The French Society of Internal Medicine ’s Top-5 List of Recommendations: a National Web-Based Survey
AbstractBackgroundThe international project “Choosing Wisely” aims to target unnecessary and potentially harmful examinations and treatments.ObjectiveTo define the French Internal Medicine Top-5 list.DesignBased on a review of existing Top-5 lists and personal experience, a working group of the French National Society of Internal Medicine selected 27 diagnostic and therapeutic procedures. They were submitted through a national web-based survey to French internists who rated from 1 to 5 the perceived frequency, uselessness, and risk of each procedure. A composite score was calculated as the unweighted addition of the three scores.ParticipantsFour hundred thirty internists answered the web-based survey (14% of all French internists including residents). All the French regions and status of the profession were represented.Key ResultsFor the 27 submitted procedures, the mean score ( ± SD) was 3.25 (± 0.48) for frequency, 3.10 (± 0.43) for uselessness, and 2.63 (± 0.84) for risk.The Top-5 list obtained with the composite score was as follows:Do not prescribe long-term treatment with proton pump inhibitors without regular reevaluation of the indicationDo not administer preventive treatments (e.g., for dyslipidemia, hypertension …) in elderly people with dementia when potential risks outweigh the benefitsDo not administer hypnotic medications as first-line treatment for insomniaDo not treat with an anticoagulant for...
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We present the case of a 38-year-old woman with a diagnosis of cerebral venous thrombosis that developed after lithotripsy of the submandibular gland. Few cases of vessel thrombosis after lithotripsy have been reported in other organs, this is the unique cerebral case reported. PMID: 32646599 [PubMed - as supplied by publisher]
ConclusionsThe DAPT Score might be useful to for identifying with ACI who are suitable to receive aspirin combined with clopidogrel. Future large-scale, multi-center prospective studies are necessary.
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Publication date: Available online 10 July 2020Source: American Journal of Kidney DiseasesAuthor(s): Lara Meyer, Marc Ulrich, Didier Ducloux, Valérie Garrigue, Cécile Vigneau, Dominique Nochy, Guillaume Bobrie, Sophie Ferlicot, Magalie Colombat, Jean-Jacques Boffa, Karine Clabault, Jeannette Mansour, Christiane Mousson, Raymond Azar, Jean-Louis Bacri, Antoine Dürrbach, Christian Duvic, Khalil El Karoui, Maxime Hoffmann, Arnaud Lionet
Authors: Kwon HJ, Lim JW, Byoun HS, Koh HS Abstract The crossing Y-stent method is one of the indispensable techniques to achieve sufficient neck coverage during coil embolization of bifurcation aneurysms with a wide neck and/or branch incorporation. However, the inevitable hourglass-like expansion of the second stent at the crossing point can result in insufficient vessel wall apposition, reduced aneurysm neck coverage, delayed endothelialization, and subsequent higher risks of acute or delayed thrombosis. It also interferes with engagement of the microcatheter into the aneurysm after stent installation. We expect...
Publication date: Available online 10 July 2020Source: Journal of NeuroradiologyAuthor(s): Grégoire Boulouis, Jérôme Berge, Hubert Desal, Jean Pierre Pruvo, Emmanuel Touzé, François Cotton, on behalf of the SFNR
CONCLUSION: Frequent engagement in late life cognitive activity may help maintain decision-making among older persons, particularly among those with lower levels of cognitive function. PMID: 32646635 [PubMed - as supplied by publisher]
Authors: PMID: 32643872 [PubMed - in process]
CONCLUSIONS: This panel of 6 markers in blood serum may indicate underlying neurodegenerative processes in patients with AD at the MCI stage. The authors assume that a deranged equilibrium of neuroprotective and inflammatory processes is an overall major cause for neurodegeneration and cognitive decline. PMID: 32649324 [PubMed - as supplied by publisher]