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Current Opinion in Internal Medicine - Current Table Of Contents
Breastfeeding and allergies: time for a change in paradigm?.
Page: 539DOI: 10.1097/MCI.0b013e32831dae43Authors: Duncan, Joanne M; Sears, Malcolm R
New aspects in allergic contact dermatitis.
Page: 547DOI: 10.1097/MCI.0b013e32831dae50Authors: Mortz, Charlotte Gotthard; Andersen, Klaus Ejner
Contemporary approaches to the identification of athletes at risk for sudden cardiac death.
Page: 552DOI: 10.1097/MCI.0b013e32831daee4Authors: Drezner, Jonathan A
pubmed: 0003-4819
Palliative care.
Swetz KM, Kamal AH Palliative care. Ann Intern Med. 2012 Feb 7;156(3):ITC21 Authors: Swetz KM, Kamal AH Abstract This issue provides a clinical overview of palliative care focusing on prevention, diagnosis, treatment, practice improvement, and patient information. Readers can complete the accompanying CME quiz for 1.5 credits. Only ACP members and individual subscribers can access the electronic features of In the Clinic. Non-subscribers who wish to access this issue of In the Clinic can elect "Pay for View." Subscribers can receive 1.5 category 1 CME credits by completing the CME quiz that accompanies this issue of In the Clinic. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including PIER (Physicians' Information and Education Resource) and MKSAP (Medical Knowledge and Self Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's Medical Education and Publishing division and with assistance of science writers and physician writers. Editorial consultants from PIER and MKSAP provide expert review of the content. Readers who are interested in these primary resources for more detail can consult www.acponline.org, http://pier.acponline.org, and other resources referenced within each issue of In the Clinic. PMID: 22312158 [PubMed - in process]
Oral drug treatment of type 2 diabetes mellitus: a clinical practice guideline from the american college of physicians.
Oral drug treatment of type 2 diabetes mellitus: a clinical practice guideline from the american college of physicians. Ann Intern Med. 2012 Feb 7;156(3):I36 Authors: PMID: 22312157 [PubMed - in process]
End-of-Life Care Discussions Between Patients With Advanced Cancer and Doctors.
End-of-Life Care Discussions Between Patients With Advanced Cancer and Doctors. Ann Intern Med. 2012 Feb 7;156(3):I34 Authors: PMID: 22312156 [PubMed - in process]
Implantable cardioverter-defibrillators in women.
Implantable cardioverter-defibrillators in women. Ann Intern Med. 2012 Feb 7;156(3):I30 Authors: PMID: 22312155 [PubMed - in process]
Effects of school closure on incidence of pandemic influenza in alberta, Canada.
Effects of school closure on incidence of pandemic influenza in alberta, Canada. Ann Intern Med. 2012 Feb 7;156(3):I28 Authors: PMID: 22312154 [PubMed - in process]
Reducing 30-day rehospitalization.
Majeed A Reducing 30-day rehospitalization. Ann Intern Med. 2012 Feb 7;156(3):252 Authors: Majeed A PMID: 22312153 [PubMed - in process]
Archives of Internal Medicine current issue
On Motivating Patients: A Picture, Even If Worth a Thousand Words, Is Not Enough [Editorial]
O'Malley, P. G. Mon, 23 Jan 2012 12:41:30 -0800
Positive Affect and Self-affirmation Are Beneficial, but Do They Facilitate Maintenance of Health-Behavior Change?: Comment on "A Randomized Controlled Trial of Positive-Affect Intervention and Medication Adherence in Hypertensive African Americans" [Invited Commentary]
Williams, G. C., Niemiec, C. P. Mon, 23 Jan 2012 12:41:20 -0800
Impact of Carotid Plaque Screening on Smoking Cessation and Other Cardiovascular Risk Factors: A Randomized Controlled Trial [Original Investigation]
Rodondi, N., Collet, T.-H., Nanchen, D., Locatelli, I., Depairon, M., Aujesky, D., Bovet, P., Cornuz, J. Mon, 23 Jan 2012 12:41:11 -0800
Background Screening of peripheral atherosclerosis is increasingly used, but few trials have examined its clinical impact. We aimed to assess whether carotid plaque screening helps smokers to improve their health behaviors and cardiovascular risk factors. Methods We randomly assigned 536 smokers aged 40 to 70 years to carotid plaque ultrasonographic screening (US group) vs no screening (control group) in addition to individual counseling and nicotine replacement therapy for all participants. Smokers with at least 1 plaque received pictures of their plaques with a 7-minute structured explanation. The outcomes included biochemically validated smoking cessation at 12 months (primary outcome) and changes in cardiovascular risk factor levels and Framingham risk score. Results At baseline, participants (mean age, 51.1 years; 45.0% women) smoked an average of 20 cigarettes per day with a median duration of 32 years. The US group had a high prevalence of carotid plaques (57.9%). At 12 months, smoking cessation rates were high, but did not differ between the US and control groups (24.9% vs 22.1%; P = .45). In the US group, cessation rates did not differ according to the presence or absence of plaques. Control of cardiovascular risk factors (ie, blood pressure and low-density lipoprotein cholesterol and hemoglobin A1c levels in diabetic patients) and mean absolute risk change in Framingham risk score did not differ between the groups. The mean absolute risk change in Framingham risk score was +0.6 in the US group vs +0.3 in the control group (P = .56). Conclusion In smokers, carotid plaque screening performed in addition to thorough smoking cessation counseling is not associated with increased rates of smoking cessation or control of cardiovascular risk factors. Trial Registration clinicaltrials.gov Identifier: NCT00548665
Increasing Physical Activity in Patients With Asthma Through Positive Affect and Self-affirmation: A Randomized Trial [Original Investigation]
Mancuso, C. A., Choi, T. N., Westermann, H., Wenderoth, S., Hollenberg, J. P., Wells, M. T., Isen, A. M., Jobe, J. B., Allegrante, J. P., Charlson, M. E. Mon, 23 Jan 2012 12:40:59 -0800
Background Patients with asthma engage in less physical activity than peers without asthma. Protocols are needed to prudently increase physical activity in asthma patients. We evaluated whether an educational intervention enhanced with positive affect induction and self-affirmation was more effective than the educational protocol alone in increasing physical activity in asthma patients. Methods We conducted a randomized trial in New York City from September 28, 2004, through July 5, 2007; of 258 asthma patients, 252 completed the trial. At enrollment, control subjects completed a survey measuring energy expenditure, made a contract to increase physical activity, received a pedometer and an asthma workbook, and
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Breastfeeding and allergies: time for a change in paradigm?.
Page: 539DOI: 10.1097/MCI.0b013e32831dae43Authors: Duncan, Joanne M; Sears, Malcolm R
New aspects in allergic contact dermatitis.
Page: 547DOI: 10.1097/MCI.0b013e32831dae50Authors: Mortz, Charlotte Gotthard; Andersen, Klaus Ejner
Contemporary approaches to the identification of athletes at risk for sudden cardiac death.
Page: 552DOI: 10.1097/MCI.0b013e32831daee4Authors: Drezner, Jonathan A
pubmed: 0003-4819
Palliative care.
Swetz KM, Kamal AH Palliative care. Ann Intern Med. 2012 Feb 7;156(3):ITC21 Authors: Swetz KM, Kamal AH Abstract This issue provides a clinical overview of palliative care focusing on prevention, diagnosis, treatment, practice improvement, and patient information. Readers can complete the accompanying CME quiz for 1.5 credits. Only ACP members and individual subscribers can access the electronic features of In the Clinic. Non-subscribers who wish to access this issue of In the Clinic can elect "Pay for View." Subscribers can receive 1.5 category 1 CME credits by completing the CME quiz that accompanies this issue of In the Clinic. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including PIER (Physicians' Information and Education Resource) and MKSAP (Medical Knowledge and Self Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's Medical Education and Publishing division and with assistance of science writers and physician writers. Editorial consultants from PIER and MKSAP provide expert review of the content. Readers who are interested in these primary resources for more detail can consult www.acponline.org, http://pier.acponline.org, and other resources referenced within each issue of In the Clinic. PMID: 22312158 [PubMed - in process]
Oral drug treatment of type 2 diabetes mellitus: a clinical practice guideline from the american college of physicians.
Oral drug treatment of type 2 diabetes mellitus: a clinical practice guideline from the american college of physicians. Ann Intern Med. 2012 Feb 7;156(3):I36 Authors: PMID: 22312157 [PubMed - in process]
End-of-Life Care Discussions Between Patients With Advanced Cancer and Doctors.
End-of-Life Care Discussions Between Patients With Advanced Cancer and Doctors. Ann Intern Med. 2012 Feb 7;156(3):I34 Authors: PMID: 22312156 [PubMed - in process]
Implantable cardioverter-defibrillators in women.
Implantable cardioverter-defibrillators in women. Ann Intern Med. 2012 Feb 7;156(3):I30 Authors: PMID: 22312155 [PubMed - in process]
Effects of school closure on incidence of pandemic influenza in alberta, Canada.
Effects of school closure on incidence of pandemic influenza in alberta, Canada. Ann Intern Med. 2012 Feb 7;156(3):I28 Authors: PMID: 22312154 [PubMed - in process]
Reducing 30-day rehospitalization.
Majeed A Reducing 30-day rehospitalization. Ann Intern Med. 2012 Feb 7;156(3):252 Authors: Majeed A PMID: 22312153 [PubMed - in process]
Archives of Internal Medicine current issue
On Motivating Patients: A Picture, Even If Worth a Thousand Words, Is Not Enough [Editorial]
O'Malley, P. G. Mon, 23 Jan 2012 12:41:30 -0800
Positive Affect and Self-affirmation Are Beneficial, but Do They Facilitate Maintenance of Health-Behavior Change?: Comment on "A Randomized Controlled Trial of Positive-Affect Intervention and Medication Adherence in Hypertensive African Americans" [Invited Commentary]
Williams, G. C., Niemiec, C. P. Mon, 23 Jan 2012 12:41:20 -0800
Impact of Carotid Plaque Screening on Smoking Cessation and Other Cardiovascular Risk Factors: A Randomized Controlled Trial [Original Investigation]
Rodondi, N., Collet, T.-H., Nanchen, D., Locatelli, I., Depairon, M., Aujesky, D., Bovet, P., Cornuz, J. Mon, 23 Jan 2012 12:41:11 -0800
Background Screening of peripheral atherosclerosis is increasingly used, but few trials have examined its clinical impact. We aimed to assess whether carotid plaque screening helps smokers to improve their health behaviors and cardiovascular risk factors. Methods We randomly assigned 536 smokers aged 40 to 70 years to carotid plaque ultrasonographic screening (US group) vs no screening (control group) in addition to individual counseling and nicotine replacement therapy for all participants. Smokers with at least 1 plaque received pictures of their plaques with a 7-minute structured explanation. The outcomes included biochemically validated smoking cessation at 12 months (primary outcome) and changes in cardiovascular risk factor levels and Framingham risk score. Results At baseline, participants (mean age, 51.1 years; 45.0% women) smoked an average of 20 cigarettes per day with a median duration of 32 years. The US group had a high prevalence of carotid plaques (57.9%). At 12 months, smoking cessation rates were high, but did not differ between the US and control groups (24.9% vs 22.1%; P = .45). In the US group, cessation rates did not differ according to the presence or absence of plaques. Control of cardiovascular risk factors (ie, blood pressure and low-density lipoprotein cholesterol and hemoglobin A1c levels in diabetic patients) and mean absolute risk change in Framingham risk score did not differ between the groups. The mean absolute risk change in Framingham risk score was +0.6 in the US group vs +0.3 in the control group (P = .56). Conclusion In smokers, carotid plaque screening performed in addition to thorough smoking cessation counseling is not associated with increased rates of smoking cessation or control of cardiovascular risk factors. Trial Registration clinicaltrials.gov Identifier: NCT00548665
Increasing Physical Activity in Patients With Asthma Through Positive Affect and Self-affirmation: A Randomized Trial [Original Investigation]
Mancuso, C. A., Choi, T. N., Westermann, H., Wenderoth, S., Hollenberg, J. P., Wells, M. T., Isen, A. M., Jobe, J. B., Allegrante, J. P., Charlson, M. E. Mon, 23 Jan 2012 12:40:59 -0800
Background Patients with asthma engage in less physical activity than peers without asthma. Protocols are needed to prudently increase physical activity in asthma patients. We evaluated whether an educational intervention enhanced with positive affect induction and self-affirmation was more effective than the educational protocol alone in increasing physical activity in asthma patients. Methods We conducted a randomized trial in New York City from September 28, 2004, through July 5, 2007; of 258 asthma patients, 252 completed the trial. At enrollment, control subjects completed a survey measuring energy expenditure, made a contract to increase physical activity, received a pedometer and an asthma workbook, and
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