Internal Medicine - Critical Care/Hospitalist News & Articles

What makes MDLinx Internal Medicine different from all the other primary care literature reviews? Our team of medical editors read over 2,000 medical journals every day so you can stay current in less than 5 minutes! They sort, rank and summarize every article that will impact your daily practice. They even mark which articles are available in free full text, which are clinical or evidence-based, and which have MDLinx Exclusive Author Commentary from the people who actually performed the research.

Also on this page you’ll see bonus content from our physician editor, D. Scott Cunningham, MD, PhD, in the form of his top highlights you can’t miss, along with clinical pearls from The Smartest Internist, a quiz competition from the editors of MDLinx Internal Medicine in collaboration with the Cleveland Clinic Center for Continuing Education.

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Articles

Latest Full Text Articles (159) Focus on HIV

Ranked, sorted, and summarized by MDLinx editors from the latest literature

Topics:

241 Signal quality and data fusion for false alarm reduction in the intensive care unit Journal of Electrocardiology, October 30, 2012

242 Macrovascular thrombosis in critically ill patients with thrombotic micro-angiopathies Internal and Emergency Medicine, October 30, 2012

243 Clinical Characteristics of an Esophageal Fish Bone Foreign Body from Chromis notata Full Text Journal of Korean Medical Science, October 30, 2012

244 Association of neighborhood characteristics with bystander-initiated CPR Full Text New England Journal of Medicine, October 29, 2012

245 Duration of resuscitation efforts and survival after in-hospital cardiac arrest: an observational study The Lancet, October 29, 2012

246 Arsenic trioxide: an ancient drug revived Full Text Chinese Medical Journal, October 26, 2012

247 Pathophysiology of lower extremity edema in acute heart failure revisited American Journal of Medicine, October 25, 2012

248 Reasons military patients with primary care access leave an emergency department waiting room before seeing a provider Southern Medical Journal, October 25, 2012

249 The electrocardiographic changes in acute brain injury patients Full Text Chinese Medical Journal, October 25, 2012

250 P2Y12 Reactivity units (PRU) to Predict Hyporesponsiveness to Clopidogrel in Patients with Chest Pain with Prior History of Coronary Artery Stenting in Emergency Department JACC Cardiovascular Interventions, October 24, 2012 Clinical Article

251 Hydroxyethyl starch or saline for fluid resuscitation in intensive care Full Text New England Journal of Medicine, October 22, 2012 Clinical Article

252 Comparing methods to calculate hospital-specific rates of early death or urgent readmission Full Text Canadian Medical Association Journal, October 22, 2012

253 ICU-acquired weakness: what is preventing its rehabilitation in critically ill patients Full Text BMC Medicine, October 19, 2012

254 Rate and predictors of serious neurologic causes of dizziness in the emergency department Full Text Mayo Clinic Proceedings, October 18, 2012

255 Noninvasive ventilation for acute respiratory failure: a review of the literature and current guidelines Internal and Emergency Medicine, October 18, 2012

256 Ivabradine: potential clinical applications in critically ill patients Clinical Research in Cardiology, October 17, 2012 Clinical Article

257 The psychopathological characteristics of treatment discontinuation group in 6-month treatment with paliperidone ER International Journal of Clinical Practice, October 17, 2012

258 Overcoming Barriers to Recruitment in Care of the Dying Research in Hospitals Journal of Pain and Symptom Management, October 17, 2012

259 Coronary heart disease is not significantly linked to acute kidney injury identified using Acute Kidney Injury Group criteria Full Text International Journal of General Medicine, October 15, 2012

260 Health-related quality of life of patients with severe heart failure. A cross-sectional multicentre study Scandinavian Journal of Caring Sciences, October 12, 2012

50 available pages First Previous 13 14 15 16 17 18 19 20 21 22 Next Last

Clinical Pearls in Internal Medicine

Vitamin D deficiency is more common with non-Caucasian patients, and those with lower social support, no insurance, diabetes, lower activity levels, higher parathyroid hormone levels, and higher body mass indexes
Eating an early breakfast and dinner when taking PPIs can lower FSSG scores and improve GERD symptoms. (Factors leading to increased FSSG scores were female gender, inadequate sleep, lack of breakfast, antihypertensive agent non-users and dinner just before bedtime.)
No single method of contraception is contraindicated by age alone, but caution should be exercised with estrogen-containing preparations in obese women over 40

» Test your knowledge. Take the Smartest Doc challenge today!

Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Among 130 patients requiring mechanical ventilation, 107 were vitamin D-deficient (< 20 ng/ml). Of the patients who did not survive, the length of survival was shorter in the vitamin D-deficient patients (15.3 vs. 24.2 days, respectively).

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Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

Researchers at Tel-Aviv University have conducted a study to determine the value of coronary artery calcium (CAC) measurements in cardiovascular risk stratification in patients with T2DM and HTN. The study involved 423 patients enrolled in the International Nifedipine Study: Intervention as Goal for Hypertension Therapy. The patients had baseline CT scans for CAC measurement at baseline and were shown to be free of disease. Follow-up CT scans were performed at 3 and 15 years. Cardiovascular events (CVEs) occurred in 41 of 423 patients at 3 years and 111 of 268 patients at 15 years of follow-up. CVEs occurred in 15% and 52% (CAC+) and 7% and 32% (CAC-) of patients with T2DM at 3 and 15 years of follow-up, respectively. Compared to patients without T2DM and no CAC, the HRs for a CVE were 6.6 and 3.9 in T2DM patients with and without CAC, respectively.

Read the article summary

CAC scores add predictability to Framingham

Researchers at Erasmus University Medical Center in Rotterdam have evaluated 12 measures (N-terminal fragment of prohormone B-type natriuretic peptide levels, von Willebrand factor antigen levels, fibrinogen levels, chronic kidney disease, leukocyte count, C-reactive protein levels, homocysteine levels, uric acid levels, coronary artery calcium [CAC] scores, carotid intima–media thickness, peripheral arterial disease, and pulse wave velocity), in addition to Framingham risk scores for predicting coronary heart disease. Only the CAC was shown to add significantly to the Framingham risk score in predicting coronary heart disease.

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Most Popular Internal Med Articles

Last month's top read Top Articles of 2012

1 Effects of an Acute Care for Elders Unit on Costs and 30-Day Readmissions ACE Unit Model for Care JAMA Internal Medicine, May 7, 2013 Evidence Based Medicine

2 Should all acutely ill medical patients be treated with antithrombotic drugs? Thrombosis and Haemostasis, April 23, 2013 Free full text Review Article

3 Aggressive Fluid and Sodium Restriction in Acute Decompensated Heart Failure: A Randomized Clinical Trial JAMA Internal Medicine, May 21, 2013 Evidence Based Medicine

4 Recognizing and managing hereditary angioedema Cleveland Clinic Journal of Medicine, May 8, 2013 Free full text

5 EHRA Practical Guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation: executive summary European Heart Journal, April 30, 2013 Clinical Guideline

6 Does music influence stress in mechanically ventilated patients? Intensive and Critical Care Nursing, May 3, 2013
Exclusive Author Commentary

7 Predictors of 30-day mortality and outcome in cases of myocardial infarction with cardiogenic shock treated by extracorporeal life support European Journal of Cardio-Thoracic Surgery, April 29, 2013

8 Early Parenteral Nutrition in Critically Ill Patients With Short-term Relative Contraindications to Early Enteral Nutrition: A Randomized Controlled Trial JAMA, May 21, 2013 Free full text Evidence Based Medicine

9 Prone positioning in Severe Acute Respiratory Distress Syndrome New England Journal of Medicine, May 22, 2013 Evidence Based Medicine

10 Influence of neighborhood household income on early death or urgent hospital readmission Journal of Hospital Medicine, May 1, 2013 Review Article

11 New insights of P2X7 receptor signaling pathway in alveolar functions Journal of Biomedical Science, May 6, 2013 Free full text

12 Estimating Quality of Life in Acute Venous Thrombosis JAMA Internal Medicine, May 21, 2013 Evidence Based Medicine

13 Paracetamol (acetaminophen) with or without an antiemetic for acute migraine headaches in adults Cochrane Reviews, May 14, 2013 Evidence Based Medicine

14 Serum microRNAs profile from genom-wide serves as a fingerprint for diagnosis of acute myocardial infarction and angina pectoris BMC Genomics, May 6, 2013 Free full text

15 A Randomized Trial of Nighttime Physician Staffing in an Intensive Care Unit New England Journal of Medicine, May 22, 2013 Evidence Based Medicine

16 Evaluation of the Mobile Acute Care of the Elderly (MACE) Service JAMA Internal Medicine, May 7, 2013 Evidence Based Medicine

17 Effects of Patient-Directed Music Intervention on Anxiety and Sedative Exposure in Critically Ill Patients Receiving Mechanical Ventilatory Support: A Randomized Clinical Trial JAMA, May 21, 2013 Evidence Based Medicine

18 Calcium antagonists as an add-on therapy for drug-resistant epilepsy Cochrane Reviews, April 2, 2013 Review Article

19 Proton Pump Inhibitors and Risk of 1-Year Mortality and Rehospitalization in Older Patients Discharged From Acute Care Hospitals Proton Pump Inhibitors in Older Patients JAMA Internal Medicine, April 10, 2013

20 A Physical Therapist-Established Intensive Care Unit Early Mobilization Program: A Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center Physical Therapy, April 24, 2013 Review Article

Indexed Journals in Internal Medicine: New England Journal of Medicine, The Lancet, Archives of Internal Medicine more

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Internal Medicine - Critical Care/Hospitalist News & Articles

Articles

Clinical Pearls in Internal Medicine

Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

CAC scores add predictability to Framingham

Most Popular Internal Med Articles

Other Topics in Internal Medicine