MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of General Internal Medicine' source. Wed, 17 Mar 2010 16:02:40 +0100 http://www.medworm.com/index.php?rid=3369276&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr6321087960142qw%2F CONCLUSIONS  Despite routine pain screening in VA, providers seldom documented elements considered important to evaluation and treatment of pain. Improving pain care may require attention to all aspects of pain management, not just screening. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1301-5Authors Lisa Zubkoff, Department of Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USAKarl A. Lorenz, Department of Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USAAndy B. Lanto, Department of Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USACathy D. Sherbourne, RAND Corporation Santa Monica CA USAJoy R. Goebel, California State University School of Nursing Department of Nursing... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3369276 Sun, 14 Mar 2010 12:25:49 +0100 3369276 http://www.medworm.com/index.php?rid=3369277&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F960867vj8066858h%2F Conclusions  Overall, there was not a significant effect of the sub-internship on students’ decision to apply in internal medicine. Additional research about the relative impact of the sub-internship in relationship to other career choice predictors is needed to better address factors that may encourage or dissuade students from pursuing internal medicine. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1263-7Authors Jennifer R. Kogan, University of Pennsylvania School of Medicine Suite 640 Philadelphia PA 19104 USAJudy A. Shea, University of Pennsylvania School of Medicine Suite 640 Philadelphia PA 19104 USAElizabeth O’Grady, University of Pennsylvania School of Medicine Suite 640 Philadelphia PA 19104 USALisa M. Bellini, University o... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3369277 Sun, 14 Mar 2010 12:25:48 +0100 3369277 http://www.medworm.com/index.php?rid=3369278&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq1913786r06j7218%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-010-1307-zAuthors Jack Coulehan, Stony Brook University Center for Medical Humanities, Compassionate Care, and Bioethics Stony Brook NY 11794-8335 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3369278 Sun, 14 Mar 2010 12:25:47 +0100 3369278 http://www.medworm.com/index.php?rid=3361708&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc758743308345650%2F Conclusions  Estimates of poor health literacy varied by the assessment used, especially after adjusting for non-response bias. Researchers and clinicians should consider the possible limitations of each assessment when considering the most suitable tool for their purposes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1304-2Authors Joan M. Griffin, Minneapolis VA Medical Center Center for Chronic Disease Outcomes Research (152/3E-109), One Veterans Drive Minneapolis MN 55417 USAMelissa R. Partin, Minneapolis VA Medical Center Center for Chronic Disease Outcomes Research (152/3E-109), One Veterans Drive Minneapolis MN 55417 USASiamak Noorbaloochi, Minneapolis VA Medical Center Center for Chronic Disease Outcomes Research (152/3E-109), On... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3361708 Thu, 11 Mar 2010 18:26:38 +0100 3361708 http://www.medworm.com/index.php?rid=3361709&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2r77204276147257%2F Content Type Journal ArticleCategory Innovations and ImprovementDOI 10.1007/s11606-010-1281-5Authors Richard L. Kravitz, University of California, Davis Division of General Internal Medicine 4150 V. Street, Suite 2400 PSSB Sacramento CA 95817 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3361709 Thu, 11 Mar 2010 02:49:12 +0100 3361709 http://www.medworm.com/index.php?rid=3357646&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj8k2095028081pm2%2F CONCLUSIONS  Certain chronically ill MAPD enrollees are at high risk of gap entry and exposure to unsubsidized medication costs. Clinically vulnerable populations should be counseled on how to best manage costs through drug substitution or discontinuation of specific, non-essential medications. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1300-6Authors Susan L. Ettner, David Geffen School of Medicine at UCLA Division of General Internal Medicine and Health Services Research, Department of Medicine 911 Broxton Plaza Los Angeles CA 90024 USANeil Steers, David Geffen School of Medicine at UCLA Division of General Internal Medicine and Health Services Research, Department of Medicine 911 Broxton Plaza Los Angeles CA 90024 USAO. Kenrik Duru,... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357646 Wed, 10 Mar 2010 15:58:13 +0100 3357646 http://www.medworm.com/index.php?rid=3357645&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjh6865871kv0r0t5%2F CONCLUSIONS  Residents who received an obesity counseling curriculum were not more likely to counsel obese patients than residents who did not. Training, however, is associated with higher quality of counseling when patient, physician, and visit characteristics are taken into account. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1299-8Authors Melanie Jay, New York University School of Medicine Division of General Internal Medicine VA New York Harbor, 423 E 23rd Street New York NY 10010 USASheira Schlair, Albert Einstein College of Medicine Division of General Internal Medicine, Montefiore Medical Center Bronx NY 10467 USARob Caldwell, New York University School of Medicine Division of General Internal Medicine VA New York Harbor, 423 E ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357645 Wed, 10 Mar 2010 15:58:13 +0100 3357645 http://www.medworm.com/index.php?rid=3357644&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F38h1606q114l7073%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-010-1308-yAuthors Adam Possner, Johns Hopkins Bayview Medical Center Department of Internal Medicine 4940 Eastern Avenue Baltimore MD 21224 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357644 Wed, 10 Mar 2010 15:58:13 +0100 3357644 http://www.medworm.com/index.php?rid=3357647&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F289r7677483462t1%2F Abstract    Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-010-1280-6Authors Jonathan Chalett, Mary Bridge Children’s Hospital Department of Emergency Medicine Tacoma WA 98415 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357647 Wed, 10 Mar 2010 15:58:12 +0100 3357647 http://www.medworm.com/index.php?rid=3357650&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg8w753371g7n74tv%2F Conclusions  Prior history of incarceration does not appear to impact primary care office-based treatment of opioid dependence with buprenorphine/naloxone. Community health care providers can be reassured that initiating buprenorphine/naloxone in opioid dependent individuals with a history of incarceration will have similar outcomes as those without this history. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1306-0Authors Emily A. Wang, Yale University School of Medicine Department of Internal Medicine New Haven CT USABrent A. Moore, Yale University School of Medicine Department of Psychiatry New Haven CT USALynn E. Sullivan, Yale University School of Medicine Department of Internal Medicine New Haven CT USADavid A. Fiellin, Yale Univers... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357650 Wed, 10 Mar 2010 15:58:09 +0100 3357650 http://www.medworm.com/index.php?rid=3357649&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fqu3073115223v707%2F Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s11606-010-1267-3Authors Celine Goetz, University of Chicago Pritzker School of Medicine Chicago United StatesVineet M. Arora, University of Chicago Pritzker School of Medicine Chicago United StatesValerie G. Press, University of Chicago Pritzker School of Medicine Chicago United States Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357649 Wed, 10 Mar 2010 15:58:09 +0100 3357649 http://www.medworm.com/index.php?rid=3357648&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhv23j27811068103%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-010-1293-1Authors David A. Cook, Mayo Clinic Division of General Internal Medicine and Office of Education Research, College of Medicine Rochester MN USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357648 Wed, 10 Mar 2010 15:58:09 +0100 3357648 http://www.medworm.com/index.php?rid=3357651&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F015627v139472321%2F Abstract  Personal autonomy is widely valued. Recognition of its vulnerability in health care contexts led to the inclusion of respect for autonomy as a key concern in biomedical ethics. The principle of respect for autonomy is usually associated with allowing or enabling patients to make their own decisions about which health care interventions they will or will not receive. In this paper, we suggest that a strong focus on decision situations is problematic, especially when combined with a tendency to stress the importance of patients’ independence in choosing. It distracts attention from other important aspects of and challenges to autonomy in health care. Relational understandings of autonomy attempt to explain both the positive and negative implications of social rela... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357651 Wed, 10 Mar 2010 15:58:08 +0100 3357651 http://www.medworm.com/index.php?rid=3357653&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F73w37q68h016nrv6%2F CONCLUSIONS  The intervention was successful in increasing rates of completed CRC screening primarily through increasing adherence after screening was recommended. Additional efforts should focus on developing new strategies to increase physician recommendation for CRC screening, while employing effective patient adherence interventions. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1266-4Authors Abraham Aragones, State University of New York Downstate Medical Center, School of Public Health 450 Clarkson Av box 43 Brooklyn NY 11203 USAMark D. Schwartz, New York University School of Medicine Division of General Internal Medicine New York NY USANirav R. Shah, New York University School of Medicine Division of General Internal Medicine New... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357653 Wed, 10 Mar 2010 15:58:07 +0100 3357653 http://www.medworm.com/index.php?rid=3357652&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7t116l968n5u5167%2F CONCLUSION  Our study cannot demonstrate that with follow up, we directly avoided cases of invasive cervical cancer. However, we show that in an at-risk urban population, an automated, EMR-based tracking system reduced the time to resolution, and increased the number of women who achieved diagnostic resolution. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1287-zAuthors Elizabeth A. Dupuis, Boston University School of Medicine Women’s Health Unit, Section of General Internal Medicine, Evans Department of Medicine, and Women’s Health Interdisciplinary Research Center 801 Massachusetts Avenue, Suite 470 Boston MA 02118 USAHilary F. White, Boston University School of Medicine Women’s Health Unit, Section of General Internal Medicine, ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357652 Wed, 10 Mar 2010 15:58:07 +0100 3357652 http://www.medworm.com/index.php?rid=3357654&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn9153xn2537m1258%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-010-1282-4Authors Richard L. Kravitz, UC Davis Division of General Medicine 4150 V. Street, Suite 2400 PSSB Sacramento CA 95817 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357654 Wed, 10 Mar 2010 15:58:06 +0100 3357654 http://www.medworm.com/index.php?rid=3357655&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6020pq65m57184gh%2F Conclusions  In a primary-care population, nurse-initiated routine screening with rapid HIV testing and streamlined counseling increased rates of testing and receipt of test results and was cost-effective compared with traditional HIV testing strategies. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1265-5Authors Gillian D. Sanders, Duke University Duke Clinical Research Institute PO Box 17969 Durham NC 27715 USAHenry D. Anaya, Veterans Affairs (VA) Greater Los Angeles Healthcare System Los Angeles CA USASteven Asch, Veterans Affairs (VA) Greater Los Angeles Healthcare System Los Angeles CA USATuyen Hoang, Veterans Affairs (VA) Greater Los Angeles Healthcare System Los Angeles CA USAJoya F. Golden, Veterans Affairs (VA) Greater Los Angel... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3357655 Wed, 10 Mar 2010 15:58:05 +0100 3357655 http://www.medworm.com/index.php?rid=3330316&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx515382014u403n7%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-010-1286-0Authors Matthew D. Solomon, Stanford University 300 Pasteur Drive, Falk Bldg-CVC Stanford CA 94305 USASumit R. Majumdar, University of Alberta Alberta Canada Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3330316 Tue, 02 Mar 2010 10:07:09 +0100 3330316 http://www.medworm.com/index.php?rid=3330317&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fekq61h2154241086%2F CONCLUSIONS  The present findings provide strong additional evidence that the GBMMS is a valid and reliable measure that may be used among urban Black men. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1288-yAuthors Rachel C. Shelton, Mount Sinai School of Medicine Department of Oncological Science/Cancer Prevention and Control 1425 Madison Avenue Box 1130 New York NY 10029 USAGary Winkel, The City University of New York The Graduate Center 365 Fifth Avenue New York NY 10016 USAStacy N. Davis, Temple University Department of Public Health, Ritter Annex 9th Floor, 004-09, 1301 Cecil B. Moore Avenue Philadelphia PA 19122-6091 USANicole Roberts, Albert Einstein College of Medicine Jack and Pearl Resnick Campus, Department of Epidemiology an... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3330317 Tue, 02 Mar 2010 10:07:08 +0100 3330317 http://www.medworm.com/index.php?rid=3330319&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv04n8t7244835665%2F Conclusions  Poorer patient ratings of provider communication are associated with lower trust toward the medical profession among adults with sickle cell disease. Future research should examine the impact of low trust in the medical profession on clinical outcomes in this population of patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1247-7Authors Carlton Haywood, The Johns Hopkins University School of Medicine, The Johns Hopkins Berman Institute of Bioethics Division of Hematology Baltimore MD USASophie Lanzkron, The Johns Hopkins University School of Medicine Division of Hematology Baltimore MD USANeda Ratanawongsa, University of California, San Francisco, San Francisco General Hospital San Francisco CA USAShawn M. Bediako, Univ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3330319 Tue, 02 Mar 2010 10:07:06 +0100 3330319 http://www.medworm.com/index.php?rid=3330318&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv7372u14165k1872%2F CONCLUSIONS  Hospitalists perform inpatient procedures more often and at higher volumes than non-hospitalists. Yet many do not perform procedures that are designated as hospitalist “core competencies.” Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1284-2Authors Rajiv Thakkar, Johns Hopkins University School of Medicine 4940 Eastern Avenue Baltimore MD 21224-2735 USAScott M. Wright, Johns Hopkins University School of Medicine 4940 Eastern Avenue Baltimore MD 21224-2735 USAPatrick Alguire, American College of Physicians 190 North Independence Mall West Philadelphia PA 19106-1572 USARobert S. Wigton, University of Nebraska Medical Center College of Medicine 985524 Nebraska Medical Center Omaha NE 68198-5524 USARomsai T. Boonyasai, Johns ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3330318 Tue, 02 Mar 2010 10:07:06 +0100 3330318 http://www.medworm.com/index.php?rid=3315831&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg37161631742w1x6%2F CONCLUSIONS  Prescribing errors may occur much more frequently in community-based practices than previously reported. Our preliminary findings suggest that stand-alone e-prescribing with clinical decision support may significantly improve ambulatory medication safety. TRIAL REGISTRATION  ClinicalTrials.gov, Taconic Health Information Network and Community (THINC), NCT00225563, http://clinicaltrials.gov/ct2/show/NCT00225563?term=Kaushal&rank=6. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1238-8Authors Rainu Kaushal, Weill Medical College of Cornell University Department of Pediatrics 402 East 67th Street, Room-LA-259 New York NY 10065 USALisa M. Kern, New York-Presbyterian Hospital New York NY USAYolanda Barrón, Healt... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3315831 Fri, 26 Feb 2010 06:46:51 +0100 3315831 http://www.medworm.com/index.php?rid=3315832&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7381084p4393k537%2F CONCLUSIONS  Nonacademic sites have substantially different approaches to the oversight and management of financial relationships in commercially sponsored clinical research than academic medical centers. These differences warrant more attention to how financial relationships are monitored in community research settings. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1264-6Authors Kevin P. Weinfurt, Duke University School of Medicine Center for Clinical and Genetic Economics, Duke Clinical Research Institute PO Box 17969 Durham NC 27715 USAMark A. Hall, Wake Forest University Center for Bioethics, Health, and Society Winston-Salem NC USAN. Chantelle Hardy, Duke University School of Medicine Center for Clinical and Genetic Economics, Duke ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3315832 Fri, 26 Feb 2010 06:46:49 +0100 3315832 http://www.medworm.com/index.php?rid=3313907&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fplt537v77455t873%2F Conclusions  The adverse effect of depression on outcomes in patients with diabetes may not be mediated in large part by poorer glycemic, blood pressure, or lipid control. Further study is needed of the biologic effects of depression on patients with diabetes and their relation to adverse outcomes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1272-6Authors Susan R. Heckbert, University of Washington Department of Epidemiology Seattle WA USACarolyn M. Rutter, Group Health Research Institute Biostatistics Unit Seattle WA USAMalia Oliver, Group Health Cooperative Group Health Research Institute Seattle WA USALisa H. Williams, University of Washington Department of Medicine (Dermatology) Seattle WA USAPaul Ciechanowski, University of Washin... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3313907 Thu, 25 Feb 2010 08:01:54 +0100 3313907 http://www.medworm.com/index.php?rid=3313908&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe76214402x06660w%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-010-1277-1Authors Nitin Agrawal Kapur, Yale University School of Medicine Department of Internal Medicine 154 Willard Street New Haven CT 06511 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3313908 Thu, 25 Feb 2010 08:01:52 +0100 3313908 http://www.medworm.com/index.php?rid=3310284&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp2vk103262183330%2F Conclusions  Interactive discussion groups focused on lifestyle modification and disease management should be created for patients to learn more about their diseases. Future research evaluating the effectiveness of interactive diabetes and hypertension groups that apply patient racial/ethnic traditions should be considered. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1278-0Authors Beverley E. Russell, The Center for Community Health Education Research and Service CCHERS 716 Columbus Ave, Suite 398 Boston MA 02120 USAEdith Gurrola, The Division of General Internal Medicine of Brigham and Women’s Hospital Boston MA USAChima D. Ndumele, The Division of General Internal Medicine of Brigham and Women’s Hospital Boston MA USABruce E. La... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3310284 Wed, 24 Feb 2010 06:55:24 +0100 3310284 http://www.medworm.com/index.php?rid=3310283&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy123197m86431v18%2F Conclusion  Over one-third of the patients in our study had a medication error at admission, and of these patients, 85% had errors originate in their medication histories. Attempts to improve the accuracy of medication histories should focus on older patients with a large number of medications. Primary care physicians and other clinicians should help patients utilize and maintain complete, accurate and understandable medication lists. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1256-6Authors Kristine M. Gleason, Northwestern Memorial Hospital Division of Quality and Operations, Department of Clinical Quality Management Chicago IL USAMolly R. McDaniel, Northwestern Memorial Hospital Division of Quality and Operations, Department of Cli... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3310283 Wed, 24 Feb 2010 06:55:24 +0100 3310283 http://www.medworm.com/index.php?rid=3310285&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxt5g502955723772%2F CONCLUSIONS  Substantial numbers of VHA primary care patients did not have sufficient height or weight data recorded to calculate BMI or have recorded obesity diagnoses when warranted. Receipt of obesity education varied by sociodemographic and clinical factors; providers may need to be cognizant of these when engaging patients in treatment. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1279-zAuthors Polly Hitchcock Noël, VERDICT/South Texas Veterans Health Care System 7400 Merton Minter Blvd (11C6) San Antonio TX 78229-4404 USALaurel A. Copeland, VERDICT/South Texas Veterans Health Care System 7400 Merton Minter Blvd (11C6) San Antonio TX 78229-4404 USAMary Jo Pugh, VERDICT/South Texas Veterans Health Care System 7400 Merton Minter Blv... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3310285 Wed, 24 Feb 2010 06:55:23 +0100 3310285 http://www.medworm.com/index.php?rid=3310286&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn02kp1k6q02w2622%2F CONCLUSION  Observed measures of patient and provider communication behavior were similar across all patient decision-making role preferences, indicating that it may be difficult for providers to determine these preferences based solely on communication behavior. Engaging patients in open discussion about decision-making preferences may be a more effective approach. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1275-3Authors Rashmi Kumar, Johns Hopkins University 2024 East Monument Street, Suite 2-600 Baltimore MD 21205 USAP. Todd Korthuis, Oregon Health Science University Portland OR USASomnath Saha, Oregon Health Science University Portland OR USAGeetanjali Chander, Johns Hopkins University 2024 East Monument Street, Suite 2-600 Baltim... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3310286 Wed, 24 Feb 2010 06:55:22 +0100 3310286 http://www.medworm.com/index.php?rid=3297477&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb260p3x10q028623%2F Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s11606-010-1268-2Authors Ryan Greysen, Yale Medical School New Haven CT USATravis Wasserman, George Washington University School of Public Health Washington DC USAPerry Payne, George Washington University School of Public Health Washington DC USAFitzhugh Mullan, George Washington University School of Public Health Washington DC USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3297477 Sat, 20 Feb 2010 06:57:05 +0100 3297477 http://www.medworm.com/index.php?rid=3297479&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft7r3w3875127217q%2F Conclusions  Primary care physicians’ opinions regarding race-based therapy reveal a nuanced understanding of race-based therapies and a wariness of their use by physicians. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1190-7Authors Danielle Frank, Ambulatory Care 11A (152); VA Ann Arbor Healthcare System 2215 Fuller Road Ann Arbor MI 48105 USAThomas H. Gallagher, University of Washington Department of Medicine Seattle WA USASherrill L. Sellers, University of Wisconsin School of Social Work Madison WI USALisa A. Cooper, Johns Hopkins University School of Medicine Department of Medicine Baltimore MD USAEboni G. Price, Tulane University Department of Medicine New Orleans LA USAAdebola O. Odunlami, Harvard University School of Public Health B... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3297479 Sat, 20 Feb 2010 06:57:04 +0100 3297479 http://www.medworm.com/index.php?rid=3297478&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F31877261151g0665%2F CONCLUSIONS  These data are the first to demonstrate the importance of attitudinal symmetry on an objective measure of medication adherence and suggest that a brief assessment of patient HLOC may be useful for tailoring the provider’s approach in the clinical encounter or for matching patients to physicians with similar attitudes towards care. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1249-5Authors Alan J. Christensen, The University of Iowa Department of Psychology 11 Seashore Hall East Iowa City IA 52242 USAM. Bryant Howren, The University of Iowa Department of Psychology 11 Seashore Hall East Iowa City IA 52242 USAStephen L. Hillis, VA-Iowa City Healthcare System Center for Research in the Implementation of Innovative Strategies... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3297478 Sat, 20 Feb 2010 06:57:04 +0100 3297478 http://www.medworm.com/index.php?rid=3290140&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd3016l265745324l%2F CONCLUSIONS  Ambulatory visits and antihypertensive medication exposures are associated with reduced mortality. Increasing adherence by one pill per week for a once-a-day regimen reduces the hazard of stroke by 8–9% and death by 7%. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1240-1Authors James E. Bailey, University of Tennessee Health Science Center Division of General Internal Medicine, Department of Medicine 956 Court Avenue, Coleman D222 Memphis TN 38163 USAJim Y. Wan, University of Tennessee Health Science Center Department of Preventive Medicine 66 N. Pauline, Suite 633 Memphis TN 38105 USAJun Tang, Accredo Health Group, Inc. 1640 Century Center Parkway Memphis TN 38134 USAMuhammad A. Ghani, University of Tennessee Health Scien... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3290140 Thu, 18 Feb 2010 06:52:48 +0100 3290140 http://www.medworm.com/index.php?rid=3282677&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy2324p2333265416%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-010-1261-9Authors Malathi Srinivasan, Davis School of Medicine Department of Medicine, University of California 4150 V. Street, Suite 2400 Sacramento CA 95833 USAMitchell D. Feldman, San Francisco Department of Medicine, University of California San Francisco San Francisco CA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3282677 Tue, 16 Feb 2010 18:10:45 +0100 3282677 http://www.medworm.com/index.php?rid=3270844&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc7503lgj27514k42%2F Content Type Journal ArticleCategory UpdatesDOI 10.1007/s11606-009-1244-xAuthors Carol K. Bates, Beth Israel Deaconess Medical Center Division of General Medicine and Primary Care Boston MA USAShobhina G. Chheda, University of Wisconsin School of Medicine and Public Health Department of Medicine, Section of General Internal Medicine Madison WI USAKathel Dunn, National Library of Medicine Bethesda MD USALinda Pinsky, University of Washington School of Medicine Seattle WA USAReena Karani, Mount Sinai School of Medicine Brookdale Department of Geriatrics, Samuel M. Bronfman Department of Medicine, Department of Medical Education New York NY USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3270844 Fri, 12 Feb 2010 07:31:19 +0100 3270844 http://www.medworm.com/index.php?rid=3270845&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb71q65768375w604%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-010-1254-8Authors Michael B. Rothberg, Baystate Medical Center Division of General Medicine and Geriatrics, Department of Medicine 759 Chestnut Street Springfield MA 01199 USASenthil K. Sivalingam, Baystate Medical Center Division of General Medicine and Geriatrics, Department of Medicine 759 Chestnut Street Springfield MA 01199 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3270845 Fri, 12 Feb 2010 07:31:17 +0100 3270845 http://www.medworm.com/index.php?rid=3265864&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6v16q366t1218187%2F Conclusions  Patient perceptions of discrimination may play an important, yet variable role in ratings of health care quality across racial/ethnic minority groups. Health care institutions should consider how to address this patient concern as a part of routine quality improvement. Content Type Journal ArticleCategory Populations at RiskDOI 10.1007/s11606-010-1257-5Authors Dara H. Sorkin, University of California, Irvine School of Medicine Division of General Internal Medicine and Primary Care and the Health Policy Research Institute 100 Theory, Suite 110 Irvine CA 92697-5800 USAQuyen Ngo-Metzger, University of California, Irvine School of Medicine Division of General Internal Medicine and Primary Care and the Health Policy Research Institute 100 Theory, Suite 110 Irvi... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3265864 Tue, 09 Feb 2010 17:47:50 +0100 3265864 http://www.medworm.com/index.php?rid=3265865&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe563638gr2q15867%2F Abstract  The role of defensive medicine in driving up health care costs is hotly contended. Physicians and health policy experts in particular tend to have sharply divergent views on the subject. Physicians argue that defensive medicine is a significant driver of health care cost inflation. Policy analysts, on the other hand, observe that malpractice reform, by itself, will probably not do much to reduce costs. We argue that both answers are incomplete. Ultimately, malpractice reform is a necessary but insufficient component of medical cost containment. The evidence suggests that defensive medicine accounts for a small but non-negligible fraction of health care costs. Yet the traditional medical malpractice reforms that many physicians desire will not assuage the various p... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3265865 Tue, 09 Feb 2010 06:48:06 +0100 3265865 http://www.medworm.com/index.php?rid=3265866&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm0572m4146082t57%2F CONCLUSION  Health surveys and policies should distinguish between Pacific Islanders and Asian Americans given the significantly higher rates of health risks and chronic diseases among Pacific Islanders. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1241-0Authors Asaf Bitton, Harvard Medical School Department of Health Care Policy 180 Longwood Avenue Boston MA 02115-5899 USAAlan M. Zaslavsky, Harvard Medical School Department of Health Care Policy 180 Longwood Avenue Boston MA 02115-5899 USAJohn Z. Ayanian, Harvard Medical School Department of Health Care Policy 180 Longwood Avenue Boston MA 02115-5899 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medici... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3265866 Tue, 09 Feb 2010 06:48:05 +0100 3265866 http://www.medworm.com/index.php?rid=3242665&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv3t50j5188k34p5x%2F CONCLUSIONS  Many e-prescriptions were not filled. Previous studies of medication non-adherence failed to capture these prescriptions. Efforts to increase primary adherence could dramatically improve the effectiveness of medication therapy. Interventions that target specific medication classes may be most effective. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1253-9Authors Michael A. Fischer, Brigham and Women’s Hospital Division of Pharmacoepidemiology and Pharmacoeconomics 1620 Tremont Street, Suite 3030 Boston MA 02120 USAMargaret R. Stedman, Brigham and Women’s Hospital Division of Pharmacoepidemiology and Pharmacoeconomics 1620 Tremont Street, Suite 3030 Boston MA 02120 USAJoyce Lii, Brigham and Women’s Hospital Division of Ph... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3242665 Wed, 03 Feb 2010 18:00:17 +0100 3242665 http://www.medworm.com/index.php?rid=3242666&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa28696251g778272%2F CONCLUSIONS  Patients and their primary care providers often agreed on the most important health conditions affecting patients with multimorbidity, but this concordance was lower for patients with poor health status or non-health competing demands. Interventions that increase provider awareness about symptomatic concerns and competing demands may improve chronic disease management in these vulnerable patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1232-1Authors Donna M. Zulman, Health Services Research and Development Center of Excellence Department of Veterans Affairs Ann Arbor MI USAEve A. Kerr, Health Services Research and Development Center of Excellence Department of Veterans Affairs Ann Arbor MI USATimothy P. Hofer, Health S... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3242666 Tue, 02 Feb 2010 07:00:22 +0100 3242666 http://www.medworm.com/index.php?rid=3242667&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhq575l30566321q1%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-010-1252-xAuthors David W. Bates, Brigham and Women’s Hospital Division of General Internal Medicine and Center of Excellence for Patient Safety Research and Practice Brigham Circle, 1620 Tremont St., 3rd Floor Boston MA 02120-1613 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3242667 Tue, 02 Feb 2010 07:00:21 +0100 3242667 http://www.medworm.com/index.php?rid=3234596&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff4554m7582427528%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11606-010-1255-7Authors Peter C. Smith, Boston Medical Center and Boston University School of Medicine Section of General Internal Medicine, Department of Medicine Boston MA USASusan M. Schmidt, Boston Medical Center and Boston University School of Medicine Section of General Internal Medicine, Department of Medicine Boston MA USADonald Allensworth-Davies, Boston University School of Public Health Data Coordinating Center Boston MA USARichard Saitz, Boston Medical Center and Boston University School of Medicine Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine Boston MA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3234596 Mon, 01 Feb 2010 17:54:57 +0100 3234596 http://www.medworm.com/index.php?rid=3234597&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F77g466x2x2ju4321%2F CONCLUSIONS  Using IVR technology to deliver BI in a primary care setting is feasible and data suggest potential for efficacy in a larger trial. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1233-0Authors Gail L. Rose, The University of Vermont Burlington VT USACharles D. MacLean, The University of Vermont Burlington VT USAJoan Skelly, The University of Vermont Burlington VT USAGary J. Badger, The University of Vermont Burlington VT USATonya A. Ferraro, The University of Vermont Burlington VT USAJohn E. Helzer, The University of Vermont Burlington VT USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3234597 Mon, 01 Feb 2010 17:54:56 +0100 3234597 http://www.medworm.com/index.php?rid=3234598&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkp33497231207704%2F CONCLUSIONS  In a hypothetical case of community-acquired pneumonia, physicians were influenced more by contrary advice from a referenced decision aid than an anonymous specialist. Whether this holds for advice from a respected specialist or in actual practice remains to be studied. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-010-1251-yAuthors Mitchell A. Medow, Boston University School of Medicine Section of General Internal Medicine 801 Massachusetts Ave, 2nd Floor Boston MA 02118-2605 USAHal R. Arkes, The Ohio State University Department of Psychology Columbus OH USAVictoria A. Shaffer, Wichita State University Department of Psychology Wichita KS USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3234598 Mon, 01 Feb 2010 06:47:56 +0100 3234598 http://www.medworm.com/index.php?rid=3230438&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F469562k60p6nq815%2F We report the case of a 75-year-old woman with known type 2 diabetes who presented in DKA and was found to have pancreatic adenocarcinoma. A link between diabetes mellitus and pancreatic cancer has been investigated, but the literature remains inconclusive as to whether diabetes mellitus (DM) is a cause or result of pancreatic cancer or simply the confluence of two common entities. Previous case reports of pancreatic tumors presenting with DKA all represented neuroendocrine tumors. Adenocarcinoma of the pancreas should be considered in the list of precipitants for DKA in type 2 DM. Content Type Journal ArticleCategory Case Reports/Clinical VignettesDOI 10.1007/s11606-009-1237-9Authors Ming Valerie Lin, University of Pennsylvania Health System Department of Internal Medicine, Penns... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3230438 Sat, 30 Jan 2010 18:15:51 +0100 3230438 http://www.medworm.com/index.php?rid=3224639&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq8432080r36h7000%2F CONCLUSION  In this cohort, less than 60% of high-risk patients with diabetes were receiving the recommended ACEI/ARB therapy. Several patient demographic and clinical characteristics are strongly associated with suboptimal ACEI/ARB use. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1242-zAuthors Yi Yang, The University of Mississippi School of Pharmacy 234 Faser Hall University MS 38677 USAVennela Thumula, The University of Mississippi School of Pharmacy 234 Faser Hall University MS 38677 USAPatrick F. Pace, The University of Mississippi School of Pharmacy 234 Faser Hall University MS 38677 USABenjamin F. Banahan, The University of Mississippi School of Pharmacy 234 Faser Hall University MS 38677 USANoel E. Wilkin, The University of Missis... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3224639 Thu, 28 Jan 2010 07:03:56 +0100 3224639 http://www.medworm.com/index.php?rid=3224640&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8n772p42l807760k%2F CONCLUSIONS  Patients with major depression and diabetes had an increased risk of development of dementia compared to those with diabetes alone. These data add to recent findings showing that depression was associated with an increased risk of macrovascular and microvascular complications in patients with diabetes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1248-6Authors Wayne J. Katon, University of Washington School of Medicine Department of Psychiatry & Behavioral Sciences 1959 NE Pacific Street Box 356560 Seattle WA 98195-6560 USAElizabeth H. B. Lin, Group Health Research Institute Seattle WA USALisa H. Williams, University of Washington School of Medicine Department of Medicine Seattle WA USAPaul Ciechanowski, University of Washin... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3224640 Thu, 28 Jan 2010 07:03:55 +0100 3224640 http://www.medworm.com/index.php?rid=3224641&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F456174863h49360l%2F DISCUSSION  Patients rated interpretation services highly no matter how they were provided but experienced only the method employed at the time of the encounter. Providers and interpreters were exposed to all three methods, were more critical of remote methods, and preferred videoconferencing to the telephone as a remote method. The significantly shorter phone interviews raise questions about the prospects of miscommunication in telephonic interpretation, given the absence of a visual channel, but other factors might have affected time results. Since the patient population studied was Hispanic and predominantly female care must be taken in generalizing these results to other populations. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1236-... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3224641 Wed, 27 Jan 2010 19:59:28 +0100 3224641 http://www.medworm.com/index.php?rid=3224642&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fut320167l8321017%2F Conclusion  AIAN were not less likely to receive cardiac procedures as non-Hispanic whites during hospitalizations for ischemic heart disease. Additional research is needed to determine whether differences in specialty referral patterns, patients’ treatment preferences, or outpatient management may explain some of the health disparities due to cardiovascular disease that is found among AIAN. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1235-yAuthors Stacey Jolly, University of California San Francisco, San Francisco General Hospital Department of Medicine, Division of General Internal Medicine San Francisco CA USAChi Kao, University of California San Francisco Philip R. Lee Institute for Health Policy Studies San Francisco CA USAAndrew... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3224642 Wed, 27 Jan 2010 19:59:27 +0100 3224642 http://www.medworm.com/index.php?rid=3215370&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr122522428323084%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1222-3Authors Richard L. Kravitz, UC Davis Division of General Medicine 4150 V. Street, Suite 2400 PSSB Sacramento CA 95817 USAMitchell D. Feldman, UC San Francisco Division of General Internal Medicine San Francisco CA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume -1 Journal Issue Volume -1, Online First / January, 2010 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3215370 Tue, 26 Jan 2010 07:05:45 +0100 3215370 http://www.medworm.com/index.php?rid=3215371&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F12401604l0776206%2F Conclusions  Telephone-based intervention delivered by a health educator was moderately efficacious in reducing at-risk drinking at 3 months after enrollment among older adults receiving a multi-faceted intervention in primary care settings; however, the effect was not sustained at 12 months. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1223-2Authors James C. Lin, VA Greater Los Angeles Healthcare System Special Fellowship in Advanced Geriatrics 11301 Wilshire Ave, Building 220, Room 302 Los Angeles CA 90073 USAMitchell P. Karno, UCLA Integrated Substance Abuse Programs Los Angeles CA USALingqi Tang, Semel Institute for Neuroscience and Human Behavior, UCLA Health Services Research Center Los Angeles CA USAKristen L. Barry, Univ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3215371 Tue, 26 Jan 2010 07:05:43 +0100 3215371 http://www.medworm.com/index.php?rid=3196611&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff652w5646468tv5m%2F Content Type Journal ArticleCategory Exercises in Clinical ReasoningDOI 10.1007/s11606-009-1187-2Authors Mark C. Henderson, UC Davis Medical Center Department of Internal Medicine 4150 V Street, Suite 3100 Sacramento CA 95718 USAGurpreet Dhaliwal, University of California, San Francisco and the San Francisco Veterans Affairs Medical Center Department of Medicine San Francisco CA USAStephen R. Jones, Legacy Health System and Oregon Health and Sciences University Department of Internal Medicine Portland OR USACharles Culbertson, Legacy Health System and Oregon Health and Sciences University Department of Internal Medicine Portland OR USAJudith L. Bowen, UC Davis Medical Center Department of Internal Medicine 4150 V Street, Suite 3100 Sacramento CA 95718 USA Journal Journal of Gene... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196611 Wed, 20 Jan 2010 06:47:19 +0100 3196611 http://www.medworm.com/index.php?rid=3196612&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe070168321452576%2F CONCLUSIONS  Patients prescribed RAAS inhibitors who have both diabetes and chronic kidney disease and receive potassium monitoring are less likely to experience a serious hyperkalemia-associated adverse event compared to similar patients who did not receive potassium monitoring. This evidence supports existing consensus-based guidelines. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1228-xAuthors Marsha A. Raebel, Kaiser Permanente Colorado Institute for Health Research P.O. Box 378066 Denver CO 80237 CO USAColleen Ross, Kaiser Permanente Colorado Institute for Health Research P.O. Box 378066 Denver CO 80237 CO USAStanley Xu, Kaiser Permanente Colorado Institute for Health Research P.O. Box 378066 Denver CO 80237 CO USADouglas W. Robli... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196612 Wed, 20 Jan 2010 06:47:06 +0100 3196612 http://www.medworm.com/index.php?rid=3196614&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw783342722k317u7%2F CONCLUSIONS  Only 30.4% of patients who underwent placement of a retrievable IVC filter had documented plans for filter removal. Although most patients had justifiable reasons for filter retention, 21.6% of patients had no clear contraindications to filter removal. Efforts to improve rates of filter retrieval in appropriate patients may help reduce the long-term complications of IVC filters. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1227-yAuthors John F. Mission, The University of California San Francisco School of Medicine San Francisco CA USARobert K. Kerlan, the University of California San Francisco Section of Interventional Radiology San Francisco CA USAJustin H. Tan, the University of California San Diego Department of Radiology ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196614 Wed, 20 Jan 2010 06:47:05 +0100 3196614 http://www.medworm.com/index.php?rid=3196613&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6179327560387x85%2F Abstract  Methadone is highly effective in treating opioid dependence, and it is also used as an analgesic for second-line management of chronic pain. However, recent increases in methadone-related deaths have instigated controversy about the use of this medication. In this paper, we evaluate risk factors for methadone mortality in opioid dependent and pain populations and present guidelines for initiating methadone treatment in these two populations to minimize the risk of death. Early research with methadone-maintained patients revealed that methadone fatalities occur primarily due to respiratory arrest during methadone induction and in the context of polysubstance use. Recent reports of methadone deaths emphasize chronic pain populations, methadone-related QTc prolongati... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196613 Wed, 20 Jan 2010 06:47:05 +0100 3196613 http://www.medworm.com/index.php?rid=3196615&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg11528323p360128%2F CONCLUSIONS  Primary care physicians commonly encounter reproductive age women taking category D or X medications, but may lack sufficient knowledge and time to counsel about potential teratogens and contraception to prevent fetal exposure to these drugs. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1215-2Authors David L. Eisenberg, Washington University in St. Louis School of Medicine Department of Obstetrics & Gynecology, Division of Clinical Research 4533 Clayton Ave St. Louis MO 63110 USACatherine Stika, Northwestern University Feinberg School of Medicine Department of Obstetrics & Gynecology Chicago IL USAAmi Desai, Northwestern University Feinberg School of Medicine Department of Internal Medicine Chicago IL USADavid Baker, Northwest... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196615 Tue, 19 Jan 2010 17:29:23 +0100 3196615 http://www.medworm.com/index.php?rid=3196616&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj2v5085368353258%2F We describe the nationwide implementation of CART at the 77 VA hospitals which perform cardiac catheterizations in three phases: (1) strategic collaborations; (2) installation; and (3) adoption. Throughout implementation, success required a careful balance of technical, clinical, and organizational factors. We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care. Content Type Journal ArticleCategory PerspectivesDOI 10.1007/s11606-009-1130-6Authors Tamára L. Box, Cardiovascular Outcomes Research VA Eastern Colorado Health Care System 1055 Clermont Street (111B) Denver CO 80220 USAMary McDonell, VA Puget Sound Health Care System Seattle WA USAChristian D.... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196616 Fri, 15 Jan 2010 07:05:49 +0100 3196616 http://www.medworm.com/index.php?rid=3196618&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh20878682h3q5161%2F CONCLUSIONS  Uptake of the family intervention failed due to barriers from all stakeholders. Families did not respond to the mailer, patients were concerned about privacy and burdening family, clinicians had misperceptions of family-patient contact, and organizations did not free up time or offer incentives to provide the service. If a full partnership with patients and families is to be achieved, these barriers will need to be addressed, and a family-friendly environment will need to be supported by clinicians and their organizations. Applicability to family involvement in other disorders is discussed. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1136-0Authors Amy N. Cohen, VA Desert Pacific Mental Health Research, Education and Clinic... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196618 Fri, 15 Jan 2010 07:05:46 +0100 3196618 http://www.medworm.com/index.php?rid=3196617&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr431vml267k72371%2F We present a conceptual framework that highlights three broad areas to be considered if health-care professionals are to comprehensively evaluate readiness that includes psychological factors (i.e., characteristics of those being asked to change), structural factors (i.e., circumstances under which the change is occurring) as well as the level of analysis (i.e., individual and organizational levels). We also describe more specific dimensions within each of these broad categories that have both empirical and theoretical support, presenting several valid and reliable survey instruments that measure key dimensions of readiness quantitatively. Content Type Journal ArticleCategory PerspectivesDOI 10.1007/s11606-009-1112-8Authors Daniel T. Holt, Air Force Institute of Technology, AFIT/... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196617 Fri, 15 Jan 2010 07:05:46 +0100 3196617 http://www.medworm.com/index.php?rid=3196619&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F147325371606lt51%2F CONCLUSIONS  Our review of the implementation research progress in the VA revealed interdependency on an HIT infrastructure and research-based development. Collaboration with multiple stakeholders is a key factor in successful use and development of HIT in implementation research efforts and in advancing evidence-based practice. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1144-0Authors Denise M. Hynes, Edward Hines, Jr. VA Hospital VA Information Resource Center Hines IL USATimothy Weddle, Edward Hines, Jr. VA Hospital VA Information Resource Center Hines IL USANina Smith, VA Greater Los Angeles Healthcare System Los Angeles CA USAErika Whittier, Edward Hines, Jr. VA Hospital VA Information Resource Center Hines IL USADavid Atkins, Healt... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196619 Fri, 15 Jan 2010 07:05:35 +0100 3196619 http://www.medworm.com/index.php?rid=3196621&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F04801716770350g8%2F Conclusion  These lessons are applicable to other PHR systems and the conduct of PHR research across different organizational contexts. Content Type Journal ArticleCategory PerspectivesDOI 10.1007/s11606-009-1114-6Authors Kim M. Nazi, US Department of Veterans Affairs Veterans and Consumers Health Informatics Office, Office of Health Information, Veterans Health Administration Washington DC USATimothy P. Hogan, US Department of Veterans Affairs Health Services Research and Development Center for Management of Complex Chronic Care Hines IL USATodd H. Wagner, US Department of Veterans Affairs Veterans Affairs Palo Alto Healthcare System, Veterans Health Administration Palo Alto CA USAD. Keith McInnes, US Department of Veterans Affairs HIV/Hepatitis Quality Enhancement Rese... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196621 Fri, 15 Jan 2010 07:05:34 +0100 3196621 http://www.medworm.com/index.php?rid=3196620&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg0576h83305t1g30%2F We describe women veterans’ health and health-care use, note how VA care is organized to meet their needs, report gender differences in quality, highlight national plans for women veterans’ quality improvement, and discuss VA women’s health research. We then discuss challenges and potential solutions for increasing representation of women veterans in VA research, including steps for implementation research. Content Type Journal ArticleCategory PerspectiveDOI 10.1007/s11606-009-1116-4Authors Elizabeth M. Yano, VA Greater Los Angeles HSR&D Center of Excellence Mailcode 152, 16111 Plummer Street Sepulveda CA 91343 USAPatricia Hayes, Women Veterans Health Strategic Health Care Group, Office of Public Health & Environmental Hazards U.S. Department of Veterans Affairs Washington DC... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196620 Fri, 15 Jan 2010 07:05:34 +0100 3196620 http://www.medworm.com/index.php?rid=3196622&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff4345666563635m6%2F CONCLUSION  A large proportion of inpatient nursing staff can rapidly be trained to deliver tobacco cessation interventions to inpatients resulting in increased provision of services. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1075-9Authors Sonia A. Duffy, Ann Arbor VA Center for Clinical Management Research (11H) 2215 Fuller Rd. Ann Arbor MI 48105 USACarrie A. Karvonen-Gutierrez, Ann Arbor VA Center for Clinical Management Research (11H) 2215 Fuller Rd. Ann Arbor MI 48105 USALee A. Ewing, Ann Arbor VA Center for Clinical Management Research (11H) 2215 Fuller Rd. Ann Arbor MI 48105 USAPatricia M. Smith, Northern Ontario School of Medicine, Human Sciences Division Thunder Bay ON CanadaVeterans Integrated Services Network (VISN) 11 Tobacco... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196622 Fri, 15 Jan 2010 07:05:30 +0100 3196622 http://www.medworm.com/index.php?rid=3196624&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn0905082634whv57%2F CONCLUSIONS  The brief alcohol counseling clinical reminder was used for a majority of patients with unhealthy alcohol use and associated with a moderate decrease in drinking at follow-up. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1100-zAuthors Emily C. Williams, Veterans Affairs (VA) Puget Sound Health Care System Northwest Center of Excellence for Health Services Research & Development Seattle WA USAGwen Lapham, Veterans Affairs (VA) Puget Sound Health Care System Northwest Center of Excellence for Health Services Research & Development Seattle WA USACarol E. Achtmeyer, Veterans Affairs (VA) Puget Sound Health Care System Northwest Center of Excellence for Health Services Research & Development Seattle WA USABryan Volpp, VA Northern C... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196624 Fri, 15 Jan 2010 07:05:29 +0100 3196624 http://www.medworm.com/index.php?rid=3196623&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx2h378k210456598%2F CONCLUSIONS  Collaboratives that bring together clinicians, program leaders, and researchers may be useful for fostering complex change involving interdisciplinary teams. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1125-3Authors Carmen Hall, VA Medical Center Center for Chronic Disease Outcomes Research (152/2E) One Veterans Drive Minneapolis MN 55417 USABarbara Sigford, VA Medical Center Center for Chronic Disease Outcomes Research (152/2E) One Veterans Drive Minneapolis MN 55417 USANina Sayer, VA Medical Center Center for Chronic Disease Outcomes Research (152/2E) One Veterans Drive Minneapolis MN 55417 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 25 Journ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196623 Fri, 15 Jan 2010 07:05:29 +0100 3196623 http://www.medworm.com/index.php?rid=3196625&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F66416353l111578n%2F Conclusion  We conclude with a discussion of lessons learned that we believe would apply to similar initiatives elsewhere, even if they address different clinical issues in health care settings with different organizational structures. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1155-xAuthors George L. Jackson, Durham Veterans Affairs Medical Center Health Services Research & Development (HSR&D) Center for Health Services Research in Primary Care Durham NC USAAdam A. Powell, Minneapolis Veterans Affairs Medical Center HSR&D Center for Chronic Disease Outcomes Research Minneapolis MN USADiana L. Ordin, Veterans Health Administration Central Office Office of Quality and Performance Washington DC USAJames E. Schlosser, Veterans Affairs New E... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196625 Fri, 15 Jan 2010 07:05:27 +0100 3196625 http://www.medworm.com/index.php?rid=3196626&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm6031774m024t4w0%2F Abstract  While many patient self-management (PSM) programs have been developed and evaluated for effectiveness, less effort has been devoted to translating and systematically delivering PSM in primary and specialty care. Therefore, the purpose of this paper is to review delivery system design considerations for implementing self-management programs in practice. As lessons are learned about implementing PSM programs in Veterans Health Administration (VHA), resource allocation by healthcare organization for formatting PSM programs, providing patient access, facilitating PSM, and incorporating support tools to foster PSM among its consumers can be refined and tailored. Redesigning the system to deliver and support PSM will be important as implementation researchers translate ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196626 Fri, 15 Jan 2010 07:05:25 +0100 3196626 http://www.medworm.com/index.php?rid=3196627&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F51h3x64300u81855%2F CONCLUSIONS  Motivation for change, organizational climate, staff perceptions and beliefs, and prior experience with change efforts contribute to readiness for change in specialty mental health. Sites with less readiness for change may require more flexibility in the implementation of a quality improvement intervention. We suggest that uptake of evidence-based practices can be enhanced by tailoring implementation efforts to the strengths and deficiencies of the organizations that are implementing quality improvement changes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1133-3Authors Alison B. Hamilton, VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC) Los Angeles CA USAAmy N. Cohen, VA Desert Pacific Ment... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196627 Fri, 15 Jan 2010 07:05:24 +0100 3196627 http://www.medworm.com/index.php?rid=3196628&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc72x012411t77q7t%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1149-8Authors David Atkins, Health Services Research and Development Service (124Q) Department of Veterans Affairs 810 Vermont Avenue, NW Washington DC 20420 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 25 Journal Issue Volume 25, Supplement 1 / January, 2010 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196628 Fri, 15 Jan 2010 07:05:23 +0100 3196628 http://www.medworm.com/index.php?rid=3196629&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F47714564747n2382%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1146-yAuthors Jeff Whittle, Clement J. Zablocki VA Medical Center Primary Care Division Mailstop 00 (PC), 5000 W National Avenue Milwaukee WI 53295 USAJodi B. Segal, Johns Hopkins University School of Medicine Department of Medicine, Division of General Internal Medicine Baltimore MD USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 25 Journal Issue Volume 25, Supplement 1 / January, 2010 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196629 Fri, 15 Jan 2010 07:05:22 +0100 3196629 http://www.medworm.com/index.php?rid=3196630&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk7143t600547k575%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1224-1Authors Lori A. Bastian, Medical Center Durham VA USAScott E. Sherman, VA New York Harbor Healthcare System New York NY USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196630 Fri, 15 Jan 2010 07:05:19 +0100 3196630 http://www.medworm.com/index.php?rid=3196631&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft3q6r32155732628%2F Conclusion  There are substantial racial/ethnic disparities in satisfaction with care, and these are related to objective quality measures that can be improved. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1231-2Authors Dan P. Ly, Weill Cornell Medical College New York NY 10021 USASherry A. Glied, Columbia University Mailman School of Public Health Department of Health Policy and Management New York NY 10027 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196631 Fri, 15 Jan 2010 07:05:16 +0100 3196631 http://www.medworm.com/index.php?rid=3196632&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl037h381147n3144%2F CONCLUSIONS  Residents report low levels of comfort and experience with procedures, and frequently report supervising prior to feeling comfortable. Our findings suggest a need to examine best practices for procedural supervision of trainees. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1226-zAuthors Michelle Mourad, University of California San Francisco Department of Medicine, Division of Hospital Medicine 533 Parnassus Ave Box 0131 San Francisco CA 94143 USAJeffrey Kohlwes, University of San Francisco California Department of Medicine, Division of General Internal Medicine San Francisco USAJudith Maselli, University of California San Francisco Department of Medicine, Division of Hospital Medicine 533 Parnassus Ave Box 0131 San Francisc... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3196632 Fri, 15 Jan 2010 00:47:25 +0100 3196632 http://www.medworm.com/index.php?rid=3170396&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn7703263g765mv48%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1220-5Authors Carol Levine, United Hospital Fund Director, Families and Health Care Project 350 Fifth Avenue, 23rd Floor New York NY 10118 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3170396 Mon, 11 Jan 2010 18:23:44 +0100 3170396 http://www.medworm.com/index.php?rid=3162801&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd7427r3717110213%2F Abstract  Family caregivers play a major role in maximizing the health and quality of life of more than 30 million individuals with acute and chronic illness. Patients depend on family caregivers for assistance with daily activities, managing complex care, navigating the health care system, and communicating with health care professionals. Physical, emotional and financial stress may increase caregiver vulnerability to injury and illness. Geographically distant family caregivers and health professionals in the role of family caregivers may suffer additional burdens. Physician recognition of the value of the caregiver role may contribute to a positive caregiving experience and decrease rates of patient hospitalization and institutionalization. However, physicians may face et... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3162801 Sat, 09 Jan 2010 08:26:41 +0100 3162801 http://www.medworm.com/index.php?rid=3162802&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl807574504705296%2F Conclusions  Benefit designers should consider reversing the trend of copayment increases for services considered to be indicators of high quality care. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1219-yAuthors Michael Chernew, Harvard Medical School Department of Health Care Policy 180 Longwood Ave Boston MA 02115 USATeresa B. Gibson, Thomson Reuters (Healthcare) Health Outcomes 777 E. Eisenhower Parkway Ann Arbor MI 48108 USAA. Mark Fendrick, University of Michigan Departments of Internal Medicine and Health Management & Policy 300 North Ingalls Building Room 7E06 Ann Arbor MI 48109-0429 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3162802 Thu, 07 Jan 2010 22:24:41 +0100 3162802 http://www.medworm.com/index.php?rid=3155430&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F06553q4p64053323%2F Content Type Journal ArticleCategory Clinical ImageDOI 10.1007/s11606-009-1200-9Authors Michele B. Baron, San Francisco VA Medical Center San Francisco CA USALee A. Jennings, San Francisco VA Medical Center San Francisco CA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3155430 Tue, 05 Jan 2010 17:02:48 +0100 3155430 http://www.medworm.com/index.php?rid=3155431&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh6g11u6628644600%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1213-4Authors Daniel Becker, University of Virginia School of Medicine Center for Biomedical Ethics and Humanities Box 800761 Charlottesville VA 22908 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3155431 Tue, 05 Jan 2010 06:50:37 +0100 3155431 http://www.medworm.com/index.php?rid=3155432&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy47r52m41t733267%2F Conclusions  This study shows that education level, accessibility of care and patients’ perceived needs for care are more strongly associated with the delivery of guideline-concordant care for anxiety or depression than clinical need factors. Initiatives to improve GPs’ communication skills around mental health issues, and to improve recognition of people suffering from anxiety disorders, could increase the number of patients receiving treatment for depression and anxiety in primary care. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1216-1Authors Marijn A. Prins, Netherlands Institute for Health Services Research NIVEL PO box 1568 3500 BN Utrecht The NetherlandsPeter F. M. Verhaak, Netherlands Institute for Health Services Research ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3155432 Mon, 04 Jan 2010 18:01:40 +0100 3155432 http://www.medworm.com/index.php?rid=3155433&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy448688770046673%2F Conclusions  Higher doses (≥50 mg/day) of opioids for chronic non-cancer pain were associated with a 2.00 increase in risk of fracture confirmed by medical record review. Clinicians should consider fracture risk when prescribing higher-dose opioid therapy for older adults. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1218-zAuthors Kathleen W. Saunders, Group Health Research Institute 1730 Minor Avenue, Suite 1600 Seattle WA 98101 USAKate M. Dunn, Keele University Arthritis Research Campaign National Primary Care Centre Keele UKJoseph O. Merrill, University of Washington Department of Medicine Seattle WA USAMark Sullivan, University of Washington Department of Psychiatry and Behavioral Sciences Seattle WA USAConstance Weisner, North... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3155433 Mon, 04 Jan 2010 18:01:39 +0100 3155433 http://www.medworm.com/index.php?rid=3155434&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp79304875t53046g%2F CONCLUSIONS  More resources are needed to lower financial barriers complicating HBV care and encourage providing guideline-recommended screenings. Other providers can help promote HBV screening and increase community and cultural awareness. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1204-5Authors Jessica P. Hwang, The University of Texas M.D. Anderson Cancer Center Department General Internal Medicine, Ambulatory Treatment & Emergency Care 1515 Holcombe Blvd. Box 1465 Houston TX 77030 USAAimee K. Roundtree, The University of Texas M.D. Anderson Cancer Center Department General Internal Medicine, Ambulatory Treatment & Emergency Care 1515 Holcombe Blvd. Box 1465 Houston TX 77030 USAJoan C. Engebretson, The University of Texas School of ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3155434 Mon, 04 Jan 2010 18:01:36 +0100 3155434 http://www.medworm.com/index.php?rid=3121840&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj02w23143245j24r%2F CONCLUSIONS  There is a gap between policy-makers’ expectation of, and clinical practitioners’ experience with, current electronic medical records’ ability to support coordination of care. Policymakers could expand current health information technology policies to support assessment of how well the technology facilitates tasks necessary for coordination. By reforming payment policy to include care coordination, policymakers could encourage the evolution of EMR technology to include capabilities that support coordination, for example, allowing for inter-practice data exchange and multi-provider clinical decision support. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1195-2Authors Ann S. O’Malley, Center for Studying Health System ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3121840 Wed, 23 Dec 2009 22:59:42 +0100 3121840 http://www.medworm.com/index.php?rid=3121842&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9v80v7x23r668670%2F Conclusions  Contrary to our hypotheses, use of first person plural was not associated with higher ratings of provider communication, probably because some of these statements were overtly persuasive, indirect, or ambiguous. Physicians should become aware of benefits and pitfalls of using the first person plural with patients. Further research is needed to determine the most effective methods through which providers can build alliances with patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1178-3Authors Helen Kinsman, Johns Hopkins University 2024 East Monument Street, Room 2-521 Baltimore MD 21287 USADebra Roter, Johns Hopkins University 2024 East Monument Street, Room 2-521 Baltimore MD 21287 USAGail Berkenblit, Johns Hopkins Univ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3121842 Wed, 23 Dec 2009 22:59:40 +0100 3121842 http://www.medworm.com/index.php?rid=3121841&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr425310557p6210j%2F Conclusions  Patients with HDHPs reported heightened sensitivity to health care costs, and described important barriers to their ability to make effective choices. Helping such patients make optimal decisions will likely require systems-level changes that involve clinicians and health insurers. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1184-5Authors Tracy A. Lieu, Center for Child Health Care Studies 133 Brookline Ave., 6th Floor Boston MA USAJeffrey L. Solomon, ENRM Veterans Affairs Medical Center Center for Health Quality, Outcomes and Economic Research Boston MA USAJames E. Sabin, Harvard Medical School and Harvard Pilgrim Health Care Institute Department of Population Medicine 133 Brookline Ave., 6th Floor Boston MA USAJeffrey T. K... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3121841 Wed, 23 Dec 2009 22:59:40 +0100 3121841 http://www.medworm.com/index.php?rid=3121843&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1602g85371r24623%2F CONCLUSION  Guided Care improves self-reported quality of chronic health care for multi-morbid older persons. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1192-5Authors Cynthia M. Boyd, Johns Hopkins Bloomberg School of Public Health Baltimore MD USALisa Reider, Johns Hopkins Bloomberg School of Public Health Baltimore MD USAKatherine Frey, Johns Hopkins Bloomberg School of Public Health Baltimore MD USADaniel Scharfstein, Johns Hopkins Bloomberg School of Public Health Baltimore MD USABruce Leff, Johns Hopkins Bloomberg School of Public Health Baltimore MD USAJennifer Wolff, Johns Hopkins Bloomberg School of Public Health Baltimore MD USACarol Groves, Kaiser-Permanente Mid-Atlantic States Rockville MD USALya Karm, Kaiser-Permanente Mid-Atl... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3121843 Wed, 23 Dec 2009 22:59:39 +0100 3121843 http://www.medworm.com/index.php?rid=3106536&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu876h3v707k35364%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11606-009-1212-5Authors David G. Bundy, Johns Hopkins University School of Medicine 600 N Wolfe St., CMSC 2–121 Baltimore MD 21287 USAGreg Randolph, University of North Carolina School of Medicine Chapel Hill NC USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106536 Fri, 18 Dec 2009 07:16:26 +0100 3106536 http://www.medworm.com/index.php?rid=3106537&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkr283u783052k26p%2F Content Type Journal ArticleCategory UpdatesDOI 10.1007/s11606-009-1199-yAuthors Judith M. E. Walsh, University of California Division of General Internal Medicine, Women’s Health Clinical Research Center San Francisco CA USAMary S. Beattie, University of California Division of General Internal Medicine, Women’s Health Clinical Research Center San Francisco CA USAPamela Charney, Cornell University School of Medicine Ithaca NY USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106537 Fri, 18 Dec 2009 07:16:25 +0100 3106537 http://www.medworm.com/index.php?rid=3106538&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl3u714583703r8j6%2F Abstract  For over a century, Leo Tolstoy’s The Death of Ivan Ilych has been one of the most influential examinations of how we come to terms with our own mortality. Of the many who care for Ivan Ilych, only the uneducated peasant, Gerasim, is able to help him find meaning and resolution before death. An excerpt that describes Gerasim’s key interaction with Ivan Ilych is provided. Analysis of the text reveals how cultural values may hinder a patient’s ability to confront mortality and how unique social barriers inhibit different caretakers’ ability to care for a dying patient. Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1177-4Authors Blake Charlton, Stanford University School of Medicine Department of Internal Medicine Stanford USAAbra... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106538 Thu, 17 Dec 2009 07:07:42 +0100 3106538 http://www.medworm.com/index.php?rid=3106540&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3530332783634161%2F Content Type Journal ArticleCategory From the Editor's DeskDOI 10.1007/s11606-009-1189-0Authors Mitchell D. Feldman, University of California Division of General Internal Medicine San Francisco CA USARichard L. Kravitz, University of California Division of General Internal Medicine San Francisco CA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106540 Thu, 17 Dec 2009 07:07:40 +0100 3106540 http://www.medworm.com/index.php?rid=3106539&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1v1897q44t5k604%2F Content Type Journal ArticleDOI 10.1007/s11606-009-1185-4Authors Mark Henderson, University of California Davis Medical Center Department of Internal Medicine Sacramento CA USACraig Keenan, University of California Davis Medical Center Department of Internal Medicine Sacramento CA USAJeff Kohlwes, San Francisco and the San Francisco Veterans Affairs Medical Center Department of Medicine, University of California San Francisco CA USAGupreet Dhaliwal, San Francisco and the San Francisco Veterans Affairs Medical Center Department of Medicine, University of California San Francisco CA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106539 Thu, 17 Dec 2009 07:07:40 +0100 3106539 http://www.medworm.com/index.php?rid=3106542&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa8093454k5241h36%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1186-3Authors Karen E. Hauer, University of California Department of Medicine 533 Parnassus Ave, U113A Box 0131 San Francisco CA 94143-0131 USAMaxine A. Papadakis, University of California Department of Medicine 533 Parnassus Ave, U113A Box 0131 San Francisco CA 94143-0131 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106542 Thu, 17 Dec 2009 07:07:39 +0100 3106542 http://www.medworm.com/index.php?rid=3106541&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj21330824081385r%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1181-8Authors William H. Shrank, Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women’s Hospital Boston MA USAJennifer M. Polinski, Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women’s Hospital Boston MA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3106541 Thu, 17 Dec 2009 07:07:39 +0100 3106541 http://www.medworm.com/index.php?rid=3099273&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq319513l48356l46%2F CONCLUSIONS  Empathy measured by a self-administered scale decreased, whereas observed empathy increased among medical students with more medical training. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1193-4Authors Daniel C. R. Chen, Boston University School of Medicine Section of General Internal Medicine, Evans Department of Medicine 801 Massachusetts Avenue, 2nd Floor Boston MA 02118 USAM. Elaine Pahilan, Boston University School of Medicine Office of Medical Education Boston MA USAJay D. Orlander, Boston University School of Medicine Section of General Internal Medicine, Evans Department of Medicine 801 Massachusetts Avenue, 2nd Floor Boston MA 02118 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 088... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3099273 Tue, 15 Dec 2009 07:12:24 +0100 3099273 http://www.medworm.com/index.php?rid=3099274&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0548217416tq4480%2F In this report, we present two patients seen in a community teaching hospital over a period of one year, diagnosed with IGM after histological evaluation. One patient responded well to immunosuppressive therapy, but the second patient required bilateral mastectomy due to the severe and recurrent nature of the disease. IGM is a disorder that should be considered in the evaluation of women who present with painful breast disease. We discuss the diagnosis, clinical presentation and management of IGM. Content Type Journal ArticleCategory Case Reports/Clinical VignettesDOI 10.1007/s11606-009-1207-2Authors Rakshitkumar A. Patel, University of Alabama Birmingham Health Center Montgomery Montgomery AL USAPamela Strickland, Baptist Medical Center Department of Surgery Montgomery AL USAIshw... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3099274 Tue, 15 Dec 2009 07:12:22 +0100 3099274 http://www.medworm.com/index.php?rid=3099275&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp36363x214740176%2F Conclusions  Select patient characteristics easily available shortly after admission can be used to identify a subset of patients at elevated risk of early readmission. This information may guide the efficient use of interventions to prevent readmission. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1196-1Authors Omar Hasan, Brigham and Women’s Hospital Division of General Internal Medicine 1620 Tremont Street, 3rd Floor Boston MA 02120-1613 USADavid O. Meltzer, University of Chicago Department of Medicine and Harris School of Public Policy Chicago IL USAShimon A. Shaykevich, Brigham and Women’s Hospital Division of General Internal Medicine 1620 Tremont Street, 3rd Floor Boston MA 02120-1613 USAChaim M. Bell, University of Toronto and ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3099275 Tue, 15 Dec 2009 07:12:20 +0100 3099275 http://www.medworm.com/index.php?rid=3099276&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxpj2n762146l4v11%2F CONCLUSIONS  Chart documentation underestimated pain care delivered, compared with patient report. Documented pain care processes had no relationship with pain outcomes at 1 month, but patient report of receiving care predicted clinically significant improvement. Chart review measures may not accurately reflect the pain management patients receive in primary care. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1194-3Authors Erin E. Krebs, Roudebush Veterans Affairs Medical Center Center on Implementing Evidence-Based Practice Indianapolis IN USAMatthew J. Bair, Roudebush Veterans Affairs Medical Center Center on Implementing Evidence-Based Practice Indianapolis IN USATimothy S. Carey, Cecil G. Sheps Center for Health Services Research Chape... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3099276 Tue, 15 Dec 2009 07:12:19 +0100 3099276 http://www.medworm.com/index.php?rid=3088273&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F63v620224130w646%2F Content Type Journal ArticleCategory EditorialsDOI 10.1007/s11606-006-0138-4Authors Giselle Corbie-Smith, University of North Carolina Department of Medicine Chapel Hill NC USAChandra L. Ford, University of North Carolina Department of Social Medicine, CB# 7240 School of Medicine 27599-7240 Chapel Hill NC Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, Number 4 / April, 2006 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3088273 Sat, 12 Dec 2009 14:20:10 +0100 3088273 http://www.medworm.com/index.php?rid=3088274&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm055646611x53x26%2F Abstract  The prevalence of diabetes in the U.S. Medicare population is growing at an alarming rate. From 1980 to 2004, the number of people aged 65 or older with diagnosed diabetes increased from 2.3 million to 5.8 million. According to the Centers for Medicare and Medicaid (CMS), 32% of Medicare spending is attributed to the diabetes population. Since its inception, Medicare has expanded medical coverage of monitoring devices, screening tests and visits, educational efforts, and preventive medical services for its diabetic enrollees. However, oral antidiabetic agents and insulin were excluded from reimbursement. In 2003, Congress passed the Medicare Modernization Act that includes a drug benefit to be administered either through Medicare Advantage drug plans or privately ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3088274 Sat, 12 Dec 2009 14:20:09 +0100 3088274 http://www.medworm.com/index.php?rid=3088275&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvx2q44750p2m696q%2F Content Type Journal ArticleDOI 10.1007/BF03177744 Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, Number 4 / April, 2006 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3088275 Sat, 12 Dec 2009 14:20:02 +0100 3088275 http://www.medworm.com/index.php?rid=3088276&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F41v45317q4l7u001%2F Content Type Journal ArticleCategory UpdatesDOI 10.1007/s11606-009-1209-0Authors Gerald W. Smetana, Harvard Medical School Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center Shapiro 621D, 330 Brookline Ave Boston MA USAJane S. Sillman, Harvard Medical School Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital Boston MA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3088276 Sat, 12 Dec 2009 14:20:00 +0100 3088276 http://www.medworm.com/index.php?rid=3088277&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc221r503121142j2%2F CONCLUSION  Medication-related problems are prevalent in community-residing older adults. Blacks had more medication-related problems than whites, including higher rates of nonadherence. These findings require further study to better understand racial disparities in quality medication use. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1180-9Authors Mary T. Roth, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill Division of Pharmaceutical Outcomes and Policy Campus Box 7360 Kerr Hall Chapel Hill NC 27599-7360 USADenise A. Esserman, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill Division of General Medicine and Clinical Epidemiology, School of Medicine and Department of Bi... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3088277 Fri, 11 Dec 2009 06:54:42 +0100 3088277 http://www.medworm.com/index.php?rid=3088278&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk442636108k1nx22%2F We present a case of serologically confirmed leptospirosis after bat exposure to add to the growing literature of bats as a possible source of transmission. Recognition of the common presentation of leptospirosis and Weil’s disease, and identification of animal vectors, including bats, allows for the selection of appropriate antibiotic management to aid in resolution of symptomotology. Content Type Journal ArticleCategory Case Reports/Clinical VignettesDOI 10.1007/s11606-009-1210-7Authors Neelam A. Vashi, Northwestern University Feinberg School of Medicine Department of Medicine 251 E Huron St, Galter 3-150 Chicago IL 60611 USAPavani Reddy, Northwestern University Feinberg School of Medicine Department of Medicine 251 E Huron St, Galter 3-150 Chicago IL 60611 USADiane B. Wayne, N... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3088278 Thu, 10 Dec 2009 15:23:49 +0100 3088278 http://www.medworm.com/index.php?rid=3078139&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3345162h6352615x%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1169-4Authors Idris Anderson, Crystal Springs Uplands School 400 Uplands Drive Hillsborough CA 94010 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3078139 Tue, 08 Dec 2009 06:49:06 +0100 3078139 http://www.medworm.com/index.php?rid=3066015&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9462pm27602t6r20%2F Conclusions  The prescription of four or more medications was associated with an increased risk of falls among adult diabetes patients, while no specific glucose-lowering agent was linked to increased risk. Baseline risk of falls and number of baseline medications are additional factors to consider when deciding whether to intensify diabetes treatments. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1179-2Authors Elbert S. Huang, University of Chicago Department of Medicine Chicago IL 60637 USAAndrew J. Karter, Kaiser Permanente Division of Research Oakland CA 94612 USAKirstie K. Danielson, University of Chicago Institute for Endocrine Discovery and Clinical Care Chicago IL 60637 USAE. Margaret Warton, Kaiser Permanente Division of Research... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3066015 Sat, 05 Dec 2009 08:59:43 +0100 3066015 http://www.medworm.com/index.php?rid=3066016&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq8271464453x6620%2F Content Type Journal ArticleCategory Healing ArtsDOI 10.1007/s11606-009-1175-6Authors Daniel Becker, University of Virginia School of Medicine Medicine and Public Health Sciences, Center for Biomedical Ethics and Humanities Box 800761 Charlottesville VA 22908 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3066016 Sat, 05 Dec 2009 08:59:42 +0100 3066016 http://www.medworm.com/index.php?rid=3066017&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8646093554461011%2F CONCLUSIONS  In mild to moderately severe CAP, resolution of radiographic abnormalities and resolution of symptoms scored by the patient lag behind clinical cure assessed by physicians. Monitoring a favorable disease process by routine follow-up chest radiographs seems to have no additional value above following a patient's clinical course. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1182-7Authors Anke H. W. Bruns, University Medical Center Division of Medicine, Department of Internal Medicine and Infectious Diseases P.O. Box 85500 3508 GA Utrecht The NetherlandsJan Jelrik Oosterheert, University Medical Center Division of Medicine, Department of Internal Medicine and Infectious Diseases P.O. Box 85500 3508 GA Utrecht The NetherlandsRa... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3066017 Sat, 05 Dec 2009 08:59:41 +0100 3066017 http://www.medworm.com/index.php?rid=3081655&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy7xw836l366305k4%2F CONCLUSION  Minority women, who more frequently experience unintended pregnancy, may choose tubal sterilization in response to prior experiences with an unintended pregnancy. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1197-0Authors Sonya Borrero, University of Pittsburgh School of Medicine Divison of General Internal Medicine 230 McKee Place, Suite 600 Pittsburgh PA 15213 USACharity G. Moore, University of Pittsburgh School of Medicine Divison of General Internal Medicine 230 McKee Place, Suite 600 Pittsburgh PA 15213 USALi Qin, University of Pittsburgh School of Medicine Divison of General Internal Medicine 230 McKee Place, Suite 600 Pittsburgh PA 15213 USAEleanor B. Schwarz, University of Pittsburgh School of Medicine Divison of Genera... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3081655 Sat, 05 Dec 2009 08:59:39 +0100 3081655 http://www.medworm.com/index.php?rid=3066018&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2730363540518106%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1198-zAuthors LeChauncy D. Woodard, Houston VA HSR&D Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center Health Policy and Quality Program Houston TX USALaura A. Petersen, Houston VA HSR&D Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center Health Policy and Quality Program Houston TX USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3066018 Wed, 02 Dec 2009 08:39:08 +0100 3066018 http://www.medworm.com/index.php?rid=3055374&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj4482440303l3145%2F Content Type Journal ArticleCategory EditorialDOI 10.1111/j.1525-1497.2006.0512.xAuthors Leonard E. Egede, Medical University of South Carolina Division of General Internal Medicine, Center for Health Disparities Research Charleston SC USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, Number 6 / June, 2006 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055374 Tue, 01 Dec 2009 08:42:36 +0100 3055374 http://www.medworm.com/index.php?rid=3055375&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr87g7285277r2022%2F Abstract  As educators seek confirmation of successful trainee achievement, medical education must move toward a more evidence-based approach to teaching and evaluation. Although medical training often provides physicians with a general background in biostatistics, many are not prepared to apply these skills. This can hinder clinician educators as they wish to develop, analyze and disseminate their scholarly work. This paper is intended to be a concise educational tool and guide for choosing and interpreting statistical tests aimed toward medical education assessment. It includes guidelines and examples that clinician-educators can use when analyzing and interpreting studies and when writing methods and results sections of reports. Content Type Journal ArticleCategory Rev... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055375 Tue, 01 Dec 2009 08:42:35 +0100 3055375 http://www.medworm.com/index.php?rid=3055377&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F167r75127xg45612%2F CONCLUSION: Close attention to study type, institutional sponsorship, community involvement, potential risks and benefits, and topic are essential to conceptualizing, designing, and implementing successful health research with American Indian and Alaska Native populations. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00449.xAuthors Dedra Buchwald, University of Washington Department of Medicine Seattle WA USAVeronica Mendoza-Jenkins, University of Washington School of Medicine Seattle WA USACalvin Croy, University of Colorado at Denver and Health Sciences Center American Indian and Alaska Native Programs downtown Denver CO USAHelen McGough, University of Washington Human Subjects Office Seattle WA USAMarjorie Bezdek, University of Colorado a... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055377 Tue, 01 Dec 2009 08:42:34 +0100 3055377 http://www.medworm.com/index.php?rid=3055376&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F913370102r8xj715%2F CONCLUSIONS: A substantial proportion of adult primary care appointments involve patients with chronic pain complains. Dissatisfaction with training and substantial concerns about patient self-management and about opioid prescribing suggest areas for improving medical education and postgraduate training. Emphasis on patient-centered approaches to chronic pain management, including skills for assessing risk of opioid abuse and addiction, is required. Content Type Journal ArticleCategory Innovations In EducationDOI 10.1111/j.1525-1497.2006.00412.xAuthors Carole C. Upshur, University of Massachusetts Medical School Department of Family Medicine and Community Health 55 Lake Avenue North 1655 Worcester MARoger S. Luckmann, University of Massachusetts Medical School Department of Fam... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055376 Tue, 01 Dec 2009 08:42:34 +0100 3055376 http://www.medworm.com/index.php?rid=3055378&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg465v18321374658%2F CONCLUSIONS: Unique factors contribute to trust and distrust in physicians among African-American patients. These factors should be considered in clinical practice to facilitate trust building and improve health care provided to African Americans. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00485.xAuthors Elizabeth A. Jacobs, Hospital of Cook County & Rush University Medical Center John H. Stroger, Jr. Chicago IL USAItalia Rolle, CDC National Center on Birth Defects & Developmental Disabilities Atlanta GA USACarol Estwing Ferrans, University of Illinois at Chicago College of Nursing Chicago IL USAEric E. Whitaker, Illinois Department of Public Health Chicago IL USARichard B. Warnecke, University of Illinois at Chicago School of Public Health... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055378 Tue, 01 Dec 2009 08:42:33 +0100 3055378 http://www.medworm.com/index.php?rid=3055379&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0012734760532252%2F CONCLUSIONS: The performance of the ORAI and SCORE instrument differed significantly from previous reports. Although both can reduce the use of DXA scans for screening for osteoporosis, lower sensitivities resulted in underrecognition of osteoporosis and may limit their clinical usefulness in an ethnically diverse population. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00459.xAuthors Alvah R. Cass, The University of Texas Medical Branch 301 University Blvd. 77555-1123 Galveston TXAngela J. Shepherd, The University of Texas Medical Branch 301 University Blvd. 77555-1123 Galveston TXCarol A. Carlson, The University of Texas Medical Branch 301 University Blvd. 77555-1123 Galveston TX Journal Journal of General Internal MedicineOnline IS... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055379 Tue, 01 Dec 2009 08:42:32 +0100 3055379 http://www.medworm.com/index.php?rid=3055381&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx6935590413p249n%2F CONCLUSIONS: Treatment preferences may be substantially influenced by a decision-making role. As certain roles appear to reinforce “big picture” thinking about difficult risk tradeoffs, physicians and patients should consider re-framing treatment decisions to gain new, and hopefully beneficial, perspectives. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00410.xAuthors Brian J. Zikmund-Fisher, VA Ann Arbor Healthcare System VA Health Services Research & Development Center for Practice Management and Outcomes Research Ann Arbor MI USABrianna Sarr, Center for Behavioral and Decision Sciences in Medicine 300 North Ingalls Building, Rm. 7C27 48109-0429 Ann Arbor MIAngela Fagerlin, VA Ann Arbor Healthcare System VA Health Services Research & De... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055381 Tue, 01 Dec 2009 08:42:31 +0100 3055381 http://www.medworm.com/index.php?rid=3055380&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp0558684331u2624%2F CONCLUSION: Even when physicians of study participants were provided with DXA scan results, 70% of older high-functioning women with an indication for therapy did not start or remain on an antifracture therapy. Substantial room for improvement exists in fracture prevention following a diagnosis of low BMD—especially among women with a history of falls, prior fractures, and among black women. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00468.xAuthors Kathryn M. Ryder, The University of Tennessee Health Science Center Memphis TN USARonald I. Shorr, The University of Tennessee Health Science Center Memphis TN USAFrances A. Tylavsky, The University of Tennessee Health Science Center Memphis TN USAAndrew J. Bush, The University of Tennessee H... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055380 Tue, 01 Dec 2009 08:42:31 +0100 3055380 http://www.medworm.com/index.php?rid=3055382&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn60j774533m31312%2F CONCLUSIONS: The presence of an interpreter increases the difficulty of achieving good physician-patient communication. Physicians and interpreters should be trained in the process of communication and interpretation, to minimize conversational loss and maximize the information and relational exchange with interpreted patients. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00451.xAuthors Cesar Aranguri, King Drew Medical Center 12021 South Wilmington Ave. Room 4 N3 90059 Los Angeles CABrad Davidson, MBS/Vox (a CommonHealth Company) Parsippany NJ USARobert Ramirez, Pfizer, Inc. New York NY USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, N... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055382 Tue, 01 Dec 2009 08:42:30 +0100 3055382 http://www.medworm.com/index.php?rid=3055383&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwx3r76v2r7735502%2F CONCLUSIONS: Persons who report discrimination may be less likely to receive some preventive health services. However, perceived discrimination is unlikely to account for a large portion of observed disparities in receipt of preventive care. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00413.xAuthors Amal N. Trivedi, Brigham and Women’s Hospital Division of General Medicine Boston MA USAJohn Z. Ayanian, Brigham and Women’s Hospital Division of General Medicine Boston MA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, Number 6 / June, 2006 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055383 Tue, 01 Dec 2009 08:42:29 +0100 3055383 http://www.medworm.com/index.php?rid=3055385&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F50jp646g2w1632l1%2F CONCLUSIONS: Our analyses indicate that in African American, Chinese American, Latino, and non-Hispanic white patient groups the PHQ-9 measures a common concept of depression and can be effective for the detection and monitoring of depression in these diverse populations. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00409.xAuthors Frederick Y. Huang, UCSF Department of Psychiatry 1001 Potrero Ave., Suite 7M 94110 San Francisco CAHenry Chung, Charles B. Wang Community Health Center New York NY USAKurt Kroenke, Indiana University School of Medicine Indianapolis IN USAKevin L. Delucchi, UCSF Department of Psychiatry 1001 Potrero Ave., Suite 7M 94110 San Francisco CARobert L. Spitzer, New York Psychiatric Institute Biometrics Research Department... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055385 Tue, 01 Dec 2009 08:42:28 +0100 3055385 http://www.medworm.com/index.php?rid=3055384&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd82p1672w86j3486%2F CONCLUSIONS: Survival during and after first hospitalization with HIV in the VA did not significantly differ for white and black patients, possibly indicating similar effectiveness of care for HIV. Further research is needed to understand the reasons for the lack of disparities for VA patients with HIV and whether the VA’s results could be replicated. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00452.xAuthors Thomas P. Giordano, Baylor College of Medicine Department of Medicine Houston TX USARobert O. Morgan, Baylor College of Medicine Department of Medicine Houston TX USAJennifer R. Kramer, Baylor College of Medicine Department of Medicine Houston TX USAChristine Hartman, Baylor College of Medicine Department of Medicine Houston TX USAPe... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055384 Tue, 01 Dec 2009 08:42:28 +0100 3055384 http://www.medworm.com/index.php?rid=3055386&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flp735202634h466v%2F Abstract  A 32-year-old man was elbowed in the chest while fighting for a rebound in a recreational basketball game. He fell to the ground and his chest ached from the blow. Four days later he developed more severe chest pressure with dyspnea and came to the hospital. His chest wall was tender and his pulse slow, but the remainder of his physical examination was normal. Electrocardiogram showed sinus bradycardia, first-degree atrioventricular (AV) block, and occasional isorhythmic AV dissociation, but no ischemic ST-T changes. Cardiac troponin I rose to 1.74 ng/mL (normal <0.50). The patient therefore underwent coronary angiography, showing spiral dissection of the right coronary artery with extensive thrombus filling the distal portion of the vessel. Stenting was unsucc... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055386 Tue, 01 Dec 2009 08:42:27 +0100 3055386 http://www.medworm.com/index.php?rid=3055387&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu469625818j38567%2F CONCLUSIONS: Routinely measuring pain by the 5th vital sign did not increase the quality of pain management. Patients with substantial pain documented by the 5th vital sign often had inadequate pain management. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00415.xAuthors Richard A. Mularski, UCLA School of Public Health, Health Services Veterans Affairs Greater Los Angeles Healthcare System, Department of Medicine 11301 Wilshire Blvd. mailcode 111G 90073 Los Angeles CAFoy White-Chu, Oregon Health & Science University Department of Medicine Portland OR USADevorah Overbay, Oregon Health & Science University School of Nursing Portland OR USALois Miller, Oregon Health & Science University School of Nursing Portland OR USASteven M. Asch, UCLA Schoo... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055387 Tue, 01 Dec 2009 08:42:26 +0100 3055387 http://www.medworm.com/index.php?rid=3055389&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3p75210102861417%2F CONCLUSIONS: Orthostatic hypotension is relatively common in elderly patients discharged from acute geriatric wards, but has no impact on vascular and nonvascular mortality. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00450.xAuthors Avraham Weiss, Rabin Medical Center Geriatric Department IsraelYichayaou Beloosesky, Rabin Medical Center Geriatric Department IsraelRan Kornowski, Rabin Medical Center Cardiac Catheterization Laboratories, Department of Cardiology IsraelAlexandra Yalov, Rabin Medical Center Geriatric Department IsraelJoseph Grinblat, Rabin Medical Center Geriatric Department IsraelEhud Grossman, Tel-Aviv University Internal Medicine D and Hypertension Unit, The Chaim Sheba Medical Center, Affiliated to Sackler School of Medicine... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055389 Tue, 01 Dec 2009 08:42:25 +0100 3055389 http://www.medworm.com/index.php?rid=3055388&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb866104354725252%2F Abstract  The clinical presentation of lead intoxication may vary widely and in the absence of a high clinical index of suspicion, the diagnosis may be missed. The effects of lead on mitochondrial oxidative phosphorylation and its interaction with calcium-mediated processes explain the heterogenous presentation. In this case report, the diagnosis was finally made when bilateral wrist drop developed on top of abdominal cramps and anemia. Before, ascites raised the suspicion of a tumor. Therefore, each element of the triad of unexplained anemia, abdominal cramps, and bilateral wrist (or foot) drop should lead any physician to consider the diagnosis of lead intoxication. This case also illustrates the importance of a careful and meticulous social history in patient management.... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055388 Tue, 01 Dec 2009 08:42:25 +0100 3055388 http://www.medworm.com/index.php?rid=3055390&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjuu506336277280n%2F CONCLUSIONS: Preoperative B-blocker was significantly underutilized when compared with the current guideline recommendations. Target heart rate goals were not achieved in clinical practice, and few hospitalized patients had preoperative B-blockade initiated. The lack of adherence to preoperative B-blocker recommendations in practice may be impacted by ongoing clinical questions regarding the appropriate selection of candidates for this therapy. Further efforts toward achieving guideline recommendations for preoperative B-blocker use should be focused on the subset of patients that are uniformly agreed upon to be at high risk for cardiac events. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00408.xAuthors Debra Quinn Kolodner, Columbia Unive... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055390 Tue, 01 Dec 2009 08:42:24 +0100 3055390 http://www.medworm.com/index.php?rid=3055391&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr2184256w41r433l%2F CONCLUSIONS: Individual characteristics may decrease the likelihood of quitting; however, the provision of directive, advice-oriented counseling focused on the addictive nature of nicotine, health consequences of smoking, benefits of quitting, and development of a concrete quit plan may be an important and effective facilitator of quitting among AA light smokers. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00404.xAuthors Nicole L. Nollen, University of Kansas Medical Center Department of Preventive Medicine and Public Health 3901 Rainbow Boulevard Mail Stop 1008 66160 Kansas City KSMatthew S. Mayo, University of Kansas Medical Center Department of Preventive Medicine and Public Health 3901 Rainbow Boulevard Mail Stop 1008 66160 Kansas City ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055391 Tue, 01 Dec 2009 08:42:23 +0100 3055391 http://www.medworm.com/index.php?rid=3095580&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg630h3ur35418l74%2F CONCLUSION: Providers often do not ask about medication-taking behavior, and may not use the most effective communication strategies when they do. Focusing on the ways in which providers ask about patients’ adherence to medications may improve BP control. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00397.xAuthors Barbara G. Bokhour, ENRM Veterans Hospital (152) Center for Health Quality, Outcomes and Economic Research 200 Springs Road 01730 Bedford MADan R. Berlowitz, ENRM Veterans Hospital (152) Center for Health Quality, Outcomes and Economic Research 200 Springs Road 01730 Bedford MAJudith A. Long, Philadelphia VA Center for Health Equity Research and Promotion Philadelphia PA USANancy R. Kressin, ENRM Veterans Hospital (152) Center for... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095580 Tue, 01 Dec 2009 08:42:22 +0100 3095580 http://www.medworm.com/index.php?rid=3055393&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgw5848743621t373%2F CONCLUSION: Outpatient/day hospital-based integrated treatment is a viable option for medically ill substance-abusing adults who would otherwise be hospitalized and is associated with higher than expected completion rates and low rate of complications. Co-locating the unit at a hospital and integrating extensive social supports appear to be key components to this model. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00398.xAuthors Thomas P. O'Toole, Georgetown University School of Medicine NE111 Med Dent Building, 3900 Reservoir Rd. NW 20057 Washington, DCAlicia Conde-Martel, University Hospital of Gran Canaria Dr. Negrin, Las Palmos Canary Islands SpainJ. Hunter Young, Johns Hopkins Division of General Internal Medicine Baltimore MD USAJennif... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055393 Tue, 01 Dec 2009 08:42:22 +0100 3055393 http://www.medworm.com/index.php?rid=3055392&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F945031325qx73145%2F CONCLUSIONS: Controlling for patient and health system factors, physicians’ therapeutic confidence and personal experience were important influences on mental health referral. Research is needed to determine if addressing these factors can facilitate more appropriate care. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00411.xAuthors Richard L. Kravitz, University of California Davis Center for Health Services Research in Primary Care and Department of Internal Medicine 2103 Stockton Blvd., Grange Building, Suite 2224 95817 Sacramento CAPeter Franks, University of California Davis Center for Health Services Research in Primary Care and Department of Family and Community Medicine Davis CA USAMitchell Feldman, University of California Departme... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3055392 Tue, 01 Dec 2009 08:42:22 +0100 3055392 http://www.medworm.com/index.php?rid=3095582&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff08qt61205v1u764%2F CONCLUSIONS: We found that a single item measuring the essence of patient-centeredness—the patients’ perception of being “known as a person”—is significantly and independently associated with receiving HAART, adhering to HAART, and having undetectable serum HIV RNA. These results support the hypothesis that the quality of patient-physician relationship is directly related to the health of patients. Content Type Journal ArticleCategory Populations At RiskDOI 10.1111/j.1525-1497.2006.00399.xAuthors Mary Catherine Beach, Johns Hopkins University School of Medicine Division of General Internal Medicine, Department of Medicine Baltimore MD USAJeanne Keruly, Johns Hopkins University School of Medicine Division of General Internal Medicine, Department of Medicine Baltimore M... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095582 Tue, 01 Dec 2009 08:42:20 +0100 3095582 http://www.medworm.com/index.php?rid=3095581&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp09418v4161540q3%2F CONCLUSIONS: Efforts to support personal growth during residency training include fostering supportive relationships, encouraging reflection, and recognizing interns’ core values especially in association with powerful triggers. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00383.xAuthors Rachel B. Levine, Johns Hopkins Bayview Medical Center Division of General Internal Medicine 4940 Eastern Avenue, Building B2N, Room 235 21224 Baltimore MDPaul Haidet, Houston Veterans Affairs Medical Center and Baylor College of Medicine Houston TX USADavid E. Kern, Johns Hopkins Bayview Medical Center Division of General Internal Medicine 4940 Eastern Avenue, Building B2N, Room 235 21224 Baltimore MDBrent W. Beasley, University of Missouri Kansas City MO ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095581 Tue, 01 Dec 2009 08:42:20 +0100 3095581 http://www.medworm.com/index.php?rid=3095584&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn56121213832v3m8%2F Content Type Journal ArticleDOI 10.1111/j.1525-1497.2006.00397_1.x Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, Number 6 / June, 2006 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095584 Tue, 01 Dec 2009 08:42:19 +0100 3095584 http://www.medworm.com/index.php?rid=3095583&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F714q623275046233%2F CONCLUSIONS: Blacks and whites have differing attitudes toward medical innovation. These differences are associated with significant racial differences in response to particular health care technologies. These findings suggest potentially remediable causes for racial differences in the utilization of innovative medical technologies. Content Type Journal ArticleCategory Original ArticlesDOI 10.1111/j.1525-1497.2006.00453.xAuthors Peter W. Groeneveld, Philadelphia Veterans Affairs Medical Center Center for Health Equity Research and Promotion Philadelphia PA USASeema S. Sonnad, University of Pennsylvania Leonard Davis Institute of Health Economics Philadelphia PA USAAnee K. Lee, Philadelphia Veterans Affairs Medical Center Center for Health Equity Research and Promotion Philadelph... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095583 Tue, 01 Dec 2009 08:42:19 +0100 3095583 http://www.medworm.com/index.php?rid=3095586&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm73r2494t425p268%2F Content Type Journal ArticleDOI 10.1007/BF03176443 Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 Journal Volume Volume 21 Journal Issue Volume 21, Number 6 / June, 2006 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095586 Tue, 01 Dec 2009 08:42:17 +0100 3095586 http://www.medworm.com/index.php?rid=3095585&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw57880552h8gr747%2F Abstract  Myasthenia gravis (MG) is an autoimmune disorder of the neuromuscular junction that causes muscle weakness and fatigue. Fluctuating fatigue of skeletal muscles is the key clinical feature. Late-onset MG is more frequent in elderly men and is often misdiagnosed. While involvement of oropharyngeal musculature has been described with symptoms of dysphagia and slurred speech, the presence of fluctuating dysphonia as the first symptom of late-onset MG has not been emphasized. The case of an elderly man, who demonstrated voice changes and later swallowing impairment with weight loss, is reported. This case presentation of late-onset MG emphasizes that this form of the disease should be considered in the differential diagnosis of acute onset dysphonia in elderly persons. ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095585 Tue, 01 Dec 2009 08:42:17 +0100 3095585 http://www.medworm.com/index.php?rid=3095587&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl0p30000n3r9777x%2F Conclusions  With institutional and residency changes, junior medicine clerkship students had fewer opportunities for direct care of patients and encountered a different mix of patient diagnoses. Increasingly during their junior medicine clerkship, students may not have exposure to basic medical conditions, which may affect their ability to care for future patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1191-6Authors Lee A. Lindquist, Northwestern University Feinberg School of Medicine Division of Geriatrics 750 North Lake Shore Drive, 10th floor Chicago IL 60611 USAMarianne Tschoe, Northwestern University Feinberg School of Medicine Division of Hospital Medicine 750 North Lake Shore Drive, 10th floor Chicago IL 60611 USADavid Neel... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3095587 Tue, 01 Dec 2009 08:42:15 +0100 3095587 http://www.medworm.com/index.php?rid=3032924&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc8180586ut571x22%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11606-009-1138-yAuthors Janet J. Myers, University of California Center for AIDS Prevention Studies 50 Beale Street, Suite 1300 San Francisco CA 94105 USACheryl Modica, National Association of Community Health Centers 7200 Wisconsin Ave, Suite 210 Bethesda MD 20814 USAMi-Suk Kang Dufour, University of California Center for AIDS Prevention Studies 50 Beale Street, Suite 1300 San Francisco CA 94105 USACaryn Bernstein, National Association of Community Health Centers 7200 Wisconsin Ave, Suite 210 Bethesda MD 20814 USAKathleen McNamara, National Association of Community Health Centers 7200 Wisconsin Ave, Suite 210 Bethesda MD 20814 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Sourc... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3032924 Tue, 24 Nov 2009 07:14:57 +0100 3032924 http://www.medworm.com/index.php?rid=3022010&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F38m7725631px5w44%2F Conclusions  Current California legislation fails to meet its objective of enabling uninsured patients to compare prices for hospital-based health care services. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1176-5Authors Kate Stockwell Farrell, University of Pittsburgh School of Medicine Pittsburgh PA USALeonard J. Finocchio, California HealthCare Foundation Oakland CA USAAmal N. Trivedi, Warren Alpert Medical School of Brown University Department of Community Health Providence RI USAAteev Mehrotra, University of Pittsburgh School of Medicine Pittsburgh PA USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3022010 Sat, 21 Nov 2009 09:50:04 +0100 3022010 http://www.medworm.com/index.php?rid=3022012&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg3567548k7980618%2F CONCLUSIONS  Quality measurement systems, such as those being used in pay-for-performance and public reporting programs, must consider the definitions used to identify sample populations and how such populations might differ across providers, clinical practice groups, and provider systems. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1153-zAuthors Bruce E. Landon, Harvard Medical School Department of Health Care Policy 180 Longwood Avenue Boston MA 02215 USAA. James O’Malley, Harvard Medical School Department of Health Care Policy 180 Longwood Avenue Boston MA 02215 USAThomas Keegan, Harvard Medical School Department of Health Care Policy 180 Longwood Avenue Boston MA 02215 USA Journal Journal of General Internal MedicineOnline I... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3022012 Sat, 21 Nov 2009 09:50:01 +0100 3022012 http://www.medworm.com/index.php?rid=3022011&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F91v68m2468507312%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s11606-009-1188-1Authors William M. Tierney, Indiana University School of Medicine Indianapolis IN USAMartha S. Gerrity, Oregon Health & Science University Portland OR USACindy Byrne, Regenstrief Institute, Inc Indianapolis IN USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3022011 Sat, 21 Nov 2009 09:50:01 +0100 3022011 http://www.medworm.com/index.php?rid=3016818&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe7r4160815m52tm2%2F Content Type Journal ArticleCategory Clinical ImagesDOI 10.1007/s11606-009-1167-6Authors Catherine Chin-Garcia, University of California, San Francisco Division of Geriatrics 4150 Clement St 181G San Francisco CA 94121 USAMichael Borah, California Pacific Medical Center Department of Medicine 2351 Clay St #380 San Francisco CA 94115 USAPaul Aronowitz, California Pacific Medical Center Department of Medicine 2351 Clay St #380 San Francisco CA 94115 USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3016818 Thu, 19 Nov 2009 20:02:10 +0100 3016818 http://www.medworm.com/index.php?rid=3016820&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn4m37g374355q4r2%2F Discussion  This brief, standardized hand-off training exercise improved students’ confidence and was rated highly by trained observers. Future work focuses on formal validation of the Hand-off CEX instrument. Content Type Journal ArticleCategory Innovations in EducationDOI 10.1007/s11606-009-1170-yAuthors Jeanne M. Farnan, The University of Chicago Section of Hospital Medicine, Department of Medicine 5841 South Maryland Ave., MC 2007, Room W216 Chicago IL 60637 USAJ. A. M. Paro, The University of Chicago, Pritzker School of Medicine Chicago IL USAR. M. Rodriguez, The University of Chicago, Pritzker School of Medicine Chicago IL USAS. T. Reddy, The University of Chicago Section of Hospital Medicine, Department of Medicine 5841 South Maryland Ave., MC 2007, Room W216 C... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3016820 Thu, 19 Nov 2009 07:40:26 +0100 3016820 http://www.medworm.com/index.php?rid=3016819&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn56k04r1g68700g7%2F CONCLUSIONS  Successful mentoring requires commitment and interpersonal skills of the mentor and mentee, but also a facilitating environment at academic medicine's institutions. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1165-8Authors Dario Sambunjak, Croatian Medical Journal Zagreb CroatiaSharon E. Straus, University of Toronto Department of Medicine, Li Ka Shing Knowledge Institute, St. Michael’s Hospital 30 Bond Street, Shuter 2-026 Toronto ON M5B1W8 CanadaAna Marusic, Croatian Medical Journal Zagreb Croatia Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3016819 Thu, 19 Nov 2009 07:40:26 +0100 3016819 http://www.medworm.com/index.php?rid=3011249&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj53783j828058485%2F Content Type Journal ArticleCategory Thanks to ReviewersDOI 10.1007/s11606-009-1172-9 Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3011249 Tue, 17 Nov 2009 23:29:50 +0100 3011249 http://www.medworm.com/index.php?rid=3011250&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F262877u10626676u%2F CONCLUSIONS  HIV-infected and at-risk women in this cohort have lower smoking cessation rates than the general population. Given the high prevalence of smoking, the high risk of adverse health events from smoking, and low rates of cessation, it is imperative that we increase efforts and overcome barriers to help these women quit smoking. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1150-2Authors David Goldberg, John H. Stroger, Jr Hospital of Cook County and Rush University Division of General Medicine 1901 W Harrison Street, 9th Floor, Administrative Building Chicago IL 60612 USAKathleen M. Weber, Ruth M. Rothstein CORE Center of Cook County Chicago IL USAJennifer Orsi, Sinai Urban Health Institute Chicago IL USANancy A. Hessol, Universi... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3011250 Tue, 17 Nov 2009 23:29:49 +0100 3011250 http://www.medworm.com/index.php?rid=3011251&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F95083kj6377428hp%2F CONCLUSION  EDD receipt was common but not associated with risky sexual behavior or STDs in this sample of HIV-infected and uninfected men. However, risky sexual behaviors persist in a minority of HIV-infected men, indicating ongoing need for prevention interventions. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1164-9Authors Robert L. Cook, University of Florida Departments of Epidemiology and Biostatistics and Medicine PO Box 100231 Gainesville FL 32610 USAKathleen A. McGinnis, Pittsburgh VA Healthcare System Pittsburgh PA USAJeffrey H. Samet, Boston University Boston MA USADavid A. Fiellin, Yale University New Haven CT USAMaria C. Rodriquez-Barradas, Michael E Debakey VA Medical Center and Baylor College of Medicine Houston TX USAKevin... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=3011251 Tue, 17 Nov 2009 23:29:42 +0100 3011251 http://www.medworm.com/index.php?rid=2998513&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc4p7648524648770%2F Content Type Journal ArticleCategory Distinguished ReviewersDOI 10.1007/s11606-009-1171-x Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN 0884-8734 (Source: Journal of General Internal Medicine) Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=2998513 Fri, 13 Nov 2009 18:25:36 +0100 2998513 http://www.medworm.com/index.php?rid=2991929&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm08p03nn6122x738%2F We report the case of a 47-year-old man with recurrent episodes of intractable nausea and vomiting for one year. His symptoms persisted for 4–7 days and then resolved spontaneously, only to return after periods of time ranging from one week up to a month. After an extensive workup, which failed to determine any causative explanation for his symptoms, he was diagnosed with cyclic vomiting syndrome. His episodes of vomiting were successfully terminated with the use of intranasal sumatriptan. In this case, we highlight that sumatriptan effectively aborted symptoms in an adult patient with cyclic vomiting syndrome. Increasing physicians’ awareness of adult cyclic vomiting syndrome may improve care of patients suffering from this debilitating condition. Content Type Journal Ar... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=2991929 Thu, 12 Nov 2009 18:57:14 +0100 2991929 http://www.medworm.com/index.php?rid=2987893&cid=s_35988_49_f&fid=35988&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk854688602rk5w65%2F CONCLUSIONS  Urogenital symptoms can have a marked impact on sexual functioning, everyday activities, emotional wellbeing, body image, and interpersonal relations after menopause. Clinicians may need to question women actively about these symptoms, as many are reluctant to seek help for this problem. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1135-1Authors Alison J. Huang, University of California Department of Medicine San Francisco CA USAJanis Luft, University of California Women’s Health Clinical Research Center San Francisco CA USADeborah Grady, University of California Department of Medicine San Francisco CA USAMiriam Kuppermann, University of California Medical Effectiveness Research Center for Diverse Populations San Francisco ... Journal of General Internal Medicine journals http://www.medworm.com/rss/comments.php?id=2987893 Wed, 11 Nov 2009 19:25:08 +0100 2987893