These are Pfizer (messenger RNA [mRNA]), Moderna (mRNA), Novavax (recombinant protein), and Jansen/Johnson & Johnson (adenoviral vector). All individuals...

Keywords/Tags:
Cost-Benefit Analysis COVID-19 vaccination counseling primary prevention

A challenging diagnosis: hereditary angioedema presenting during pregnancy

Author/s: Chair, I., Lacuesta, G., Nash, C. M., Cook, V.

• Hereditary angioedema (HAE) is a rare autosomal dominant
disorder characterized by recurrent episodes of painful (and
usually asymmetric) swelling without urticaria that leads to
substantial morbidity and even mortality (in the case of
laryngeal involvement) if left...

Keywords/Tags:
abdominal pain Morbidity diagnosis, differential Hereditary angioedema (HAE) female

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