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Publications related to Internal Medicine (10,000)
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Background For years, US medical schools have relied on community-based, private clinicians to educate medical students. There has been a steady decline in the number of physicians willing to take on medical students in their clinical practices. Recent issues related to the pandemic raise questions about how many patients students should see to hav...
Article
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Abstract Background Medical emergencies are complex and stressful, especially for the young and inexperienced. Cognitive aids (CA) have been shown to facilitate management of simulated medical emergencies by experienced teams. In this randomized trial we evaluated guideline adherence and treatment efficacy in simulated medical emergencies managed b...
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Background POCUS (point-of-care ultrasound) is an important diagnostic tool for several medical specialties. To provide safe patient care, the quality of this exam should be as high as possible. This includes solid documentation with a written report and the availability of images for review. However, international guidelines or publications about...
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Background Central nervous system (CNS) infections are serious and debilitating diseases with significant mortality, and high prevalence in the context of human immunodeficiency virus (HIV) pandemic in Africa. However, their diagnosis remains challenging due to outdated technical platform. We aimed to determine the frequency of CNS infection and to...
Article
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Introduction Over the last years, the number of systematic reviews published is steadily increasing due to the global interest in this type of evidence synthesis. However, little is known about the characteristics of this research published in Portuguese medical journals. This study aims to evaluate the publication trends and overall quality of the...
Article
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Background Venous thromboembolism is a primary cause of morbidity and mortality in hospitalised patients. Clinical practice guidelines were developed to prevent venous thromboembolism events. This study adopted the Theoretical Domains Framework to explore the beliefs and perceptions of physicians adoption of clinical practice guidelines for the upt...
Preprint
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Le bilan étiologique d'une symptomatologie clinique ou d'une anomalie biologique est une des compétences inhérentes à l'exercice de la médecine interne. La démarche diagnostique nécessite la connaissance des propriétés des examens morphologiques, anatomo-pathologiques et biologiques auxquels appartient le phénotypage lymphocytaire. L'étude des popu...
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Background Familial Mediterranean fever (FMF) is a disease of the innate immune system. The disease is prevalent in the Mediterranean region. A comprehensive bibliometric analysis of the published literature on FMF indexed in the SCI-Expanded is lacking. Objective To review the global research trend, developments, leading authors, journals, instit...
Preprint
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Makerere University College of Health Sciences, Kampala, Uganda, has established partnerships with several other institutions around the world. Some of these are the University of Brescia and "Magna Graecia" University, which have agreed on a collaboration whose main objective is student exchange. We collected the experiences of some of the student...
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Jinhun Park,1 Yu-Cheol Lim,2 Deok-Sang Hwang,3 In-Hyuk Ha,2 Ye-Seul Lee2 1Department of Internal Medicine, Jaseng Hospital of Korean Medicine, Seoul, Republic of Korea; 2Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea; 3Department of OB & GY in Korean Medicine, College of Korean Medicine, Kyung Hee Uni...
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YingLu Wang,1,* Chang Liu,1,* Liping Liu,1,* Xiaoli Chen,1 Lu Wei,1 Jie Liu,1 Sheng Peng,2 Jingjiang Pi,3 Qi Zhang,3 Brian Tomlinson,4 Paul Chan,5 Lin Zhang,1 Huimin Fan,1 Liang Zheng,1 Zhongmin Liu,1 Yuzhen Zhang1 1Key Laboratory of Arrhythmias of the Ministry of Education of China, Research Center for Translational Medicine, Shanghai East Hospita...
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Hipertrigliceridemia como causa de pancreatite aguda. A propósito de um caso clínico Hypertriglyceridemia as a cause of acute pancreatitis. The purpose of a clinical case Hipertrigliceridemia como causa de pancreatitis aguda. Sobre un caso clínico RESUMO Introdução: A pancreatite aguda (P.A.) define-se como uma condição inflamatória não bacteriana...
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Ahmed Abdallah Salman,1 Mohamed Abdalla Salman,2 Mohamed H Aon,1 Reem Ezzat Mahdy,3 Ahmed Abdallah,2 Gamal Galal Shemy,4 Ahmed M Hassan,4 Fatema Alzahraa Samy Amin,5 Safa Labib1 1Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt; 2General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt; 3Inter...
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Zelalem Desalegn,1,* Shemse Sebre,1,* Meron Yohannes,2 Aminu Seman,1 Welelta Shiferaw,3 Muluneh Ademe,1 Habtamu Biazin,1 Ededia Firdawoke,1 Yehenew Asemamaw,1 Brhanu Teka,1 Seifegebriel Teshome,1 Wondwossen Amogne,4 Adamu Addissie,5,6 Yirgu Gebrehiwot,7 Eva Kantelhardt,6 Tamrat Abebe1 1Department of Microbiology, Immunology and Parasitology, School...
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Daniel Mengistu Bekele,1 Dejuma Yadeta Goshu,2 Alemayehu Worku Yalew,3 Melinda K Higgins,4 Rebecca A Gary4 1Department of Nursing, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Internal Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis...
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Introduction There is an enormous imbalance between the rapid development of day surgery and the current conventional medical services. Hence, an effective day surgery management mode should be developed that can be used to constantly follow up on patients both preoperatively and postoperatively. In this study, WeChat was chosen as the platform. Th...
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Ravindra Gopaul,1 Robert A Waller,1 Ricci Kalayanamitra,2 Garrett Rucker,3 Andrew Foy4 1Department of Emergency Medicine, Penn State Hershey Medical Center, Hershey, PA, USA; 2Department of Emergency Medicine, Staten Island University Hospital, New York, NY, USA; 3Penn State Milton S. Hershey College of Medicine, Hershey, PA, USA; 4Department of In...
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Edy Rizal Wahyudi, Rizki Febriani Putri, Evy Yunihastuti, Hamzah Shatri Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaCorrespondence: Evy Yunihastuti, Email evy.yunihastuti@gmail.comPurpose: Fall is one of the geriatric syndromes and a significant public health concern, w...
Poster
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“Waja” is an Arabic word which means pain. It is defined by Unani physicians as “Perception of unease in the body caused by impaired temperament or loss in continuity”. Waja (pain) is an abnormal perception felt by Patients and denote the morbid condition of body. Under the caption of pain, Ibn sina described that “pleasure or joy is the Ahsase Mus...
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Worku Ketema,1 Kindie Woubishet,2 Sisay Tesfaye,2 Selamawit Gutema,2 Kefyalew Taye,1 Mulugeta Sitot Shibeshi,1 Negash Tagesse1 1Department of Pediatrics and Child Health, College of Health Sciences, Hawassa University, Hawassa, Sidama, Ethiopia; 2Department of Internal Medicine, College of Health Sciences, Hawassa University, Hawassa, Sidama, Ethio...
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Objective Stroke caused by giant cell arteritis (GCA) is a rare but devastating condition and early recognition is of critical importance. The features of GCA-related stroke were compared with those of GCA without stroke and atherosclerosis-related or embolic stroke with the aim of more readily diagnosing GCA. Methods The study group consisted of...
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Background. Medication nonadherence in patients with chronic diseases is common, costly, and often underdiagnosed. In the United States, approximately 40–50% of patients with cardiometabolic conditions are not adherent to long-term medications. Drug–drug interactions (DDI) are also underrecognized and may lead to medication nonadherence in this pat...
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Background Police action can increase risky substance use patterns by people who use drugs (PWUD), but it is not known how increased police presence affects utilization of low-barrier substance use disorder bridge clinics. Increased police presence may increase or decrease treatment-seeking behavior. We examined the association between Operation Cl...
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Background There is significant variability in the performance and outcomes of invasive medical procedures such as percutaneous coronary intervention, endoscopy, and bronchoscopy. Peer evaluation is a common mechanism for assessment of clinician performance and care quality, and may be ideally suited for the evaluation of medical procedures. We the...
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Objective: To assess the bidirectional association between chronic pain and both subjectively and objectively measured physical activity (PA). Design: Cross-sectional study. Setting: Population-based sample in Lausanne, Switzerland, May 2014 to April 2017. Participants: Non-stratified, representative sample of the population of Lausanne (Swi...
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Background Instant messaging applications and texting are useful for educating and communicating with medical students; however, they present patient privacy concerns and do not address the challenge of student inclusion in patient care communication. EMR-integrated secure messaging offers an opportunity to include students on team communication, e...
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Introduction The stigma of mental illness has a negative impact on the diagnosis and treatment of these disorders. Considering the high prevalence of mental illness, the attitude of medical specialists toward mental disorders, who are front liners in diagnosing and treating these patients, is critical. Therefore, we examined the attitude of Iranian...
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Background The objective of this study is to describe age-related patterns of outpatient healthcare utilization in youth and young adults with mental health disorders. Method We used the IBM® MarketScan® Commercial Database to identify 359,413 youth and young adults (12–27 years) with a mental health disorder continuously enrolled in private healt...
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Background and objectives: During the last decades, growing evidence corroborates that chronic inflammatory disease impairs the body beyond the cutaneous barrier. Linkage between psoriasis and kidney disease, and in particular between psoriasis and end-stage renal disease (ESRD), have not yet been elucidated. We sought to analyze the impact of con...
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Background: Despite an increase in the use of online resources, their use by veterinary students, especially in the study of small animal internal medicine (SAIM), remains poorly understood. Methods: A questionnaire-based study consisting of 26 survey items and 263 responses from seven UK universities investigated the use of online resources amo...
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Introduction. Stress is a state of tension that arises during events or requests assessment from the environment as threatening or too demanding. In the process of coping, we use different cognitive and behavioral strategies. Problem-oriented coping involves strategies aimed at changing or removing stressors. Emotion-focused coping encompasses stre...
Preprint
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When compliance with infection control recommendations is non-optimal, hospitals may play an important role in hepatitis C (HCV) transmission. However, few studies have analysed HCV acquisition risk based on detailed empirical data in order to identify high-risk patient profiles or transmission hotspots. We used data from a prospective cohort study...
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Objectives To identify and prioritise the most impactful, unanswered questions for obesity and weight-related research. Design Prioritisation exercise of research questions using online surveys and an independently facilitated workshop. Setting Online/virtual. Participants We involved members of the public including people living with obesity, r...
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Background: The prevalence and mortality of sepsis in Internal Medicine Units (IMUs) is poorly understood as most of the data derive from studies conducted in Intensive Care Units. Aim of SEpsis Management in INternal medicine Apulia (SEMINA) study was to determine the prevalence of sepsis and the characteristics and outcomes of patients with Seps...
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Modern professional education of internists is being updated at an intensive pace. This is primarily due to the fact that medicine and its technologies do not stand still, rushing into a high-tech future. In this regard, people have great hopes for highly effective conservative care, including for hematological diseases. Basic research on the mecha...
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Background/objectives Reports about the implementation of recommendations from acute pancreatitis guidelines are scant. This study aimed to evaluate, on a patient-data basis, the contemporary practice patterns of management of biliary acute pancreatitis and to compare these practices with the recommendations by the most updated guidelines. Methods...
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Background Simultaneous bilateral hip fractures without major trauma in the elderly are rare and usually symmetrical. To the best of our knowledge, only two cases of bilateral simultaneous asymmetric hip fracture in the elderly without major trauma have been reported. Case presentation We present the case of a 90-year-old Japanese man with simulta...
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Introduction: Pseudomonas aeruginosa is one of the important human pathogen and causes serious infections. Carbapenems are drug of choice in infections that caused by P. aeruginosa but carbapenem resistance is an emerging problem. In this study we aimed to to investigate the presence of KPC gene, one of the carbapenemase enzymes that cause carbapen...
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Purpose The purpose of this study is to explore the information-seeking behavior of Egyptian physicians serving in COVID-19 isolation hospitals. Design/methodology/approach A sample of 91 physicians serving in Egyptian isolation hospitals answered the study questionnaire. Findings Demographically, more than half of respondents were males. Over on...
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Background Men who have sex with men (MSM) account for most new HIV diagnoses in the US. Annual HIV testing is recommended for sexually active MSM if HIV status is negative or unknown. Our primary study aim was to determine annual HIV screening rates in primary care across multiple years for HIV-negative MSM to estimate compliance with guidelines....
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Background The medical school admission process is complicated, perhaps reflecting unresolved debates concerning the most important skills necessary to become an ideal physician. The Goldman Medical School at Ben-Gurion University in Israel is known for placing great emphasis on the personal attributes of candidates in addition to their academic ex...
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Background In 2012, the American Board of Internal Medicine Foundation launched the Choosing Wisely campaign to reduce unnecessary care. However, it is unclear how much emergency physicians in Taiwan understand about Choosing Wisely. The purpose of this study was to explore the knowledge, attitude, and behaviour of emergency physicians in Taiwan re...
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Purpose: Prior research evaluating workplace-based assessment (WBA) rater training effectiveness has not measured improvement in narrative comment quality and accuracy, nor accuracy of prospective entrustment-supervision ratings. The purpose of this study was to determine whether rater training, using performance dimension and frame of reference t...
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Massive scientific productivity accompanied the COVID-19 pandemic. We evaluated the citation impact of COVID-19 publications relative to all scientific work published in 2020 to 2021 and assessed the impact on scientist citation profiles. Using Scopus data until August 1, 2021, COVID-19 items accounted for 4% of papers published, 20% of citations r...
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The word ‘Agnimandya’ in itself signifies the state of the inadequate process of digestion on ingested food. In Ayurveda, there is a concept called Ama, which is considered the main reason for the majority of the diseases. Ama is a toxic substance formed due to Ajirna. This Ama is circulated all over the body through minute channels and gets lodged...
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Background: Value-Based Care (VBC) is being discussed to provide better outcomes to patients, with an aim to reimburse healthcare providers (HCPs) based on the quality of care they deliver. Little is known about German HCPs' knowledge of VBC. This study aims to investigate the knowledge of HCPs of VBC and to identify potential needs for further ed...
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Background: Little is known about resilience in an internal medicine setting. We aimed to assess the relationship between resilience and frailty and other clinical and sociodemographic characteristics in a cohort of prospectively enrolled hospitalised patients. Methods: In 2017-2019, we consecutively enrolled patients in our internal medicine wa...
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The aim of the study was to explore the effects of Intentional Rounding, a regular-based proactive patient monitoring, on falls and pressure ulcers in internal medicine units. This is a cluster-randomised controlled study, where units were assigned (1:1) to Intentional Rounding (intervention group) or Standard of Care (control group). The primary o...
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Background: Low muscle strength is linked to several adverse health outcomes. However, there are limited data regarding its prevalence and associated factors in Thai older adults. This study aimed to fill that gap. Methods: This cross-sectional study was conducted with patients aged ≥ 60 years at the outpatient clinic of the internal medicine de...
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Aim: The aim of this study was to highlight antimicrobial resistance among Enterobacteriaceae isolated from bloodstream infections in hospitals in southern Poland. Materials and Methods: The present study includes laboratory-confirmed secondary bloodstream infections (LC-BSIs), in the years 2015–2018, in hospitalized adult patients (≥18). Episodes...
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Physician communication is integral for improving patients’ experience and clinical outcomes. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores are used by the Centers for Medicare & Medicaid Services to assess the quality of care provided to the patients. We conducted a prospective pre–post-intervention study from Ma...
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Background As patients age, the frailty of those with multimorbidity increases, often resulting in adverse health outcomes. The current study investigated the frailty status and the factors which influence it in elderly patients with multimorbidity in Chinese hospitals. The relationship between the frailty of patients with multimorbidity and advers...
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Background and objective: There is persistent men-dominated gender disparity in medical academia. Predominance of men in the editorial makeup of medical journals might contribute to this inequity. This retrospective study (2014–2019) sought to evaluate gender representation in reviewers, editors, and members of the editorial boards in 15 leading me...
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Objective To report a case of Behçet’s disease (BD) presenting as a panuveitis with neuroretinitis and pre-papillary vitreous infiltrate. Material and methods A case report. Results A 43-year-old male presented with severely decreased vision in the left eye. Ophthalmological examination revealed unilateral non granulomatous panuveitis with occlus...
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Background Few studies have analyzed healthcare utilization before suicide among individuals with attention-deficit/hyperactivity disorder (ADHD). This study examined the pattern of healthcare utilization and comorbidities shortly before death among patients with ADHD who died by suicide and compared these data with those of living controls. This s...
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Objective The prevalence of glaucoma is rising due to an increasing aging population. Because of its insidious and irreversible nature, glaucoma has gradually become the focus of attention. We assessed primary open angle glaucoma, the most common type of glaucoma, to study its present status, global trend, and state of clinical research.Methods Pub...
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Objectives Increases in obesity and cardiovascular diseases contribute to rapidly growing healthcare expenditures in many countries. However, little is known about whether the population-level health guidance intervention for obesity and cardiovascular risk factors is associated with reduced healthcare utilisation and spending. The aim of this stud...
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Purpose Therapeutic drug monitoring (TDM) is widely recognised as a key attribute of clinical pharmacologists; yet, the extent to which physicians undertaking postgraduate training in clinical pharmacology (hereafter trainees) are involved in TDM is poorly characterised. Our own experience suggests wide variation in trainee exposure to TDM. Method...
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Purpose: Geriatric inpatients generally have a high risk of drug-related problems (DRP) in prescribing following hospital admission, which are likely to cause negative clinical consequences. This is particularly evident in developing countries such as Vietnam. Therefore, clinical pharmacy service (CPS) aims to identify and resolve these DRPs to im...
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Objective To evaluate changes in the learning attitudes of primary care physicians. Design Qualitative study through one focus group interview with the programme’s participants. Analysis of the focus group content using the Steps for Coding and Theorization method. Setting Japan. Participants Eight primary care physicians who completed a 2-year...