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American Journal of Medicine

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https://www.readbyqxmd.com/read/28822702/antibody-mediated-extreme-insulin-resistance-a-report-of-three-cases
#1
Han Na Kim, Betiel Fesseha, Laura Anzaldi, Allison Tsao, Panagis Galiatsatos, Aniket Sidhaye
BACKGROUND: Type 2 diabetes mellitus is characterized by relative insulin deficiency and insulin resistance. Features suggesting severe insulin resistance include acanthosis nigricans, hyperandrogenism, weight loss, and recurrent hospital admissions for diabetic ketoacidosis. In rare circumstances, hyperglycemia persists despite administration of massive doses of insulin. In these cases, it is important to consider autoimmune etiologies for insulin resistance such as type B insulin resistance and insulin antibody-mediated extreme insulin resistance, which carry high morbidity and mortality if untreated...
August 16, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28822701/clinical-applications-of-biomarkers-in-atrial-fibrillation
#2
REVIEW
Kay-Won Chang, Jonathan C Hsu, Avinash Toomu, Sutton Fox, Alan S Maisel
While biomarkers have greatly impacted the diagnosis and management of myocardial infarction and heart failure, the use of biomarkers has been slow to permeate management of atrial fibrillation. Guideline recommendations on the use of biomarkers in atrial fibrillation were virtually non-existent until the 2016 European Society of Cardiology guidelines on atrial fibrillation offered a class IIb recommendation to consider using biomarkers such as high sensitivity troponin and natriuretic peptide to further refine stroke and bleeding risk in atrial fibrillation patients...
August 16, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28821376/-unknown-title
#3
Halima Cheddani, Anne-Laure Desgabriel, Elise Coffin, Muhamid-Kheir Taha, Charlotte Verdet, Claude Bachmeyer, Jean-François Flejou, Xavier Amiot
No abstract text is available yet for this article.
August 15, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28821375/difficult-to-discern-tuberculous-myositis-with-poncet-s-arthritis
#4
Hana Akselrod, Rohit M Modak, Laurel Cushing, Ian Seemungal, Gary L Simon
No abstract text is available yet for this article.
August 15, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807714/systemic-igg4-related-disease-in-an-asymptomatic-patient
#5
Fernando A Camporro, Exequiel Bulacio, Ignacio Gutierrez Magaldi
No abstract text is available yet for this article.
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807713/opioid-drug-use-and-acute-cardiac-events-among-pregnant-women-in-the-united-states
#6
Hamisu M Salihu, Jason L Salemi, Anjali Aggarwal, Beverly F Steele, Ross C Pepper, Mulubrhan F Mogos, Muktar H Aliyu
BACKGROUND: Cardiovascular disease remains a leading cause of pregnancy-associated deaths in the United States (US). The extent to which increasing opioid use among pregnant women contributes to fatal cardiovascular events is unknown. We examine trends in opioid use among pregnant women over the previous decade, and the association between changes in temporal trends in opioid drug use and the incidence of acute cardiac events among mothers. METHODS: In this retrospective analysis of the Healthcare and Cost Utilization Project (HCUP), we utilized a two-stage stratified cluster sampling of all inpatient hospital discharges from non-federal hospitals between 01/01/2002 through 12/31/2014...
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807712/cerebellar-hemangioblastoma
#7
Ami Schattner, Emanuella Cagnano, Ina Dubin
No abstract text is available yet for this article.
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807711/delayed-diagnosis-of-cast-nephropathy
#8
Chihiro Kamijo, Yukinori Harada
No abstract text is available yet for this article.
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807710/inferior-vena-cava-filters-in-stable-patients-with-acute-pulmonary-embolism-who-receive-thrombolytic-therapy
#9
Paul D Stein, Fadi Matta, Mary J Hughes
BACKGROUND: There is a need for further analyses of subgroups of patients with pulmonary embolism who might benefit from vena cava filters. In the present investigation, we analyze mortality with vena cava filters in the subgroup of stable patients with pulmonary embolism who received thrombolytic therapy. We use a different database than used previously, and we analyze data in more recent years. METHODS: Administrative data were analyzed from the Premier Healthcare Database, 2010-2014, in hospitalized stable patients with pulmonary embolism who received thrombolytic therapy, and may or may not have received a vena cava filter...
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807709/gunshot-to-the-head
#10
Sheharyar Raza, Donald A Redelmeier
No abstract text is available yet for this article.
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28807708/the-great-imitator-visual-changes-in-a-37-year-old-man-with-hiv
#11
Chloé A Powell, Alexander R Carbo
No abstract text is available yet for this article.
August 11, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803929/an-uncommon-cause-of-low-back-pain
#12
Daniel M Golovko, Jeffrey B Knox
No abstract text is available yet for this article.
August 10, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803928/cerebral-air-embolism-following-central-venous-catheter-removal
#13
Liane A Arcinas, Shuangbo Liu, G Isanne Schacter, Malek Kass
No abstract text is available yet for this article.
August 10, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803927/clinical-implications-of-the-limited-relationship-of-voltage-criteria-for-electrocardiogram-left-ventricular-hypertrophy-to-cardiovascular-mortality
#14
Le Dung Ha, Ayman Elbadawi, Victor F Froelicher
BACKGROUND: Numerous methods have been proposed for diagnosing left ventricular hypertrophy using the electrocardiogram. They have limited sensitivity for recognizing pathological hypertrophy at least in part due to their inability to distinguish pathological from physiological hypertrophy. Our objective is to compare the major electrocardiogram - left ventricular hypertrophy criteria using cardiovascular mortality as a surrogate for pathological hypertrophy. METHODS: This study was a retrospective analysis of 16,253 Veterans less than 56 years of age seen at a large Veteran's Affairs Medical Center from 1987 to 1999 and followed a median of 17...
August 10, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803926/differences-in-associations-of-antidepressants-and-hospitalization-due-to-hyponatremia
#15
Shermineh Farmand, Jonatan Lindh, Jan Calissendorff, Jakob Skov, Henrik Falhammar, David Nathanson, Buster Mannheimer
Background Selective serotonin reuptake inhibitors (SSRIs) and other antidepressants are important as a cause for hyponatremia. However, most studies have focused on the effect on sodium levels regardless of clinical symptoms or been too small to be able to discriminate between the effects of specific antidepressant drugs. The objective of the present study was to investigate the association between different groups of antidepressants and the risk of hospitalisation due to hyponatremia. Methods In this register based case-control study of patients in the general Swedish population we identified 14 359 individuals with a main diagnosis of hyponatremia...
August 10, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803139/the-effect-of-age-on-the-manifestations-and-outcomes-of-invasive-pneumococcal-disease-in-adults
#16
Thomas J Marrie, Gregory J Tyrrell, Sumit R Majumdar, Dean T Eurich
BACKGROUND: While a considerable amount is known about the effect of age on the manifestations and outcomes of pneumonia, the same is not true for invasive pneumococcal disease . METHODS: This was a prospective, observational study of all cases (2435) of invasive pneumococcal disease in adults in Northern Alberta from 2000 to 2014. Rates of invasive pneumococcal disease/100,000, sociodemographic variables, clinical characteristics, and invasive pneumococcal disease -related outcomes were compared for the following age groups - 17 to 54, 55 -64, 65 to 74 and 75 years and over...
August 9, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803138/low-albumin-levels-are-associated-with-mortality-risk-in-hospitalized-patients
#17
Amit Akirov, Hiba Masri Iraqi, Alaa Atamna, Ilan Shimon
AIMS: Investigate the association of albumin levels on admission and change in levels during hospitalization with hospitalization outcomes. METHODS: Historical prospective data of patients hospitalized between 2011 and 2013. Levels of albumin were classified to marked hypoalbuminemia (<2.5 mg/dL), mild hypoalbuminemia (2.5-3.5 mg/dL), normal albumin (3.5-4.5 mg/dL) and hyperalbuminemia (>4.5 mg/dL). Main outcomes were length of hospitalization, in-hospital and long-term mortality...
August 9, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28803137/aspiration-pneumonia-in-patients-with-carbon-monoxide-poisoning-who-had-loss-of-consciousness-prevalence-outcomes-and-risk-factors
#18
Chang Hwan Sohn, Jin Won Huh, Dong Woo Seo, Bum Jin Oh, Kyoung Soo Lim, Won Young Kim
BACKGROUND: Aspiration pneumonia is associated with significant morbidity and mortality, however little is known about in patients with carbon monoxide intoxication which is the leading cause of poisoning-related death. This study aimed to evaluate the prevalence, clinical impacts and risk factors for developing aspiration pneumonia in carbon monoxide poisoning patients with loss of consciousness. METHODS: A retrospective analysis of a carbon monoxide poisoning registry was performed at our emergency department from January, 2008 to December, 2015...
August 9, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28801226/decreasing-clostridium-difficile-associated-fatality-rates-among-hospitalized-patients-in-the-unites-states-2004-2014
#19
Manish P Shrestha, Christian Bime, Sasha Taleban
BACKGROUND: Clostridium difficile infection has emerged as a major public health problem in the United States over the last two decades. Several strategies have been implemented at the hospital, community, state and national levels to combat this infection. We examined the trends in the Clostridium difficile-associated fatality rate, hospital length of stay and hospital charges over the last decade. METHODS: We used data from the National Inpatient Sample to identify patients with a principal diagnosis of Clostridium difficile infection from 2004-2014...
August 8, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28801225/temporal-trends-in-the-clinical-acuity-of-patients-with-st-segment-elevation-myocardial-infarction
#20
Udhay Krishnan, Josef A Brejt, Joshua Schulman-Marcus, Rajesh V Swaminathan, Dmitriy N Feldman, Parag Goyal, S Chiu Wong, Robert M Minutello, Geoffrey Bergman, Harsimran Singh, Luke K Kim
BACKGROUND: Despite advances in ST-elevation myocardial infarction (STEMI) systems of care over the last decade, studies have shown no improvement in risk-adjusted mortality. It has been hypothesized that the population presenting to the catheterization lab has become sicker over time, in ways not accurately captured by current mortality models. OBJECTIVE: The objective of this study was to examine changes in the clinical characteristics and in-hospital case fatality rate of the STEMI population treated with early percutaneous coronary intervention (PCI)...
August 8, 2017: American Journal of Medicine
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