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.
A new study published in Annals of Internal Medicine found that men with high blood pressure can safely consume one or two drinks per day without increasing their risk of heart attack. Additionally, a three-year study discovered that daily folic acid supplementation slowed the decline in hearing for low-frequency sounds among older adu...
Researchers found that intensive support programs for caregivers improved their quality of life, reducing depression and stress. Coordinated support systems also enhanced dementia patient care, with 64% meeting guidelines in the intervention group.
A review in the Journal of Internal Medicine estimates that 50 million people acquired zoonotic diseases between 2000 and 2005, resulting in up to 78,000 deaths. The Dengue virus and Japanese Encephalitis Virus are among the most common zoonotic killers.
A new study found that women with disabilities are less likely to undergo breast-conserving surgery after a breast cancer diagnosis. In contrast, older adults with three or more chronic diseases may not benefit from colorectal cancer screening due to shortened life expectancy.
A recent study reveals that medical misdiagnoses often result from multiple breakdowns in the diagnostic process, including failure to order tests or follow up on patients. In contrast, patients receiving high-quality hemodialysis care are less likely to experience hospitalizations and deaths.
Individuals with sleep-related breathing disorders are significantly more likely to develop depression, especially those with moderate or worse disorders. The study found a dose-response association between sleep-related breathing disorder and depression, suggesting a causal link between the conditions.
Patients with allergic rhinitis experience more difficulty sleeping and sleep disorders compared to those without allergies. Allergic rhinitis affects about 20-50% of the population, contributing to snoring, breathing problems, and sleep apnea.
A New York City analysis found that non-HIV-related deaths among people with AIDS increased by 32.8% from 1999 to 2004, with underlying causes including substance abuse and cardiovascular disease. The study suggests a shift in healthcare models to address physical and mental health needs is necessary to reduce these deaths.
A recent survey of 4,193 New York City men found that nearly 10% of those identifying as straight reported having sex with at least one man. This group was more likely to be from minority racial or ethnic groups, foreign-born, and married. They were also less likely to get tested for HIV or use condoms during last sexual encounter.
A survey of US and Canadian physicians reveals they generally support disclosing medical errors that would be apparent to patients, but differ in when and how to do so. Most patients want detailed information following a medical error, including an explicit statement of the error and explanations for what will be done to prevent future...
Two University of Iowa studies examine factors that hinder or help physicians disclose medical errors. The research reveals a range of positive and negative motivations, including responsibility to patients, self, profession, and community. Understanding these factors can improve patient safety and doctor-patient relationships.
A team of medical experts has established clinical guidelines to inform the best care for patients with pacemakers or implantable cardioverter-defibrillators under advisory or recall. The guidelines consider device failure rates, patient dependency, and mortality to guide replacement decisions.
The second edition of 'Medicine in Quotations' features over 450 new quotations on various topics, fully referenced to their original sources. The book offers a unique perspective on the evolution of medical concepts and practices.
A study by Jasminka M. Vukanovic-Criley and colleagues found that cardiac examination skills appear similar among medical students, residents, and faculty physicians, but decline significantly after years in practice. The authors conclude that improvement is needed to ensure accurate diagnosis and patient safety.
Patients who received a disclosure were more likely to correctly identify their physician's payment model and report enough knowledge to judge its influence on health care. Loyalty to the physician group was higher among those receiving a disclosure, with no significant decrease in trust.
The article discusses scientific fraud prevention and the growing concern of community-acquired MRSA infections. The key responsibilities for addressing misconduct can be shared among institutions, co-authors, and journal editors.
Researchers found that physical symptoms of frailty are often reversible and can be addressed through early intervention. The study, published in Archives of Internal Medicine, included 754 participants aged 70 or older and found high rates of recovery from frailty.
A 15-year study found that elderly men with higher optimism levels had a significantly lower risk of cardiovascular death. The study also showed that older age, depression, and lower physical activity were associated with lower optimism scores over time.
A national survey found that 78% of hospitals do not require general pediatricians to be board certified at the time of initial privileging, but 70% require it at some point during their tenure. Many hospitals have no specific time limit for certification,
A study published in the American Journal of Public Health found that using open-ended questions to collect patient-reported data on ethnicity resulted in lower rates of missing values and unusable data compared to traditional closed-ended methods. This method also better captured the nuances of patients' self-identified ethnicities.
A study by Dr. Richard Frankel found that nonverbal cues in medical interactions can influence patient satisfaction and compliance with doctor's instructions. Effective nonverbal behavior can convey empathy and improve communication, whereas inappropriate gestures can lead to feelings of humiliation or anxiety.
Researchers report three cases of severe liver failure and hepatitis linked to telithromycin, a newly approved antibiotic. The study highlights the potential risk of idiosyncratic drug reactions at one medical center.
59% of general internists, 60% of subspecialists participated to improve professional image and update medical knowledge. The survey also found that 69% of general internists believed board-certified physicians are more competent than non-certified ones.
A survey of internists reveals the most common reasons for recertification are to maintain professional image and update knowledge. In contrast, a review finds no evidence that oral nutritional supplements help elderly patients in a home setting. Meanwhile, unsupervised walking at home can slow decline from peripheral arterial disease.
A Northwestern University study found that self-directed walking exercise at least three times a week slows the decline of physical abilities in people with peripheral artery disease (PAD). Participants with the worst PAD at the start of the study were most likely to benefit from this type of regular exercise program.
A Yale University study found that the true number of chronically disabled older Americans is significantly lower than previously estimated, with only 16.1-17.2% of participants meeting criteria for chronic disability
A recent study by Yale University researchers found that US Medicare patients with heart failure have a lower risk of dying within 30 days compared to their Canadian counterparts. However, the difference in long-term survival rates is negligible. The study suggests that the American system may excel at acute care, while the Canadian sy...
Researchers found that higher levels of inflammatory markers Lp-PLA2 and CRP were associated with increased risk of ischemic stroke. The study included 12,762 middle-aged men and women, and found that individuals with high levels of both markers were at the highest risk.
A study of nearly 2500 HIV-infected adults in the US found that 26% experienced perceived discrimination, with physicians being a major contributor. This discrimination led to reduced access to care and lower ratings for medical quality, highlighting the need for addressing these issues.
The ACP Expert Guide to Sports Medicine covers assessment and management of common musculoskeletal injuries and other sports-related conditions. The book is organized in three sections: Overview, Medical Conditions (non-musculoskeletal), and Musculoskeletal Injuries, with tables, illustrations, and case studies.
Researchers at Yale School of Medicine found that expanded physician and residency training in telephone medicine is necessary to prevent medical mishaps. The lack of visual cues indicating emotions may lead physicians to assume patients take news better than they actually do.
A study of Medicare patients with heart attacks found significantly higher 30-day death rates in December compared to other months, with 22% of those hospitalized in the month dying within 30 days. The study looked for use of proven therapies but authors remain uncertain about the cause of the increased mortality rate.
A new UCLA study found that seniors with the lowest expectations for aging were more than twice as likely to report engaging in less than 30 minutes of moderate to vigorous activity. Increasing physical activity can improve health outcomes for older adults, making it a powerful way to address common age-related health issues.
The number of students in US medical schools remained constant between 1994-1995 and 2004-2005, at approximately 67,000. Meanwhile, full-time faculty members increased by 32%, with many specialties experiencing an influx of new recruits.
The US Preventive Services Task Force recommends routine genetic counseling for women with a family history of breast cancer or Ashkenazi Jewish descent. A new study found that tiotropium, an inhaled bronchodilator, reduces COPD flare-ups and hospitalizations compared to a placebo.
A study by UT Southwestern researchers found significant differences in C-reactive protein levels among men and women, as well as between black and white patients. Women typically had higher CRP levels than men, while blacks had higher levels than whites, with a notable disparity in cardiovascular disease rates.
A study found that hospitalised older patients with delirium had a 13% shorter lifespan compared to those without delirium. The researchers estimate that this equates to approximately one year of life lost per patient.
Primary care physicians overwhelmingly believe that annual physical examinations provide valuable time for counseling on preventive health behaviors and improve the physician-patient relationship. Despite current guidelines recommending more selective screening, many PCPs perform annual exams due to patient demand and perceived benefits.
Physicians performing independent medical examinations (IMEs) still owe legal duties to patients, even without traditional relationships. The U.S. health care provider market is a key factor in rising health care costs, with strong market power driving high prices and quantity of medical services.
A recent study published in Patient Education and Counseling found that 89% of women overestimated their lifetime risk of breast cancer, with an average estimate of 46%. Women who did not provide an estimate beforehand were more likely to feel anxious, while those who provided an estimate reported relief after learning the actual risk ...
ID physicians and expert general medicine physicians outperform non-expert generalists in treating patients with HIV. Key findings include improved viral load control and increased flu vaccination rates among expert groups.
Major medical journals, including Annals of Internal Medicine, will consider publishing results of clinical trials only if they are registered in a publicly accessible database before enrollment begins. The International Committee of Medical Journal Editors (ICMJE) has adopted a set of 20 required data elements for trial registration.
Ralph Horwitz, M.D., is receiving the Glaser Award from the Society of General Internal Medicine (SGIM) in recognition of his significant contributions to research and education in general internal medicine. The award is supported by grants from the Henry J. Kaiser Family Foundation and the Commonwealth Fund.
A study of 47,620 male health professionals found that vigorous physical activity reduced the risk of advanced and fatal prostate cancer by up to 70% among men aged 65 or older. However, no association was observed for younger men.
Researchers found that patients motivated for assisted suicide due to chronic illness, loss of sense of self, or fear of future decline. These motivations highlight the need for healthcare providers to address the quality of dying experience with their patients.
A study examining nearly 100,000 patients found that nearly half did not receive recommended laboratory tests to monitor potential drug side effects. The researchers conclude that lapses in drug safety monitoring are common and further research is needed to determine the extent of its impact on actual medical problems.
A Georgetown University researcher reveals hidden sponsorship of articles and lectures in medical journals, compromising patient care. A public database is needed to disclose conflicts of interest.
A recent editorial in the Journal of General Internal Medicine condemns the practice of ghostwriting in medical journals, citing issues with authorship and financial relationships. The authors highlight the need for transparency and accountability in academic publishing to maintain public trust.
The new Ethics Manual revisits and expands on earlier topics, including sections on chaperones and privacy, gifts from patients, and health and human rights. The fifth edition provides an ethical framework for physicians to make complex decisions in a changing environment.
A study published in Archives of Internal Medicine found that physicians with negative attitudes towards injection drug users were less likely to prescribe highly active antiretroviral therapy (HAART) and had a higher rate of complaints. Additionally, researchers discovered that patients who received financial disclosure about physicia...
A new study published in Annals of Internal Medicine found that obese patients with type 2 diabetes who followed a very low-carbohydrate diet lost significant amounts of weight. The participants consumed fewer calories on the low-carb diet, resulting in improved blood sugar levels and reduced triglycerides and cholesterol levels.
A recent study found that only 1 in 4 minority women under 40 have documented family history of breast cancer. The research highlights the need for primary care providers to ask about breast cancer histories, as disparities were observed between minority and white women.
A recent study found that pregnant women who engaged in regular exercise had improved mental health and reduced symptoms of depression. The research suggests that moderate exercise, such as 30 minutes a day, can help counteract the negative effects of pregnancy on physical and mental well-being.
A study of 21 physicians found that patients often refuse medical recommendations for religious reasons, particularly in situations with moderate treatment benefits. Physicians should practice candid, respectful dialogue to negotiate accommodations with patients while respecting their differing worldviews.
A new analysis found that heavy alcohol drinking was associated with an increased risk of ischemic stroke in men. Moderate drinking of red wine, on the other hand, was linked to a lower risk of stroke compared to other forms of alcohol consumption.
Acupuncture was found to be effective in treating osteoarthritis of the knee, while its effectiveness for chronic neck pain was no better than placebo. A third study identified a clinical prediction rule that can predict which patients with low-back pain are most likely to benefit from spinal manipulation.
A study of 226 elderly adults with advanced cancer, congestive heart failure, or COPD found that virtually all participants experienced moderate to severe symptoms, including limited activity, fatigue, and physical discomfort. The study highlights the importance of addressing these symptoms in this vulnerable population.
A study of 1,718 people found that COX-2 inhibitor rofecoxib was associated with a higher risk of heart attack compared to celecoxib and older non-selective non-aspirin non-steroidal anti-inflammatory drugs (NANSAIDs). In contrast, those who used NANSAIDs had a decreased risk for myocardial infarction.
Researchers clarify that achieving an INR range of 2.0 to 3.0 is key to reducing stroke risk without increasing hemorrhage risk in atrial fibrillation patients. The study suggests that older patients with atrial fibrillation can still benefit from warfarin therapy, despite higher risks of intracranial hemorrhage.
A study found that 83% of physicians reported delays in reviewing test results, which can jeopardize patient safety and satisfaction. Physicians also identified tools to help manage test results, such as generating result letters and tracking test orders.