{"title":"The Association of Spontaneous Coronary Artery Dissection and Myocardial Bridging","authors":"Oscar M.P. Jolobe MRCP","doi":"10.1016/j.amjmed.2025.03.004","DOIUrl":"10.1016/j.amjmed.2025.03.004","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":"138 9","pages":"Page e191"},"PeriodicalIF":5.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907429","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 national physician shortfall: Role of international medical graduates.","authors":"Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen","doi":"10.1016/j.amjmed.2025.07.037","DOIUrl":"10.1016/j.amjmed.2025.07.037","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876649","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":"A Meta-Analysis of Available Data of the Effects of Selected Whole and Powdered Fruits on Glycemia in Type 2 Diabetes.","authors":"Nozomi Kuramoto, Junya Hironaka, Hiroshi Okada, Yuka Hasegawa, Hanako Nakajima, Takuro Okamura, Rieko Nakatani, Saori Majima, Emi Ushigome, Naoko Nakanishi, Masahide Hamaguchi, Michiaki Fukui","doi":"10.1016/j.amjmed.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.amjmed.2025.08.005","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of whole fruit-based products consumption on HbA1c levels in patients with type 2 diabetes mellitus through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>We searched PubMed, Cochrane Library, and Embase from inception to April 22, 2024, for randomized controlled trials (RCTs) examining the effects of whole fruit-based products consumption on HbA1c in type 2 diabetes mellitus (PROSPERO: CRD42024566638). A random-effects meta-analysis was performed. Mean difference (MD) and 95% confidence intervals (CIs) were calculated; heterogeneity was assessed using I².</p><p><strong>Results: </strong>Five RCTs involving 245 participants were included. Fruit consumption significantly reduced HbA1c levels (MD, -0.33%; 95% CI, -0.54% to -0.11%; I² = 44%). FBG was also reduced (MD, -6.59 mg/dL; 95% CI, -10.59 to -2.59 mg/dL; I² = 0%), and HDL increased (MD, 2.72 mg/dL; 95% CI, 1.32 to 4.12 mg/dL; I² = 0%). One study had high risk of bias; no serious adverse events were reported.</p><p><strong>Conclusions: </strong>Whole fruit-based products consumption may improve HbA1c, fasting blood glucose, and HDL cholesterol levels in patients with type 2 diabetes mellitus. REGISTRY AND REGISTRY NUMBER FOR SYSTEMATIC REVIEWS OR META-ANALYSES: PROSPERO number CRD42024566638. The registration date was August 2nd, 2024.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876648","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}
Maria G Santoyo Martinez, Sneha Rajeev, Joshua E Lane
{"title":"Subtle presentation of a large cutaneous angiosarcoma.","authors":"Maria G Santoyo Martinez, Sneha Rajeev, Joshua E Lane","doi":"10.1016/j.amjmed.2025.08.014","DOIUrl":"10.1016/j.amjmed.2025.08.014","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862648","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":"Reactive infectious mucocutaneous eruption.","authors":"Melissa Whitman, Patrick R Ching","doi":"10.1016/j.amjmed.2025.07.040","DOIUrl":"10.1016/j.amjmed.2025.07.040","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862647","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":"Giving Unsolicited Medical Advice, Volunteering in Emergencies, and the Good Samaritan Laws.","authors":"Robert M Doroghazi, John L Roark","doi":"10.1016/j.amjmed.2025.08.006","DOIUrl":"10.1016/j.amjmed.2025.08.006","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862645","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}
Lawrence D Hayes, Nilihan E M Sanal-Hayes, Marie Mclaughlin, Eilidh MacDonald, Luke Cerexhe, James Mather, Nicholas F Sculthorpe
{"title":"The importance of 'in the now' prospective symptom tracking in chronic and post-viral conditions: A commentary.","authors":"Lawrence D Hayes, Nilihan E M Sanal-Hayes, Marie Mclaughlin, Eilidh MacDonald, Luke Cerexhe, James Mather, Nicholas F Sculthorpe","doi":"10.1016/j.amjmed.2025.08.010","DOIUrl":"10.1016/j.amjmed.2025.08.010","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862649","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}
David Godfrey, Sasza Koczanowski, Janakan Selvarajah, Weilun Gao, Jonathan Segal, Gianluca Pellino
{"title":"Exploring the evidence that supports the benefits of the multidisciplinary team in inflammatory bowel disease.","authors":"David Godfrey, Sasza Koczanowski, Janakan Selvarajah, Weilun Gao, Jonathan Segal, Gianluca Pellino","doi":"10.1016/j.amjmed.2025.08.015","DOIUrl":"10.1016/j.amjmed.2025.08.015","url":null,"abstract":"<p><p>Inflammatory bowel disease (IBD) is a chronic condition with significant clinical and socioeconomic burdens. The Multidisciplinary IBD Team has emerged as the gold standard in IBD management, offering a holistic, patient-centred approach that integrates clinicians, surgeons and other allied professionals with complimentary skill sets. This review examines international evidence supporting multidisciplinary implementation, highlighting improved clinical, economic and logistical outcomes. 59 studies were identified through a systematic search through Medline OVID. Studies involving a member of the multidisciplinary team in isolation and as a whole team or variation of this were included for analysis. Despite strong endorsement in national standards, access to multidisciplinary care remains uneven, with only a minority of services providing full integration. Barriers include funding, workforce shortages, and geographic inequities. While current data support multidisciplinary efficacy, further standardized research is needed, particularly in low-resource and rural settings. With rising IBD prevalence, widespread adoption of multidisciplinary models is essential for sustainable, high-quality care delivery.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862650","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":"Neurosarcoidosis with hypothalamic-pituitary axis involvement: A diagnostic challenge in a young adult.","authors":"Bodhibrata Banerjee, Rupak Chatterjee, Atanu Chandra","doi":"10.1016/j.amjmed.2025.08.012","DOIUrl":"10.1016/j.amjmed.2025.08.012","url":null,"abstract":"","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862646","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}