{"title":"Are We Forcing Residents to Conduct Research?","authors":"Mohammed Ayyad, Murad Almasri, Ahmed Altibi","doi":"10.1016/j.amjmed.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.07.002","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raya Elfadel Kheirbek, Rebecca Hudson, Stacy Gwatura
{"title":"The High Cost of Low Evidence: Why Cannabis Research Lags Behind its Use.","authors":"Raya Elfadel Kheirbek, Rebecca Hudson, Stacy Gwatura","doi":"10.1016/j.amjmed.2025.06.025","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.025","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyung Joon Joo, Soon Jun Hong, Cheol Woong Yu, Seung Yong Shin, Eung Ju Kim
{"title":"Prognostic Significance of Diastolic Hypotensive Episodes in Patients Stabilized After Acute Heart Failure.","authors":"Hyung Joon Joo, Soon Jun Hong, Cheol Woong Yu, Seung Yong Shin, Eung Ju Kim","doi":"10.1016/j.amjmed.2025.06.036","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.036","url":null,"abstract":"<p><strong>Background: </strong>Optimal blood pressure (BP) management is important for improving clinical outcome for patient with heart failure. While systolic BP has traditionally guided therapy, the prognostic value of transient diastolic hypotension in chronic heart failure is unclear. This study aimed to evaluate whether a single episode of diastolic BP (DBP) <60 mmHg predicts adverse cardiovascular events in heart failure patients who achieved clinical stability after acute decompensation.</p><p><strong>Methods: </strong>In this multicenter retrospective cohort study, data were extracted from the electronic health records of three tertiary university hospitals in South Korea (January 2017-June 2024). A total of 2,477 patients hospitalized for acute heart failure decompensation and stabilized thereafter were included, with BP measurements obtained 3-12 times during a 1-year follow-up. Major adverse cardiovascular events (MACE) defined as cardiovascular death, new myocardial infarction, stroke, or heart failure re-hospitalization was tracked from 1 year after discharge.</p><p><strong>Results: </strong>Patients experiencing ≥1 DBP <60 mmHg episode had higher MACE rates (35.0% vs. 26.9%, p<0.01) and increased heart failure re-hospitalization (24.4% vs. 15.2%, p<0.01). In multivariable analyses, a DBP <60 mmHg episode was borderline associated with MACE (HR 1.18, p=0.07) and independently predicted heart failure re-hospitalization (HR 1.39, p<0.01).</p><p><strong>Conclusions: </strong>A diastolic hypotension episode (DBP <60 mmHg) in patients with stable heart failure is a clinically significant marker of hemodynamic vulnerability and an elevated risk of adverse outcomes, particularly HF re-hospitalization. Monitoring SBP and diastolic parameters is important for optimizing HF management strategies.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rare Cutaneous Metastasis of Thyroid Cancer-A Case Report.","authors":"Rachel Szwimer, Henri Sasseville, Ji Wei Yang","doi":"10.1016/j.amjmed.2025.06.031","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.031","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leaving the WHO and defunding USAID - penny unwise and pound foolish.","authors":"Edward P Hoffer","doi":"10.1016/j.amjmed.2025.06.030","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.030","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Value of a \"Full-Bodied\" Universal Definition of Heart Failure.","authors":"Daniel M Gelfman","doi":"10.1016/j.amjmed.2025.06.033","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.033","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating \"Retirement\".","authors":"Daniel M Lichtstein","doi":"10.1016/j.amjmed.2025.06.027","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.027","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is Napping Good or Bad for Your Health?","authors":"Joseph S Alpert","doi":"10.1016/j.amjmed.2025.06.018","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.018","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forging the \"Bamboo Ceiling\": A Narrative Review on the Impact to the Advancement of Asians, Asian Americans and Pacific Islanders in Medicine.","authors":"Olivia Gong, Vinay Kumar, Anson O'Young, So Hyun Jeon, Ho-Man Yeung","doi":"10.1016/j.amjmed.2025.06.037","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.037","url":null,"abstract":"<p><p>The \"bamboo ceiling\" encompasses the systemic barriers that limit upward mobility of Asians and Pacific Islanders (APIs) in the professional setting. While having a broad reaching effect on many people in academic medicine, the bamboo ceiling is often considered to be of lower priority in the context of diversity and can be overlooked. In this review, we investigate the existing information on the bamboo ceiling, focusing on its origins, misconceptions, and manifestations especially as they pertain to the field of medicine. Disaggregating data on API populations would allow for greater understanding of the effects of the bamboo ceiling.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trust is Earned.","authors":"Gina Piscitello, William E Rosa, Robert Arnold","doi":"10.1016/j.amjmed.2025.06.026","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.06.026","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}