American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs

Advancing High-Value Health Care: A New AJM Column Dedicated to Cost-Conscious Care Quality Improvement

Despite the very high cost of health care in the US, expenditure continues to rise. According to the Centers for Medicare & Medicaid Services, health care expenditures for 2016 are projected to be $3.4 trillion, and the percentage of the gross domestic product spent on health care will increase from 17.4% in 2013 to 19.6% […]

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Incorporating Formal Nutrition Education into a Medical School Curriculum

Since the 1985 report titled “Nutrition Education in U.S. Medical Schools,” The National Research Council has recommended at least 25 to 30 hours of nutrition education in graduate medical education.1 However, a 2013 survey of 133 US medical schools found that 71% of programs continue to fall short in providing the minimum recommended 25 hours of […]

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Joint Hypermobility Syndrome: Recognizing a Commonly Overlooked Cause of Chronic Pain

Joint hypermobility syndrome, also known as benign hypermobility syndrome, is a connective tissue disease characterized by joint instability, chronic pain, and minor skin changes. It shares many clinical features of Ehlers-Danlos syndrome, Hypermobility Type; enough so that many authorities consider them as one disease process. Approximately 3% of the general population is believed to have […]

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Should Atrial Fibrillation Patients Take Oral Anticoagulants? (video)

A majority of atrial fibrillation patients who have not been treated oral anticoagulants (OAC) meet guideline indications for treatment. Untreated patients are at increased risk for adverse outcomes. In this video, AJM editor-in-chief Dr. Joseph S. Alpert discusses this new research in the April 2017 issue of the American Journal of Medicine. Read the Research: […]

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Dr. Joseph S. Alpert

Can a Toothpaste Reduce Heart Attacks and Strokes?

My father was a busy and successful dentist in New Haven, Connecticut. One of my earliest memories is of sitting in one of his dental chairs and having my teeth inspected and cleaned. Many years later when I was about to start medical school, my father told me that in his practice, patients with poor […]

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Digital Rectal Exam: Still Relevant After All These Years (video)

In the world of high-tech medicine, the digital rectal exam still has a place. In this current study, researchers showed that performing the digital rectal exam on patients with acute gastrointestinal bleeding provided valuable clinical information. American Journal of Medicine Editor-in-Chief Dr. Joseph S. Alpert explains the clinical implications of this research. (Get out your exam […]

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woman staring at the alarm clock in bed

Short Sleep Duration & Impaired Glycemic Control (video)

Is insomnia linked to poor glycemic control? In this study, people who habitually slept less than seven hours per night had elevated glucose levels, as measured by morning oral glucose tolerance test. In this video, American Journal of Medicine Editor-in-Chief Dr. Joseph Alpert explains the clinical implications of the findings. Read the Research: Habitual and Recent […]

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Does Testerone Supplementation Impact Heart Disease Risk? (video)

Does testosterone supplementation impact heart disease risk? The March 2017 issue of the American Journal of Medicine includes a new meta-analysis that looks at the use of testosterone supplements and cardiovascular disease risk. In this video Dr. Joseph S. Alpert talks about testosterone supplements and risk. Read the Research: Cardiovascular Risks of Exogenous Testosterone Use […]

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female doctor talking with patient on laptop

Using the Electronic Medical Record to Identify Patients at High Risk for Frequent Emergency Department Visits and High System Costs

A small proportion of patients account for a high proportion of healthcare use. Accurate preemptive identification may facilitate tailored intervention. We sought to determine whether machine learning techniques using text from a family practice electronic medical record can be used to predict future high emergency department use and total costs by patients who are not […]

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Dr. Joseph S. Alpert

Myocardial Injury During Prolonged Temperature Management (video)

Targeted temperature management — lowering a person’s body temperature– has been recommended as an integrated part of postresuscitation care after out-of-hospital cardiac arrest, but is it safe? In this video, Dr. Joseph S. Alpert, AJM editor-in-chief, talks about new research on temperature management. Read the research: The Extent of Myocardial Injury During Prolonged Targeted Temperature […]

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