1. Was the design of this study appropriate? 2. Subjects were only examined under resting conditions, would there be a role in conducting such a study under more real life conditions? 3. The author’s concluded that “objective outcomes should be … Continue reading
I find the placebo effect utterly fascinating, Ben Goldacre in an article once referred to the placebo effect as the “coolest strangest thing in medicine”. The fact that inert drugs or treatments can have dramatic effects on the pain a … Continue reading
This week’s #twitjc paper is a very interesting one and one I chose after changing my mind several times (but always had this paper at the back of my mind for discussion!). The paper is “Active Albuterol or Placebo, Sham … Continue reading
1. How methodologically sound is this study? 2. Are there any unmeasured factors which could influence the choice of procedure and therefore affect the data used? 3. Does this study provide strong enough evidence to recommend CABG over PCI in … Continue reading
A patient has triple vessel coronary artery disease and something must be done, they need revasularization. The end of their time with medical management only has been reached and now an intervention is needed. But what intervention should we be … Continue reading
The paper for this Sunday’s twitjc is the ASCERT study – comparing the effectiveness of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for the treatment of patients with stable two and three vessel coronary artery disease. This … Continue reading
Are there any major design flaws with this study that could impact on it’s results? Are the outcome measures of this study appropriate? Should this study have included a no paraenteral nutrition group for comparison? Should this study widely change … Continue reading
I have recently finished a four month rotation in ITU which taught me many things, how to put a central line in, how to walk into a cardiac arrest and properly take control of someone’s airway and how to put … Continue reading
The paper for this week’s #twitjc is Early versus Late Parenteral Nutrition in Critically Ill Adult Patients – a NEJM paper by Caesar et al. This is a very interesting paper and I look forward to discussing it on Sunday … Continue reading
Thromboprophylaxis in AF – An Evidence-Based Overview Dr Mark Garside – registrar in elderly care and stroke medicine The Royal College of Physicians (Edinburgh) recently held a consensus conference about the management of atrial fibrillation (AF), with the aim of … Continue reading
Twitter Journal Club is (as the name may suggest) a Twitter-based journal club. We meet fortnightly on Sunday nights at 8pm UK time (7pm GMT) to discuss & critique a variety of medical papers.
