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Do Patients Who Are Over 60, Obese, with Atrial Fibrillation, Also Have HFpEF? 60 岁以上、肥胖、有心房颤动的患者是否也患有高频血栓形成性心脏病？
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-13 DOI: 10.1016/j.amjmed.2024.07.033
Daniel M Gelfman
{"title":"Do Patients Who Are Over 60, Obese, with Atrial Fibrillation, Also Have HFpEF?","authors":"Daniel M Gelfman","doi":"10.1016/j.amjmed.2024.07.033","DOIUrl":"10.1016/j.amjmed.2024.07.033","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989454","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}
引用次数: 0
Turning Positive: Normal Aging and The Review of Systems. 转向积极：正常衰老》和《系统评论》。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-13 DOI: 10.1016/j.amjmed.2024.08.005
Joseph Frolkis
{"title":"Turning Positive: Normal Aging and The Review of Systems.","authors":"Joseph Frolkis","doi":"10.1016/j.amjmed.2024.08.005","DOIUrl":"10.1016/j.amjmed.2024.08.005","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989457","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}
引用次数: 0
Justice-Involved Status and In-Hospital Mortality Among Nonelderly Adults During the COVID-19 Pandemic, 2021. 2021 年 COVID-19 大流行期间非老年成人的司法介入状况和住院死亡率。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-12 DOI: 10.1016/j.amjmed.2024.08.010
Byron S Kennedy, Robert P Richeson, Amy J Houde
{"title":"Justice-Involved Status and In-Hospital Mortality Among Nonelderly Adults During the COVID-19 Pandemic, 2021.","authors":"Byron S Kennedy, Robert P Richeson, Amy J Houde","doi":"10.1016/j.amjmed.2024.08.010","DOIUrl":"10.1016/j.amjmed.2024.08.010","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this research is to examine the role of justice-involved status on in-hospital mortality among nonelderly adults during the second year of the COVID-19 pandemic.</p><p><strong>Methods: </strong>This retrospective cohort study used data from the 2021 State Inpatient Databases for 20 US states, which included discharges from general acute care hospitals among adults aged 18-64 years hospitalized for at least 24 hours. The main outcome was all-cause in-hospital mortality and the primary comparison was justice-involved status. We used logistic regression to estimate the odds ratios and 95% confidence intervals (CIs), with adjustment for sociodemographic factors, Elixhauser comorbidities, COVID-19 diagnosis, admission acuity, other clinical features, metropolitan area, and seasonality. We randomly split the data into a 50% training and 50% validation set. With the latter, we evaluated the performance of our final model.</p><p><strong>Results: </strong>The study population included 4,712,441 discharges (1.1% justice-involved; mean [SD] age 47.5 [12.8] years; 47.0% women; 63.6% White, 21.8% Black, 11.8% Hispanic, 1.8% Asian/Pacific Islander, and 1.0% American Indian/Alaska Native). Among these, 102,735 in-hospital deaths (2.2%) occurred. In the multivariate analysis, in-hospital mortality was about 40% less likely among justice-involved patients (odds ratios 0.6, 95% CI 0.5-0.7, P value <0.01). The final validated model showed excellent discrimination (area under the curve for the receiver operator characteristic 0.953, 95% CI 0.952-0.954) and good calibration (Brier score 0.014, calibration belt P value .186).</p><p><strong>Conclusions: </strong>In this cohort study, justice-involved status was independently associated with lower in-hospital mortality. Future studies should examine preadmission and postdischarge outcomes.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983826","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}
引用次数: 0
It's Greek To Me: Electrocardiographic Lambda Sign. 对我来说是希腊语：心电图 Lambda 信号。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-12 DOI: 10.1016/j.amjmed.2024.08.007
Laszlo Littmann
{"title":"It's Greek To Me: Electrocardiographic Lambda Sign.","authors":"Laszlo Littmann","doi":"10.1016/j.amjmed.2024.08.007","DOIUrl":"10.1016/j.amjmed.2024.08.007","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983825","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}
引用次数: 0
Hard Thing to Swallow: The Backstory of a Case of Dysphagia. 难以下咽：一个吞咽困难病例的背景故事。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-12 DOI: 10.1016/j.amjmed.2024.08.009
Aditi Desai, George Kleinman, Zvi Lefkovitz, Oleg Epelbaum
{"title":"Hard Thing to Swallow: The Backstory of a Case of Dysphagia.","authors":"Aditi Desai, George Kleinman, Zvi Lefkovitz, Oleg Epelbaum","doi":"10.1016/j.amjmed.2024.08.009","DOIUrl":"10.1016/j.amjmed.2024.08.009","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983824","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}
引用次数: 0
Anti-IgLON5 Disease Presenting with Esophageal Achalasia and Hypercapnic Respiratory Failure 抗 IgLON5 病表现为食道闭锁和高碳酸血症性呼吸衰竭。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-12 DOI: 10.1016/j.amjmed.2024.08.008
Joshua YP Yeo MBBS, MMED, MRCP , Yihui Goh MBBS, MRCP , Hui Fang Lim MBBS, MMED, MRCP , Yee Cheun Chan MBBS, MRCP, FAMS, MHPE , Amy ML Quek MBBS, MRCP
{"title":"Anti-IgLON5 Disease Presenting with Esophageal Achalasia and Hypercapnic Respiratory Failure","authors":"Joshua YP Yeo MBBS, MMED, MRCP ,&nbsp;Yihui Goh MBBS, MRCP ,&nbsp;Hui Fang Lim MBBS, MMED, MRCP ,&nbsp;Yee Cheun Chan MBBS, MRCP, FAMS, MHPE ,&nbsp;Amy ML Quek MBBS, MRCP","doi":"10.1016/j.amjmed.2024.08.008","DOIUrl":"10.1016/j.amjmed.2024.08.008","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983823","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}
引用次数: 0
Grey Turner's Sign in Acute Pancreatitis. 急性胰腺炎的灰色特纳征。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-10 DOI: 10.1016/j.amjmed.2024.07.036
Atanu Chandra, Shyamash Mandal, Suvendu Mondal, Tanmoy Chowdhury
{"title":"Grey Turner's Sign in Acute Pancreatitis.","authors":"Atanu Chandra, Shyamash Mandal, Suvendu Mondal, Tanmoy Chowdhury","doi":"10.1016/j.amjmed.2024.07.036","DOIUrl":"10.1016/j.amjmed.2024.07.036","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972288","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}
引用次数: 0
Blood Pressure/Heart Rate-Derived Ratios as Indices of Health and Cardiovascular Pathology. 作为健康和心血管病学指标的血压/心率衍生比率。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-10 DOI: 10.1016/j.amjmed.2024.07.031
John E Madias
{"title":"Blood Pressure/Heart Rate-Derived Ratios as Indices of Health and Cardiovascular Pathology.","authors":"John E Madias","doi":"10.1016/j.amjmed.2024.07.031","DOIUrl":"10.1016/j.amjmed.2024.07.031","url":null,"abstract":"<p><p>This communication, based on a review of the relevant literature on ratios deriving from blood pressure and heart rate measurements, and their conformance/nonconformance to the mathematical golden rule (ie, 1.681), proposes that such ratios, particularly emanating from large numbers of home blood pressure and heart rate measurements obtained by the patients themselves or their caretakers, may constitute new risk markers, useful in the assessment of health and cardiovascular pathologies, prognosis of morbidity and mortality, and implementation to clinical practice and research.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972286","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}
引用次数: 0
A Case of Mitral Regurgitation Presenting as Diffuse Alveolar Hemorrhage. 以弥漫性肺泡出血为表现的二尖瓣反流病例
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-10 DOI: 10.1016/j.amjmed.2024.07.034
Ariyani Challapalli, Mark Kearns, James H Wykowski
{"title":"A Case of Mitral Regurgitation Presenting as Diffuse Alveolar Hemorrhage.","authors":"Ariyani Challapalli, Mark Kearns, James H Wykowski","doi":"10.1016/j.amjmed.2024.07.034","DOIUrl":"10.1016/j.amjmed.2024.07.034","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972285","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}
引用次数: 0
Inclusion of Dental Services in Medicare to Improve Oral and General Health for Older Americans. 将牙科服务纳入医疗保险，以改善美国老年人的口腔和全身健康。
IF 2.5 3区 医学
American Journal of Medicine Pub Date : 2024-08-10 DOI: 10.1016/j.amjmed.2024.08.004
Frank A Scannapieco, Ira B Lamster
{"title":"Inclusion of Dental Services in Medicare to Improve Oral and General Health for Older Americans.","authors":"Frank A Scannapieco, Ira B Lamster","doi":"10.1016/j.amjmed.2024.08.004","DOIUrl":"10.1016/j.amjmed.2024.08.004","url":null,"abstract":"<p><p>Poor oral health negatively impacts overall health, quality of life, and well-being. Increasing evidence suggests that provision of basic dental care for elderly Americans would improve outcomes for a variety of systemic diseases and reduce the overall cost of healthcare. As a result, recent changes have been implemented to include some dental benefits in the Medicare program. This article outlines evidence, rationale, and approaches required for inclusion of dental benefits for more Americans through the Medicare program. Improving access to dental services through Medicare to help prevent and manage common chronic diseases is an important step toward integration of dental care with general healthcare to improve the overall health, quality of life, and well-being for many older Americans.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972289","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}
引用次数: 0
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