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American Journal of Medicine

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https://www.readbyqxmd.com/read/30308186/autonomic-disorders
#1
REVIEW
Peter Novak
Autonomic complaints are frequently encountered in clinical practice. They can be due to primary autonomic disorders or secondary to other medical conditions. Primary autonomic disorders can be categorized as orthostatic intolerance syndromes and small fiber neuropathies, the latter are associated with autonomic failure, pain, or their combinations. The review outlines orthostatic intolerance syndromes (neurally mediated syncope, orthostatic hypotension, postural tachycardia syndrome, inappropriate sinus tachycardia, orthostatic cerebral hypoperfusion syndrome and hypocapnic cerebral hypoperfusion) and small fiber neuropathies (sensory/autonomic/mixed, acute/subacute/chronic, idiopathic/secondary, inflammatory and non-inflammatory)...
October 8, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30300628/team-based-primary-care-for-the-multimorbid-patient-matching-complexity-with-complexity
#2
EDITORIAL
Linnaea Schuttner, Michael Parchman
No abstract text is available yet for this article.
October 6, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30300627/transitional-care-interventions-for-heart-failure-what-are-the-mechanisms
#3
EDITORIAL
David R Thompson, Chantal F Ski, Alexander M Clark
No abstract text is available yet for this article.
October 6, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30296406/aspirin-use-to-prevent-exertional-cardiac-arrest-in-athletes-with-high-coronary-artery-calcium-scores
#4
REVIEW
Arthur J Siegel, Timothy D Noakes
While proficient cardiac resuscitation has improved survival following cardiac arrest during road races in Japan, this accomplishment does not address coronary artery disease as the underlying cause of an increasing frequency of cardiac arrest in middle-aged males during marathons and ironman triathlons in the United States since the year 2000. Based on the high prevalence of subclinical coronary artery disease by cardiac computed tomography in endurance athletes with low conventional cardiac risk factor profiles, we recommend coronary artery calcium scores as a more reliable and independent predictor of incident cardiac events including death as validated among adults aged 30-46 years...
October 5, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30292731/sleep-disorders
#5
REVIEW
Milena Pavlova, Véronique Latreille
Sleep disorders are frequent and can have serious consequences on patients' health and quality of life. While some sleep disorders are more challenging to treat, most can be easily managed with adequate interventions. We review the main diagnostic features of six major sleep disorders (insomnia, circadian rhythm disorders, sleep-disordered breathing, hypersomnia/narcolepsy, parasomnias, and restless legs syndrome/periodic limb movement disorder) to aid medical practitioners in screening and treating sleep disorders as part of clinical practice...
October 4, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30291830/behind-the-curve-late-onset-axial-spondyloarthritis
#6
Qin Xiang Ng, Benjamin Hooi, Wei Chuan Tan, Garvi Pandya
No abstract text is available yet for this article.
October 3, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30291829/spinal-emergencies-in-primary-care-practice
#7
REVIEW
Jacob M Babu, Shyam A Patel, Mark A Palumbo, Alan H Daniels
Atraumatic spinal emergencies often present a diagnostic and management dilemma for healthcare practitioners. Spinal epidural abscess, cauda equina syndrome, and spinal epidural hematoma are conditions that can insidiously present to outpatient medical offices, urgent care centers, and emergency rooms. Unless a high level of clinical suspicion is maintained, these clinical entities may be initially misdiagnosed and mismanaged. Permanent neurologic sequela and even death can result if delays in appropriate treatment occur...
October 3, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30290193/variation-in-the-use-of-warfarin-and-direct-oral-anticoagulants-in-atrial-fibrillation-and-associated-cost-implications
#8
Benjamin A Rodwin, Joseph A Salami, Erica S Spatz, Javier Valero-Elizondo, Salim S Virani, Ron Blankstein, Michael J Blaha, Khurram Nasir, Nihar R Desai
BACKGROUND: Little is known about national patterns of anticoagulant use among patients with atrial fibrillation after the availability of direct oral anticoagulants (DOACs) and the associated implications for health care spending. METHODS: The Medical Expenditure Panel Survey, a nationally-representative survey, collects detailed information about prescription drug use, cost, and medical diagnoses. Adults with atrial fibrillation were estimated (using ICD-9 codes and self-report) between 2010 and 2014...
October 2, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30290192/inferior-vena-cava-filters-in-patients-with-recurrent-pulmonary-embolism
#9
Paul D Stein, Fadi Matta, Frank R Lawrence, Mary J Hughes
BACKGROUND: There are sparse data to support the recommendation for inferior vena cava (IVC) filters in patients with recurrent pulmonary embolism while on anticoagulant therapy. METHODS: This was a retrospective cohort study of administrative data from the Premier Healthcare Database, 2009-2014. All-cause mortality according to the use of IVC filters was evaluated in patients who suffered a recurrent pulmonary embolism within 3 months of an index pulmonary embolism...
October 2, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30290191/corticosteroids-in-the-management-of-severe-coccidioidomycosis
#10
Melisa R Chang, Neha Chopra, David Beenhouwer, Matthew B Goetz, Guy W Soo Hoo
BACKGROUND: There is limited data suggesting that recovery from severe pulmonary infection with Coccidioides may be hastened by the addition of systemic corticosteroids. METHODS: A case report of two patients with persistent and progressive coccidioidomycosis who demonstrated a dramatic response to adjunctive corticosteroid therapy. RESULTS: Both patients had Coccidioides immiitis cultured from respiratory samples. One was a 69 year old man who had been treated with combination fluconazole and liposomal amphotericin for over six weeks, with persistent fever and pneumonia...
October 2, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30290190/follow-the-beads-fibromuscular-dysplasia
#11
Vy K Ly, Reza Manesh, Kesav Raghavan, Rabih M Geha
No abstract text is available yet for this article.
October 2, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30290189/without-warning-scleroderma-renal-crisis
#12
Seth J Lichtenstein, Michael J Herring, Pravir V Baxi, Richard I Abrams, Stephen M Korbet
No abstract text is available yet for this article.
October 2, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30287238/optimal-therapy-for-unstable-pulmonary-embolism
#13
REVIEW
Paul D Stein, James E Dalen, Fadi Matta, Mary J Hughes
There are no randomized controlled trials of thrombolytic therapy, pulmonary embolectomy or inferior vena cava (IVC) filters in patients with unstable pulmonary embolism (those in shock or on ventilator support). Yet, there are many investigations of these treatments based on retrospective cohort studies using administrative data from huge government and commercial databases. Extensive data from these cohort studies showed that thrombolytic therapy resulted in the lowest in-hospital all-cause mortality. The results of thrombolytic therapy were greatly improved if IVC filters were added...
October 1, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30267662/burn-bright-ii-reflections-on-solutions-to-burnout-part-two-of-a-two-part-series
#14
EDITORIAL
Mari Ricker, Noshene Ranjbar
No abstract text is available yet for this article.
September 26, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30243777/hall-pass
#15
Dr Gregory E Brisson
No abstract text is available yet for this article.
September 20, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30243507/a-bad-sign-dermatomyositis-with-interstitial-lung-disease
#16
Siriwan Palawisuth, Kornphaka Kantikosum, Mattana Patiyasikunt, Thitiwat Sriprasart, Pravit Asawanonda, Pawinee Rerknimitr
No abstract text is available yet for this article.
September 19, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30243506/how-strongly-do-physical-examination-estimates-and-ultrasonographic-measurements-of-liver-size-correlate-a-prospective-study
#17
Justin Loloi, Ankit Patel, Patrick McDevitt, Michael A Bruno, Thomas Riley
BACKGROUND: Liver size assessed by physical exam and ultrasound has long been used to gain useful clinical information. The size measurements obtained by these modalities have been difficult to compare as they are measured in two different axes (trans-axial versus mid-clavicular). Our objective is to identify a measurement correlation between ultrasound and physical exam liver size findings. We aim to develop a correction factor where by the liver size can be translated between the measured trans-axial size obtained by ultrasound and physical exam size when measured in the mid-clavicular line...
September 19, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30240687/program-coordinator-professional-development-definition-perception-of-importance-motivating-factors-and-barriers
#18
Lauralee Dubois, Theresa Marsh, Lindsay B Demers
A program coordinator's work and continued development have direct impact on.
September 18, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30240686/spironolactone-and-outcomes-in-older-patients-with-heart-failure-and-reduced-ejection-fraction
#19
Essraa Bayoumi, Phillip H Lam, Daniel J Dooley, Steven Singh, Charles Faselis, Charity J Morgan, Samir Patel, Helen M Sheriff, Selma F Mohammed, Carlos E Palant, Bertram Pitt, Gregg C Fonarow, Ali Ahmed
BACKGROUND: The efficacy of mineralocorticoid receptor antagonists or aldosterone antagonists in heart failure with reduced ejection fraction (HFrEF) is well known. Less is known about their effectiveness in real-world older patients with HFrEF. METHODS: Of the 8206 patients with HF and ejection fraction ≤35% without prior spironolactone use in the Medicare-linked OPTIMIZE-HF registry, 6986 were eligible for spironolactone therapy based on serum creatinine criteria (men ≤2...
September 18, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/30240685/bilateral-breast-ulcers-granulomatosis-with-polyangiitis
#20
Pierre-André Jarrot, Marie-Laure Pelletier, Marion Brun, Martin Penicaud, Karin Mazodier, Audrey Benyamine, Jean Del Grande, Rodolphe Jean, Dominique Casanova, Gilles Kaplanski, Pierre-Jean Weiller
No abstract text is available yet for this article.
September 18, 2018: American Journal of Medicine
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