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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 (6) Full Text Articles (159) Focus on Depression861 Performance of Medical Residents in Sterile Techniques during Central Vein Catheterization: Randomized Trial of Efficacy of Simulation-Based Training Full Text Chest, August 19, 2010
862 Pre-hospitalization anti-platelet therapy is associated with a reduced incidence of acute lung injury: A population-based cohort study Full Text Chest, August 17, 2010
863 One-Year Trajectories of Care and Resource Utilization for Recipients of Prolonged Mechanical Ventilation Full Text Annals of Internal Medicine, August 17, 2010
864 Plasma Lp-PLA2 in Acute Coronary Syndrome: Association with Major Adverse Cardiac Events in a Community-Based Cohort Postgraduate Medicine, August 17, 2010
865 'BREAKS' protocol for breaking bad news Full Text Indian Journal of Palliative Care, August 16, 2010
866 Are New Resuscitation Guidelines Better? Experience of an Asian Metropolitan Hospital Full Text Annals, Academy of Medicine, Singapore, August 16, 2010
867 Preventing Potentially Inappropriate Medication Use in Hospitalized Older Patients With a Computerized Provider Order Entry Warning System Full Text JAMA Internal Medicine, August 13, 2010
868 Only Severely Limited Premorbid Functional Status Is Associated with Short- and Long-Term Mortality in Critically Ill Patients with Pneumonia: A Prospective Observational Study Full Text Chest, August 13, 2010
869 Trends and Characteristics of US Emergency Department Visits, 1997-2007 Full Text JAMA, August 13, 2010
870 Communication Discrepancies Between Physicians and Hospitalized Patients JAMA Internal Medicine, August 12, 2010
871 Chest tube drainage of transudative pleural effusions hastens liberation from mechanical ventilation Full Text Chest, August 12, 2010
872 Nosocomial Pneumonia in the Intensive Care Unit Acquired during Mechanical Ventilation or Not Full Text American Journal of Respiratory and Critical Care Medicine, August 12, 2010
873 Case study. Acute opioid withdrawal precipitated by ingestion of crushed Embeda (morphine extended release with sequestered naltrexone): Case report and the focused review of the literature Journal of Opioid Management, August 11, 2010
874 Frequency of adverse events and mortality in patients with pleural empyema in a public referral hospital in Mexico City The International Journal of Tuberculosis and Lung Disease, August 10, 2010
875 Resolving disagreement during end of life care in the critical care unit: The case for communication not arbitration Clinical and Investigative Medicine, August 10, 2010
876 A framework for resolving disagreement during end of life care in the critical care unit Clinical and Investigative Medicine, August 10, 2010
877 A double-blind, randomized, multicenter, Italian study of frovatriptan versus rizatriptan for the acute treatment of migraine The Journal of Headache and Pain, August 9, 2010
878 Association of Exposure to Violence and Potential Traumatic Events With Self-reported Physical and Mental Health Status in the Central African Republic Full Text JAMA, August 9, 2010
879 The utility of troponin measurement to detect myocardial infarction: review of the current findings Full Text Vascular Health and Risk Management, August 6, 2010
880 Emergency or urgency? How to effectively manage a hypertensive crisis Full Text JAAPA, August 5, 2010 Continuing Medical Education
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
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).
Read the article summaryCoronary 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 summaryCAC 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.
Read the article summaryMost Popular Internal Medicine Articles
Last month's top read Top Articles of 2012Indexed Journals in Internal Medicine: New England Journal of Medicine, The Lancet, Archives of Internal Medicine more
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