Articles tagged with Internal Medicine
Comprehensive exploration of living organisms, biological systems, and life processes across all scales from molecules to ecosystems. Encompasses cutting-edge research in biology, genetics, molecular biology, ecology, biochemistry, microbiology, botany, zoology, evolutionary biology, genomics, and biotechnology. Investigates cellular mechanisms, organism development, genetic inheritance, biodiversity conservation, metabolic processes, protein synthesis, DNA sequencing, CRISPR gene editing, stem cell research, and the fundamental principles governing all forms of life on Earth.
Comprehensive medical research, clinical studies, and healthcare sciences focused on disease prevention, diagnosis, and treatment. Encompasses clinical medicine, public health, pharmacology, epidemiology, medical specialties, disease mechanisms, therapeutic interventions, healthcare innovation, precision medicine, telemedicine, medical devices, drug development, clinical trials, patient care, mental health, nutrition science, health policy, and the application of medical science to improve human health, wellbeing, and quality of life across diverse populations.
Comprehensive investigation of human society, behavior, relationships, and social structures through systematic research and analysis. Encompasses psychology, sociology, anthropology, economics, political science, linguistics, education, demography, communications, and social research methodologies. Examines human cognition, social interactions, cultural phenomena, economic systems, political institutions, language and communication, educational processes, population dynamics, and the complex social, cultural, economic, and political forces shaping human societies, communities, and civilizations throughout history and across the contemporary world.
Fundamental study of the non-living natural world, matter, energy, and physical phenomena governing the universe. Encompasses physics, chemistry, earth sciences, atmospheric sciences, oceanography, materials science, and the investigation of physical laws, chemical reactions, geological processes, climate systems, and planetary dynamics. Explores everything from subatomic particles and quantum mechanics to planetary systems and cosmic phenomena, including energy transformations, molecular interactions, elemental properties, weather patterns, tectonic activity, and the fundamental forces and principles underlying the physical nature of reality.
Practical application of scientific knowledge and engineering principles to solve real-world problems and develop innovative technologies. Encompasses all engineering disciplines, technology development, computer science, artificial intelligence, environmental sciences, agriculture, materials applications, energy systems, and industrial innovation. Bridges theoretical research with tangible solutions for infrastructure, manufacturing, computing, communications, transportation, construction, sustainable development, and emerging technologies that advance human capabilities, improve quality of life, and address societal challenges through scientific innovation and technological progress.
Study of the practice, culture, infrastructure, and social dimensions of science itself. Addresses how science is conducted, organized, communicated, and integrated into society. Encompasses research funding mechanisms, scientific publishing systems, peer review processes, academic ethics, science policy, research institutions, scientific collaboration networks, science education, career development, research programs, scientific methods, science communication, and the sociology of scientific discovery. Examines the human, institutional, and cultural aspects of scientific enterprise, knowledge production, and the translation of research into societal benefit.
Comprehensive study of the universe beyond Earth, encompassing celestial objects, cosmic phenomena, and space exploration. Includes astronomy, astrophysics, planetary science, cosmology, space physics, astrobiology, and space technology. Investigates stars, galaxies, planets, moons, asteroids, comets, black holes, nebulae, exoplanets, dark matter, dark energy, cosmic microwave background, stellar evolution, planetary formation, space weather, solar system dynamics, the search for extraterrestrial life, and humanity's efforts to explore, understand, and unlock the mysteries of the cosmos through observation, theory, and space missions.
Comprehensive examination of tools, techniques, methodologies, and approaches used across scientific disciplines to conduct research, collect data, and analyze results. Encompasses experimental procedures, analytical methods, measurement techniques, instrumentation, imaging technologies, spectroscopic methods, laboratory protocols, observational studies, statistical analysis, computational methods, data visualization, quality control, and methodological innovations. Addresses the practical techniques and theoretical frameworks enabling scientists to investigate phenomena, test hypotheses, gather evidence, ensure reproducibility, and generate reliable knowledge through systematic, rigorous investigation across all areas of scientific inquiry.
Study of abstract structures, patterns, quantities, relationships, and logical reasoning through pure and applied mathematical disciplines. Encompasses algebra, calculus, geometry, topology, number theory, analysis, discrete mathematics, mathematical logic, set theory, probability, statistics, and computational mathematics. Investigates mathematical structures, theorems, proofs, algorithms, functions, equations, and the rigorous logical frameworks underlying quantitative reasoning. Provides the foundational language and tools for all scientific fields, enabling precise description of natural phenomena, modeling of complex systems, and the development of technologies across physics, engineering, computer science, economics, and all quantitative sciences.
The Guidelines International Network has issued 9 principles to address financial, intellectual, and personal conflicts of interest in clinical practice guideline development. The principles emphasize the importance of disclosure and management of COI to ensure trustworthiness of guidelines.
A nationally representative study found racial/ethnic minorities and unemployed individuals spent more time traveling to, waiting for, and receiving medical care. Face-to-face time with physicians averaged 20.5 minutes and did not vary by patient race/ethnicity.
Physicians should use validated clinical prediction rules to estimate pre-test probability of PE. In low-risk patients, D-dimer testing can provide additional risk stratification. Imaging is indicated for high-risk patients or those with a high clinical presentation. Age-adjusted D-dimer thresholds can help determine imaging necessity.
A new comprehensive guide, MAGIC, offers a framework for clinicians to pick the right device for each adult patient, reducing complications and improving safety. The guide provides color-coded charts and algorithms to indicate appropriate or inappropriate use of IV devices.
A provocative essay in Annals of Internal Medicine exposes doctors' disrespect towards vulnerable patients, highlighting shocking clinical experiences. The author's anonymity protects patient privacy, but raises questions about medical ethics and accountability.
Researchers found limited evidence that web-based interventions reduced alcohol consumption in adults and college students who screened positive for hazardous alcohol use. Higher intensity interventions with human support are suggested to have greater benefits.
A new study estimates the cost of implementing revised physician board recertification requirements will be a significant burden on physicians and patients. The study found that most costs arise from the time required for physicians to fulfill requirements, rather than fees payable to the American Board of Internal Medicine.
Healthcare professionals and consumers can voluntarily report adverse drug events directly to the FDA or the manufacturer, but about 10% of serious and unexpected adverse events are not reported under federal regulations. The study analyzed over 1.6 million reports and found that patient death was associated with delayed reporting.
A new Penn study found that internal medicine residents are twice as likely to prescribe expensive brand-name statins when supervised by senior physicians who also use them. The study's findings represent an opportunity to improve value in healthcare spending and highlight the importance of redesigning graduate medical education.
A study published in Annals of Internal Medicine found that 10% of health care providers write an antibiotic prescription for nearly every patient (95 percent or more) who walks in with a cold, bronchitis or other acute respiratory infection. This variation is driven by individual provider habits rather than differences in patient char...
Researchers at UT Southwestern Medical Center found that introducing an enzyme called ceramidase in diabetic mice rapidly improved insulin sensitivity. The study suggests a new means to potentially treat Type 2 diabetes and nonalcoholic fatty liver disease by lowering ceramide levels, which interfere with insulin signaling.
A new study led by McMaster University professor Dr. Deborah Cook found that a program honoring patients' last wishes creates meaning, memories, and closure at death. The Three Wishes Project, which involved 40 dying patients and their families, resulted in the implementation of 97.5% of requested wishes.
While some IRB members still feel pressure to approve protocols with biases, significant progress has been made in disclosing and managing conflicts of interest since 2005. The study suggests that formal written definitions of conflict of interests have improved, but more work is needed.
The latest Ebola outbreak is the largest, most sustained, and most widespread to date, with several potential treatments undergoing clinical trials. Dr. Ali Mirazimi notes that emerging infectious diseases will continue to challenge global health.
Researchers found that coronary artery calcification scans can accurately predict all-cause mortality up to 15 years in asymptomatic patients. The study's findings suggest that CAC scanning could help physicians identify patients at risk for early death and advise them to adopt healthier lifestyles.
A meta-analysis of 12 randomized controlled trials found that vegetarian diets lead to significant weight loss, with vegan diets showing the greatest results, and benefits attributed to high intake of whole grains, fruits, and vegetables.
A national survey found that patients are interested in using email and Facebook to manage their health, but few actually do so. Only 7% of respondents use their physicians' websites to access their own health information, highlighting a disconnect between patient interest and current institutional practices.
A new article highlights key action areas for healthcare professionals to improve the quality of life of older adults by maintaining brain health. Action areas include formal cognitive assessments, screening for risk factors, and promoting physical exercise and social engagement.
ER revisit rates exceed expectations, with one in five patients returning within 30 days and one in 12 after three days. Total cost of revisits is higher than initial visits, highlighting the need to understand what leads to these repeated visits.
Researchers found that state policies on organ donation and transplantation had virtually no effect on rates of organ donation and transplantation in the US. Only revenue policies, which allow individuals to contribute to protected state funds for donation promotion activities, were associated with a 5.3% increase in transplants.
A systematic review of published evidence found that extended dual antiplatelet therapy (DAPT) decreases the risk for myocardial infarction but increases major bleeding events and may increase mortality. The authors suggest based on patient preferences after discussing benefits and harms.
A study found that nondisclosure agreements in medical malpractice settlements are often used with little standardization or consistency, selectively binding patients and making them hard to justify on privacy grounds. The use of these agreements may be subject to review and could potentially restrict reporting to regulatory bodies.
A case report suggests that taking an unlabeled stimulant like BMPEA in a sports supplement combined with exercise can cause a hemorrhagic stroke. The patient reported sudden numbness and clumsiness after exercising, highlighting the potential risks of untested stimulants in dietary supplements.
A disease-specific employee-based health plan can improve medication adherence by almost five percent, translating to a one percent reduction in healthcare spending. The plan also reduces hospital visits and emergency treatment centers.
A new detailed guide provides advice on urinary catheter use, suggesting that far fewer hospital patients should receive them. The Ann Arbor Criteria recommend using catheters only in certain situations, such as for intensive care unit patients who need hourly urine volume measurement.
Researchers identified mutations in PARN and RTEL1 genes, which cause excessive telomere shortening and lung scarring disease. The findings strengthen the link between lung fibrosis and telomere dysfunction.
The American College of Physicians (ACP) has released best practice advice for cervical cancer screening, supported by ACOG and ASCP. The guidance aims to reduce overuse of screening in average-risk women without symptoms.
Dr. Philipp Scherer, Director of UT Southwestern's Touchstone Center for Diabetes Research, receives the prestigious Banting Medal for his significant contributions to understanding and treating diabetes. His research focuses on adipocytes and has demonstrated an initially protective role for obesity in regulating metabolism.
The USPSTF completed a systematic evidence review to inform an upcoming update of Task Force recommendations on screening asymptomatic adults for type 2 diabetes. Screening was found to help delay progression to diabetes by identifying those who could benefit from treatment, but did not improve mortality rates.
A retrospective cohort study of nearly 217,000 patients with gout found that prescription rates for effective gout treatment decreased after the FDA increased prices. The study also showed significant increases in monthly total prescription bills, highlighting the negative impact of regulatory actions on access to affordable medications.
Researchers found that Weight Watchers and Jenny Craig are the most effective commercial weight-loss programs for long-term weight loss. In contrast, physical therapy was as effective as surgery in alleviating symptoms of lumber spinal stenosis. Leading internists also advocate for a more thoughtful approach to cardiopulmonary resuscit...
Researchers analyzed data from over 8,399 participants and found that daily apple eaters had higher odds of avoiding prescription medications. However, the study did not find a significant association between apple consumption and reduced healthcare use.
The US Preventive Services Task Force finds that routine screening for thyroid dysfunction in nonpregnant, asymptomatic adults lacks sufficient evidence. In contrast, the American Diabetes Association recommends individualized treatment plans for patients with diabetes, taking into account factors like age, comorbid conditions, and car...
A national survey found that one in three older Americans experience age-related discrimination, leading to new or worsened functional ailments. Healthcare providers can reduce this effect by treating patients with respect and dignity, regardless of age or socioeconomic status.
A study from the Cornell Food & Brand Lab found that movie-goers watching tearjerkers ate 28-55% more popcorn during the Thanksgiving holiday. This increased consumption was attributed to emotional eating triggered by sad movies.
The American College of Physicians has released new guidelines for preventing and treating bedsores, recommending protein supplementation and hydrocolloid dressings to reduce wound size. Advanced static mattresses and overlays are also recommended for patients at increased risk, while alternating air mattresses and overlays are advised...
Men who used saunas frequently had reduced risks of fatal cardiovascular events and all-cause mortality. The risk was particularly lower for those using the sauna 2-3 times per week, with significant reductions in cardiovascular disease and death rates observed.
A study found that watching a video explaining CPR and intubation procedures improved patient understanding, with 72% opting against intubation and 64% refusing CPR. Videos helped patients express their choices to doctors, promoting patient-centered care.
Researchers found a simple fiber-rich diet to be nearly as effective as the American Heart Association (AHA) diet for weight loss and improving metabolic health. However, AHA diet's many rules may make adherence challenging for some. Meanwhile, clinical risk calculators seriously overestimate heart attack risk. Sore throats in young ad...
The Strategic Pharma-Academic Research Consortium (SPARC) has awarded over $1.9 million to advance research on autoimmune diseases such as multiple sclerosis, lupus, and Crohn's disease. The funded projects will focus on understanding the root causes of these conditions and developing new treatments.
A new report from the Institute of Medicine proposes revised diagnostic criteria for chronic fatigue syndrome, highlighting its physiologic nature. The criteria also emphasize the debilitating symptom of post-exertional malaise, where exertion triggers prolonged periods of fatigue.
A study found that only 4% of published clinical trials mentioned FDA inspection violations, despite 74% having protocol violations. The FDA's lack of transparency and notification to journals contributes to this issue, making it difficult to track research misconduct.
A study found that an oral supplement containing arginine, zinc, and antioxidants improves healing of mild to severe pressure ulcers in malnourished patients. Meanwhile, a survey suggests that pain and other alarming symptoms in the last year of life have increased from 1998 to 2010. The Centers for Disease Control and Prevention's ACI...
A recent study published in JAMA Internal Medicine found that low-risk patients presenting to the emergency department (ED) with chest pain did not experience a significant increase in heart attack risk regardless of the initial diagnostic testing strategy. The researchers analyzed data from over 421,000 ED visits and concluded that ce...
The American College of Physicians marks its centennial year with a focus on the role of internal medicine in healthcare systems, professional satisfaction, and cost control. The journal also explores the challenges of sharing clinical trial data, highlighting the need for a consistent approach to balance benefits and risks.
A systematic review found that prolonged sitting is independently associated with negative health outcomes and mortality, especially among those who exercise little. Tips from the author include taking regular breaks to stand or move around, setting achievable goals for reducing sedentary time.
A large study found a strong association between eating more whole grains and lower total and cardiovascular mortality rates. The researchers estimated that every serving of whole grains per day was associated with a 5% lower total mortality rate or a 9% lower CVD mortality rate.
Medical ethicists offer guidance on life-sustaining therapies for Ebola patients in developed countries, balancing risks and benefits. Former Surgeon General David Satcher discusses the importance of credibility and influence in the role, emphasizing scientific evidence-based reports.
A systematic review published in Annals of Internal Medicine suggests that blood pressure-lowering therapy can reduce stroke, cardiovascular deaths, and total deaths in patients with mild hypertension. Ambulatory monitoring may also improve the diagnostic accuracy of office screening for high blood pressure.
Researchers found that black patients' poorer health at diagnosis, not treatment differences, explains most of the racial disparity in colon cancer survival. Emphysema detected on CT scans is linked to increased mortality among those without airflow obstruction or COPD.
Nonfatal indoor tanning-related injuries treated in US hospitals averaged 3,234 annually between 2003-2012. Most common types were skin burns, syncope, and eye injuries.
Research shows that patients receiving basic life support (BLS) have greater survival to hospital discharge and 90-day post-discharge compared to those receiving advanced life support (ALS). BLS providers tend to spend less time at the scene, leading to higher mortality rates in ALS patients.
The US Preventive Services Task Force concludes that current evidence is insufficient to assess the benefits and harms of routine screening for vitamin D deficiency. Researchers found no direct evidence on the effects of screening versus no screening, but treating patients with low serum levels may help prevent adverse outcomes.
A McGill University Health Centre study found that adopting structured antibiotic time-outs led to decreased antibiotic costs and a small decline in Clostridium difficile infections. The time-out program, which involved regular re-evaluation of treatment strategies, resulted in improved prescribing practices among physicians.
A study found that programming electronic health records to make generic drugs the default choice increases generic medication prescribing rates, leading to cost savings and reduced healthcare spending. The intervention was effective in both ambulatory clinics and did not require additional effort from physicians.
A study finds that elderly Americans with low health literacy are less likely to use the internet for health information. Interventions targeting health literacy among older adults may help bridge the digital divide.
A new study found that survivors of heart attacks and strokes experience a rapid decline in physical abilities over time, leading to increased disability and depressive symptoms. The study suggests that these survivors should be screened for functional disability long after discharge from the hospital.
The American College of Physicians recommends a systematic approach to discussing end-of-life care goals with patients, aiming for better quality of life and longer survival rates. The guidelines also highlight the importance of training clinicians, identifying at-risk patients, and using structured communication formats.
A survey of 409 physicians found that many are unaware of the latest treatments and guidelines for allergic conditions. The study highlights the importance of seeking a board-certified allergist for accurate diagnosis and treatment.
Only one in two young adults with hypertension receive lifestyle education to lower their blood pressure. A study found that exercise and quitting smoking were the most common topics addressed.