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Internal Medicine - Pain Management 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 (1) Full Text Articles (151) Focus on HIV
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

41 Genetic variability at COMT but not at OPRM1 and UGT2B7 loci modulates morphine analgesic response in acute postoperative pain European Journal of Clinical Pharmacology, June 4, 2013    Clinical Article

42 Effect of music as nursing intervention for people diagnosed with fibromyalgia Pain Management Nursing, June 3, 2013    Clinical Article

43 Gene expression profiles of fatigued fibromyalgia patients with different categories of pain and catastrophizing: A preliminary report Nursing Outlook, June 3, 2013    Clinical Article

44 Relations between epileptic seizures and headaches Seizure - European Journal of Epilepsy, June 3, 2013    Clinical Article

45 Association between fatigue and pain in rheumatoid arthritis: does pain precede fatigue or does fatigue precede pain Arthritis Care & Research , June 3, 2013    Review Article    Clinical Article

46 Abnormal sensorimotor plasticity in migraine without aura patients Pain, June 3, 2013    Clinical Article

47 Glutamate oxaloacetate transaminase: a new key in the dysregulation of glutamate in migraine patients Cephalalgia, June 3, 2013    Clinical Article

48 Preventive treatment for migraine in primary care, a population-based study in the Netherlands Cephalalgia, June 3, 2013    Clinical Article

49 The capsaicin 8% patch for neuropathic pain in clinical practice: a retrospective analysis Pain Medicine, June 3, 2013    Clinical Article

50 Abdominal pain localization is associated with non-diarrheic Rome III functional gastrointestinal disorders Neurogastroenterology & Motility, June 3, 2013    Clinical Article

51 Size and symmetry of trunk muscles in ballet dancers with and without low back pain Journal of Orthopaedic & Sports Physical Therapy, June 3, 2013    Clinical Article

52 Cognitive impairment in fibromyalgia Current Pain and Headache Reports, June 3, 2013    Review Article    Clinical Article

53 Systematic review of psychological treatment in fibromyalgia Current Pain and Headache Reports, June 3, 2013    Evidence Based Medicine    Review Article    Clinical Article

54 Self-reported interoceptive awareness in primary care patients with past or current low back pain Full Text Journal of Pain Research, June 3, 2013    Clinical Article

55 Opioid rotation in patients initiated on oxycodone or morphine: a register study Full Text Journal of Pain Research, June 3, 2013    Clinical Article

56 Conceptualizing and treating comorbid chronic pain and PTSD Full Text Pain Research and Treatment, June 3, 2013    Review Article

57 Anesthesia for interventional vascular radiology Anaesthesia & intensive care medicine, May 31, 2013

58 Interventions targeting pain or behaviour in dementia: a systematic review Ageing Research Reviews, May 31, 2013    Evidence Based Medicine    Review Article

59 Parenteral analgesics for pain relief in acute pancreatitis: A systematic review Pancreatology, May 31, 2013    Review Article

60 A multicenter, prospective trial to assess the safety and performance of the spinal modulation dorsal root ganglion neurostimulator system in the treatment of chronic pain Neuromodulation: Technology at the Neural Interface, May 31, 2013    Review Article

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Clinical Pearls in Internal Medicine

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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