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Past SEH Monday Teaching Topics

Page history last edited by kmccalmont@salud.unm.edu 3 years, 6 months ago

Here is a list of past SEH Monday teaching topics (2015-2019):

11/2/15	Dr. Tomedi	Answering a clinical question, evaluating evidence		Answering a clinical question.ppsm
11/16/15	Jared Lunkenheimer	Topical NSAIDs	Consider in patient with muscle strain, especially in setting of contraindications for oral NSAIDs.	Cochrane Review- Topical NSAIDs.pdf
11/30/15	Stephanie McGirt & Dr. Tomedi	Evaluating the SPRINT trial	More intensive blood pressure control (systolic < 120) may be appropriate for patients with increased cardiovascular risk	SPRINT hypertension trial.pdf
1/18/16	Andrew Russell and Dr. Tomedi	HCTZ versus chlorthalidone	Chlorthalidone is more effective at controlling blood pressure and preventing cardiovascular disease	Chlorthalidone vs HCTZ-SR.pdf HCTZ vs Chlorthalidone-SR.pdf
5/16/16	Molly McClain	USPSTF recommendations for aspirin		Aspirin for CVD and Cancer Prevention-USPSTF.pdf
6/6/16	Tu Dao	Hypertension goals in the elderly		Intensive BP control in Elderly-RCT-2.pdf
6/27/16	Jared Lunkenheimer	Evidence for Mediterranean diet		Mediterranean diet-secondary prevention.pdf Mediterranean Diet and Breast Cancer- RCT.pdf Mediterranean Diet and Age-Related Cognitive Decline-RCT.pdf
8/8/16	Phung Vo	Aspirin for prevention of pre-eclampsia	Start low dose aspirin (81mg) at 12 weeks for high risk patients	https://www.acog.org/About-ACOG/News-Room/Practice-Advisories/Practice-Advisory-Low-Dose-Aspirin-and-Prevention-of-Preeclampsia-Updated-Recommendations http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication
8/22/16	Meredith Barlow	Pharmacotherapy has limited evidence for use in insomnia (and carries risk)		Pharmacologic Treatment of Insomnia-SR.pdf
8/29/16 and 9/12/16	Phung Vo and Jerica Johnson	CBT for insomnia (role of PCP and internet-based programs)	Internet CBT is cost-effective and effective in both insomnia and PTSD	Insomnia-Psychological and Behavioral Interventions-SR.pdf Internet CBT-I- SR.pdf Internet based CBT for PTSD.0-S0165032714001116-main copy.pdf Internet based CBT for PTSD.0-S0165032714001116-main copy.pdf
9/26/16	Jared Lunkenheimer	Prevention of recurrent nephrolithiasis in adults	Increase fluid intake to produce > 2 liters of urine a day, no evidence for dietary modifications, low quality evidence for HCTZ (decrease calcium excretion)	ACP Guidelines: Prevention of Recurrent Nephrolithiasis.pdf
10/10/16	Molly McClain	Treatment of resistant depression		Treatment-resistant depression-review article.pdf Treatment of resistant depression-AHRQ review.pdf Augmentation with atypical antipsychotics for depression-SR.pdf
10/31/16	Meredith Barlow	Vitamin D for prevention of osteoporosis		Discussion about calcium supplementation and CVD risk: Calcium and Cardiovascular Disease- SR.pdf
11/7/16	Sonja Halterman	Efficacy of medication for treatment of obesity		Long-term Drug Treatment of Obesity-JAMA.pdf
11/14/16	Rania Khan	Brief intervention for obesity		Obesity screening and treatment in primary care-RCT.pdf
11/28/16	Phung Vo	USPSTF recommendations for primary prevention of CVD	USPSTF recommends using low-moderate dose statins in adults age 40-75 with 1 or more CVD risk factors AND an ASCVD risk of 10% or greater.	Statins for Primary Prevention of CVD- USPSTF.pdf
1/9/17	Michelle Chungtuyco	Prophylaxis of migraines	Melatonin is as good as amitryptilline and better than placebo in terms of decrease in migraine-headache days per month.	Migraine RCT.pdf
1/16/17	Sarah Friedberg	NSAIDs for treatment of dysmenorrhea	NSAIDs are more effective than placebo (consider naproxen)	NSAIDs for dysmenorrhea.pdf
1/23/17	Trisha Fleet	Monitoring of CBG by patients not on insulin	Limited effect for self monitoring of blood glucose when not on insulin at 6 months and effect subsides by 12 months	Self-monitoring of blood glucose - Cochrane SR.pdf
2/13/17	Andy Russell	Treatment for overactive bladder	Anticholinergic drugs are effective for treatment of OAB and tolterodine might be preferred over oxybutynin for reduced risk of dry mouth.	http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003193.pub4/full http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005429.pub2/full
2/20/17	Meredith Barlow	NSAIDs for pain and bleeding due to IUD.	NSAIDs reduce pain and bleeding associated with IUD use.	NSAIDs for pain & cramping with IUDs.pdf
2/27/17	Jerica Johnson	Subclinical hypothyroidism	There is no evidence for thyroid replacement in those with TSH <10 and normal T3/T4. There is greater risk of CAD in those with TSH>10.	Subclinical Hypothyroidism.pdf Subclinical hypothyroidism increased risk of CAD.pdf Subclinical Hypothyroidism: Monday Clinic Teaching.gdoc
3/13/17	Sarah Friedberg	Buprenorphine for opiate use disorder	Fixed medium-high doses of buprenorphine were equivalent to methadone	Buprenorphine or methadone for OUD- Cochrane review.pdf Buprenorphine for heroin dependence-Sweden 2003 RCT.pdf
3/20/17	Rania Khan	Discontinuation of statin therapy	National guidelines support the lack of CV risk reduction benefit in patients with CKD receiving dialysis, HFrEF, and patients greater than 75 years of age without known ASCVD	discontinuation of statins.pdf
4/3/17	Michelle Chungtuyco	Metformin in patients with CKD	Can use metformin in patients with GFR > 30 without increasing risk of lactic acidosis (if kidney function is stable)	Metformin and CKD.pdf Metformin Commentary.pdf
4/24/17	Phung Vo	NSAIDs for knee and hip osteoarthritis	Diclofenac is most effective for improving pain and function	NSAIDs.pdf
5/1/17	Tanya Reyes	Vascular and upper GI effects of NSAIDs	Naproxen is associated with less vascular risk than other NSAIDs	NSAIDS Vascular and UGI effects- SR.pdf
5/15/17	Stephanie Hubbard-McGirt	Treatment for low back pain	NSAIDs have small effect for acute and chronic back pain, nonpharmacologic therapies have greater effect	Nonpharmacologic therapies for low back pain- SR.pdf Pharmacologic therapies for low back pain- SR.pdf
7/3/17	Michelle Chungtuyco	Vitamin D supplementation for prevention of mortality		Vitamin D prevention of mortality.pdf
7/10/17	Dr. Tomedi	Selecting a clinical question and searching for articles		Using Evidence for Patient Care July 2017.ppt
7/17/17	Dr. Tomedi	Evaluating the evidence		Critical Appraisal-SYSTEMATIC REVIEW.docx Critical appraisal of RCT.docx
7/24/17	Dr. Tomedi	Beta-blockers for hypertension	Beta-blockers should not be used as first line anti-hypertensive agents (not as effective at decreasing morbidity and mortality as other classes). Carvedilol is not more effective at lowering BP than other beta-blockers.	Beta-blockers for hypertension.pdf
7/31/17	Phung Vo	Target for diabetes control	Tighter diabetes control (HgbA1c < 7) is not associated with significant benefits and there may be risks.	Glucose targets for preventing DM complications-Cochrane SR.pdf
8/7/17	Sarah Friedberg	Risk of GI bleeding with DOACs	Apixaban caused less GI bleeds than rivaroxaban or dabigatran	DOACs and GI bleed.pdf
8/14/17	Steven Nguyen	Triamcinolone vs. saline joint injections	Among patients with symptomatic knee osteoarthritis, intra-articular triamcinolone, compared with intra-articular saline, increased cartilage volume loss and had no effect on knee pain over 2 years.	Intra-articular steroid injections.pptx Intra-articular triamcinolone vs. Saline.pdf
9/11/17	Phung Vo	Low dose CT scan screening for lung cancer	Screen all pts ages from 55-80 who currently smoke with a 30pk year hx or have quit <15yrs ago annual with low dose CT to decrease mortality from lung cancer.	lung cancer screening.pdf
9/18/17	Rania Khan	Steroids versus NSAIDs for acute gout flares	Not enough data to support steroids as first line therapy for acute gout flares - however consider in patients with comorbidities like CKD, in which NSAIDs would not be safe.	Steroids vs NSAIDs for acute gout-RCT.pdf
10/16/17	Zainab Aldaoseri	Vision screening in preschool age children	Studies were limited and do not establish whether screening is effective	Vision Screening article-JAMA.pdf
10/23/17	Brynne Latterell	Vitamin D supplementation in asthmatics	Vitamin D supplementation decreased the rate of asthma exacerbations requiring systemic corticosteroids	Vit D for asthma-SR.pdf
10/30/17	Sarah Friedberg	Validated measures for depression screening in Vietnamese population		Depession Measures Among Vietnamese- SR.pdf
11/20/17	Phung Vo	Hypertension Guidelines 2017	Treat if BP > 130/80 and 10 year ASCVD risk > 10% (or known CVD). Otherwise treat if BP > 140/90. Goal for treatment is 130/80.	Hypertension Guideline 2017.pdf
12/4/17	Michelle Chungtuyco	Starting contraception/pregnancy test		QuickstartAlgorithm.pdf
12/11/17	Addison Himmelberger	Resource guide for integrative approaches to chronic pain		Alternative Medicine Options in the Community.docx
12/18/17	Camilo Werlin-Martinez	Association of PAP with cardiovascular outcomes	The use of PAP was not associated with reduced risk of cardiovascular outcomes (did improve sleepiness and sense of wellbeing)	12:18:17 Teaching OSA.webloc Association of PAP with cardiovascular events.pdf PAP and CV outcomes- EBM review.pdf
1/22/18	Brynne Latterell	Hormone replacement therapy for vasomotor symptoms of menopause	Transdermal estradiol and protestogen were most effective at vasomotor symptom relief	POEMs-menopausal symptoms.pdf Sarri_et_al-2017-BJOG__An_International_Journal_of_Obstetrics_&_Gynaecology.pdf HRT on cardiovascular outcomes.pdf
1/29/18	Zainab Aldaoseri	Statins for primary prevention of cardiovascular disease	USPSTF recommends statin for patients age 40-75 with 1 or more CVD risk factors and 10 year ASCVD risk > 10%	Statins for Primary Prevention of CVD- USPSTF.pdf Statins for Prevention of CVD in Adults- JAMA.pdf
2/12/18	Dr. Tomedi	USPSTF app for phone: AHRP ePSS	Review of USPSTF guidelines with levels of evidence	https://itunes.apple.com/us/app/ahrq-epss/id311852560?mt=8
2/19/18	Jerica Johnson	2017 ACC/AHA Guidelines for Management of Hypertension	Guidelines state treat BP > 130/80 in patients with 10 year ASCVD risk > 10%
3/5/18	Phung Vo	Reviewed guidelines for diagnosis and management of GDM	Screen with 1 hour GTT (cut off at UNM is 135). If positive, do 3 hour GTT. If 2 abnormal values, patient has GDMA1, refer to MFM Diabetes Educator and have patient check fasting and 2 hour PP sugars. If CBGs are > 95 fasting or 120 2 hours PP, consider starting medication.	ACOG Bulletin on GDM
3/12/18	Steven Nguyen	Injectable Naltrexone vs. Daily Buprenorphine-Naloxone	Extended release Naltrexone was as effective as buprenorphine-naloxone for short term abstinence from heroin	Naltrexone.Injectable.pdf
3/26/18	Sarah Friedberg	Treatment of influenza	Oseltamivir and zanamivir have small, non-specific effects on reducing the time to alleviation of influenza symptoms in adults	Treatment of Flu.pdf
4/2/18	Jaleh Akhavan	Choice of antidepressants based on acceptability and efficacy	Amitriptyline, escitalopram, mirtazapine, paroxetine, venlafaxine are more effective	Antidepressants-network meta-analysis.pdf Picking the optimal antidepressant-commentary.pdf
4/16/18	Elena Gandera	Opioid vs nonopioid medications for chronic pain	Non-opioid treatment was associated with significantly better pain control at 12 months compared to opioids.	opioids vs nonopioids for pain- SPACE RCT.pdf SPACE Trial.pptx
4/23/18	Camilo Werlin-Martinez	Non-invasive tests for H. pylori	Urea breath tests have high diagnostic accuracy for H. pylori (better than serology or stool antigen). Test is no longer available at UNM.	non-invasive tests for H.pylori.pdf
5/21/18	Rania Khan	Alcohol use disorder in primary care	Medical management with naltrexone, alone or with CBI, was most successful	COMBINE study-RCT.pdf AUD in the Primary Care Setting.pdf Medical Management session guide.pdf
6/4/18	Hieu Nguyen	PSA for detection of prostate cancer	PSA may reduce prostate cancer mortality risk but is associated with false-positive results, biopsy complications, and over diagnosis.	Screening for Prostate Cancer-USPSTF SR.pdf
6/25/18	Jerica Johnson	Sertraline in patients with CKD	In non-dialysis dependent CKD and MDD, sertraline did not significantly improve depressive symptoms compared to placebo	sertraline in CKD.pdf
7/30/18	Dr. Tomedi	Intro to EBM		SEHC noon presentation re EBM (1).ppt
8/6/18	Steven Nguyen	Information Mastery and JAMA Int Med article on repeat BP measurement	Repeat BP measurement showed a decrease in systolic BP of 8mmHg. This resulted in increased HTN control rate from 61% to 73%.	Clinic Educaton - Info Master & BP Repeat.pptx nihms981217-2.pdf
8/13/18	Hieu Nguyen	Melatonin for migraine prevention	Melatonin 3mg is as effective as amitriptyline, but with fewer side effects	Melatonin for migraine prevention.pdf
9/10/18	Stacy Nguy	USPSTF updated guidelines for cervical cancer screening	Screen women age 30 to 65 with cytology every 3 years, HPV testing every 5 years, or cotesting every 5 years.	Screening for cervical cancer- USPSTF.pdf Cervical cancer screening with HPV testing- SR for USPSTF.pdf
9/17/18	Rania Khan	Macrobid versus fosfomycin for UTI	In uncomplicated UTI in women, Macrobid was more effective than fosfomycin	jama_Huttner_2018_oi_180034.pdf
10/1/18	Ari Faber	Tobacco cessation	Quitting smoking abruptly is more likely to lead to lasting abstinence than cutting down first, even for smokers who initially prefer to quit by gradual reduction.	http://annals.org/aim/article-abstract/2501853/gradual-versus-abrupt-smoking-cessation-randomized-controlled-noninferiority-trial#
10/8/18	Rory Aufderheide	Gabapentin for chronic low back pain	While there is evidence to support gabapentinoids for neuropathic pain, this study found that there is little to support their use for chronic lower back pain, with overall more harm than benefit.	Gabapentinoids for chronic low back pain.pdf
10/29/18	Jaleh Akhavan	LABAs for mild to moderate COPD	Tiotropium (LABA) resulted in a higher FEV1 than placebo at 2 years in patients with COPD GOLD stage 1 or 2	Tiotropium in early-stage COPD- RCT.pdf GOLD Pocket Guide 2018.pdf
11/5/18	Brynne Latterell	Clinic versus ambulatory blood pressure measurements	Ambulatory blood pressure measurements were a stronger predictor of all-cause mortality	Clinic vs ambulatory BP monitoring.pdf
11/26/18	Hieu Nguyen	Zolendronate for osteopenia	The current trial showed that treatment with Zoledronate every 18 months, with Vitamin D and minimal calcium supplements, reduced the risk of fragility fractures over the course of 6 years in older women with osteopenia.	Zoledronate for Osteopenia- RCT.pdf
12/10/18	Jillian Moore	Melatonin for insomnia	For people with primary sleep disorders, melatonin has clinically insignificant effects on sleep latency, total sleep duration, and sleep quality.	melatonin 2012 PLOS.pdf
1/7/19	Steven Nguyen	Diabetes medications	Among insured adult patients with type2 diabetes initiating second-line ADM therapy, the short-term cardiovascular outcomes of GLP-1 receptor agonists, SGLT-2 inhibitors, and DPP-4 inhibitors were similar. Higher cardiovascular risk was associated with use of sulfonylureas or basal insulin compared with newer ADM classes.	Antidiabetic medications and CVD events.pdf Diabetes Medications.pdf
2/4/19	Sarah Friedberg	Glucosamine for osteoarthritis		Glucosamine.pptx
2/11/19	Jaleh Akhavan	NAFLD and hepatic steatosis	Low free sugar diet improves hepatic steatosis in adolescent boys	https://docs.google.com/presentation/d/1NKc8nuZ8IbR33EYt7Lt483Q3wxn3ZXYE9HKb867IDU4/edit?usp=sharing effect of low sugar diet on NAFLD.pdf
3/18/19	Rory Aufderheide	Duration of treatment for AOM in children age 6 - 23 months	If you are going to treat AOM in 6-23 mos with Augmentin, the full 10 day course is better than a 5 day course because there are improved treatment outcomes and symptomatic improvement without increased side effects or harmful outcomes.	https://www.aafp.org/afp/2017/0401/p457.html POEMs-Antibiotic duration for AOM.pdf
3/25/19	Brynne Latterell	Water intake for prevention of recurrent UTI	Increased water intake was effective for preventing recurrent UTI in premenopausal women at high risk for recurrence	Water Intake and UTI-RCT.pdf
4/1/19	Zainab Aldaoseri	Early allergen introduction for prevention of food allergies	Early peanut or egg introduction into the infant diet was associated with lower risk of developing egg or peanut allergies.	https://www.ncbi.nlm.nih.gov/m/pubmed/27654604/
4/22/19	Steven Nguyen	Evidence for SLGT2 inhibitors for secondary prevention of cardiovascular disease	SGLT2i have moderate benefits on atherosclerotic major adverse cardiovascular events that seem confined to patients with established atherosclerotic cardiovascular disease.	SGLT2 Inhibitors.SystematicReview.pdf
4/29/19	Jillian Moore	Omega-3 fatty acids for prevention of cardiovascular disease	Omega-3 fatty acid (fish oil) supplements have little to no effect on all-cause mortality, cardiovascular mortality, or cardiovascular events. The fish oil supplement industry consumes millions of tons of marine wild life each year.	Omega-3 fatty acids for prevention of CVD.pdf Fish oil.pdf
5/6/19	Jaleh Akhavan and Dr. Tomedi	Benefit of omega 3 fatty acids in pregnancy	Preterm birth < 37 weeks and early preterm birth < 34 weeks were reduced in women receiving omega-3 long chain polyunsaturated fatty acids (LCPUFA) compared with no omega-3. There was a possibly reduced risk of perinatal death and of neonatal care admission and a reduced risk of LBW babies. Therefore a good case can be made for offering a 500 mg -1,000 mg supplement to pregnant women.	Omega-3 fatty acids and pregnancy-Dec2018.ppt Omega- fatty acids during pregnancy-Cochrane SR.pdf
5/20/19	Rania Khan	Signs and Symptoms that Rule out Community Acquired Pneumonia in Outpatient Adults	Otherwise healthy adults with an acute respiratory infection who have normal vital signs and a normal pulmonary examination are very unlikely to have CAP.	CAP in outpatient adults.pdf
6/3/19	Farinaz Khan	ACE-I and risk of lung cancer	In this population based cohort study, the use of ACEIs was associated with an increased risk of lung cancer. The association was particularly elevated among people using ACEIs for more than five years.	ACE-I risk of lung ca.pdf
6/10/19	Chrys Djatche de Kamgaing	Iron supplementation for heart failure	Our meta-analysis suggests that iron therapy can reduce heart failure hospitalization, increase cardiac function, improve quality of life, and decrease serum levels of NT-proBNP and CRP in patients with heart failure.	Iron supplement for heart failure.pdf
6/17/19	Jerica Johnson	Triple therapy for patients with advanced COPD	Use of triple therapy resulted in a lower rate of moderate or severe exacerbations of COPD, better lung function, and better health related quality of life than dual therapy or monotherapy in patients with advanced COPD.	triple therapy in management of COPD.pdf
6/24/19	Stacy Nguy	Aspirin for primary prevention in patients with diabetes	Aspirin prevented major vascular events but benefits were counterbalanced by bleeding risk.	ASA and DM.pdf ASCEND Study.pdf

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