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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 (5) Full Text Articles (151) Focus on Diabetes Mellitus
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

861 A systematic review on the effectiveness of medical training therapy for subacute and chronic low back pain European Journal of Physical and Rehabilitation Medicine, October 26, 2012    Evidence Based Medicine    Clinical Article

862 Does going to an amusement park alleviate low back pain? A preliminary study Full Text Journal of Pain Research, October 26, 2012

863 Predictors of functional outcome in patients with chronic low back pain undergoing back school, individual physiotherapy or spinal manipulation European Journal of Physical and Rehabilitation Medicine, October 26, 2012    Clinical Article

864 Polymorphism in the SCN9A Voltage-Gated Sodium Channel Gene Associated With Interstitial Cystitis/Bladder Pain Syndrome Urology, October 26, 2012

865 Changes in pain catastrophizing predict later changes in fibromyalgia clinical and experimental pain report: cross-lagged panel analyses of dispositional and situational catastrophizing Full Text Arthritis Research & Therapy, October 26, 2012

866 Kainate Receptor Signaling in Pain Pathways Molecular Pharmacology, October 26, 2012    Clinical Article

867 Ethnic Differences in Physical Pain Sensitivity: Role of Acculturation Pain, October 26, 2012

868 Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial European Journal of Pain, October 25, 2012    Clinical Article

869 Opioid effect on lungs Respirology, October 25, 2012    Clinical Article

870 Intramedullary spinal cord cavernous malformations presenting with unexplained chest pain: case report and review of the literature Child's Nervous System, October 25, 2012

871 Safety and efficacy of peripheral nerve stimulation of the occipital nerves for the management of chronic migraine: Results from a randomized, multicenter, double-blinded, controlled study Cephalalgia, October 25, 2012    Clinical Article

872 Reliability and validity of a continuous pain registration procedure European Journal of Pain, October 25, 2012

873 Attenuation of pain-related behaviour evoked by carrageenan injection through blockade of neuropeptide Y Y1 and Y2 receptors European Journal of Pain, October 25, 2012

874 Keeping pain out of your mind: The role of attentional set in pain European Journal of Pain, October 25, 2012

875 Clinical correlates and diagnostic utility of osmophobia in migraine Cephalalgia, October 24, 2012    Clinical Article

876 Prednisone for the treatment of withdrawal headache in patients with medication overuse headache: A randomized, double-blind, placebo-controlled study Cephalalgia, October 24, 2012    Clinical Article

877 Treatment of Chronic Headache of Cervical Origin With Lipostructure: An Observational Study Headache: The Journal of Head and Face Pain, October 24, 2012    Clinical Article

878 A translational in vivo model of trigeminal autonomic cephalalgias: therapeutic characterization Brain, October 24, 2012

879 Case report and literature review of chronic neuropathic pain associated with peripheral venous cannulation Anaesthesia, October 24, 2012

880 Complementary and Alternative Medicine Use for Headache and Migraine: A Critical Review of the Literature Headache: The Journal of Head and Face Pain, October 23, 2012    Clinical 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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