Internal Medicine - Orthopedic/Physical Med 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 (10) Full Text Articles (142) Focus on HIV

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

Topics:

61 Pilot study: can older inactive adults learn how to reach the required intensity of physical activity guideline? Full Text Clinical Interventions in Aging, May 20, 2013 Review Article

62 Association Between Overweight and Low Back Pain: A Population-based Prospective Cohort Study of Adolescents Spine, May 20, 2013 Evidence Based Medicine Clinical Article

63 Cost-Effectiveness of Duloxetine in Chronic Low Back Pain: A Quebec Societal Perspective Spine, May 17, 2013 Evidence Based Medicine Clinical Article

64 Prescription Opioids for Back Pain and Use of Medications for Erectile Dysfunction Spine, May 17, 2013 Evidence Based Medicine Clinical Article

65 Spinal Injection Therapy for Low Back Pain JAMA, May 17, 2013 Clinical Article

66 The Effects of Exercise Under Hypoxia on Cognitive Function PLOS ONE, May 17, 2013 Review Article

67 A 30-Year-Old Industrial Worker With Upper Back Pain Advanced Emergency Nursing Journal , May 17, 2013

68 Low serum levels of 25-hydroxyvitamin D predict hip fracture in the elderly. A NOREPOS study Journal of Clinical Endocrinology and Metabolism, May 16, 2013 Review Article

69 Workplace pedometer interventions for increasing physical activity Cochrane Reviews, May 16, 2013 Evidence Based Medicine

70 The Influence Of Physical Activity On Vascular Complications And Mortality In Patients With Type 2 Diabetes Mellitus Diabetes, Obesity and Metabolism, May 16, 2013 Clinical Article

71 Association of type XI collagen genes with chronic Achilles tendinopathy in independent populations from South Africa and Australia British Journal of Sports Medicine, May 16, 2013 Review Article

72 Green space is associated with walking and moderate-to-vigorous physical activity (MVPA) in middle-to-older-aged adults: findings from 203 883 Australians in the 45 and Up Study British Journal of Sports Medicine, May 16, 2013 Review Article

73 Systematic review on measurement properties of questionnaires assessing the neighbourhood environment in the context of youth physical activity behaviour Full Text BMC Public Health, May 16, 2013 Evidence Based Medicine Review Article

74 Does the cement stiffness affect fatigue fracture strength of vertebrae after cement augmentation in osteoporotic patients? European Spine Journal, May 16, 2013 Evidence Based Medicine

75 Applying principles of self-management to facilitate workers to return to or remain at work with a chronic musculoskeletal condition Manual Therapy , May 16, 2013 Clinical Article

76 Non-medical prescribing by physiotherapists: Issues reported in the current evidence Manual Therapy , May 16, 2013 Evidence Based Medicine

77 Differences in EMG activity during exercises targeting the scapulothoracic region: A preliminary study Manual Therapy , May 16, 2013 Clinical Article

78 Assessment of people with cognitive impairment and hip fracture: A systematic review and meta-analysis Archives of Gerontology and Geriatrics, May 16, 2013 Evidence Based Medicine Review Article

79 Effect of Therapeutic Exercise on Pain and Disability in the Management of Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis of Randomized Trials Physical Therapy, May 15, 2013 Evidence Based Medicine Review Article Clinical Article

80 Nonbenzodiazepine Sleep Medication Use and Hip Fractures in Nursing Home Residents JAMA Internal Medicine, May 15, 2013 Evidence Based Medicine 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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Most Popular Internal Medicine Articles

Last month's top read Top Articles of 2012

1 The pathogenesis of osteoarthritis involves bone, cartilage and synovial inflammation: may estrogen be a magic bullet? Menopause International, April 11, 2013

2 Does Vigorous Physical Activity Provide Additional Benefits Beyond Those of Moderate? Medicine and Science in Sports and Exercise, April 16, 2013 Evidence Based Medicine

3 Surgery versus Physical Therapy for a Meniscal Tear and Osteoarthritis New England Journal of Medicine, March 27, 2013

4 Natural course of acute neck and low back pain in the general population: The HUNT study Pain, April 8, 2013

5 Walking Versus Running for Hypertension, Cholesterol, and Diabetes Mellitus Risk Reduction Arteriosclerosis, Thrombosis, and Vascular Biology, April 17, 2013

6 Role of exercise in the prevention of cardiovascular disease: results, mechanisms, and new perspectives European Heart Journal, April 11, 2013

7 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

8 The impact of coffee on health Maturitas, February 26, 2013

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

10 Association between habitual physical activity and lower cardiovascular risk in premenopausal, perimenopausal, and postmenopausal women: a population-based study Menopause, April 26, 2013

11 Steps to a better Belfast: physical activity assessment and promotion in primary care British Journal of Sports Medicine, March 27, 2013 Evidence Based Medicine

12 Achilles and Patellar Tendinopathy Loading Programmes Sports Medicine, April 5, 2013 Review Article

13 Red flags to screen for malignancy in patients with low-back pain Cochrane Reviews, March 8, 2013

14 Muscle Damaging Exercise Increases Heat Strain during Subsequent Exercise Heat Stress Medicine and Science in Sports and Exercise, April 16, 2013 Evidence Based Medicine

15 Direct access and patient/client self-referral to physiotherapy: a review of contemporary practice within the European Union Physiotherapy, April 5, 2013 Review Article

16 A prospective randomized controlled trial comparing occupational therapy with home-based exercises in conservative treatment of rotator cuff tears Journal of Shoulder and Elbow Surgery, March 29, 2013 Evidence Based Medicine

17 Pain experiences and self-management strategies among middle-aged and older adults with arthritis Journal of Clinical Nursing, April 2, 2013

18 Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion Spine, March 18, 2013

19 Prevalence of Vitamin D Deficiency in Patients with Lumbar Spinal Stenosis and Its Relationship with Pain Pain Physician, April 5, 2013 Free full text

20 Prognostic factors for patellofemoral pain: a multicentre observational analysis British Journal of Sports Medicine, March 13, 2013

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

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Internal Medicine - Orthopedic/Physical Med 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