SlideShare a Scribd company logo
There was no significant difference between
clindamycin and tmp-smx with respect to
either efficacy or side effect profile in both
children and adults.
NEJM-MARCH,19,2015
Canagliflozin when added to insulin therapy
improved glycemic control and decreased
body weight
S.E: genital mycotic infections, uti
diabetes care , 2015
 DIFFERENCE >10 mmhg IN INTER ARM
BLOOD PRESSURE LINKED TO GREATER
RISK OF FUTURE CARDIOVASCULAR
EVENTS.
AMERICAN JOURNAL OF MEDICINE,MARCH
Streptococcus pneumoniae is the most
common pathogen in patients with
AECOPD.
Piperacillin +Tazobactum should be the first
choice empirical antibiotic.
Quinolones are less effective
journal of pulmonary and respiratory medicine, january
26,2015
 Pirfenidone reduces the rate of annual
FVC decline in patients with IPF.
 Pirfenidone has well-established anti
fibrotic and anti inflammatory properties
 downregulates the production of growth
factors and procollagens I and II.
Almost 4 out of 5 MI in men may be
preventable with a combined low risk
behaviour.
JACC,FEBRUARY,17,2015.
Low risk behaviour :
1.Healthy diet
2.Moderate alcohol consumption 10-
30g/day
3.No smoking
4.Being physically active,walking
/bicycling>=40mins/day and exercising>=1
hour/week
5.No abdominal adiposity(waist
circumference <95 cm.)
 Approved for treatment of chronic heart failure.
 Indicated to reduce the risk of hospitalization for worsening
heart failure in patients with :
Stable , symptomatic chronic heart failure with lvef <=35%,
who are in sinus rhythm with resting heart rate >=70 beats /
minute and either on maximal tolerated dose of beta blockers
or in whom beta blocker is contrindicated
FDA approval, APRIL,2015.
 Inhibits if channels
 Recommended dosage: 5 mg b.d
2 weeks
7.5 mg b.d
Crohns disease
High levels of SMAD 7
Reduced levels of TGF –BETA
( immuno suppressive cytokine)
NEJM-MARCH,19,2015
 Pentoxyfylline did not improve survival in patients
with alcoholic hepatitis
 Prednisolone was associated with a reduction in 28
day mortality that did not reach significance and no
improvement in outcomes at 90 days or 1 year
NEJM, APRIL 23, 2015
This new molecule is named LCZ-696,is a combination
of ARB and neprilysin inhibitor
Neprilysin is a zinc-dependent metalloprotease that
cleaves peptides at the amino side of hydrophobic
residues and inactivates several peptide hormones
JACC MARCH 2015
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Medicine journal updates

  • 1.
  • 2. There was no significant difference between clindamycin and tmp-smx with respect to either efficacy or side effect profile in both children and adults. NEJM-MARCH,19,2015
  • 3. Canagliflozin when added to insulin therapy improved glycemic control and decreased body weight S.E: genital mycotic infections, uti diabetes care , 2015
  • 4.  DIFFERENCE >10 mmhg IN INTER ARM BLOOD PRESSURE LINKED TO GREATER RISK OF FUTURE CARDIOVASCULAR EVENTS. AMERICAN JOURNAL OF MEDICINE,MARCH
  • 5. Streptococcus pneumoniae is the most common pathogen in patients with AECOPD. Piperacillin +Tazobactum should be the first choice empirical antibiotic. Quinolones are less effective journal of pulmonary and respiratory medicine, january 26,2015
  • 6.  Pirfenidone reduces the rate of annual FVC decline in patients with IPF.  Pirfenidone has well-established anti fibrotic and anti inflammatory properties  downregulates the production of growth factors and procollagens I and II.
  • 7. Almost 4 out of 5 MI in men may be preventable with a combined low risk behaviour. JACC,FEBRUARY,17,2015.
  • 8. Low risk behaviour : 1.Healthy diet 2.Moderate alcohol consumption 10- 30g/day 3.No smoking 4.Being physically active,walking /bicycling>=40mins/day and exercising>=1 hour/week 5.No abdominal adiposity(waist circumference <95 cm.)
  • 9.  Approved for treatment of chronic heart failure.  Indicated to reduce the risk of hospitalization for worsening heart failure in patients with : Stable , symptomatic chronic heart failure with lvef <=35%, who are in sinus rhythm with resting heart rate >=70 beats / minute and either on maximal tolerated dose of beta blockers or in whom beta blocker is contrindicated FDA approval, APRIL,2015.
  • 10.  Inhibits if channels  Recommended dosage: 5 mg b.d 2 weeks 7.5 mg b.d
  • 11. Crohns disease High levels of SMAD 7 Reduced levels of TGF –BETA ( immuno suppressive cytokine) NEJM-MARCH,19,2015
  • 12.  Pentoxyfylline did not improve survival in patients with alcoholic hepatitis  Prednisolone was associated with a reduction in 28 day mortality that did not reach significance and no improvement in outcomes at 90 days or 1 year NEJM, APRIL 23, 2015
  • 13. This new molecule is named LCZ-696,is a combination of ARB and neprilysin inhibitor Neprilysin is a zinc-dependent metalloprotease that cleaves peptides at the amino side of hydrophobic residues and inactivates several peptide hormones JACC MARCH 2015