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 Substance Abuse

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

Topics:

941 Efficacy of almotriptan in early intervention for treatment of acute migraine in a primary care setting: the START*study International Journal of Clinical Practice, May 25, 2010

942 Documentation of cerebrospinal fluid opening pressure and other important aspects of lumbar puncture in acute headache International Journal of Clinical Practice, May 25, 2010

943 Stroke medicine for the geriatrician 2010 Reviews in Clinical Gerontology, May 19, 2010 Review Article

944 Hospital Admissions for Acute Myocardial Infarction, Angina, Stroke, and Asthma After Implementation of Arizona’s Comprehensive Statewide Smoking Ban American Journal of Public Health, May 19, 2010

945 Symptom Presentation in Patients Hospitalized with Acute Heart Failure Clinical Cardiology, May 19, 2010

946 New acute treatments for headache Full Text Neurological Sciences, May 18, 2010

947 Frovatriptan versus zolmitriptan for the acute treatment of migraine: a double-blind, randomized, multicenter, Italian study Full Text Neurological Sciences, May 18, 2010

948 Delirium and the functional recovery of older medical inpatients after acute illness: The significance of biological factors Archives of Gerontology and Geriatrics, May 18, 2010

949 The Utility of Tissue Doppler Imaging for the Noninvasive Determination of Left Ventricular Filling Pressures in Patients With Septic Shock Journal of Intensive Care Medicine, May 17, 2010

950 Concise Clinical Review: Chronic Critical Illness Full Text American Journal of Respiratory and Critical Care Medicine, May 17, 2010

951 The Impact of a "Low-intensity" Versus "High-Intensity" Medical Intensive Care Unit on Patient Outcomes in Critically Ill Veterans Journal of Intensive Care Medicine, May 17, 2010

952 Extracorporeal Removal Techniques for the Poisoned Patient: A Review for the Intensivist Journal of Intensive Care Medicine, May 14, 2010

953 Intravenous Lidocaine Reduces Ischemic Pain in Healthy Volunteers Regional Anesthesia and Pain Medicine, May 12, 2010

954 Decreased Length of Stay and Cumulative Hospitalized Days Despite Increased Patient Admissions and Readmissions in an Area of Urban Poverty Journal of General Internal Medicine, May 12, 2010

955 Trends and Burden of Bronchiectasis-Associated Hospitalizations: USA, 1993-2006 Full Text Chest, May 11, 2010

956 Meta-analysis: Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema Full Text Annals of Internal Medicine, May 10, 2010 Continuing Medical Education Evidence Based Medicine

957 Relationship Between Early Physician Follow-up and 30-Day Readmission Among Medicare Beneficiaries Hospitalized for Heart Failure Full Text JAMA, May 10, 2010

958 Prolonged glucocorticoid treatment and secondary prevention in acute respiratory distress syndrome Expert Review of Respiratory Medicine, May 10, 2010

959 Factors at Admission Associated With Bleeding Risk in Medical Patients: Findings From IMPROVE Full Text Chest, May 10, 2010

960 Acute Treatment of Basilar-Type Migraine With Greater Occipital Nerve Blockade Headache: The Journal of Head and Face Pain, May 10, 2010

50 available pages First Previous 41 42 43 44 45 46 47 48 49 50 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

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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.

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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 Medicine Articles

Last month's top read Top Articles of 2012

1 Head impact biomechanics in ski related accident British Journal of Sports Medicine, April 9, 2013

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

3 Invasive mechanical ventilation in acute coronary syndromes in the era of percutaneous coronary intervention European Heart Journal: Acute Cardiovascular Care, April 16, 2013

4 De-escalation of antimicrobial treatment for adults with sepsis, severe sepsis or septic shock Cochrane Reviews, April 11, 2013 Review Article

5 Development of a checklist of safe discharge practices for hospital patients Journal of Hospital Medicine, April 18, 2013

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

7 Continuous versus intermittent infusions of antibiotics for the treatment of severe acute infections Cochrane Reviews, March 29, 2013 Review Article

8 Single dose oral ibuprofen plus codeine for acute postoperative pain in adults Cochrane Reviews, April 1, 2013 Review Article

9 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

10 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

11 State of the evidence: mechanical ventilation with PEEP in patients with cardiogenic shock Heart, April 15, 2013

12 Pulmonary-renal syndrome: a life threatening but treatable condition Postgraduate Medical Journal, February 26, 2013 Evidence Based Medicine

13 Ultrasound imaging for lumbar punctures and epidural catheterisations: systematic review and meta-analysis British Medical Journal, April 10, 2013 Free full text Evidence Based Medicine Review Article

14 Application of appropriateness criteria for hospitalization in COPD exacerbation Internal and Emergency Medicine, April 5, 2013

15 Septic shock: The initial moments and beyond Cleveland Clinic Journal of Medicine, March 5, 2013 Free full text Review Article

16 Fluoxetine for motor recovery after acute intracerebral hemorrhage (FMRICH): study protocol for a randomized, double-blind, placebo-controlled, multicenter trial Trials, April 5, 2013 Free full text

17 Biolimus-eluting biodegradable polymer-coated stent versus durable polymer-coated sirolimus-eluting stent in unselected patients receiving percutaneous coronary intervention (SORT OUT V): a randomised non-inferiority trial The Lancet, March 26, 2013

18 Rivaroxaban for Thromboprophylaxis in Acutely Ill Medical Patients New England Journal of Medicine, March 15, 2013

19 Identification of patients with low-risk pulmonary embolism suitable for outpatient treatment using the pulmonary embolism severity index (PESI) Irish Journal of Medical Science, March 26, 2013

20 Diagnosing tuberculous meningitis ? have we made any progress? Tropical Medicine & International Health, March 27, 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 Medicine Articles

Other Topics in Internal Medicine