Internal Medicine - Academic Med/Education 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 (8) Full Text Articles (99) Focus on HIV

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

Topics:

141 The Public Health Impact score: a new measure of public health effectiveness for general practices in England British Journal of General Practice, April 3, 2013 Clinical Article

142 Touch in primary care consultations: qualitative investigation of doctors' and patients' perceptions British Journal of General Practice, April 3, 2013 Clinical Article

143 Focusing and depth of field in photography: application in dermatology practice Skin Research and Technology, April 3, 2013 Review Article

144 Choice or chance! The influence of decentralised training on GP retention in the Bogong region of Victoria and New South Wales Full Text Rural and Remote Health, April 3, 2013 Review Article

145 Module evaluation: a comparison of standard evaluation with nominal group technique Education for Primary Care, April 3, 2013 Review Article

146 Two Thumbs Up: Using Popular Films in Introductory Aging Courses Gerontology & Geriatrics Education, April 3, 2013 Review Article

147 Short Stature in Childhood -- Challenges and Choices New England Journal of Medicine, April 2, 2013 Continuing Medical Education

148 Medical Education Reform in Wuhan University, China: A Preliminary Report of an International Collaboration Teaching and Learning in Medicine, April 2, 2013 Review Article

149 Fatigue Optimization Scheduling in Graduate Medical Education: Reducing Fatigue and Improving Patient Safety Journal of Graduate Medical Education, April 2, 2013 Review Article

150 Patients understanding of medical terminology used in the breast clinic The Breast, April 1, 2013 Review Article Clinical Article

151 Risk-Taking Behaviors and Subgrouping of College Students: A Latent Class Analysis American Journal of Men's Health , April 1, 2013 Clinical Article

152 Melanoma Simulation Model Promoting Opportunistic Screening and Patient Counseling Melanoma Simulation Model JAMA Dermatology, March 29, 2013 Review Article

153 Intake of total protein, plant protein and animal protein in relation to blood pressure: a meta-analysis of observational and intervention studies Journal of Human Hypertension, March 28, 2013 Evidence Based Medicine Review Article

154 The Human Experience with Ghrelin Administration Journal of Clinical Endocrinology and Metabolism, March 28, 2013

155 Drivers and barriers to patient participation in RCTs British Journal of Cancer, March 28, 2013 Review Article

156 Dutch postgraduate GP selection procedure; reliability of interview assessments Full Text BMC Family Practice, March 28, 2013 Review Article

157 The Role of Community Pharmacists in the Management of Hematopoietic Stem Cell Transplant Recipients: Knowledge and Training Journal of Pediatric Hematology/Oncology, March 28, 2013 Clinical Article

158 Systematic Review of Quality Improvement Interventions Directed at Cancer Specialists Journal of Clinical Oncology, March 28, 2013 Review Article

159 Effect of physical activity on heart rate variability and carotid intima-media thickness in older people Internal and Emergency Medicine, March 27, 2013 Clinical Article

160 Association between high sensitivity C-reactive protein, heart rate variability and corrected QT interval in patients with chronic inflammatory arthritis European Journal of Internal Medicine , March 27, 2013 Clinical Article

50 available pages First Previous 8 9 10 11 12 13 14 15 16 17 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 Renin-angiotensin system inhibitors for prevention of recurrent atrial fibrillation: a meta-analysis International Journal of Clinical Practice, April 9, 2013 Evidence Based Medicine Review Article

2 Bone mineral density testing: Is a T score enough to determine the screening interval? Cleveland Clinic Journal of Medicine, April 3, 2013 Free full text

3 Antihypertensive therapy: nocturnal dippers and nondippers. Do we treat them differently? Vascular Health and Risk Management, March 26, 2013 Free full text

4 Carbapenem-resistant Enterobacteriaceae: A menace to our most vulnerable patients Cleveland Clinic Journal of Medicine, April 11, 2013 Free full text

5 Acute pneumonia and the cardiovascular system The Lancet, March 12, 2013 Review Article

6 Physical Examination Education in Graduate Medical Education—A Systematic Review of the Literature Journal of General Internal Medicine, April 23, 2013 Review Article

7 Omega-3 in Antiarrhythmic Therapy High Blood Pressure & Cardiovascular Prevention, April 16, 2013

8 Long-term safety and efficacy of telmisartan/amlodipine single pill combination in the treatment of hypertension Vascular Health and Risk Management, March 26, 2013 Free full text

9 Sudden Cardiac Death in Hypertrophic Cardiomyopathy Circulation: Arrhythmia and Electrophysiology, April 18, 2013

10 Intake of total protein, plant protein and animal protein in relation to blood pressure: a meta-analysis of observational and intervention studies Journal of Human Hypertension, March 28, 2013 Evidence Based Medicine Review Article

11 Infective Endocarditis New England Journal of Medicine, April 24, 2013 Review Article

12 Effects of vitamin D supplementation on body fat accumulation, inflammation, and metabolic risk factors in obese adults with low vitamin D levels -- Results from a randomized trial European Journal of Internal Medicine , April 11, 2013

13 Patient Outcomes in Simulation-Based Medical Education: A Systematic Review Journal of General Internal Medicine, April 23, 2013 Evidence Based Medicine Review Article

14 Oral Anticoagulation and Implantation of Cardiac Rhythm Management Devices: Is Heparin a Bridge Too Far? The Hellenic Journal of Cardiology, April 16, 2013 Free full text

15 The Public Health Impact score: a new measure of public health effectiveness for general practices in England British Journal of General Practice, April 3, 2013

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

17 Independent and conjoint associations of gout and hyperuricaemia with total and cardiovascular mortality QJM: An International Journal of Medicine, April 11, 2013

18 Association between high sensitivity C-reactive protein, heart rate variability and corrected QT interval in patients with chronic inflammatory arthritis European Journal of Internal Medicine , March 27, 2013

19 Effect of physical activity on heart rate variability and carotid intima-media thickness in older people Internal and Emergency Medicine, March 27, 2013

20 Prevalence of a Healthy Lifestyle Among Individuals With Cardiovascular Disease in High-, Middle- and Low-Income Countries The Prospective Urban Rural Epidemiology (PURE) Study Healthy Lifestyle and Cardiovascular Disease JAMA, April 18, 2013 Free full text

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

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Internal Medicine - Academic Med/Education 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