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  Subjects -> MEDICAL SCIENCES (Total: 7268 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (198 journals)
    - ANAESTHESIOLOGY (104 journals)
    - CARDIOVASCULAR DISEASES (306 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (199 journals)
    - DENTISTRY (247 journals)
    - DERMATOLOGY AND VENEREOLOGY (147 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (107 journals)
    - ENDOCRINOLOGY (137 journals)
    - FORENSIC SCIENCES (33 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (162 journals)
    - GERONTOLOGY AND GERIATRICS (115 journals)
    - HEMATOLOGY (141 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (134 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (87 journals)
    - MEDICAL GENETICS (59 journals)
    - MEDICAL SCIENCES (1810 journals)
    - NURSES AND NURSING (294 journals)
    - OBSTETRICS AND GYNECOLOGY (173 journals)
    - ONCOLOGY (351 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (122 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (146 journals)
    - OTORHINOLARYNGOLOGY (72 journals)
    - PATHOLOGY (97 journals)
    - PEDIATRICS (241 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (138 journals)
    - PSYCHIATRY AND NEUROLOGY (734 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (180 journals)
    - RESPIRATORY DISEASES (90 journals)
    - RHEUMATOLOGY (63 journals)
    - SPORTS MEDICINE (68 journals)
    - SURGERY (353 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (135 journals)

MEDICAL SCIENCES (1810 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 4)
ABCS Health Sciences     Open Access   (Followers: 1)
Abia State University Medical Students' Association Journal     Full-text available via subscription  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Full-text available via subscription   (Followers: 39)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access   (Followers: 1)
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Facultatis Medicae Naissensis     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access  
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access  
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 2)
Addiction Science & Clinical Practice     Open Access   (Followers: 7)
Addictive Behaviors Reports     Open Access   (Followers: 5)
Advanced Health Care Technologies     Open Access   (Followers: 4)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 8)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 5)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29)
Advances in Life Course Research     Hybrid Journal   (Followers: 8)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Medical Education and Practice     Open Access   (Followers: 26)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Medicine     Open Access   (Followers: 2)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4)
Advances in Molecular Oncology     Open Access   (Followers: 1)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5)
Advances in Wound Care     Hybrid Journal   (Followers: 10)
African Health Sciences     Open Access   (Followers: 2)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 1)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 1)
African Journal of Trauma     Open Access  
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 8)
AJOB Primary Research     Partially Free   (Followers: 3)
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access  
Alexandria Journal of Medicine     Open Access  
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 2)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3)
American Journal of Biomedical Engineering     Open Access   (Followers: 11)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 6)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 5)
American Journal of Clinical Medicine Research     Open Access   (Followers: 6)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 13)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 11)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 1)
American Journal of Medicine     Hybrid Journal   (Followers: 45)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access  
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 9)
American Medical Journal     Open Access   (Followers: 4)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 4)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 2)
Anatomical Science International     Hybrid Journal   (Followers: 2)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy Research International     Open Access   (Followers: 2)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 1)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 8)
Annals of Family Medicine     Open Access   (Followers: 13)
Annals of Fundeni Hospital     Open Access   (Followers: 1)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 11)
Annals of Medicine and Surgery     Open Access   (Followers: 5)
Annals of Microbiology     Hybrid Journal   (Followers: 10)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 18)
Anthropological Review     Open Access   (Followers: 24)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 2)
Applied Medical Informatics     Open Access   (Followers: 11)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arak Medical University Journal     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access  
Archives of Biomedical Sciences     Open Access   (Followers: 7)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Trauma Research     Open Access   (Followers: 2)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Full-text available via subscription   (Followers: 10)
Arterial Hypertension     Open Access  
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 12)
Artificial Organs     Hybrid Journal   (Followers: 1)
Asia Pacific Family Medicine     Open Access  
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 10)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 1)
Asian Journal of Cell Biology     Open Access   (Followers: 6)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 2)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 1)
Asian Journal of Medical Sciences     Open Access   (Followers: 1)
Asian Journal of Scientific Research     Open Access   (Followers: 1)
Asian Journal of Transfusion Science     Open Access   (Followers: 2)
Asian Medicine     Hybrid Journal   (Followers: 4)
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Audiology - Communication Research     Open Access   (Followers: 8)
Auris Nasus Larynx     Full-text available via subscription  
Australasian Medical Journal     Open Access   (Followers: 3)
Australian Coeliac     Full-text available via subscription   (Followers: 2)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 1)
Autopsy and Case Reports     Open Access  
Aviation, Space, and Environmental Medicine     Full-text available via subscription   (Followers: 9)
Avicenna     Open Access   (Followers: 2)
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 1)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 3)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 2)
Bangladesh Journal of Medical Physics     Open Access  
Bangladesh Journal of Medical Science     Open Access  
Bangladesh Journal of Medicine     Open Access   (Followers: 1)
Bangladesh Journal of Physiology and Pharmacology     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 1)
Bangladesh Medical Journal     Open Access  
Bangladesh Medical Journal Khulna     Open Access  
Bangladesh Medical Research Council Bulletin     Open Access  
Basal Ganglia     Hybrid Journal  
Basic Sciences of Medicine     Open Access   (Followers: 2)
BBA Clinical     Open Access  
BC Medical Journal     Free  
Benha Medical Journal     Open Access  
Bijblijven     Hybrid Journal  
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Bio-Algorithms and Med-Systems     Hybrid Journal   (Followers: 1)
Bioelectromagnetics     Hybrid Journal   (Followers: 1)
Bioengineering & Translational Medicine     Open Access  
Bioethics     Hybrid Journal   (Followers: 14)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
Biologics in Therapy     Open Access  
Biology of Sex Differences     Open Access   (Followers: 4)
Biomarker Research     Open Access   (Followers: 2)

        1 2 3 4 5 6 7 8 | Last

Journal Cover American Journal of Medicine
  [SJR: 2.023]   [H-I: 189]   [45 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0002-9343 - ISSN (Online) 1555-7162
   Published by Elsevier Homepage  [3043 journals]
  • Challenging Patients
    • Authors: Joseph S. Alpert
      Pages: 1129 - 1130
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Joseph S. Alpert


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.05.040
       
  • Occam, Hickam, Troponin, and Appropriate Use
    • Authors: Gregory D. Chapman
      Pages: 1131 - 1132
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Gregory D. Chapman


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.05.017
       
  • Bone Density Testing Is the Best Way to Monitor Osteoporosis Treatment
    • Authors: Micol S. Rothman; E. Michael Lewiecki; Paul D. Miller
      Pages: 1133 - 1134
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Micol S. Rothman, E. Michael Lewiecki, Paul D. Miller


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.05.044
       
  • Calculated Bicarbonate for Acid–Base Disorders
    • Authors: Masayuki Tanemoto
      Pages: 1135 - 1136
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Masayuki Tanemoto


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.05.042
       
  • Renal Function and Direct Oral Anticoagulant Treatment for Venous
           Thromboembolism
    • Authors: John Fanikos; Allison E. Burnett; Charles E. Mahan; Paul P. Dobesh
      Pages: 1137 - 1143
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): John Fanikos, Allison E. Burnett, Charles E. Mahan, Paul P. Dobesh
      Because differences in renal function can affect the efficacy and safety of direct oral anticoagulants, prescribing an appropriate dose based on renal function is critical, especially in patient populations with a high incidence of renal impairment. In patients with nonvalvular atrial fibrillation and mild or moderate renal impairment, direct oral anticoagulants are associated with a better risk–benefit profile compared with warfarin. However, less is known regarding outcomes in patients with venous thromboembolism and renal impairment. The efficacy and safety of direct oral anticoagulants in patients with venous thromboembolism and renal impairment are primarily derived from prespecified subgroup analyses of the phase 3 clinical trials. We summarize the available data on direct oral anticoagulant use in patients with venous thromboembolism and renal impairment. Clinicians are encouraged to follow study inclusion/exclusion criteria and perform renal dose adjustments based on the Cockcroft–Gault equation using actual body weight when indicated to avoid adverse events.

      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.06.004
       
  • Contextualizing Myocardial Infarction: Comorbidities and Priorities in
           Older Adults
    • Authors: Ashok Krishnaswami; Mathew S. Maurer; Karen P. Alexander
      Pages: 1144 - 1147
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Ashok Krishnaswami, Mathew S. Maurer, Karen P. Alexander
      Cardiovascular care for older adults has become increasingly complex owing to a rise in the concurrent comorbidity burden that accompanies senescence. Internists, hospitalists, and cardiologists often encounter geriatric patients with multiple chronic conditions needing acute cardiovascular care. Abnormal cardiac biomarker levels in patients with multiple noncardiac conditions are a common reason for older adults to enter the hospital. This type of acute coronary syndrome, defined as a non–ST segment elevation myocardial infarction or, more precisely, type 2 myocardial infarction, often leads to substantial consternation. Although guideline-based single-disease care may be appropriate in younger individuals, a more cautious approach is needed when considering optimal care strategies for older adults. We discuss a case of an older adult presenting with type 2 myocardial infarction, to highlight a modern-day approach that requires a deliberate shift from an evidence-based focus to a more value-based geriatric mindset.

      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.05.043
       
  • Omega-3 Fatty Acids in Patients with Anorexia-Cachexia Syndrome Associated
           with Malignancy and Its Treatments
    • Authors: Jose M. Garcia; Tatyana A. Shamliyan
      Pages: 1151 - 1155
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Jose M. Garcia, Tatyana A. Shamliyan


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.03.066
       
  • Cultivating Communication with Patients
    • Authors: Timothy Legare; Sundeep Kumar; Sayed K. Ali
      Pages: 1156 - 1157
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Timothy Legare, Sundeep Kumar, Sayed K. Ali


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.06.007
       
  • Four Cancers and a Rash: Henoch–Schönlein Purpura
    • Authors: Richard K. Kim; Alyssa R. Thomas; Mary Elizabeth Card; Divyanshu Malhotra; Jürgen L. Holleck
      Pages: 1158 - 1160
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Richard K. Kim, Alyssa R. Thomas, Mary Elizabeth Card, Divyanshu Malhotra, Jürgen L. Holleck


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.06.015
       
  • Not so Obvious: Acute Herpes Esophagitis
    • Authors: Yuji Yamada; Carlos Rodriguez; Abul Ala Syed Rifat Mannan; Matthew Harrington
      Pages: 1161 - 1162
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Yuji Yamada, Carlos Rodriguez, Abul Ala Syed Rifat Mannan, Matthew Harrington


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.05.010
       
  • The Armadillo Factor: Lepromatous Leprosy
    • Authors: Laura C. Cleary; Smitha Suraj; David Haburchak; Jake E. Turrentine
      Pages: 1163 - 1166
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Laura C. Cleary, Smitha Suraj, David Haburchak, Jake E. Turrentine


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.06.001
       
  • From Sea to Bloodstream: Vibrio vulnificus Sepsis
    • Authors: Amy Joy Sheer; Kristopher P. Kline; Margaret C. Lo
      Pages: 1167 - 1169
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Amy Joy Sheer, Kristopher P. Kline, Margaret C. Lo


      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.07.001
       
  • Obesity, Diabetes, and Acute Coronary Syndrome: Differences Between Asians
           and Whites
    • Authors: Masaya Koshizaka; Renato D. Lopes; L. Kristin Newby; Robert M. Clare; Phillip J. Schulte; Pierluigi Tricoci; Kenneth W. Mahaffey; Hisao Ogawa; David J. Moliterno; Robert P. Giugliano; Kurt Huber; Stefan James; Robert A. Harrington; John H. Alexander
      Pages: 1170 - 1176
      Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10
      Author(s): Masaya Koshizaka, Renato D. Lopes, L. Kristin Newby, Robert M. Clare, Phillip J. Schulte, Pierluigi Tricoci, Kenneth W. Mahaffey, Hisao Ogawa, David J. Moliterno, Robert P. Giugliano, Kurt Huber, Stefan James, Robert A. Harrington, John H. Alexander
      Background Most diabetes and cardiovascular studies have been conducted in white patients, with data being extrapolated to other population groups. Methods For this analysis, patient-level data were extracted from 5 randomized clinical trials in patients with acute coronary syndrome; we compared obesity levels between Asian and white populations, stratified by diabetes status. By using an adjusted Cox proportional hazards model, hazard ratios (HRs) for cardiovascular outcomes after an acute coronary syndrome were determined. Results We identified 49,224 patient records from the 5 trials, with 3176 Asians and 46,048 whites. Whites with diabetes had higher body mass index values than those without diabetes (median 29.3 vs 27.2 kg/m2; P < .0001), whereas Asians with diabetes and without diabetes had similar body mass index (24.7 vs 24.2 kg/m2). Asians with diabetes (HR, 1.63; 95% confidence interval [CI], 1.32-2.02), whites with diabetes (HR, 1.15; 95% CI, 1.06-1.25), and Asians without diabetes (HR, 1.36; 95% CI, 1.14-1.64) had higher rates of the composite of death, myocardial infarction, or stroke at 30 days than whites without diabetes. Asians with diabetes (HR, 1.84; 95% CI, 1.47-2.31), whites with diabetes (HR, 1.47; 95% CI, 1.33-1.62), and Asians without diabetes (HR, 1.38; 95% CI, 1.11-1.73) had higher rates of death at 1 year compared with whites without diabetes. There were no significant interactions between race and diabetes for ischemic outcomes. Conclusions Although Asians with diabetes and acute coronary syndrome are less likely to be obese than their white counterparts, their risk for death or recurrent ischemic events was not lower.

      PubDate: 2017-09-23T17:25:01Z
      DOI: 10.1016/j.amjmed.2017.03.030
       
  • A Traveler's Unwanted Souvenir
    • Authors: Challener Douglas; Abu Saleh Omar
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Challener Douglas, Abu Saleh Omar


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.033
       
  • The Latest Scoop: a Rare Case of Vitamin D Toxicity
    • Authors: Karen Van; Francis Yi Xing Lai; Jonathan Ling; Colin Wood
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Karen Van, Francis Yi Xing Lai, Jonathan Ling, Colin Wood


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.043
       
  • A Closer Look at Frederic Chopin's Cause of Death
    • Authors: Michał Witt; Artur Szklener; Jerzy Kawecki; Witold Rużyłło; Marta Negrusz-Kawecka; Michał Jeleń; Renata Langfort; Wojciech Marchwica; Tadeusz Dobosz
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Michał Witt, Artur Szklener, Jerzy Kawecki, Witold Rużyłło, Marta Negrusz-Kawecka, Michał Jeleń, Renata Langfort, Wojciech Marchwica, Tadeusz Dobosz


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.039
       
  • Association between Iron Deficiency Anemia and Hypophosphatemia
    • Authors: Anuhya Kommalapati; Ryan Singhi; Sri Harsha Tella
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Anuhya Kommalapati, Ryan Singhi, Sri Harsha Tella


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.046
       
  • Implications of Anomalous Left Coronary Artery Origin
    • Authors: Brian B. Agbor-Etang; Van T. La; Sami B. Nazzal; Ramdas G. Pai
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Brian B. Agbor-Etang, Van T. La, Sami B. Nazzal, Ramdas G. Pai


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.038
       
  • Unexpected Diagnosis in a Man with Painful and Swollen Leg
    • Authors: Maria Giulia Tinti; Celeste Clemente; Graziella D'Amico; Michelangelo Nasuto; Vincenzo Carnevale
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Maria Giulia Tinti, Celeste Clemente, Graziella D'Amico, Michelangelo Nasuto, Vincenzo Carnevale


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.035
       
  • Schistosoma Haematobium in Urine Cytology: Diagnosis is Possible
    • Authors: Salvatore Bellafiore; Matteo Zanichelli; Simonetta Piana
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Salvatore Bellafiore, Matteo Zanichelli, Simonetta Piana


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.041
       
  • Hidden Malefactor: Occult Foreign Body in Diabetic Foot
    • Authors: Ami Schattner; Ina Dubin
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Ami Schattner, Ina Dubin


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.045
       
  • Incremental Role of 3-Dimensional Echocardiography in Orthostatic Dyspnea
    • Authors: Sarah Doleeb; Bijoy K. Khandheria; A. Jamil Tajik; Khawaja Afzal Ammar
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Sarah Doleeb, Bijoy K. Khandheria, A. Jamil Tajik, Khawaja Afzal Ammar


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.040
       
  • Schistosoma Japonicum Presenting as Colon Polyps
    • Authors: Amirali Kiyani; Anika Walia; Keng-Yu Chuang
      Abstract: Publication date: Available online 12 October 2017
      Source:The American Journal of Medicine
      Author(s): Amirali Kiyani, Anika Walia, Keng-Yu Chuang


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.034
       
  • Blood Transfusion in Elderly Patients with Acute Myocardial Infarction:
           Data From the RICO Survey.
    • Authors: Alain Putot; Marianne Zeller; Sophie Perrin; Jean-Claude Beer; Jack Ravisy; Charles Guenancia; Raphaël Robert; Patrick Manckoundia; Yves Cottin
      Abstract: Publication date: Available online 10 October 2017
      Source:The American Journal of Medicine
      Author(s): Alain Putot, Marianne Zeller, Sophie Perrin, Jean-Claude Beer, Jack Ravisy, Charles Guenancia, Raphaël Robert, Patrick Manckoundia, Yves Cottin
      Background Red blood cell transfusion benefit during acute myocardial infarction remains unclear in elderly. We aimed to assess the transfusion impact on 1-year mortality in acute myocardial infarction patients ≥ 65 y, according to their age and haemoglobin nadir. Methods We included 3316 consecutive patients with acute myocardial infarction aged ≥ 65 y from the RICO survey. They were categorized according to their haemoglobin nadir (≤ 8, > 8 to ≤ 10 and > 10 g/dL) and age (< or ≥ 80 years). Results 1906 patients (57%) were 65-79 y and 1410 (43%) ≥ 80 y, of whom 103 (5%) and 145 (10%) patients received red blood cell transfusion respectively (P < 0.001). In Cox regression analysis, transfusion was associated with increased 1-year mortality for haemoglobin nadir > 10 g/dL, but no significant effect for haemoglobin nadir between 8 and 10 g/dL. When haemoglobin nadir was ≤ 8g/dL, transfusion did not influence 1-year mortality for younger patients (65-79 y). However, for older patients (≥ 80 y), transfusion was associated with lower mortality (HR = 0.43 (0.22-0.86), P = 0.016). Conclusion Among older patients with acute myocardial infarction, the effect of transfusion was largely dependent on haemoglobin threshold and age. Transfusion was associated with increased 1-year mortality when haemoglobin nadir was > 10 g/dL. However, in patients aged ≥ 80 y with haemoglobin nadir < 8 g/dL, transfusion was associated with a 50% reduction in 1-year mortality.

      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.027
       
  • Bedside Diagnosis of Deep Vein Thrombosis Using Pocket-Sized Ultrasound
    • Authors: Elizabeth Baker; Michael Wagner
      Abstract: Publication date: Available online 10 October 2017
      Source:The American Journal of Medicine
      Author(s): Elizabeth Baker, Michael Wagner


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.028
       
  • Disseminated Histoplasmosis: an Unusual Presentation of a Classic Midwest
           Infection
    • Authors: Amrit K. Kamboj; Saumya Shah; Subir Bhatia; Carl Andersen; Cyril Varghese
      Abstract: Publication date: Available online 10 October 2017
      Source:The American Journal of Medicine
      Author(s): Amrit K. Kamboj, Saumya Shah, Subir Bhatia, Carl Andersen, Cyril Varghese


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.029
       
  • A Rare Complication of Cough
    • Authors: Surujpal Teelucksingh; Sateesh Sakhamuri
      Abstract: Publication date: Available online 10 October 2017
      Source:The American Journal of Medicine
      Author(s): Surujpal Teelucksingh, Sateesh Sakhamuri


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.032
       
  • A Patient with Gluten Encephalopathy Presenting with Neuropsychiatric
           Symptoms
    • Authors: Iqra Arshad; Athar Javeed; Ubaid Ullah
      Abstract: Publication date: Available online 9 October 2017
      Source:The American Journal of Medicine
      Author(s): Iqra Arshad, Athar Javeed, Ubaid Ullah


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.023
       
  • The Prognostic Impact of Mild Hypokalemia in Terms of Death and Stroke in
           the General Population – a Prospective Population Study
    • Authors: Nick Mattsson; Olav Wendelboe Nielsen; Linda Johnson; Eva Prescott; Peter Schnohr; Gorm Boje Jensen; Lars Køber; Ahmad Sajadieh
      Abstract: Publication date: Available online 9 October 2017
      Source:The American Journal of Medicine
      Author(s): Nick Mattsson, Olav Wendelboe Nielsen, Linda Johnson, Eva Prescott, Peter Schnohr, Gorm Boje Jensen, Lars Køber, Ahmad Sajadieh
      Background Potassium supplementation reduces the risk of cardiovascular mortality and stroke in population studies; however, the prognostic impact of mild hypokalemia in the general population has not been thoroughly investigated. We aimed to investigate associations between mild hypokalemia and endpoints in the general population. Methods participants (48-76 year old) from the general population study “Copenhagen City Heart Study” (n=5916) were studied. Participants were divided into groups according to baseline-values of plasma-potassium (potassium); Hypokalemia (<3.7 mmol/L,n=758), normokalemia (3.7-4.5 mmol/L] n=4973, and high-potassium (>4.5 mmol/L,n=185). Hypokalemia was further divided in potassium<3.4 and 3.4-3.6 mmol/L. The primary endpoints were all-cause mortality and non-fatal validated ischemic stroke. Secondary endpoint was AMI. We adjusted for conventional risk factors, diuretics and atrial fibrillation (AF) at baseline. Results Mean potassium in the hypokalemic group was 3.5 mmol/L (range 2.6-3.6) and was associated (P<0.05) with increased systolic blood pressure, higher CHA2DS2-VASc-score, and increased use of diuretics as compared with normokalemia. Baseline AF was equally frequent across groups. Median follow-up-time was 11.9 years (Q1-Q3: 11.4-12.5 years). Hypokalemia was borderline associated with increased stroke-risk in a multivariable Cox model (including adjustment for competing risk) as compared with normokalemia (HR:1.40;95%CI:1.00-1.98). The subgroup with potassium<3.4 mmol/L had higher stroke- (HR:2.10;95%CI:1.19-3.73) and mortality-risk (HR:1.32;95%CI:1.01-1.74) as compared with normokalemia. Hypokalemia was not associated with AMI and no increased risk of mortality was seen with concomitant AMI and hypokalemia. No associations were seen with high-potassium. Conclusions In a general population mild hypokalemia is associated with increased stroke-risk and to a lesser degree increased mortality-risk.

      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.026
       
  • Effect of Health Plan Financial Incentive Offering on Employees with
           Prediabetes
    • Authors: Anita D. Misra-Hebert; Bo Hu; Phuc H. Le; Michael B. Rothberg
      Abstract: Publication date: Available online 9 October 2017
      Source:The American Journal of Medicine
      Author(s): Anita D. Misra-Hebert, Bo Hu, Phuc H. Le, Michael B. Rothberg
      Background Prediabetes may be improved or reversed with lifestyle interventions. A worksite wellness program offering financial incentives for participation may be effective in improving the health of employees with prediabetes. We studied the effect of employee health plan financial incentives on health outcomes for employees with prediabetes. Methods We conducted a retrospective cohort study using electronic medical record (EMR) data from January 2008- December 2012. Our study participants were employees with prediabetes and propensity-matched non-employees with prediabetes and commercial health insurance, all receiving care within one health system. Exposures included fixed annual financial incentives for program participation and later a premium discount divided between program participation and achievement of goals. We utilized longitudinal linear mixed models to assess yearly changes in glycosylated hemoglobin (HbA1c), weight, and low density lipoprotein cholesterol (LDL) in employees vs. non-employees. We also compared outcomes of employees by ever- vs. never- program participant status. Results Our study population included 1005 employees and 1005 matched non-employees. The yearly reduction in HbA1c for employees vs. matched non-employees did not differ in 2008-10, but was greater in 2010-12 when incentives were tied to program participation as well as achievement of goals (- 0.10 vs. -0.08 %, respectively; p for difference in change (DIC) = 0.01 from 2010-12). Analyses from both periods showed that employees lost more weight per year than matched non-employees (-1.85 vs. –0.21 lbs. from 2008-10; p for DIC<0.001 and -2.35 vs. -0.65 lbs. from 2010-12; p for DIC <0.001). Employees who participated in disease management lost more weight than those who did not (-2.14 vs. 0.79 lbs. yearly prior to 2010 and -2.82 vs. -0.91 after 1/1/2010, p for DIC <0.01 and <0.001 respectively). Conclusion A worksite wellness program offering health plan financial incentives for participation and outcomes was associated with improvements in weight and HbA1c.

      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.024
       
  • Acute Colitis in a Patient with Streptococcus Pyogenes Bacteremia
    • Authors: Bharat Maraj; Annsa Huang; Sajan Patel
      Abstract: Publication date: Available online 9 October 2017
      Source:The American Journal of Medicine
      Author(s): Bharat Maraj, Annsa Huang, Sajan Patel


      PubDate: 2017-10-14T08:21:35Z
      DOI: 10.1016/j.amjmed.2017.09.022
       
  • Inpatient Glucose Values: Determining the Nondiabetic Range and Use in
           Identifying Patients at High Risk for Diabetes
    • Authors: Mary Rhee; Sandra Safo Sandra Jackson Wenqiong Xue Darin Olson
      Abstract: Publication date: Available online 6 October 2017
      Source:The American Journal of Medicine
      Author(s): Mary K. Rhee, Sandra E. Safo, Sandra L. Jackson, Wenqiong Xue, Darin E. Olson, Qi Long, Diana Barb, J. Sonya Haw, Anne M. Tomolo, Lawrence S. Phillips
      Background Many individuals with diabetes remain undiagnosed, leading to delays in treatment and higher risk for subsequent diabetes complications. Despite recommendations for diabetes screening in high risk groups, the optimal approach is not known. We evaluated the utility of inpatient glucose levels as an opportunistic screening tool for identifying patients at high risk for diabetes. Methods We retrospectively examined 462,421 patients in the national VA healthcare system, hospitalized on medical/surgical services in 2000-2010, for ≥3 days, with ≥2 inpatient random plasma glucose (RPG) measurements. All had continuity of care – ≥1 primary care visit and ≥1 glucose measure within 2 years before hospitalization and yearly for ≥3 years after discharge. Glucose levels during hospitalization and incidence of diabetes within 3 years after discharge in patients without diabetes were evaluated. Results Patients had mean age 65.0 years, BMI 29.9, and were 96% male, 71% white, and 18% black. Preexisting diabetes was present in 39.4%, 1.3% were diagnosed during hospitalization, 8.1% diagnosed <5 years post-discharge, and 51.3% never diagnosed (NonDM). The NonDM group had the lowest mean hospital RPG (112 mg/dl [6.2 mmol/L]). Having at least two RPGs >140 mg/dl (>7.8 mmol/L), the 95th percentile of NonDM hospital glucose, provided 81% specificity for identifying incident diabetes <3 years post-discharge. Conclusions Screening for diabetes could be considered in patients with at least two hospital glucoses at/above the 95th percentile of the nondiabetic range (141 mg/dl [7.8 mmol/L]).

      PubDate: 2017-10-08T18:20:23Z
       
  • Is Infection an Independent Risk Factor for Venous Thromboembolism' a
           Population-Based Case-Control Study
    • Authors: Kevin Cohoon; Aneel Ashrani Daniel Crusan Tanya Petterson Kent Bailey
      Abstract: Publication date: Available online 4 October 2017
      Source:The American Journal of Medicine
      Author(s): Kevin P. Cohoon, Aneel A. Ashrani, Daniel J. Crusan, Tanya M. Petterson, Kent R. Bailey, John A. Heit
      Background The independent association of recent infection with venous thromboembolism is uncertain. The purpose of the study was to test both overall infection (site unspecified) and specific infection sites as potential risk factors for deep vein thrombosis and pulmonary embolism adjusting for other known venous thromboembolism factors. Methods Using Rochester Epidemiology Project (REP) resources, we identified all Olmsted County, MN residents with objectively-diagnosed incident deep vein thrombosis or pulmonary embolism over the 13-year period, 1988-2000 (cases; n=1303), and 1-2 residents without venous thromboembolism matched to each case on age, sex and incident venous thromboembolism date (controls; n=1494). These case-control sets were analyzed using conditional logistic regression. Data were collected on recent infection and infection site(s), body mass index, smoking, current or recent hospitalization with and without surgery, nursing home confinement, active cancer, trauma or fracture, leg paresis, prior superficial vein thrombosis, transvenous catheter/pacemaker, ischemic heart disease, congestive heart failure, chronic lung or renal disease, serious liver disease, asthma, diabetes mellitus, hormone therapy, and among women, hormonal contraception and pregnancy/post-partum. Results Five hundred thirteen (39.4%) cases and 189 (12.7%) controls had an infection in the previous 92 days (OR=4.5; 95%CI: 3.6, 5.5; p<0.0001). In a multivariable analysis adjusting for common venous thromboembolism risk factors, pneumonia as well as symptomatic urinary tract, oral, intra-abdominal and systemic blood stream infections were associated with significantly increased odds of venous thromboembolism. Conclusion Infection as a whole, as well as specific infection sites in particular are independent risk factors for venous thromboembolism and should be considered as potential indications for venous thromboembolism prophylaxis.

      PubDate: 2017-10-08T18:20:23Z
       
  • A Crus-Cial Discovery: Secondary Hypertension
    • Authors: Suhail Rafiq; Mohd Ilyas Tariq Gojwari
      Abstract: Publication date: Available online 4 October 2017
      Source:The American Journal of Medicine
      Author(s): Suhail Rafiq, Mohd Ilyas, Tariq Gojwari


      PubDate: 2017-10-08T18:20:23Z
       
  • Severe Asthma and the Primary Care Provider: Identifying Patients and
           Coordinating Multidisciplinary Care
    • Authors: Barbara P. Yawn; Michael E. Wechsler
      Abstract: Publication date: Available online 3 October 2017
      Source:The American Journal of Medicine
      Author(s): Barbara P. Yawn, Michael E. Wechsler
      Without proper care, patients with severe forms of asthma face substantial medical risks, marked reductions in quality of life, and other significant disease-related burdens. Therefore, it is essential that primary care clinicians and other healthcare providers are adept at identifying cases of severe asthma based on symptom control, exacerbation risks, and the need for relatively aggressive treatment regimens (eg, high-dose inhaled corticosteroids with long-acting controller medications, and/or frequent oral corticosteroid use). Engaging and educating affected individuals as part of ongoing treatment planning are best achieved with a good understanding of patients' own insights into their disease and management challenges that often arise in busy healthcare practices. This includes effectively communicating with patients about the implications of their diagnosis and potential treatment strategies that can be accessed via coordinated multidisciplinary care. Expert primary care and specialist faculty have highlighted strategies to identify cases of severe asthma, appropriate referral pathways for these individuals, and considerations on integrating patients' perspectives into clinical decision making across the continuum of care (access to an accredited educational program on these topics is available at http://courses.elseviercme.com/pcp/687). Additionally, this online program is a component of a larger platform of education activities and consolidated clinical resources designed to improve the care of patients with respiratory disorders (visit http://respiratorycme.elsevierresource.com/).

      PubDate: 2017-10-08T18:20:23Z
      DOI: 10.1016/j.amjmed.2017.10.001
       
  • Remembering Corrado Vassanelli
    • Authors: Flavio Ribichini
      Abstract: Publication date: Available online 3 October 2017
      Source:The American Journal of Medicine
      Author(s): Flavio Ribichini


      PubDate: 2017-10-08T18:20:23Z
      DOI: 10.1016/j.amjmed.2017.09.020
       
  • A rose by any other name: ketoacidosis due to SLGT2 inhibitors reveals
           latent autoimmune diabetes
    • Authors: Thomas Nodzynski; Todd C. Lee
      Abstract: Publication date: Available online 2 October 2017
      Source:The American Journal of Medicine
      Author(s): Thomas Nodzynski, Todd C. Lee


      PubDate: 2017-10-08T18:20:23Z
      DOI: 10.1016/j.amjmed.2017.09.014
       
  • First, Rule Out Cancer: Giant Lipoma
    • Authors: Massimo Ralli; Marco de Vincentiis; Antonio Greco
      Abstract: Publication date: Available online 2 October 2017
      Source:The American Journal of Medicine
      Author(s): Massimo Ralli, Marco de Vincentiis, Antonio Greco


      PubDate: 2017-10-08T18:20:23Z
      DOI: 10.1016/j.amjmed.2017.09.013
       
  • Subscription Information
    • Abstract: Publication date: October 2017
      Source:The American Journal of Medicine, Volume 130, Issue 10


      PubDate: 2017-09-23T17:25:01Z
       
 
 
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