Internal Medicine - Epidemiology 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 (5) Full Text Articles (608) Focus on HIV

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

Topics:

1 Prevalence of multiple behavioral risk factors for chronic diseases in adults aged 50 +, from eleven European countries – the SHARE study (2004) Preventive Medicine, May 24, 2013 Clinical Article

2 Hematologic, hepatic, renal, and lipid laboratory monitoring after initiation of combination antiretroviral therapy in the United States, 2000-2010 Journal of Acquired Immune Deficiency Syndromes, May 24, 2013 Clinical Article

3 Smoke-free rules and secondhand smoke exposure in homes and vehicles among US adults, 2009–2010 Full Text Preventing Chronic Disease, May 24, 2013 Clinical Article

4 Epidemiology of intensive care unit infections and impact of infectious disease consultants in managing resistant infections Full Text American Journal of Infectious Diseases, May 24, 2013 Clinical Article

5 The rule of halves does not apply in peru: awareness, treatment, and control of hypertension and diabetes in rural, urban, and rural-to-urban migrants Critical Pathways in Cardiology, May 24, 2013 Clinical Article

Prior Articles

6 Breastfeeding in women with diabetes: lower rates despite greater rewards. A population-based study Diabetic Medicine, May 23, 2013 Clinical Article

7 Correlates of isolated nocturnal hypertension and target organ damage in a population-based cohort of African Americans: the jackson heart study American Journal of Hypertension, May 23, 2013 Clinical Article

8 Estimating 24-hour urinary sodium excretion from casual urinary sodium concentrations in western populations: the intersalt study American Journal of Epidemiology, May 23, 2013 Review Article

9 Diagnosis and molecular characterization of Trichomonas vaginalis in sex workers in the Philippines Pathogens and Global Health, May 23, 2013 Clinical Article

10 Integrating HIV care into nurse-led primary health care services in South Africa: a synthesis of three linked qualitative studies Full Text BMC Health Services Research, May 23, 2013 Review Article

11 Social participation and life expectancy--the case of older adults in Taiwan from 1996 to 2003 Full Text International Journal of Gerontology, May 23, 2013 Clinical Article

12 Characteristics and health behavior of newly developed metabolic syndrome among community-dwelling elderly in Taiwan Full Text International Journal of Gerontology, May 23, 2013 Review Article

13 The past, present, and future of discharge planning in Taiwan Full Text International Journal of Gerontology, May 23, 2013 Review Article

14 Assessment of the status of A National Action Plan for Cancer Survivorship in the USA Journal of Cancer Survivorship, May 23, 2013 Review Article

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 Methods to increase participation in organised screening programs: a systematic review BMC Public Health, May 22, 2013

17 Do socioeconomic inequalities in mortality vary between different Spanish cities? a pooled cross-sectional analysis Full Text BMC Public Health, May 22, 2013 Clinical Article

18 Burden experienced by community health volunteers in Taiwan: a survey Full Text BMC Public Health, May 22, 2013 Clinical Article

19 A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand Full Text BMC Public Health, May 22, 2013 Evidence Based Medicine Review Article

20 Health behaviors and all-cause mortality in African American men American Journal of Men's Health , May 22, 2013 Clinical Article

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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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Internal Medicine - Epidemiology News & Articles

Articles

Prior 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