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ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices u SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in the Email
United States.
BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 TEXTBOOK OF PHYSICAL DIAGNOSIS: HISTORY AND EXAMINATION 3rd edition. Swartz MH. 720 pages. Philadelphia: WB Saunders; 1998. $54.95. ISBN 072167514X. Order phone 800-545-2522. Field of medicine:General medicine.
ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South SYSTEMS FOR COMPARING ACTUAL AND PREDICTED MORTALITY RATES Mortality rates have been increasingly proposed as a measure of quality of hospital care. However, in themselves, mortality rates, whether used alone or in conjunction with severity-adjusted predicted rates, will not improve care. REVIEW: INTENSIVE INSULIN THERAPY DOES NOT REDUCE Source Citation Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. Ann Intern Med. 2011;154:268-82. 21320942 ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices u SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 TEXTBOOK OF PHYSICAL DIAGNOSIS: HISTORY AND EXAMINATION 3rd edition. Swartz MH. 720 pages. Philadelphia: WB Saunders; 1998. $54.95. ISBN 072167514X. Order phone 800-545-2522. Field of medicine:General medicine.
ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South SYSTEMS FOR COMPARING ACTUAL AND PREDICTED MORTALITY RATES Mortality rates have been increasingly proposed as a measure of quality of hospital care. However, in themselves, mortality rates, whether used alone or in conjunction with severity-adjusted predicted rates, will not improve care. REVIEW: INTENSIVE INSULIN THERAPY DOES NOT REDUCE Source Citation Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. Ann Intern Med. 2011;154:268-82. 21320942 THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices u AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South FOLIC ACID AND XANTHINE OXIDASE If the address matches an existing account you will receive an email with instructions to reset your passwordMIDLINE GRANULOMA
Excerpt To the editor: We were interested to read the paper, "Radiation Therapy of Midline Granuloma" by Fauci, Johnson, and Wolff (Ann Intern Med84:140-147, 1976). They report, however, a concept I. PRINCIPLES OF TEST SELECTION AND USE: A. PURPOSES OF Excerpt In the Diagnosis of Disease The process of diagnosis requires two essential steps. The first is the establishment of diagnostic hypotheses followed by attempts to reduce their number by pro PHYSICIAN PRESCRIBING OF STERILE INJECTION EQUIPMENT TO Acknowledgments: The authors thank Temple University law students Lisa Kane, Salli Ortiz, Ryan Silverman, and Ronald Webster for essential research assistance; Jane Silver and T. Steven Jones for inspiration and comments; and Gloria Magnano for secretarial support. The authors also thank the anonymous peer reviewers for their constructive suggestions and the members of the expert panel RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. OCCURRENCE OF SYMPTOMS OF SICKLE CELL DISEASE IN THE Excerpt The occurrence of bone and joint pain, abdominal pain, jaundice and other symptoms in patients with sicklemia has generally been associated with the presence of persistent anemia. According FAILURE TO THRIVE IN OLDER ADULTS TO THE EDITOR: In the article by Sarkisian and Lachs , the authors do not mention one of the most often overlooked and most readily corrected causes of failure to thrive in older adults: tuberculosis. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices uBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices uBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 INTENSIVE BLOOD PRESSURE TREATMENT IN ADULTS AGED 60 YEARS Intensive Blood Pressure Treatment in Adults Aged 60 Years or Older. Jessica Weiss, MD, MCR, Devan Kansagara, MD, MCR. Jessica Weiss, MD, MCR. From Oregon Health & Science University and Veterans Affairs Portland Health Care System, Portland, Oregon. BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. THE DISCREPANCY BETWEEN OBSERVATIONAL STUDIES AND Acknowledgments: The authors thank Drs. Avrum Bluming, Robert Goldberg, Robert Greenes, Paula Johnson, Anthony Komaroff, JoAnn Manson, and Douglas Rosendale and Ms. Jennifer Fortin for their insightful comments that contributed to the development of the manuscript. Grant Support: In part by the American Cancer Society Breast Cancer Prevention Forum, the Robert Wood RISK FACTOR MODIFICATION AFTER MYOCARDIAL INFARCTION Modification of risk factors in patients who have had myocardial infarctions has received little attention in the literature. Yet, major modifiable risk factors for recurrent coronary heart disease, including hypertension, smoking, increased serum cholesterol levels, sedentary lifestyle, and obesity are the same risk factors for itsdevelopment.
ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors DENIAL | ANNALS OF INTERNAL MEDICINE No longer able to hide from the dual realities that dementia has struck my family and that it begets suffering, I see now that denial has been a stubborn undercurrent in my life. SYSTEMS FOR COMPARING ACTUAL AND PREDICTED MORTALITY RATES Mortality rates have been increasingly proposed as a measure of quality of hospital care. However, in themselves, mortality rates, whether used alone or in conjunction with severity-adjusted predicted rates, will not improve care. REVIEW: INTENSIVE INSULIN THERAPY DOES NOT REDUCE Source Citation Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. Ann Intern Med. 2011;154:268-82. 21320942 ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi FOLIC ACID AND XANTHINE OXIDASE If the address matches an existing account you will receive an email with instructions to reset your password PHYSICIAN PRESCRIBING OF STERILE INJECTION EQUIPMENT TO Acknowledgments: The authors thank Temple University law students Lisa Kane, Salli Ortiz, Ryan Silverman, and Ronald Webster for essential research assistance; Jane Silver and T. Steven Jones for inspiration and comments; and Gloria Magnano for secretarial support. The authors also thank the anonymous peer reviewers for their constructive suggestions and the members of the expert panel BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 TEXTBOOK OF PHYSICAL DIAGNOSIS: HISTORY AND EXAMINATION 3rd edition. Swartz MH. 720 pages. Philadelphia: WB Saunders; 1998. $54.95. ISBN 072167514X. Order phone 800-545-2522. Field of medicine:General medicine.
SYSTEMS FOR COMPARING ACTUAL AND PREDICTED MORTALITY RATES Mortality rates have been increasingly proposed as a measure of quality of hospital care. However, in themselves, mortality rates, whether used alone or in conjunction with severity-adjusted predicted rates, will not improve care. VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi FOLIC ACID AND XANTHINE OXIDASE If the address matches an existing account you will receive an email with instructions to reset your password PHYSICIAN PRESCRIBING OF STERILE INJECTION EQUIPMENT TO Acknowledgments: The authors thank Temple University law students Lisa Kane, Salli Ortiz, Ryan Silverman, and Ronald Webster for essential research assistance; Jane Silver and T. Steven Jones for inspiration and comments; and Gloria Magnano for secretarial support. The authors also thank the anonymous peer reviewers for their constructive suggestions and the members of the expert panel BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 TEXTBOOK OF PHYSICAL DIAGNOSIS: HISTORY AND EXAMINATION 3rd edition. Swartz MH. 720 pages. Philadelphia: WB Saunders; 1998. $54.95. ISBN 072167514X. Order phone 800-545-2522. Field of medicine:General medicine.
SYSTEMS FOR COMPARING ACTUAL AND PREDICTED MORTALITY RATES Mortality rates have been increasingly proposed as a measure of quality of hospital care. However, in themselves, mortality rates, whether used alone or in conjunction with severity-adjusted predicted rates, will not improve care. VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors PHYSICIAN PRESCRIBING OF STERILE INJECTION EQUIPMENT TO Acknowledgments: The authors thank Temple University law students Lisa Kane, Salli Ortiz, Ryan Silverman, and Ronald Webster for essential research assistance; Jane Silver and T. Steven Jones for inspiration and comments; and Gloria Magnano for secretarial support. The authors also thank the anonymous peer reviewers for their constructive suggestions and the members of the expert panel HYPNOTIC DRUGS WERE ASSOCIATED WITH INCREASED RISK FOR Source Citation Kripke DF, Langer RD, Kline LE. Hypnotics' association with mortality or cancer: a matched cohort study. BMJ Open. 2012;2:e000850. 22371848 SODIUM INTAKE AND HYPERTENSION: A CAUSE FOR CONCERN Abstract Cardiovascular disease is the leading cause of death worldwide. Hypertension—the leading cause of heart attack, stroke, and kidney failure—occurs in more than 20% of adults in most modern SERUM URIC ACID IN ESSENTIAL HYPERTENSION: AN INDICATOR OF We measured glomerular filtration rate, renal and systemic hemodynamics, and intravascular volume in normotensive subjects and in borderline and established essential hypertensive patients classified according to serum uric acid level. INTESTINAL STASIS AND MACROCYTIC ANEMIA In 1895 Faber1in Denmark first called attention to the association of pernicious anemia with a stricture of the small intestine. He postulated that absorption of a poison from the stagnant bowel contents above the stricture was responsible for the anemia. RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors HOW CONSUMERS AND POLICYMAKERS CAN USE SYSTEMATIC REVIEWS Acknowledgments: The authors thank Gail Kennedy, Stacey Misakian, David Naylor, and Dave Sackett for their useful comments. They also thank the clinical reviewer, Paul F. Speckart. Corresponding Author: Lisa A. Bero, PhD, Institute for Health Policy Studies, University of California at San Francisco, 1388 Sutter Street, 11th Floor, San Francisco, California 94109. THE FINANCIAL COSTS OF GUN VIOLENCE The Financial Costs of Gun Violence. As is widely known, the United States leads the world in death by firearms. The Centers for Disease Control and Prevention (CDC) reported that since 1972, more than 30 000 people have died of firearm injuries each year. Injuries from firearms are the second leading cause of death for Americans 15 to 34years
FAILURE TO THRIVE IN OLDER ADULTS TO THE EDITOR: In the article by Sarkisian and Lachs , the authors do not mention one of the most often overlooked and most readily corrected causes of failure to thrive in older adults: tuberculosis. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices uBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices uBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis.BURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices u BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. ACUPUNCTURE TO TREAT FIBROMYALGIA PAIN Fibromyalgia is a condition that causes pain and tenderness in the head, shoulders, upper back, thighs, and abdomen. People with fibromyalgia also often have headaches, fatigue, anxiety, depression, and sleep problems. The cause of the condition is unknown. Fibromyalgia can be diagnosed when a person reports chronic, widespread pain and has AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South DENIAL | ANNALS OF INTERNAL MEDICINE No longer able to hide from the dual realities that dementia has struck my family and that it begets suffering, I see now that denial has been a stubborn undercurrent in my life. REVIEW: INTENSIVE INSULIN THERAPY DOES NOT REDUCE Source Citation Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. Ann Intern Med. 2011;154:268-82. 21320942 VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors RELATIONSHIP BETWEEN CLINICAL PERFORMANCE MEASURES AND Results: 8364 patients (54.7%) were hospitalized and 3062 (20.0%) died during the 12-month follow-up period. Six percent of patients did not meet any clinical measure targets, 24% met 1 target, 39% met 2 targets, 24% met 3 targets, and 7% met all 4 targets. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices uBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your password THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices uBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
EFFECT OF TRIPLE THERAPY (ANTIBIOTICS PLUS BISMUTH) ON Objective: To determine whether antimicrobial therapy for Helicobacter pylori infection accelerates the healing of duodenal ulcers.. Design: Single-blind, randomized, controlled trial.. Setting: Veterans Affairs hospital.. Participants: One hundred and five patients with endoscopically verified duodenal ulcers.. Intervention: Patients received either ranitidine, 300 mg/d, or ranitidine, 300 mg STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis.BURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. THE PATIENT-CENTERED MEDICAL HOME AND ASSOCIATIONS WITH The long-term effects of the patient-centered medical home (PCMH) are uncertain. This longitudinal study compared performance on quality-of-care measures and health care utilization for practices u BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. ACUPUNCTURE TO TREAT FIBROMYALGIA PAIN Fibromyalgia is a condition that causes pain and tenderness in the head, shoulders, upper back, thighs, and abdomen. People with fibromyalgia also often have headaches, fatigue, anxiety, depression, and sleep problems. The cause of the condition is unknown. Fibromyalgia can be diagnosed when a person reports chronic, widespread pain and has AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South DENIAL | ANNALS OF INTERNAL MEDICINE No longer able to hide from the dual realities that dementia has struck my family and that it begets suffering, I see now that denial has been a stubborn undercurrent in my life. REVIEW: INTENSIVE INSULIN THERAPY DOES NOT REDUCE Source Citation Kansagara D, Fu R, Freeman M, Wolf F, Helfand M. Intensive insulin therapy in hospitalized patients: a systematic review. Ann Intern Med. 2011;154:268-82. 21320942 VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors RELATIONSHIP BETWEEN CLINICAL PERFORMANCE MEASURES AND Results: 8364 patients (54.7%) were hospitalized and 3062 (20.0%) died during the 12-month follow-up period. Six percent of patients did not meet any clinical measure targets, 24% met 1 target, 39% met 2 targets, 24% met 3 targets, and 7% met all 4 targets. ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your passwordBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 142, NO 7 The fifth edition of the American College of Physicians' Ethics Manual covers emerging issues in medical ethics and revisits old ones. It reflects on many of the ethical tensions faced by internists and their patients and attempts to shed light on how existing principles extend to emerging concerns. STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
PULMONARY INSUFFICIENCY AND RESPIRATORY FAILURE. Excerpt Internists and chest physicians are having increasing difficulty in keeping abreast of the sprawling field of pulmonary physiology and, particularly, in selecting and relating the truly imp PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. LIFE AND DEATH AND THE AUTOMOBILE Excerpt For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as t VALIDITY OF MODELS FOR PREDICTING BRCA1 AND BRCA2 What is the problem and what is known about it so far? Two genes, BRCA1 and BRCA2, occur infrequently in the population but are relatively common in women of Ashkenazi Jewish ancestry and in women with a strong family history of breast cancer.When a woman has defects in 1 of these genes, she is very likely to have breast (or ovarian) cancer during her lifetime. PROPYLTHIOURACIL LEVELS IN HYPERTHYROID PATIENTS Abstract Nine patients with hyperthyroidism due to Graves' disease did not respond to therapy with very large doses (800 to 2000 mg/d) of propylthiouracil. In eight patients, studies showed propylt ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your passwordBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 142, NO 7 The fifth edition of the American College of Physicians' Ethics Manual covers emerging issues in medical ethics and revisits old ones. It reflects on many of the ethical tensions faced by internists and their patients and attempts to shed light on how existing principles extend to emerging concerns. STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
PULMONARY INSUFFICIENCY AND RESPIRATORY FAILURE. Excerpt Internists and chest physicians are having increasing difficulty in keeping abreast of the sprawling field of pulmonary physiology and, particularly, in selecting and relating the truly imp PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. LIFE AND DEATH AND THE AUTOMOBILE Excerpt For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as t VALIDITY OF MODELS FOR PREDICTING BRCA1 AND BRCA2 What is the problem and what is known about it so far? Two genes, BRCA1 and BRCA2, occur infrequently in the population but are relatively common in women of Ashkenazi Jewish ancestry and in women with a strong family history of breast cancer.When a woman has defects in 1 of these genes, she is very likely to have breast (or ovarian) cancer during her lifetime. PROPYLTHIOURACIL LEVELS IN HYPERTHYROID PATIENTS Abstract Nine patients with hyperthyroidism due to Graves' disease did not respond to therapy with very large doses (800 to 2000 mg/d) of propylthiouracil. In eight patients, studies showed propyltBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 104, NO 5 If the address matches an existing account you will receive an email with instructions to reset your password LIFE AND DEATH AND THE AUTOMOBILE For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as to shove almost all discussion aside until a solution is found. BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RISK FACTOR MODIFICATION AFTER MYOCARDIAL INFARCTION Modification of risk factors in patients who have had myocardial infarctions has received little attention in the literature. Yet, major modifiable risk factors for recurrent coronary heart disease, including hypertension, smoking, increased serum cholesterol levels, sedentary lifestyle, and obesity are the same risk factors for itsdevelopment.
ACUPUNCTURE TO TREAT FIBROMYALGIA PAIN Fibromyalgia is a condition that causes pain and tenderness in the head, shoulders, upper back, thighs, and abdomen. People with fibromyalgia also often have headaches, fatigue, anxiety, depression, and sleep problems. The cause of the condition is unknown. Fibromyalgia can be diagnosed when a person reports chronic, widespread pain and has RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your passwordBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 142, NO 7 The fifth edition of the American College of Physicians' Ethics Manual covers emerging issues in medical ethics and revisits old ones. It reflects on many of the ethical tensions faced by internists and their patients and attempts to shed light on how existing principles extend to emerging concerns. STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
PULMONARY INSUFFICIENCY AND RESPIRATORY FAILURE. Excerpt Internists and chest physicians are having increasing difficulty in keeping abreast of the sprawling field of pulmonary physiology and, particularly, in selecting and relating the truly imp PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. LIFE AND DEATH AND THE AUTOMOBILE Excerpt For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as t VALIDITY OF MODELS FOR PREDICTING BRCA1 AND BRCA2 What is the problem and what is known about it so far? Two genes, BRCA1 and BRCA2, occur infrequently in the population but are relatively common in women of Ashkenazi Jewish ancestry and in women with a strong family history of breast cancer.When a woman has defects in 1 of these genes, she is very likely to have breast (or ovarian) cancer during her lifetime. PROPYLTHIOURACIL LEVELS IN HYPERTHYROID PATIENTS Abstract Nine patients with hyperthyroidism due to Graves' disease did not respond to therapy with very large doses (800 to 2000 mg/d) of propylthiouracil. In eight patients, studies showed propylt ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your passwordBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 142, NO 7 The fifth edition of the American College of Physicians' Ethics Manual covers emerging issues in medical ethics and revisits old ones. It reflects on many of the ethical tensions faced by internists and their patients and attempts to shed light on how existing principles extend to emerging concerns. STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
PULMONARY INSUFFICIENCY AND RESPIRATORY FAILURE. Excerpt Internists and chest physicians are having increasing difficulty in keeping abreast of the sprawling field of pulmonary physiology and, particularly, in selecting and relating the truly imp PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. LIFE AND DEATH AND THE AUTOMOBILE Excerpt For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as t VALIDITY OF MODELS FOR PREDICTING BRCA1 AND BRCA2 What is the problem and what is known about it so far? Two genes, BRCA1 and BRCA2, occur infrequently in the population but are relatively common in women of Ashkenazi Jewish ancestry and in women with a strong family history of breast cancer.When a woman has defects in 1 of these genes, she is very likely to have breast (or ovarian) cancer during her lifetime. PROPYLTHIOURACIL LEVELS IN HYPERTHYROID PATIENTS Abstract Nine patients with hyperthyroidism due to Graves' disease did not respond to therapy with very large doses (800 to 2000 mg/d) of propylthiouracil. In eight patients, studies showed propyltBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 104, NO 5 If the address matches an existing account you will receive an email with instructions to reset your password LIFE AND DEATH AND THE AUTOMOBILE For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as to shove almost all discussion aside until a solution is found. BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RISK FACTOR MODIFICATION AFTER MYOCARDIAL INFARCTION Modification of risk factors in patients who have had myocardial infarctions has received little attention in the literature. Yet, major modifiable risk factors for recurrent coronary heart disease, including hypertension, smoking, increased serum cholesterol levels, sedentary lifestyle, and obesity are the same risk factors for itsdevelopment.
ACUPUNCTURE TO TREAT FIBROMYALGIA PAIN Fibromyalgia is a condition that causes pain and tenderness in the head, shoulders, upper back, thighs, and abdomen. People with fibromyalgia also often have headaches, fatigue, anxiety, depression, and sleep problems. The cause of the condition is unknown. Fibromyalgia can be diagnosed when a person reports chronic, widespread pain and has RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your passwordBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 142, NO 7 The fifth edition of the American College of Physicians' Ethics Manual covers emerging issues in medical ethics and revisits old ones. It reflects on many of the ethical tensions faced by internists and their patients and attempts to shed light on how existing principles extend to emerging concerns. STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
PULMONARY INSUFFICIENCY AND RESPIRATORY FAILURE. Excerpt Internists and chest physicians are having increasing difficulty in keeping abreast of the sprawling field of pulmonary physiology and, particularly, in selecting and relating the truly imp PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. LIFE AND DEATH AND THE AUTOMOBILE Excerpt For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as t VALIDITY OF MODELS FOR PREDICTING BRCA1 AND BRCA2 What is the problem and what is known about it so far? Two genes, BRCA1 and BRCA2, occur infrequently in the population but are relatively common in women of Ashkenazi Jewish ancestry and in women with a strong family history of breast cancer.When a woman has defects in 1 of these genes, she is very likely to have breast (or ovarian) cancer during her lifetime. PROPYLTHIOURACIL LEVELS IN HYPERTHYROID PATIENTS Abstract Nine patients with hyperthyroidism due to Graves' disease did not respond to therapy with very large doses (800 to 2000 mg/d) of propylthiouracil. In eight patients, studies showed propylt ANNALS OF INTERNAL MEDICINE: VOL 3, NO 3 If the address matches an existing account you will receive an email with instructions to reset your passwordBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 142, NO 7 The fifth edition of the American College of Physicians' Ethics Manual covers emerging issues in medical ethics and revisits old ones. It reflects on many of the ethical tensions faced by internists and their patients and attempts to shed light on how existing principles extend to emerging concerns. STEM-CELL TRANSPLANTATION IN MYOCARDIAL INFARCTION: A Myocardial regeneration with stem-cell transplantation is a possible treatment option to reverse the deleterious hemodynamic and neurohormonal effects that occur after myocardial infarction and can lead to congestive heart failure. Various preclinical animal studies show the potential to regenerate myocardium and improve perfusion tothe
SCREENING FOR HYPERTENSION References. 1. . Blood pressure levels in persons 18-74 years of age in 1976-80, and trends in blood pressure from 1960 to 1980 in theUnited States.
PULMONARY INSUFFICIENCY AND RESPIRATORY FAILURE. Excerpt Internists and chest physicians are having increasing difficulty in keeping abreast of the sprawling field of pulmonary physiology and, particularly, in selecting and relating the truly imp PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC Hypertension was also independently associated with embolic symptoms (odds ratio, 2.7), but diabetes was not (odds ratio, 1.0). Conclusion:Protruding atheromas in the thoracic aorta can be detected by transesophageal echocardiography and should be considered as a cause of strokes, transient ischemic attacks, and peripheral emboli. LIFE AND DEATH AND THE AUTOMOBILE Excerpt For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as t VALIDITY OF MODELS FOR PREDICTING BRCA1 AND BRCA2 What is the problem and what is known about it so far? Two genes, BRCA1 and BRCA2, occur infrequently in the population but are relatively common in women of Ashkenazi Jewish ancestry and in women with a strong family history of breast cancer.When a woman has defects in 1 of these genes, she is very likely to have breast (or ovarian) cancer during her lifetime. PROPYLTHIOURACIL LEVELS IN HYPERTHYROID PATIENTS Abstract Nine patients with hyperthyroidism due to Graves' disease did not respond to therapy with very large doses (800 to 2000 mg/d) of propylthiouracil. In eight patients, studies showed propyltBURNOUT CONTAGION
TO THE EDITOR: In Lapedis's poignant description of the suicide of a classmate shortly after receiving her U.S. Medical Licensing Examination Step 1 score, she wrote: “We know the statistics. ANNALS OF INTERNAL MEDICINE: VOL 104, NO 5 If the address matches an existing account you will receive an email with instructions to reset your password LIFE AND DEATH AND THE AUTOMOBILE For the 50,000 persons who will have died in traffic accidents by the end of 1966, any discussion of a better life will be useless. The problem of death and injury is of such magnitude as to shove almost all discussion aside until a solution is found. BASIC CLINICAL PARASITOLOGY. The second edition of this book is an adequate treatment of the subject, reasonably well-illustrated, and with a series of introductory charts which, if memorized, demands little more of the student. Perhaps these charts are a product of the authors' long experience in competing for attention in the crowded schedules of their respective schools. AN INTRODUCTION TO FAMILY MEDICINE. Excerpt Many persons have looked for but not found a concise statement of the theoretical basis, principles, philosophy, and content of family medicine. Ian McWhinney has travelled far towards defi ROUTINE COMPLICATIONS: TROUBLES WITH TALK BETWEEN DOCTORS Excerpt A sociologic perspective on, and linguistic analysis of, communication between doctor and patient. Based largely on interviews and observations conducted at the Medical University of South RISK FACTOR MODIFICATION AFTER MYOCARDIAL INFARCTION Modification of risk factors in patients who have had myocardial infarctions has received little attention in the literature. Yet, major modifiable risk factors for recurrent coronary heart disease, including hypertension, smoking, increased serum cholesterol levels, sedentary lifestyle, and obesity are the same risk factors for itsdevelopment.
ACUPUNCTURE TO TREAT FIBROMYALGIA PAIN Fibromyalgia is a condition that causes pain and tenderness in the head, shoulders, upper back, thighs, and abdomen. People with fibromyalgia also often have headaches, fatigue, anxiety, depression, and sleep problems. The cause of the condition is unknown. Fibromyalgia can be diagnosed when a person reports chronic, widespread pain and has RHEUMATOID FACTOR IN NONRHEUMATOID PLEURAL EFFUSIONS Among 65 consecutive patients with serous nonrheumatoid pleural effusions, the pleural fluid contained rheumatoid factor (RF) or rheumatoid factor-like activity at a titer of ≧ 1:160 in 41% of patients with bacterial pneumonia, 20% of patients with carcinoma, and 14% of patients with tuberculosis. VICTIMS OF CARDIAC ARREST OCCURRING OUTSIDE THE HOSPITAL Results: One- and 5-year graft survival rates were 90.7% and 85.5%, respectively, for transplants from heart-beating donors younger than 60 years of age; 79.8% and 73.3%, respectively, for transplants from heart-beating donors 60 years of age or older (P < 0.001); and 87.4% and 82.1%, respectively, for transplants from non–heart-beating donors (P = 0.22 [vs. those from heart-beating donors__
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* Robert M. Centor, MD, * Katherine R. Tuttle, MD, * Jonathan Himmelfarb, MD Ann Intern Med 1 Jun 2021 USPSTF RECOMMENDS AGAINST SCREENING ADULTS IN THE GENERAL POPULATION FOR ASYMPTOMATIC CAROTID ARTERY STENOSIS * Michael Tanner, MD Ann Intern Med 1 Jun 2021 IN COVID-19, TOCILIZUMAB REDUCES ALL-CAUSE MORTALITY AT 28 D * Shannon M. Fernando, MD, MSc, * Bram Rochwerg, MD, MSc Ann Intern Med 1 Jun 2021 IN PATIENTS HOSPITALIZED WITH COVID-19, ADDING AZITHROMYCIN TO USUAL CARE DID NOT REDUCE 28-D MORTALITY * Simon O’Connor, MBBS View More From This Journal ACP Journal Club 4 Mar 2020 EARLY TREATMENT WITH PREDNISOLONE, BUT NOT ACYCLOVIR, PROMOTED COMPLETE RECOVERY OF FACIAL-NERVE FUNCTION IN BELL PALSY * Wieslaw Oczkowski, MD ACP Journal Club 4 Mar 2020 REVIEW: VITAMIN D SUPPLEMENTATION DECREASES ALL-CAUSE MORTALITY IN ADULTS AND OLDER INDIVIDUALS * Joel A. Simon, MD, MPH ACP Journal Club 4 Mar 2020 PRIMARY PREVENTION WITH PRAVASTATIN FOR 5 YEARS CONTINUED TO PREVENT CORONARY EVENTS IN THE FOLLOWING 10 YEARS * Charles B. Eaton, MD, MS ACP Journal Club 4 Mar 2020 HEPARIN PROPHYLAXIS DID NOT INCREASE MORTALITY AND WAS BENEFICIAL IN ADULTS WITH SEPSIS RECEIVING DROTRECOGIN ALFA* Deborah Cook, MD
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