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2 Minute Medicine Rewind November 16, 2020

...compared to usual care, in patients with advanced lung or colorectal cancer. 2. ACP was found to increase the number of patients receiving specialized palliative care, and having advanced directives recorded in hospital files. Evidence Rating Level: 1 (Excellent) Discussions regarding end-of-life plans among patients, family, and healthcare professionals are associated with numerous positive outcomes, such as better emotional functioning, increase...

2 Minute Medicine Rewind March 29, 2021

...veloping heart failure in younger populations compared to older populations. 2. Population-attributable risk of heart failure was better explained by traditional risk factors in younger than in elderly patients. Evidence Rating Level: 2 (Good) Heart failure, which can affect up to 1 in 5 adults, is usually found in patients 65 years old and above but not exclusively. Reports have noted that younger adults who develop heart failure are usually, non...

2 Minute Medicine Rewind July 6, 2020

...among Black persons was significantly higher than those among White persons. 2. Among several possibilities, this may illustrate racial health disparities related to precision and extent of diagnostic workups prior to death. Evidence Rating Level: 2 (Good) Clinical autopsy rates have declined over time, potentially due to overconfidence in antemortem diagnostic improvements and financial constraints. However, autopsy rates between racial groups ha...

2 Minute Medicine Rewind October 12, 2020

...oronary syndrome data and percutaneous coronary intervention data from the UK. The population consisted of adults diagnosed with AMI from February to May 2019 (for the pre-COVID group) and from February to May 2020 (for the COVID group). Overall, the study found that 5.6% of all AMI hospital admissions were related to OHCA during the pandemic, whereas 3.6% of were OHCA-related in the pre-COVID group. There were significantly more AMI hospital admi...

2 Minute Medicine Rewind May 11, 2020

...etween the ages of 18 and 30 years across four medical centers across the U.S. Data was acquired from February 1985 to May 2011. This study was limited to those who self-reported as African American and excluded those who did not undergo cognitive testing, resulting in a total of 1,568 participants for analysis (M [SD] age = 25 [4] years, 59.7% female). The Getis and Ord local Gi* statistic was used to measure neighborhood-level residential segreg...

2 Minute Medicine Rewind August 31, 2020

...Vital statistics underestimated dementia mortality burden by a factor of 2.7. 2. Non-Hispanic Black persons demonstrated significantly greater mortality burden than non-Hispanic White persons. Evidence Rating Level: 2 (Good) Dementia is a leading cause of death in the US and abroad, with Alzheimer’s disease accounting for approximately 80% of dementia cases. However, vital statistics are generally the method through which we determine mortality b...

Comparative efficacy of psychotherapies for reducing self-harm and suicidality in young individuals shows inconsistent...

...vent a consistent and objective assessment of their comparative performance. 2. This lack of consistent evidence precludes a definitive hierarchy of psychotherapeutic treatments during clinical decision-making, indicating the need for further high-quality randomized clinical trials (RCTs). Evidence Rating Level: 1 (Excellent) Study Rundown: Self-harm and suicidal behavior are associated with substantial morbidity and mortality and known to peak in...

Wellness Check: Nutrition

...ement can be automated and personalized based on cafeteria purchase history. 2. Personalized, automated behavioral intervention did not alter weight but improved diet choices during the 2-year observational period. Evidence Rating Level: 1 (Excellent) With the growing obesity epidemic in the US, effective and sustainable weight management interventions are urgently needed, especially at the workplace. However, most workplace interventions are shor...

2 Minute Medicine Rewind May 25, 2020

...atory central nervous system events . Evidence Rating Level: 2 (Good) The U.S. Food and Drug Administration has approved five tumor necrosis factor (TNF) inhibitors as immunotherapies for autoimmune diseases: etanercept, adalimumab, infliximab, golimumab, and certolizumab pegol. However, TNF inhibitor exposure has since been found to potentially be associated with inflammatory, demyelinating events in the central nervous system (CNS) including but...

2 Minute Medicine Rewind September 28, 2020

...e exposures were associated with improved cognitive performance in children. 2. Black children experienced fewer cognitively beneficial exposures than other racial groups. Evidence Rating Level: 2 (Good) Racial disparities in all aspects of healthcare are at least partially consequences of inequitable social environments. Identifying and modifying these risk factors associated with racial disparities can serve to reduce or prevent these disparitie...

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