Relevant bibliographies by topics / Medical / Internal Medicine

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Medical / Internal Medicine'

Author: Grafiati
Published: 4 June 2021
Last updated: 29 July 2024

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Journal articles on the topic "Medical / Internal Medicine"

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Brandt Vegas, Daniel, Leslie Martin, Irene W. Y. Ma, Philip Hui, and Ford Bursey. "Medical Education in Internal Medicine." Canadian Journal of General Internal Medicine 16, no. 1 (March 26, 2021): 38–42. http://dx.doi.org/10.22374/cjgim.v16i1.417.

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The 2019 CSIM national meeting included a workshop focused on current topics related to medical education across Canada. The workshop topics included leadership in education, teaching point of care ultrasound, teaching clinical reasoning, and using competency based medical education to design a maintenance of competency program for practicing specialists. This article reflects the experience and discussions from the session, with the goal of stimulating national conversations and collaborations betweenCSIM members.
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Kuhn, Clifford C., and John J. Schwab. "Depression and Internal Medicine." International Journal of Psychiatry in Medicine 17, no. 3 (September 1988): 269–83. http://dx.doi.org/10.2190/wv0q-gdnj-768p-pm56.

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Although the Fathers of Internal Medicine described melancholia and wrote extensively about the affective disorders, internists continue to have difficulties diagnosing their medical patients' depressions. Consequently, it often falls to the psychiatric consultant to make the diagnosis amongst the medical population. We present current concepts of affective disorder that should be clinically relevant to the psychiatrist who works with internists and their patients. Early, accurate diagnosis of depressed medical patients requires increased awareness of depression, observation of the patient's appearance and mood, sensitivity to his or her feelings, and specific questioning about symptoms, losses, and stressors. For depressed medical patients, we present a comprehensive treatment program which often should include: 1) supportive psychotherapy, 2) antidepressant medications; and 3) resocialization or rehabilitation. We outline certain indications for psychiatric referral, and urge psychiatrists and internists to work together closely. Increasing the sensitivity of our colleagues in internal medicine toward affective illness should lead to more prompt identification and treatment of medical patients' depressions.
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Schwartz, Mark D. "Medical Student Interest in Internal Medicine." Annals of Internal Medicine 114, no. 1 (January 1, 1991): 6. http://dx.doi.org/10.7326/0003-4819-114-1-6.

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GELLHORN, ALFRED. "Graduate Medical Education in Internal Medicine." Annals of Internal Medicine 104, no. 4 (April 1, 1986): 569. http://dx.doi.org/10.7326/0003-4819-104-4-569.

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Williams, Geoffrey C., Myra W. Wiener, Kathryn M. Markakis, Johnmarshall Reeve, and Edward L. Deci. "Medical students’ motivation for internal medicine." Journal of General Internal Medicine 9, no. 6 (June 1994): 327–33. http://dx.doi.org/10.1007/bf02599180.

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Cawley, James F. "Internal Medicine." Journal of Physician Assistant Education 28, no. 2 (June 2017): 108. http://dx.doi.org/10.1097/jpa.0000000000000121.

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Hori, Masatsugu. "Pure Medical Science and Individualized Medical Care - Internal Medicine as Integrated Medicine." Nihon Naika Gakkai Zasshi 96, no. 9 (2007): 1801–18. http://dx.doi.org/10.2169/naika.96.1801.

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Hori, Masatsugu. "Pure Medical Science and Individualized Medical Care - Internal Medicine as Integrated Medicine." Nihon Naika Gakkai Zasshi 96, Suppl (2007): 37a—40a. http://dx.doi.org/10.2169/naika.96.37a.

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&NA;. "Internal medicine: make room for medical toxicology." Reactions Weekly &NA;, no. 430 (December 1992): 3. http://dx.doi.org/10.2165/00128415-199204300-00005.

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Takabayashi, Katsuhiko. "Application of Medical Informatics in Internal Medicine." Nihon Naika Gakkai Zasshi 101, no. 11 (2012): 3239–46. http://dx.doi.org/10.2169/naika.101.3239.

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Dissertations / Theses on the topic "Medical / Internal Medicine"

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Cegelka, Derek S. "End-of-Life Training in US Internal Medicine Residency Programs: A National Study." University of Toledo / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1461679801.

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Viljoen, Charle André. "Audit of the quality and cost of acute inpatient stroke care in the general medical wards at Groote Schuur Hospital." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/21377.

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Introduction: Stroke is the leading cause of death and disability amongst South Africans older than 60 years. The majority of stroke patients in South Africa are managed in general medical wards where little is known about the quality and cost of care. The aim of this study was to determine the cost of stroke care and to identify factors associated with increased expense , as well as to evaluate the quality of stroke care in general medical wards in order to identify areas where quality of care could be improved. Methods: We conducted a retrospective folder review of all acute stroke admissions to the general medical wards at Groote Schuur Hospital from 1 January to 31 December 2012. Patients younger than 45 years and those that received thrombolysis were excluded. The hospital's finance department provided the bed costs, as well as expenditure on consumables, pharmacy, laboratory and radiology for each subject. The quality of care was measured according to the South African Stroke Guidelines. Results: The inpatient care of 261 patients was evaluated. Although neuroradiology was performed on 95% of patients, carotid duplex Doppler ultrasonography and echocardiography were not often done. Although all patients with ischaemic stroke received inpatient antiplatelet or anti - coagulation therapy, not all risk factors were adequately addressed on discharge. The median cost of a stroke admission was R19,072.07 (IQR R10,899.85 to R27,789.43 ). The strongest correlation with cost 12 was with length of stay (LOS), r = 0.9977. The median LOS was 6 days (IQR 3 to 9 days). Using non -¬‐ parametric univariable analysis, clinical factors prolonging LOS were previous stroke ( P = 0.0 2 8) and inpatient complications: fever ( P < 0.0 0 1), urinary tract infections ( P < 0.0 0 1) and acute kidney injury ( P < 0.0 0 1) . The LOS increased as the number of inpatient complications increased (P = 0.059). Mortality was 20% and 68% of patients experienced at least one medical complication during admission. Fever and pneumonia were predict ors of death. Pneumonia was less prevalent amongst patients who were mobilised early (P = 0.002). Early nutritional support was beneficial in reducing the incidence of acute kidney injury (P < 0.001). The median LOS was significantly prolonged by delaying speech therapy (P < 0.001), nutritional support (P < 0.01), physiotherapy (P < 0.01) and occupational therapy (P < 0.001). Discharge to inpatient rehabilitation centres significantly prolonged LOS as compared with patients discharged home (P < 0.001). Conclusions: This is the first study evaluating the cost of acute stroke care in South Africa. Length of stay was the greatest determinant of cost. Improving the quality of care to reduce the number of complications, early referral to allied health professionals and effective discharge planning would result in shorter length of hospital stay and therefore cost saving. There is a need for increased access to stroke unit beds, albeit dedicated stroke beds in the general medical wards, to ensure specialised nursing care and early inpatient rehabilitation to reduce the number of inpatient complications, as well as implementation of protocols to allow for better adherence to national guidelines.
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Braun, Sarah. "Determinants of Stress and Effects on Performance in Internal Medicine Residents." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3799.

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The purpose of the present study was to assess: a) perceived stress, burnout, depression, and empathy at three time points in internal medicine residents, b) the role of gender and trait mindfulness in stress response during residency and c) to evaluate the impact these variables have on performance evaluations. Additionally, specific tasks of the residency that may contribute to the experience of stress and burnout were evaluated to test a model of job strain. Stress predicted subsequent burnout and depression. Burnout predicted subsequent depression, and stress mediated this relationship. Women reported higher mean levels of empathy and burnout than men. The exploratory measure of job strain was not significantly related to stress outcomes. The acting with awareness facet of mindfulness was negatively related to burnout and depression. Performance was both negatively and positively related to stress outcomes. The results are discussed within the context of the current literature.
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Phelps, Emma. "Exploring patients' experience of viewing their own 3D medical imaging results during a clinical consultation." Thesis, University of Warwick, 2017. http://wrap.warwick.ac.uk/90841/.

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Background: Patients can struggle to comprehend and recall medical information, hindering their ability to participate in their own care. Research suggests that images may aid comprehension of medical information. Available for use in clinical practice, 3D medical images are relatively easy to interpret and could benefit lay people. However, little is known about patients’ experience of viewing them. Aim: The aim was to understand the role of a patient’s own 3D image in a clinical consultation. Four objectives were explored, to: (i) understand the impact for patients viewing their 3D image; (ii) understand how 3D images are incorporated into consultations; (iii) compare the experience of viewing 3D images, 2D images and no image alongside a diagnosis and (iv) understand whether informing participants of the occurrence of errors within image interpretation affects their trust in a diagnosis. Methods: A multi-method approach was adopted. Fourteen patients and four clinicians from a tertiary care orthopaedic outpatient clinic participated in semi-structured interviews and 10 clinical consultations were video-recorded. Additionally, 31 volunteers participated in focus groups and 252 volunteers participated in psychology laboratory experiments. Results: Patients considered their 3D images to be evidence, describing them to be truthful and authoritative. 3D images were used to explain diagnoses and treatments to patients during consultations. Participants showed better recall of the diagnosis when it was accompanied by 3D and 2D images compared to no image. Additionally, participants reported greater understanding and trust when the diagnosis was accompanied by 3D images compared to 2D images or no image. There was no significant difference in trust between participants who were informed of the potential for error within image interpretation and those who were not. Conclusion: Patients trust 3D images, perceiving them to provide authoritative knowledge. They may be a powerful resource for patients, increasing patient understanding, trust, and recall.
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Newham, Roger Alan. "The good health care professional : a critique of Edmund Pellergrino's approach to essentialist medical ethics and the virtues." Thesis, Keele University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.540622.

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In England, medical, nursing and other healthcare professions are required by their codes of professional ethics to have a working knowledge of moral principles and to be able to apply them in practice. Little, if anything, is said explicitly by these professions about the virtues. However, much is said about the character of the doctor or the nurse, and their supposed ability to recognise moral issues in their professional work and make morally good decisions. Edmund Pellegrino has questioned the appropriateness of applying moral principles to medical practice in contemporary times without a firm foundation. He attempts to restore the moral foundation of the profession of medicine, by restricting an account of the good to the profession which he claims, unlike ethics in general, there can be agreement on norms. From this position, moral principles in medical ethics can be justified, agreed upon, and provide firm action guidance in practice, as well as provide an independent ground for medical virtues. I will claim that Pellegrino's concern about disagreement and a loss of norms in ethics in general is not resolved in the restricted field of professional medical ethics and that his understanding of principles and the link with virtue is confused. Then, using virtue terms Pellegrino himself thinks necessary for making good decisions in practice, I will show how a certain account of the virtues can provide a plausible account of how we can become good healthcare workers and so support Pellegrino's goal; though it will not support his confidence in supplying both clear, moral, and normative constraints in a code of professional medical ethics and firm decision-making in practice.
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Dodd, Will. "What is Med-Peds." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8932.

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Fernández, del Río Raquel. "Identification of volatile organic compounds in breath associated with liver disease and their potential applications for medical use." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7742/.

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Proton Transfer Reaction Mass Spectrometry (PTR-MS) was applied to determine which volatile organic compounds in breath are associated with cirrhosis and hence diagnostically useful. A two-stage biomarker procedure was used. In the first-stage, alveolar breath samples of 31 cirrhotic patients and 30 controls were analysed and compared. In the second-stage, 12 of the patients had their breath analysed after liver transplant. The first-stage study showed that seven volatiles were elevated in patients’ breath compared to controls. Of these, limonene, methanol, 2-pentanone showed a statistically significant decrease post-transplant and hence can unequivocally be used as biomarkers for chronic liver disease. Limonene which is not produced in the body showed washout characteristics and the best diagnostic capability. These findings suggest that limonene, methanol and 2-pentanone are potential biomarkers for early-stage liver disease. Limonene was detected in higher levels in patients with symptoms of hepatic encephalopathy (HE) in comparison to those with no symptoms. Limonene discriminates patients suffering from HE, but not methanol or 2-pentanone. The elimination characteristics of post-operative isoflurane levels in breath of 5 patients were investigated. High concentrations of isoflurane remained in their breath for several weeks. This study raises the question about the effect of isoflurane in the neurocognitive function of patients after major surgery.
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Awad, Scrocco Diana Lin. "An Examination of the Literate Practices of Resident Physicians and Attending Physician Preceptors in a Resident-Run Internal Medicine Clinic." Kent State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=kent1334240629.

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Chang, Serene Hsi-Lin. "Clinical evaluation of a new optical fibre method of measuring oxygen saturation using photoplethysmograph signals reflected from internal tissues." Thesis, Queen Mary, University of London, 2013. http://qmro.qmul.ac.uk/xmlui/handle/123456789/8719.

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Traditional methods of measuring oxygen saturation, e.g. pulse oximetry, depend on an adequate peripheral circulation and have a 20–30 second lag time before readings are obtained. This was a series of evaluations of novel optical probes, designed to measure oxygen saturation using fibreoptic technology directly from internal organs including the brain, oesophagus and organs with splanchnic circulations. A series of pilot studies were proposed and research ethics approval obtained to carry out studies in humans, under general anaesthesia, using these probes. Innovative reflectance probes were designed specifically for each of the four applications, so as to obtain potentially useful signals needed for signal processing, analysis and evaluation. Signals were successfully obtained from the brain, oesophagus and splanchnic region in almost all of the patients recruited. Good quality photoplethysmograph signals were recorded and these were translated into clinically meaningful values of oxygen saturation comparable to traditional methods of pulse oximetry. Overall, the signals were prone to movement artefacts as well as occasional interference from surgical diathermy and other sources. Nonetheless, the probes could prove to be a useful alternative to conventional external transmittance pulse oximetry methods as well as providing useful information regarding regional perfusion and oxygenation. The success of these pilot studies will form the basis of more research in the area and further development of such probes on the medical engineering front.
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Madalozzo, Danielle. "As correlações clínico-topográficas das afasias." Faculdade de Medicina de São José do Rio Preto, 2007. http://bdtd.famerp.br/handle/tede/31.

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Made available in DSpace on 2016-01-26T12:51:16Z (GMT). No. of bitstreams: 1 daniellemadalozzo_dissert.pdf: 595260 bytes, checksum: 7aeaf10e7c6883e35015a63ca9e3ec1c (MD5) Previous issue date: 2007-01-26
Aphasia is a disorder that affects the language in its receptive and expressive, syntactic, semantic and morphologic aspects. The most common cause is the cerebrovascular accident (CVA). The authors of studies about the clinical-topographical correlations of the aphasias have been presenting variable results regarding the cerebral location of the language. The objective of this study was to establish the clinicaltopographical correlations of the fluent and non-fluent aphasias, observing the contributions of Spect scanning to map the affectec areas in the aphasias. A total of 29 patients with aphasia due to first episode of CVA comprised the study. They were submitted to language evaluation by means of selected proofs of the Boston Diagnosis Aphasias Examination (BDAE). Spect scanning was used to evaluate perfusion alterations in the whole encephalon , and it was analyzed by a nuclear doctor and a radiologist, in order to supply fidelity to the location data. After clinical evaluation, it was observed that 62% of the patients presented non-fluent aphasia and 38% fluent aphasia. It was not possible to classify 17% of the sample according to the classic types of aphasia. The analysis of the main components based on covariances allowed to relate the non-fluent aphasias mainly to the left and right frontal regions , left temporal region, presence of contralateral cerebelar diasquise to the left, subcortical regions , among others. The fluent aphasias are related to the inferior and superior left parietal regions . These data have corroborated for the concept of neural net in which several cortical , subcortical and cerebelar regions are involved to perform a linguistic task. In this way, this study showed that other cerebral regions participate in the language process as a neural circuit. Cerebral Spect provided different xi contributions from other image methods, adding important information on the participation of subcortical and cerebelar areas in the language process.
A afasia é uma desordem que afeta a linguagem nos seus aspectos receptivo e expressivo, sintático, semântico e morfológico. Sua causa mais comum é o acidente vascular cerebral (AVC). Os autores de estudos sobre as correlações clínico-topográficas das afasias apresentam resultados variáveis quanto à localização cerebral da linguagem. O objetivo desse trabalho foi estabelecer as correlações clínico-topográficas das afasias fluentes e não fluentes, verificando as contribuições do Spect cerebral para mapear as áreas comprometidas nas afasias. Foram sujeitos desse estudo 29 pacientes com afasia decorrente de primeiro episódio de AVC, os quais foram submetidos à avaliação de linguagem por meio de provas selecionadas do Teste de Boston para o diagnóstico das afasias (BDAE). O Spect cerebral foi utilizado para avaliar alterações perfusionais em todo o encéfalo e foi analisado por médico nuclear e radiologista, a fim de fornecer fidelidade aos dados de localização. Após avaliação clínica, observou-se que 62% dos pacientes apresentaram afasia não fluente e 38% afasia fluente. Não foi possível classificar 17% da amostra dentro dos tipos clássicos de afasia. A análise dos componentes principais com base em covariâncias permitiu relacionar as afasias não fluentes principalmente às regiões frontal esquerda e direita, temporal esquerda, presença de diásquise cerebelar contralateral à esquerda, regiões subcorticais, entre outras. As afasias fluentes estão relacionadas às regiões parietal inferior e superior esquerda. Esses dados corroboram para o conceito de rede neural nas quais estão envolvidas várias regiões corticais, subcorticais e cerebelares para a execução de uma tarefa lingüística. Dessa forma, este estudo mostrou que outras regiões cerebrais participam do processamento da linguagem como um circuito neural. O Spect cerebral ofereceu contribuições diferentes das obtidas por outros métodos de imagem ix e acrescentou informações importantes sobre a participação de regiões subcorticais e cerebelares no processamento da linguagem.
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Books on the topic "Medical / Internal Medicine"

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Hough, Rachael. Internal medicine. London: Mosby, 1999.

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L, Siegle Robert, ed. Imaging in internal medicine. Boston: Little, Brown, 1987.

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Uzelac, Peter S. SOAP for internal medicine. Malden, Mass: Blackwell Pub., 2005.

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Block, Alvin Lee. Medical malpractice--handling internal medicine cases. Colorado Springs, Colo: Shepard's/McGraw-Hill, 1992.

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1936-, Mazzaferri Ernest L., Young John J, and Ohio State University. College of Medicine., eds. Morning report, internal medicine. New York: McGraw-Hill, Health Professions Division, 2000.

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1881-1965, Cecil Russell L., Goldman Lee MD, and Ausiello D. A, eds. Cecil medicine. 2nd ed. Philadelphia: Saunders Elsevier, 2008.

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Division, West Los Angeles VA Medical Center Wadsworth. Internal medicine training program. Los Angeles, Calif: Dept. of Medicine [UCLA School of Medicine], The Division, 1985.

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1954-, Zollo Anthony J., ed. Medical secrets. Philadelphia: Hanley & Belfus, 1991.

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1954-, Zollo Anthony J., ed. Medical secrets. 4th ed. Philadelphia, Pa: Elsevier/Mosby, 2005.

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1935-, Andreoli Thomas E., Carpenter Charles C. J, and Cecil Russell L. 1881-1965, eds. Andreoli and Carpenter's Cecil essentials of medicine. 7th ed. Philadelphia: Saunders, 2007.

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Book chapters on the topic "Medical / Internal Medicine"

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Chang, Bliss J. "Internal Medicine." In The Ultimate Medical School Rotation Guide, 57–96. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63560-2_6.

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Harsh, Jennifer, and Rachel Bonnema. "Medical Family Therapy in Internal Medicine." In Clinical Methods in Medical Family Therapy, 87–110. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-68834-3_4.

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Gleicher, Norbert, and Uri Elkayam. "Principles of Internal Medicine in Pregnancy." In Principles of Medical Therapy in Pregnancy, 3–7. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2415-7_1.

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Pujol-Farriols, R., A. Nogueras-Rimblas, M. Vilardell-Tarrés, C. Blay-Pueyo, J. Roma-Millan, and J. M. Martinez-Carretero. "Development of the Catalan OSCE of Internal Medicine." In Advances in Medical Education, 485–87. Dordrecht: Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-4886-3_147.

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Moutsopoulos, Haralampos M. "Chair of Internal Medicine, Ioannina University Medical School." In Passion for Excellence, 87–138. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-14128-7_5.

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Lo, Margaret C., Alia Chisty, and Emily Mullen. "Ambulatory Curriculum Design and Delivery for Internal Medicine Residents." In Leading an Academic Medical Practice, 183–210. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-68267-9_15.

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Lo, Margaret C., Alia Chisty, and Emily Mullen. "Ambulatory Curriculum Design and Delivery for Internal Medicine Residents." In Leading an Academic Medical Practice, 277–308. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-40273-9_18.

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Weppner, William, Craig Noronha, and Mamta K. Singh. "Traditional and Block Scheduling Challenges and Solutions for Internal Medicine Residents." In Leading an Academic Medical Practice, 105–20. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-68267-9_9.

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Muscari, Antonio. "DIANA 2 / The Diagnostic Analyzer: Diagnostic Consultation in Internal Medicine by Personal Computer." In Medical Informatics Europe 1991, 241–45. Berlin, Heidelberg: Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-93503-9_42.

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Angelini, Licinio. "Advanced Applications of Ultrasound Imaging in Internal Medicine: Results, Limitations and Future Needs." In Physics and Engineering of Medical Imaging, 357–60. Dordrecht: Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-009-3537-2_22.

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Conference papers on the topic "Medical / Internal Medicine"

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Smutek, D., A. Shimizu, L. Tesar, H. Kobatake, S. Nawano, and S. Svacina. "Automatic Internal Medicine Diagnostics Using Statistical Imaging Methods." In Proceedings. 19th IEEE International Symposium on Computer-Based Medical Systems. IEEE, 2006. http://dx.doi.org/10.1109/cbms.2006.56.

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Medina, Luis A. "Liposomes: A Novel Option in Nuclear Medicine for Diagnostic Imaging and Internal Therapy." In MEDICAL PHYSICS: Sixth Mexican Symposium on Medical Physics. AIP, 2002. http://dx.doi.org/10.1063/1.1512032.

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Medina, Luis A., Beth Goins, Luis Manuel Montaño Zentina, and Gerardo Herrera Corral. "Liposomes: A Novel Option in Nuclear Medicine for Diagnostic Imaging and Internal Therapy." In MEDICAL PHYSICS: Sixth Mexican Symposium on Medical Physics. AIP, 2011. http://dx.doi.org/10.1063/1.3682840.

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Hu, Y., T. Ma, and Q. Zhang. "Value of Medical Thoracoscope for Pleural Diseases in Internal Medicine." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4111.

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Michaels, A. N., H. Patel, E. Thompson, C. Orantes, J. Cadigan, K. Patel, and A. Davis. "Burnout Among Non-internal Medicine Residents Compared to Internal Medicine Residents Within the Tertiary Care Medical Intensive Care Unit." In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3162.

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Cohen, O., R. Samtani, A. Poor, G. S. Schneider, P. S. Patrawalla, and H. D. Poor. "Bedside Diagnostic Ultrasound for Internal Medicine Residents - A Medical Education Initiative." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4795.

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Karimipourfard, M., S. Sina, M. Sadeghi, S. Karimkhani, and A. Zabihi. "Internal Dosimetry in Diagnostic Nuclear Medicine Using Monte Carlo Techniques." In 2021 IEEE Nuclear Science Symposium and Medical Imaging Conference (NSS/MIC). IEEE, 2021. http://dx.doi.org/10.1109/nss/mic44867.2021.9875629.

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Pham, A. T., R. Ormesher, and M. New. "Burnout Syndrome Among Internal Medicine Residents During Wards and Medical Intensive Care Unit Rotations." In American Thoracic Society 2024 International Conference, May 17-22, 2024 - San Diego, CA. American Thoracic Society, 2024. http://dx.doi.org/10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a5438.

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Juwita, Rina, Erlina Marfianti, Ana Fauziyati, and Barmawi Hisyam. "The Effect of Blended Learning in Covid-19 Pandemic with the Achievement of Internal Medicine Stage Competencies at the Clerkship Program of the Faculty of Medicine UII." In International Conference on Medical Education (ICME 2021). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210930.009.

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Burgess, Arthur E. "On Observer Internal Noise." In Application of Optical Instrumentation in Medicine XIV and Picture Archiving and Communication Systems (PACS IV) for Medical Applications, edited by Samuel J. Dwyer III and Roger H. Schneider. SPIE, 1986. http://dx.doi.org/10.1117/12.975395.

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Reports on the topic "Medical / Internal Medicine"

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Koelsch, Angela A. The Impact of Managed Care on Internal Medicine Graduate Medical Education at Brooke Army Medical Center. Fort Belvoir, VA: Defense Technical Information Center, June 2000. http://dx.doi.org/10.21236/ada408197.

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Wegner, Michael D. Physician Provider Profiling in Brooke Army Medical Center's Internal Medicine Clinic: A Multiple Regression and Process Control Model. Fort Belvoir, VA: Defense Technical Information Center, December 1999. http://dx.doi.org/10.21236/ada420371.

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Gall, Daniel W. Coding Accuracy of the Ambulatory Data System: A Study of Coding Accuracy Within the General Internal Medicine Clinic, Walter Reed Army Medical Center. Fort Belvoir, VA: Defense Technical Information Center, April 1998. http://dx.doi.org/10.21236/ada372083.

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Lines, Lisa M., Florence K. L. Tangka, Sonja Hoover, and Sujha Subramanian. People with Colorectal Cancer in SEER-Medicare: Part D Uptake, Costs, and Outcomes. RTI Press, May 2020. http://dx.doi.org/10.3768/rtipress.2020.rr.0037.2005.

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Limited information exists about enrollment in Part D prescription coverage by Medicare beneficiaries with cancer. Part D coverage may increase access to medicines. This study evaluated patterns of Part D uptake and costs and assessed the effects of coverage on hospitalizations and emergency department (ED) use among people with colorectal cancer (CRC). We analyzed Surveillance, Epidemiology, and End Results (SEER)–Medicare linked data on fee-for-service (FFS) Medicare beneficiaries with at least 36 months of follow-up who were diagnosed with CRC at any point from January 2007 through December 2010, and a matched cohort of beneficiaries without cancer. Dual (Medicare/Medicaid) enrollees were excluded because they are automatically enrolled in Part D. Among beneficiaries with CRC (n=12,774), 39 percent had complete Part D coverage, defined as coverage in the diagnosis year and 2 subsequent years; the rate was 38 percent in the matched comparison cohort (P=.119). Among those with complete Part D coverage, there was no significant difference in annual prescription drug costs between people with CRC ($3,157, 95% confidence interval [CI]: $3,098–$3,216) and without ($3,113, 95% CI: $3,054–$3,172). Among people with CRC, odds of ED use ranged from unchanged to marginally higher for those with no or partial Part D coverage, (adjusted odds ratio: 1.09, 95% CI: 1.00–1.18), compared with those with complete Part D coverage. Lack of continuous Part D coverage was associated with more ED use among Medicare FFS beneficiaries with CRC in 2007–2013. Among people with Part D coverage, prescription drug costs varied little between those with CRC and matched beneficiaries without cancer.
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Van Parys, Jessica, and Zach Brown. Broadband Internet Access and Health Outcomes: Patient and Provider Responses in Medicare. Cambridge, MA: National Bureau of Economic Research, August 2023. http://dx.doi.org/10.3386/w31579.

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Orhan, Nilüfer. St. John’s wort (Hypericum perforatum) Laboratory Guidance Document. ABC-AHP-NCNPR Botanical Adulterants Prevention Program, December 2021. http://dx.doi.org/10.59520/bapp.lgd/awbq3781.

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For centuries, St. John’s wort (SJW; Hypericum perforatum L., Hypericaceae) has been used as an herbal remedy for various medical conditions both externally and internally in many countries. Although it is a well-known and widely used traditional medicinal plant, concerns about its safety and herb-drug interactions caused a significant decrease in market sales starting in the early 2000s. The adulteration history of St. John’s wort (SJW) goes back to 1875 in the United States; the American Pharmaceutical Association mentioned Ascyrum stans and A. crux-andreae as the substitutes of SJW in its report on adulterations and sophistications. More recently, many Hypericum species (H. androsaemum, H. barbatum, H. crux-andreae, H. hirsutum, H. maculatum, H. montanum, H. patulum, and H. tetrapterum) and synthetic dye mixtures (E123 Amaranth, E133 Brilliant Blue, E110 Sunset Yellow, and E102 Tartrazine) are reported as adulterants of SJW. This Laboratory Guidance Document presents a review of the various analytical methods used to differentiate between authentic SJW plant, powder/extracts and ingredients containing adulterating materials. This document can be used in conjunction with the Hypericum perforatum Botanical Adulterants Bulletin published by the ABC-AHP-NCNPR Botanical Adulterants Prevention Program in 2017.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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Brown, Yolanda, Twonia Goyer, and Maragaret Harvey. Heart Failure 30-Day Readmission Frequency, Rates, and HF Classification. University of Tennessee Health Science Center, December 2020. http://dx.doi.org/10.21007/con.dnp.2020.0002.

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30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who are readmitted within 30 days from prior hospitalization for heart failure. Hospitals risk losing millions of dollars due to poor performance. A reduction in CHF readmission rates not only improves healthcare system expenditures, but also patients’ mortality, morbidity, and quality of life. Purpose The purpose of this DNP project is to determine the 30-day hospital readmission rates, frequencies, and heart failure classification for patients with heart failure. Specific aims include comparing computed annual re-admission rates with national average, determine the number of multiple 30-day re-admissions, provide descriptive data for demographic variables, and correlate age and heart failure classification with the number of multiple re-admissions. Methods A retrospective chart review was used to collect hospital admission and study data. The setting occurred in an urban hospital in Memphis, TN. The study was reviewed by the UTHSC Internal Review Board and deemed exempt. The electronic medical records were queried from July 1, 2019 through December 31, 2019 for heart failure ICD-10 codes beginning with the prefix 150 and a report was generated. Data was cleaned such that each patient admitted had only one heart failure ICD-10 code. The total number of heart failure admissions was computed and compared to national average. Using age ranges 40-80, the number of patients re-admitted withing 30 days was computed and descriptive and inferential statistics were computed using Microsoft Excel and R. Results A total of 3524 patients were admitted for heart failure within the six-month time frame. Of those, 297 were re-admitted within 30 days for heart failure exacerbation (8.39%). An annual estimate was computed (16.86%), well below the national average (21%). Of those re-admitted within 30 days, 50 were re-admitted on multiple occasions sequentially, ranging from 2-8 re-admissions. The median age was 60 and 60% male. Due to the skewed distribution (most re-admitted twice), nonparametric statistics were used for correlation. While graphic display of charts suggested a trend for most multiple re-admissions due to diastolic dysfunction and least number due to systolic heart failure, there was no statistically significant correlation between age and number or multiple re-admissions (Spearman rank, p = 0.6208) or number of multiple re-admissions and heart failure classification (Kruskal Wallis, p =0.2553).
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López Núñez, Álvaro José. Anatomía ósea para estudiantes. Ediciones Universidad Cooperativa de Colombia, November 2021. http://dx.doi.org/10.16925/gcgp.34.

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El hueso es un tejido conectivo duro, muy especializado que compone el esqueleto humano, aunque en el recién nacido son blandos y flexibles por su componente principal, los cartílagos. Según el tipo de tejido, se clasifican como compacto y esponjoso; y de acuerdo con su forma se denominan: largos, cortos, planos, irregulares y sesamoideos. Funcionalmente, el esqueleto se divide en axial, ubicado en la línea media del cuerpo humano y Apendicular, localizado por fuera del eje central del cuerpo. Sus funciones destacan el movimiento del cuerpo humano, protección de órganos internos, mantenimiento de la postura, almacén metabólico, sostenimiento del cuerpo humano y productor de células sanguíneas. Con esta guía se pretende que el estudiante del curso sistema músculo esquelético y tegumentario de la Facultad de Medicina identifique y realice la armazón del esqueleto en el laboratorio de morfología y refuerce el estudio anatómico del sistema óseo.
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Adleh, Fadi, and Diane Duclos. Key Considerations: Supporting ‘Wheat-to-Bread’ Systems in Fragmented Syria. SSHAP, July 2022. http://dx.doi.org/10.19088/sshap.2022.027.

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Since the end of 2021, the food crisis in Syria has worsened. Humanitarian agencies working in Syria, as well as other experts, have warned the food crisis could rapidly lead to famine unless immediately addressed. This brief describes the social and political dimensions of food insecurity in Syria. It provides insights into how territorial fragmentation affects wheat-to-bread systems, outlines key threats to wheat production, and sets out key considerations for the humanitarian sector, researchers, and donors responding to the crisis. Sources for this brief include published papers, reports, media articles, and open-source datasets. It also draws on consultations with farmers and other experts that were conducted in November and December 2021. Consultations were held across the three main areas of control in Syria: North East Syria, North West Syria, and territories controlled by the government of Syria. This briefing was written by Fadi Adleh (independent researcher) and Diane Duclos (London School of Hygiene and Tropical Medicine) for the Social Science in Humanitarian Action Platform (SSHAP). It was reviewed externally by Edward Thomas (Rift Valley Institute) and support for field assessments was provided by Ali Ahmad (agronomist). The briefing was edited by Victoria Haldane and Leslie Jones (Anthrologica) and internally reviewed by Santiago Ripoll, Melissa Parker, and Annie Wilkinson. The brief is the responsibility of SSHAP.
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