Internal Medicine - Orthopedic/Physical Med News & Articles

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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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1 Point-of-care prognosis for common musculoskeletal pain in older adults JAMA Internal Medicine, May 24, 2013 Evidence Based Medicine Clinical Article

2 Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic low back pain, central spinal stenosis, and post lumbar surgery syndrome Full Text Pain Physician, May 24, 2013 Review Article

3 Tapentadol immediate release versus oxycodone immediate release for treatment of acute low back pain Full Text Pain Physician, May 24, 2013 Clinical Article

4 Neuromuscular electrical stimulation for preventing skeletal-muscle weakness and wasting in critically ill patients: a systematic review Full Text BMC Medicine, May 24, 2013 Clinical Article

5 Long-term physical activity trends in breast cancer survivors Cancer Epidemiology, Biomarkers & Prevention, May 24, 2013 Clinical Article

6 Controlled-release oxycodone and naloxone in the treatment of chronic low back pain: A placebo-controlled, randomized study, Pain Research and Management, May 24, 2013 Clinical Article

7 Physical activity for the prevention and treatment of metabolic disorders Internal and Emergency Medicine, May 24, 2013 Review Article

8 Whole-exome sequencing identified a homozygous FNBP4 mutation in a family with a condition similar to microphthalmia with limb anomalies American Journal of Medical Genetics Part A, May 24, 2013 Review Article

9 Physical activity among somali men in minnesota: barriers, facilitators, and recommendations American Journal of Men's Health , May 24, 2013 Review Article

10 Fifth metatarsal fractures in the athlete: evidence for management Foot and Ankle Clinics, May 24, 2013 Review Article

Prior Articles

11 5-year changes in afterschool physical activity and sedentary behavior American Journal of Preventive Medicine, May 23, 2013 Clinical Article

12 The effect of neuroticism on the recall of persistent low back pain and perceived activity interference The Journal of Pain, May 23, 2013 Clinical Article

13 Neuromuscular Responses to Incremental Caffeine Doses: Performance and Side Effects Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

14 A Comparison of Energy Expenditure Estimation of Several Physical Activity Monitors Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

15 Partial Weightbearing Does Not Prevent Musculoskeletal Losses Associated with Disuse Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

16 Development of an injury risk function for first metatarsophalangeal joint sprains Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

17 A longitudinal study of strength and gait following arthroscopic partial meniscectomy Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

18 Effects of chronic ankle instability on energy dissipation in the lower extremity Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

19 Impact of Resistance Training in Cancer Survivors: a Meta-analysis Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

20 Gait Kkinematics of subjects with ankle instability using a multisegmented foot model Medicine and Science in Sports and Exercise, May 23, 2013 Evidence Based Medicine

50 available pages FirstPrevious 1 2 3 4 5 6 7 8 9 10 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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Internal Medicine - Orthopedic/Physical Med 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