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American Journal of Medicine

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https://www.readbyqxmd.com/read/28551044/a-deficiency-of-nutrition-education-and-practice-in-cardiology
#1
Stephen Devries, Arthur Agatston, Monica Aggarwal, Karen E Aspry, Caldwell B Esselstyn, Penny Kris-Etherton, Michael Miller, James H O'Keefe, Emilio Ros, Anne K Rzeszut, Beth A White, Kim A Williams, Andrew M Freeman
PURPOSE: Nutrition is one of the foundations of cardiovascular guidelines for risk reduction and treatment. However, little is known about whether cardiologists, cardiology fellows-in-training, and cardiovascular team members have the nutrition education and knowledge necessary to implement these guidelines. The aim of this study was to describe the educational experiences, attitudes, and practices relating to nutrition among cardiovascular professionals. METHODS: Surveys completed by cardiologists, fellows-in-training, and cardiovascular team members inquired about their personal dietary habits, history of nutrition education, and attitudes regarding nutrition interventions...
May 24, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28551043/improving-transitions-to-post-acute-care-for-elderly-patients-using-a-novel-video-conferencing-program-echo-care-transitions
#2
Amber B Moore, J Elyse Krupp, Alyssa B Dufour, Mousumi Sircar, Thomas G Travison, Alan Abrams, Grace Farris, Melissa L P Mattison, Lewis A Lipsitz
PURPOSE: Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization and high-cost healthcare. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions (ECHO-CT) that connects an interdisciplinary hospital-based team with clinicians at skilled nursing facilities, reduces patient mortality, hospital readmission, skilled nursing facility length of stay and 30-day health care costs...
May 24, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28551042/effects-of-an-ambulation-orderly-program-among-cardiac-surgery-patients
#3
Saki Miwa, Paul Visintainer, Richard Engelman, Amanda Miller, Tara Lagu, Erin Woodbury, Peter K Lindenauer, Quinn R Pack
BACKGROUND: Despite the known benefits of ambulation, most hospitalized patients remain physically inactive. One possible approach to this problem is to employ Ambulation Orderlies (AOs) - employees whose main responsibility is to ambulate patients throughout the day. For this study, we examined an AO program implemented among post-cardiac surgery patients and its effect on patient outcomes. METHODS: We evaluated post-operative length of stay, hospital complications, discharge disposition, and 30-day readmission for all patients who underwent coronary artery bypass and/or cardiac valve surgery in the nine months before and after the introduction of the AO program...
May 24, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28549923/maintaining-vitamin-d-sufficiency-is-associated-with-improved-structural-and-symptomatic-outcomes-in-knee-osteoarthritis
#4
Shuang Zheng, Xingzhong Jin, Flavia Cicuttini, Xia Wang, Zhaohua Zhu, Anita Wluka, Weiyu Han, Tania Winzenberg, Benny Antony, Dawn Aitken, Leigh Blizzard, Graeme Jones, Changhai Ding
BACKGROUND: To describe whether maintaining sufficient serum vitamin D levels in people with knee osteoarthritis and baseline vitamin D insufficiency has an association with change in knee structures and symptoms over two years. METHODS: Participants (n=413, age 63.2) with symptomatic knee osteoarthritis and vitamin D insufficiency were enrolled in a clinical trial. 340 participants (82.3%) completed the study with 25-hydroxyvitamin D [25(OH)D] measurements at month 0, 3 and 24...
May 23, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28549922/acquired-generalized-lipodystrophy-following-immune-thrombocytopenia
#5
Julia Cunningham, Rosa Nadal, Catherine Broome
No abstract text is available yet for this article.
May 23, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28545886/the-history-of-the-salt-wars
#6
REVIEW
James J DiNicolantonio, James H O'Keefe
The "Salt Blood Pressure Hypothesis" states that an increase in the intake of salt leads to an increased in blood pressure and subsequently increases the risk for cardiovascular events, which has been a point of contention for decades. This paper covers the history and some of the key players pertaining to 'The Salt Wars' during the first half of the 1900s both in Europe and in the United States. Early studies finding benefits with salt restriction in those with hypertension were based on uncontrolled case-reports...
May 22, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28545885/evaluation-of-the-yale-new-haven-readmission-risk-score-for-pneumonia-in-a-general-hospital-population
#7
Gabrielle Schaefer, Robert El-Kareh, Jennifer Quartarolo, Gregory Seymann
BACKGROUND: The Yale New Haven Readmission Risk Score (YNHRRS) for pneumonia is a clinical prediction tool developed to assess risk for 30-day readmission. This tool was validated in a cohort of Medicare patients; generalizability to a broader patient population has not been evaluated. In addition, it lacks indicators of functional status or social support, which have been shown to be predictors of readmission in other studies. OBJECTIVE: To evaluate the generalizability of the YNHRRS for pneumonia in a general population of hospitalized patients, and assess the impact of incorporating measures of functional status and social support on its predictive value...
May 22, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28545884/a-diagnostic-dilemma-in-a-patient-with-polyarthritis
#8
Prashant Rao, Nathan Coffman, Joao Paulo Ferreira
No abstract text is available yet for this article.
May 22, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28532987/hints-of-lyme-disseminated-borreliosis-involving-the-mitral-and-tricuspid-valves
#9
Ankit Maheshwari, Robert J Bache
No abstract text is available yet for this article.
May 19, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28532986/improving-value-by-reducing-unnecessary-telemetry-and-urinary-catheter-utilization-in-hospitalized-patients
#10
Charlie M Wray, John Fahrenbach, Nikhil Bassi, Poushali Bhattacharjee, Matthew Modes, Michael D Howell, Vineet M Arora
No abstract text is available yet for this article.
May 19, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28528924/cerebral-air-embolism-as-a-complication-of-subcutaneous-injection
#11
Hajime Yano, Ryota Sato, Sarah Kyuragi Luthe, Sandra Y Moody, Toshio Fukutake
No abstract text is available yet for this article.
May 18, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28528923/provoked-dizziness-from-bow-hunter-s-syndrome
#12
Paul A Bergl
No abstract text is available yet for this article.
May 18, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28528922/a-furry-friend-s-dirty-mouth-brain-abscess-due-to-aggregatibacter-haemophilus-aphrophilus
#13
David C Miller, Monica Fung, Alexander Carbo
No abstract text is available yet for this article.
May 18, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28528921/an-unusual-presentation-of-thrombotic-thrombocytopenic-purpura
#14
Yaolin Zhou, Stephanie D Reilly, Radhika Gangaraju, Vishnu V B Reddy, Marisa B Marques
No abstract text is available yet for this article.
May 18, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28528920/torus-mandibularis
#15
Tanay Chaubal, Ranjeet Bapat, Kartik Poonja
No abstract text is available yet for this article.
May 18, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28528919/gynecomastia-look-beyond-the-obvious
#16
Thomas Pusl, Peter Stoemmer
No abstract text is available yet for this article.
May 18, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28526179/empa-reg-outcome-the-nephrologist-s-point-of-view
#17
Christoph Wanner
There is increasing evidence that sodium glucose cotransporter 2 (SGLT2) inhibitors have renoprotective effects, as demonstrated by the renal analyses from clinical trials including Empagliflozin Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients-Removing Excess Glucose (EMPA-REG OUTCOME), CANagliflozin Treatment And Trial Analysis versus SUlphonylurea (CANTATA-SU), and the dapagliflozin renal study. The potential mechanisms responsible are likely multifactorial, and direct renovascular and hemodynamic effects are postulated to play a central role...
May 16, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28526186/cardiovascular-protection-in-the-treatment-of-type-2-diabetes-a-review-of-clinical-trial-results-across-drug-classes
#18
Francesco Paneni, Thomas F L├╝scher
Patients with type 2 diabetes (T2DM) have a significantly higher risk of developing cardiovascular disease (CVD)-namely myocardial infarction, heart failure, and stroke. Despite clear advances in the prevention and treatment of CVD, the impact of T2DM on CVD outcome remains high and continues to escalate. Available evidence indicates that the risk of macrovascular complications increases with the severity of hyperglycemia, thus suggesting that the relation between metabolic disturbances and vascular damage is approximately linear...
May 15, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28526184/cardiovascular-protection-by-sodium-glucose-cotransporter-2-inhibitors-potential-mechanisms
#19
Bart Staels
The mechanism of action of empagliflozin in reducing the risk of adverse cardiovascular outcomes vs placebo in patients with type 2 diabetes mellitus and a high risk of cardiovascular disease in the Empagliflozin Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients-Removing Excess Glucose (EMPA-REG OUTCOME) trial is currently unknown. An antiatherosclerotic effect is considered unlikely given the speed of the observed decrease in cardiovascular mortality. Hemodynamic effects, such as reductions in blood pressure and intravascular volume, and involving osmotic diuresis, may provide a more plausible explanation...
May 15, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28526183/diabetes-mellitus-and-heart-failure
#20
Michael Lehrke, Nikolaus Marx
Epidemiologic and clinical data from the last 2 decades have shown that the prevalence of heart failure in diabetes is very high, and the prognosis for patients with heart failure is worse in those with diabetes than in those without diabetes. Experimental data suggest that various mechanisms contribute to the impairment in systolic and diastolic function in patients with diabetes, and there is an increased recognition that these patients develop heart failure independent of the presence of coronary artery disease or its associated risk factors...
May 15, 2017: American Journal of Medicine
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