Archives of internal medicine最新文献

{"title":"The earlier the longer: disproportionate time allocated to patients discussed early in attending physician handoff sessions.","authors":"Michael D Cohen, Roy Ilan, Lyndon Garrett, Curtis LeBaron, Marlys K Christianson","doi":"10.1001/2013.jamainternmed.65","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.65","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1762-4"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.65","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31234835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should health care systems and health care providers implement a new pathway for hospitalized patients with community-acquired pneumonia?-Reply.","authors":"Jordi Carratalà, Carolina Garcia-Vidal","doi":"10.1001/jamainternmed.2013.1408","DOIUrl":"https://doi.org/10.1001/jamainternmed.2013.1408","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1771-2"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/jamainternmed.2013.1408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31496041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should health care systems and health care providers implement a new pathway for hospitalized patients with community-acquired pneumonia?","authors":"Manuela Carugati, Stefano Aliberti, Fabio Franzetti","doi":"10.1001/2013.jamainternmed.459","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.459","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1771; author reply 1772"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31115446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agricultural subsidies: are they a contributing factor to the American obesity epidemic?","authors":"Sonia M Grandi, Caroline Franck","doi":"10.1001/2013.jamainternmed.40","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.40","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1754-5"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.40","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31011027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should we fast before we measure our lipids?","authors":"J Michael Gaziano","doi":"10.1001/jamainternmed.2013.1771","DOIUrl":"https://doi.org/10.1001/jamainternmed.2013.1771","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1705-6"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/jamainternmed.2013.1771","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31232182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mexico-United States migration and the prevalence of obesity: a transnational perspective.","authors":"Karen R Flórez, Tamara Dubowitz, Naomi Saito, Guilherme Borges, Joshua Breslau","doi":"10.1001/2013.jamainternmed.77","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.77","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1760-2"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.77","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31234834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Grief in health care professionals: when screening for major depression is needed-reply.","authors":"Leeat Granek","doi":"10.1001/jamainternmed.2013.2096","DOIUrl":"https://doi.org/10.1001/jamainternmed.2013.2096","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1768-9"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/jamainternmed.2013.2096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31495702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The risk of hip fracture after initiating antihypertensive drugs in the elderly.","authors":"Debra A Butt,&nbsp;Muhammad Mamdani,&nbsp;Peter C Austin,&nbsp;Karen Tu,&nbsp;Tara Gomes,&nbsp;Richard H Glazier","doi":"10.1001/2013.jamainternmed.469","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.469","url":null,"abstract":"<p><strong>Background: </strong>Initiating antihypertensive drugs in the elderly has been associated with an immediate increased risk of falls. However, it is unknown whether initiation of antihypertensive drugs (eg, thiazide diuretics, angiotensin II converting-enzyme inhibitors, angiotensin II receptor blockers, calcium channel blockers, or β-adrenergic blockers) is associated with an immediate increased risk of hip fractures.</p><p><strong>Methods: </strong>A population-based, self-controlled case series design using health care administrative databases identifying patients initiating an antihypertensive drug in Ontario, Canada. A cohort of newly treated hypertensive elderly patients was linked to the occurrence of hip fractures from April 1, 2000, to March 31, 2009, to create exposed cases. The risk period was the first 45 days following antihypertensive therapy initiation with control periods before and after treatment in a 450-day observation period. The outcome measure was the first occurrence for a proximal femoral fracture during the risk period. The analysis determined the relative incidence (incidence rate ratio), defined as the hip fracture rate in the risk period compared with control periods.</p><p><strong>Results: </strong>Among the 301,591 newly treated hypertensive community-dwelling elderly patients, 1463 hip fractures were identified during the observation period. Hypertensive elderly persons who began receiving an antihypertensive drug had a 43% increased risk of having a hip fracture during the first 45 days following treatment initiation relative to the control periods (incidence rate ratio, 1.43; 95% CI, 1.19-1.72).</p><p><strong>Conclusions: </strong>Antihypertensive drugs were associated with an immediate increased hip fracture risk during the initiation of treatment in hypertensive community-dwelling elderly patients. Caution is advised when initiating antihypertensive drugs in the elderly.</p>","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1739-44"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31061933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cumulative effect of unemployment on risks for acute myocardial infarction.","authors":"Matthew E Dupre,&nbsp;Linda K George,&nbsp;Guangya Liu,&nbsp;Eric D Peterson","doi":"10.1001/2013.jamainternmed.447","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.447","url":null,"abstract":"<p><strong>Background: </strong>Employment instability is a major source of strain affecting an increasing number of adults in the United States. Little is known about the cumulative effect of multiple job losses and unemployment on the risks for acute myocardial infarction (AMI).</p><p><strong>Methods: </strong>We investigated the associations between different dimensions of unemployment and the risks for AMI in US adults in a prospective cohort study of adults (N = 13,451) aged 51 to 75 years in the Health and Retirement Study with biennial follow-up interviews from 1992 to 2010. Unadjusted rates of age-specific AMI were used to demonstrate observed differences by employment status, cumulative number of job losses, and cumulative time unemployed. Cox proportional hazards models were used to examine the multivariate effects of cumulative work histories on AMI while adjusting for sociodemographic background and confounding risk factors.</p><p><strong>Results: </strong>The median age of the study cohort was 62 years, and 1061 AMI events (7.9%) occurred during the 165,169 person-years of observation. Among the sample, 14.0% of subjects were unemployed at baseline, 69.7% had 1 or more cumulative job losses, and 35.1% had spent time unemployed. Unadjusted plots showed that age-specific rates of AMI differed significantly for each dimension of work history. Multivariate models showed that AMI risks were significantly higher among the unemployed (hazard ratio, 1.35 [95% CI, 1.10-1.66]) and that risks increased incrementally from 1 job loss (1.22 [1.04-1.42]) to 4 or more cumulative job losses (1.63 [1.29-2.07]) compared with no job loss. Risks for AMI were particularly elevated within the first year of unemployment (hazard ratio, 1.27 [95% CI, 1.01-1.60]) but not thereafter. Results were robust after adjustments for multiple clinical, socioeconomic, and behavioral risk factors.</p><p><strong>Conclusions: </strong>Unemployment status, multiple job losses, and short periods without work are all significant risk factors for acute cardiovascular events.</p>","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1731-7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.447","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31232184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasting time and lipid levels in a community-based population: a cross-sectional study.","authors":"Davinder Sidhu,&nbsp;Christopher Naugler","doi":"10.1001/archinternmed.2012.3708","DOIUrl":"https://doi.org/10.1001/archinternmed.2012.3708","url":null,"abstract":"BACKGROUND Although current guidelines recommend measuring lipid levels in a fasting state, recent studies suggest that nonfasting lipid profiles change minimally in response to food intake and may be superior to fasting levels in predicting adverse cardiovascular outcomes. The objective of this study was to investigate the association between fasting times and lipid levels. METHODS Cross-sectional examination of laboratory data, including fasting duration (in hours) and lipid results, was performed over a 6-month period in 2011 in a large community-based cohort. Data were obtained from Calgary Laboratory Services, Calgary, Alberta, Canada, the sole supplier of laboratory services for Calgary and surrounding areas (source population, 1.4 million persons). The main outcome measures were mean levels of high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total cholesterol, and triglycerides for fasting intervals from 1 hour to more than 16 hours. After differences in individual ages were controlled for, linear regression models were used to estimate the mean levels of cholesterol subclasses at different fasting times. RESULTS A total of 209,180 individuals (111,048 females and 98,132 males) were included in the study. The mean levels of total cholesterol and high-density lipoprotein cholesterol differed little among individuals with various fasting times. The mean calculated low-density lipoprotein cholesterol levels showed slightly greater variations of up to 10% among groups of patients with different fasting intervals, and the mean triglyceride levels showed variations of up to 20%. CONCLUSION Fasting times showed little association with lipid subclass levels in a community-based population, which suggests that fasting for routine lipid levels is largely unnecessary.","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":"172 22","pages":"1707-10"},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archinternmed.2012.3708","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31042979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}