Family Medicine - Critical Care/Emergency News & Articles

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Additional bonus content is also available on this page, including clinical pearls from The Smartest Family Physician, a daily quiz competition from the editors of MDLinx Internal Medicine in collaboration with the Cleveland Clinic Center for Continuing Education. Additionally, enjoy the can’t-miss articles highlighted by our own physician editor, D. Scott Cunningham, MD, PhD.

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221 A prospective observational quality improvement study of the sustained effects of a program to reduce unplanned extubations in a pediatric intensive care unit Paediatric Anaesthesia, August 3, 2012

222 Association of cardiac and renal function with extreme N-terminal fragment Pro-B-type natriuretic peptide levels in elderly patients BMC Cardiovascular Disorders, July 27, 2012

223 Conversion of chronic pain patients from full-opioid agonists to sublingual buprenorphine: observational report Full Text Pain Physician, July 24, 2012 Clinical Article

224 Prognostic significance of L-type amino-acid transporter 1 expression in surgically resected pancreatic cancer British Journal of Cancer, July 23, 2012 Clinical Article

225 Statin therapy in critical illness: an international survey of intensive care physicians' opinions, attitudes and practice Full Text BMC Pharmacology & Toxicology, July 12, 2012 Clinical Article

226 Partial nerve injury induces electrophysiological changes in conducting (uninjured) nociceptive and nonnociceptive DRG neurons: Possible relationships to aspects of peripheral neuropathic pain and paresthesias Pain, July 12, 2012

227 Opioid pain medication orders and administration in the last days of life Journal of Pain and Symptom Management, July 11, 2012 Clinical Article

228 Decision making and outcomes of a hospice patient hospitalized with a hip fracture Journal of Pain and Symptom Management, July 3, 2012

229 Acute severe pain is a common consequence of sexual assault The Journal of Pain, June 19, 2012

230 Antibiotics for acute cough: an international observational study of patient adherence in primary care British Journal of General Practice, June 11, 2012

231 Nutrition Intervention in the Critically Ill Cardiothoracic Patient Nutrition in Clinical Practice, June 6, 2012

232 Vasoactive Substances and Their Effects on Nutrition in the Critically Ill Patient Nutrition in Clinical Practice, June 6, 2012

233 Hemodynamic Monitoring in the Intensive Care Unit Nutrition in Clinical Practice, June 6, 2012

234 Postnatal Outcome in Patients With Fetal Tachycardia Pediatric Cardiology, June 5, 2012

235 2-hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the adapt trial JACC - Journal of the American College of Cardiology, May 29, 2012

236 Patterns of Infant Mortality from 1993 to 2007 in Belgrade (Serbia) Maternal and Child Health Journal , May 25, 2012

237 Measuring and Communicating Blood Loss During Obstetric Hemorrhage Journal of Obstetric, Gynecologic, & Neonatal Nursing, May 17, 2012

238 Headaches in soldiers with mild traumatic brain injury: findings and phenomenologic descriptions Headache: The Journal of Head and Face Pain, May 10, 2012

239 Antidepressant use during pregnancy and the risk of pregnancy induced hypertension British Journal of Clinical Pharmacology, May 7, 2012 Clinical Article

240 Safety of ESWL in elderly: Evaluation of independent predictors and comorbidity on stone-free rate and complications Geriatrics and Gerontology International, April 30, 2012

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Clinical Pearls in Family Medicine

No relations were found between abdominal adipose tissue and bone mass, fat mass, blood pressure or triglyceride level in overweight adolescents
According to the Cleveland Clinic, the primary risk factors for coronary artery disease (CAD) are diabetes mellitus, family history, hypertension, hyperlipidemia, tobacco use and male gender
Untreated nocturnal gastroesophageal reflux has been demonstrated to be strongly associated with both respiratory and obstructive sleep apnea symptoms as well as airflow obstruction

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Highlights in Family Medicine

Vitamin D supplementation decreases systemic inflammation in T2DM

In a 12-week randomized, controlled trial, ingestion of a vitamin D-fortified yogurt (170 mg calcium + 500 IU vitamin D/250 mL; n=50) twice daily decreased markers of inflammation compared with placebo yogurt (170 mg calcium; n=50). Compared with baseline measures, the 25(OH)D levels were increased and the TNF-alpha, IL-6, hsCRP, SAA, and IL-10 levels were decreased in the group supplemented with vitamin D compared with the group that received placebo.

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Mediterranean diet associated with decreased diabetes, cardiovascular events, and all-cause mortality

Researchers at the University of Palermo conducted a study involving 9109 subjects with a mean follow-up of 6.2 years which showed that the subjects who adhered to a Mediterranean diet had increased dietary fiber, decreased total dietary fat, and an increased intake of monosaturated-to-saturated fats. Further, the incidence of diabetes, cardiovascular events, and all-cause mortality was lower in the subjects who followed a Mediterranean diet.

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Natalizumab superior to IFN-? 1a in MS patients

Based on a retrospective study conducted at the Federico II University (Naples), researchers have concluded that treatment of patients (n=84) with relapsing-remitting MS natalizumab for 12-24 months resulted in a greater reduction in disease activity (annualized relapse rate, .24 vs. .55, respectively) and disability progression than patients treated with INF-? 1a. The number of contrast-enhancing lesions was also less in the natalizumab-treated group.

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Family Medicine - Critical Care/Emergency News & Articles

Articles

Clinical Pearls in Family Medicine

Highlights in Family Medicine

Vitamin D supplementation decreases systemic inflammation in T2DM

Mediterranean diet associated with decreased diabetes, cardiovascular events, and all-cause mortality

Natalizumab superior to IFN-? 1a in MS patients

Most Popular Family Medicine Articles

Other Topics in Family Medicine