A cross-sectional time-series analysis found that disparities in life expectancy compared to White Americans have increased for Black and Hispanic Americans. The authors report that life expectancy remains lowest for Black Americans in almost every state. The findings are published in Annals of Internal Medicine.
A modeling study found that primary care physicians (PCPs) lost additional revenue worth up to $40,187 annually for preventive services that were provided but not coded and billed. The study is published in Annals of Internal Medicine.
The overturning of Roe v. Wade by the U.S. Supreme Court gives new urgency to considering women’s contraceptive needs in all interactions with the health care system. A new commentary from Eileen Barrett, MD, Albuquerque, New Mexico calls on hospitalists to offer contraceptive counseling to patients of childbearing age regardless of reason for hospitalization. The editorial is published in Annals of Internal Medicine.
A brief research report found that Medicare could have saved up to $3.6 billion by purchasing generic drugs at the same prices as the Mark Cuban Cost Plus Drug Company (MCCPDC) in 2020. These findings suggest that Medicare is overpaying for some generic drugs. The report is published in Annals of Internal Medicine.
A retrospective cohort study found that new thiopurine users with the rs2814778-CC genotype variant, a gene more common in persons of African ancestry, experienced azathioprine discontinuation due to hematopoietic toxicity at an almost 3-fold higher rate than patients with other genotypes. Based on their results, the authors recommend that testing for the Duffy-null phenotype be considered in all patients before azathioprine initiation or if leukopenia is detected while a patient is using azathioprine. The findings are published in Annals of Internal Medicine.
The current physician payment system does not adequately address the socioeconomic factors that impact patients’ health outcomes, says the American College of Physicians (ACP) in a new position paper. The paper makes a series of recommendations about how new payment models should be designed to better account for social drivers that impact patient health. Reforming Physician Payments to Achieve Greater Equity and Value in Health Care: A Position Paper of the American College of Physicians is published in Annals of Internal Medicine.
A randomized controlled trial (RCT) comparing spinal versus general anesthesia for hip surgery found that spinal anesthesia was associated with worse pain immediately after surgery and higher rates of pain reliever prescriptions at 60 days. However, differences in pain, satisfaction, or mental status between the two interventions seemed to diminish at 60, 180, or 365 days after surgery. The findings are published in Annals of Internal Medicine.
An observational study has found that the number of patients enrolled in medical cannabis programs has increased four-fold between 2016 and 2020. The trend has been driven by a combination of new medical cannabis laws in 35 states, expanded qualifying conditions, and increased enrollment nationally. The findings are published in Annals of Internal Medicine.
In a new Annals ‘Beyond the Guidelines’ feature, a preventive cardiologist and a general internist discuss their approach to the use of statins for primary prevention of cardiovascular disease (CVD) and how they would apply the guidelines to an individual patient. All ‘Beyond the Guidelines’ features are based on the Department of Medicine Grand Rounds at Beth Israel Deaconess Medical Center (BIDMC) in Boston and include print, video, and educational components published in Annals of Internal Medicine.
A commentary published in Annals of Internal Medicine offers guidance to healthcare workers in contact with patients who have contracted monkeypox. The authors write that although monkeypox is unlikely to reach the pandemic spread of COVID-19, physicians and other health care workers must be vigilant, with a high index of suspicion and careful adherence to appropriate infection control precautions as the outbreak unfolds.
A large study of surveillance data found that excess deaths during the 2020 COVID-19 pandemic disproportionately occurred among Black, American Indian (AI)/Alaskan Native (AN), and Latino males and females in the U.S., compared to White and Asian males and females.
Below please find a summary and link(s) of new coronavirus-related content published today in Annals of Internal Medicine.
Below please find a summary and link(s) of new coronavirus-related content published today in Annals of Internal Medicine.
Below please find link(s) to new coronavirus-related content published today in Annals of Internal Medicine. All coronavirus-related content published in Annals of Internal Medicine is free to the public. A complete collection is available at https://annals.org/aim/pages/coronavirus-content.
Below please find links to new coronavirus-related content published today in Annals of Internal Medicine. All coronavirus-related content published in Annals of Internal Medicine is free to the public.
1- new HIV therapy works better in clinical trials than in the real world; 2- gastric cancer sometimes responds to antibiotics prescribed for H. pylori; 3- new problem statements reduce medical jargon
1 - HFE Genotype in Patients with Hemochromatosis and Other Liver Diseases; 2 - Will the Real Hemochromatosis Please Stand Up? 3 - Relation of Consumption of Vitamin E, Vitamin C, and Cartenoids to Risk for Stroke among Men in the United States; 4 - Effects of Leisure-Time Physical Activity and Ventilatory Function on Risk for Stroke in Men: The Reykjavik Study.
1- Low-Dose Hormone Replacement Therapy Increases Bone Density in Elderly Women; 2-Physical Acitivity Biggest Influence on Weight; May Overcome Genetic Factors; 3- Overweight and Esophagal Cancer Linked; 4 - Five New Markers for Predicting Heart Disease Evaluated.
1-Patients Prefer Making Advance Care Decisions with Family, Not Physicians; 2- Comparisons of Two Anticoagulants to Treat Deep Vein Blood Clots; 3- Special Curriculum Helps Doctors Communicate with Patients of Other Cultures; 4- New Paper Guides Physicians Treating Patients Without Decision-Making Capacity.
1. Laramie, Wyoming physician comments on Matthew Shepard's slaying. 2. Studies find ethic groups get heart treatment comparable to whites, if they have health insurance and are treated in appropriate hospitals. 3. U.S. must provide better surveillance for foodborne illnesses.
1. Elderly receive less life-sustaining treatment at the end of life. 2. Hospital handwashing rules often ignored. 3. Sedentary lifestyle increases risk for diabetes. 4. Group proposes ethical principles to be shared by all health care providers.
An international group of health leaders released a "Shared Statement of Ethical Principles for Those Who Shape and Give Health Care" in today's issue of Annals of Internal Medicine.
1. Annals of Internal Medicine is now published on the first and third Tuesdays of the month. 2. French surgeon was likely to have transmitted AIDS to a patient. 3. Medical students are often exposed to blood. 4. "Athlete's heart" probably is not heart disease in athletes. 5. Viral load testing should not be used for 1st diagnosis of HIV. 6. Chelation therapy to remove lead seems to slow kidney disease.
1. Alternative medicine's appeal might reflect conventional medicine's weaknesses. 2. Death certificates overstate heart disease as the cause of death. 3. Techniques can predict the likelihood of pulmonary embolism.
1. Emergency department system accurate in discriminating some heart problems. 2. Medical ethics not immutable. 3. Diet drugs pose less risk for heart valve disease than previously thought. 4. With new ability to treat HIV, physicians must not abandon older skills. 5. Exploring iron overload.
A supplement in the December 1, 1998, issue of Annals of Internal Medicine explores screening for hereditary hemochromatosis or iron overload, including the impact of new genetic information on screening procedures.
1) Dental procedures do not increase patients' risk for valve infections; practice of giving antibiotics before dental work should be reconsidered, 2) The supplement Complete Thymic Formula doesn't help hepatitis C patients previously treated with interferon, 3) CPR: Risks, benefits and strategies for preventing infection.
A new study calls into question an widespread medical practice of giving antibiotics to certain heart patients before dental work, finding that dental procedures are rarely a risk factor for infective endocarditis, or bacterial or fungal infection of the heart valves.
1. Cholesterol-lowering drug reduces the risk for major heart events and stroke in older adults. 2. Physicians must work to reduce poverty, a key determinant of poor health worldwide. 3. Stomach polyps disappear after treating H. Pylori infection. 4. White coat ceremonies, done by many medical students, carry powerful messages.
1. Two articles and two editorials discuss depression in diabetics and found counseling helped patients emotionally and physically. 2. Smoking is linked to the progression of Graves eye disease.
1. Use of multivitamins containing folic acid appears to reduce the risk of colon cancer. 2. Preferential access to heart care documented in Ontario, Canada 3. Parental Responsibilities affect careers of medical faculty, particularly women. 4. New diagnostic test to detect mutations in familial mediterranean fever has anthropologic and historical implications.
1-Physicians Often Stray From the Mark When Talking to Patients About Advance Directives 2- Doctor-Patient E-mail: Promise and Problems 3- Adhering to Complex HIV Therapy 4- Epinephrine During Cardiac Resuscitation Associated with Negative Neurologic Outcomes
1. Does access to health care eliminate disparities in health? 2. Simple signs increased use of stairs at Baltimore mall. 3. Standardized medical exams may help prevent young athletes' cardiac deaths.
1. New occupational disease, Flock Worker's Lung, is described in this issue. 2. Not all patients with small tumors found by Sigmoidoscopy need a colonoscopy. 3. People with mild, chronic Hepatitis C do not need immediate treatment.
Politics, Economics and Ethics Merge in Occupational Health Controversy.
1. Hospitals must cool overheated bodies at once; 2. Delaying treatment keeps many from benefitting from new stroke therapies; 3. Botulism: Rare but deadly and requires rapid responses; 4. Hospitalists saved one hospital money and shortened patient stays; 5. Central nervous system axis profoundly affects female reproductive system.
A study of 58 people with classic heat stroke admitted to hospital emergency departments during the 1995 Chicago heat wave found that only one patient was cooled within 30 minutes, the generally accepted time frame.
1. It's never too late to exercise and reduce risk of fractures. 2. Three papers address the issue of health care delivery by telemedicine and the Internet. 3. Successful anti-smoking campaigns need consistency, controversy and cash. 4. ACP-ASIM releases new guidelines for screening for thyroid disease.
The American College of Physicians-American Society of Internal Medicine released updated screening guidelines for thyroid disease. ACP-ASIM now recommends physicians screen women over 50
1. Chiropractic care evaluated using appropriateness criteria. 2. Using war terminology to describe breast cancer has polarized discussion, says Barron H. Lerner, MD, PhD of Columbia University. 3. The new diabetes drug, troglitazone, lead to two cases of severe liver disease and a case of liver failure leading to transplantation. 4. Flouride plus calcium decreased spine fractures, compared with calcium alone, in women with mild-to-moderate osteoporosis.
1. Modern doctors can learn from traditional African healers. 2. ACE inhibitors slow kidney decline in type 2 diabetes. 3. Restriction of antibiotic for hospital-acquired diarrhea improves efficacy and saves money.
1. People with relatives with colorectal polyps have 4 times more risk of developing colorectal cancer. 2. DEET (N,N-dithyl-3-methybenzamide) is the best repellent of mosquitoes. 3. Human rabies cases from 1980 to 1996 reviewed. 4. HIV will develop resistance to new drugs unless widely used. 5. The decision to enter a medical subspecialty is somewhat influenced by the degree of managed care where the physician is trained.
1. New studies of osteoporosis find protein supplements improve patient outcomes; 2. Physicians must address geographic variations in health care; 3. Internists are the doctors best trained to provide continuity of care.
1) A study finds no link between aspirin use and colorectal cancer, but a separate study finds women on hormone replacement therapy have a 35 percent decrease in colon and rectal cancers. 2) Breast cancer is found at the same stage in black and white women who have regular mammograms. 3) Voluntary, rather than mandatory, testing for HIV in pregnant women is more effective. 4) Treating AIDS as an "exceptional" disease has drawbacks.
1) 66 percent of families correctly predict the ultimate wishes of dying patients, 2) Early HIV infection varies widely; early virus-host interactions predict disease, 3) The Plan-Do-Study-Act (PDSA) cycle, which conducts small scale tests in ongoing medical practices, is an effective way to improve the way medical care is administered, 4) Non-invasive testing usually successfully manages suspected deep vein blood clots, 5) New ACP position paper examines fraud and abuse in medicine.
1) Ticlopidine linked with rare blood disease, thrombotic thrombocytopenic purpura (TTP). 2) Internal medicine experts explore the physician-assisted suicide debate. 3) Annals editor concludes two-part series on medicine and commerce. 4) ACP issues fourth edition of ethics manual. (see separate release)
The American College of Physicians (ACP) today published the fourth edition of its Ethics Manual. The ACP Ethics Manual appears in the April 1, 1998, issue of Annals of Internal Medicine, published by ACP.
5,000 doctors of internal medicine (internists) will attend the American College of Physicians' (ACP) 1998 Annual Session, the nation's largest gathering of adult health specialists. Faculty are internal medicine's best and brightest. Full complement of experts in end of life care.
1) Exposure to passive smoking causes the aorta to lose its elasticity. 2) Over 30 percent of gallstone disease can be prevented by 30 minutes of endurance type exercise five times a week. 3) Low cholesterol is associated with high risk for violent death. 4) Is managed care a "monstrous hybrid?" 5) Thalidomide is effective in treating Behcet syndrome.
1.) Overtreatment of lyme disease is common; lyme disease is not associated with increased heart problems. 2.) Can ethical medicine be practiced under the constraints of managed care? 3.) Iron overload often undiagnosed and more common than previously thought. 4) Treatment for benign thyroid nodules should not include thyroxine treatment.
RSS
Medicine keyboard_arrow_right
Sciencekeyboard_arrow_right
Life keyboard_arrow_right
Business keyboard_arrow_right
Journal News keyboard_arrow_right
By Location keyboard_arrow_right
Meetings, Grants, and Events keyboard_arrow_right