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

Osteopathic Manipulation in Treatment of Musculoskeletal Chest Pain

Throughout most of my 29 years of practicing clinical cardiology, I was never really satisfied with treatments I employed in the treatment of musculoskeletal chest pain. This was especially true with the recognition of nonsteroidal anti-inflammatory drug complications. Now, at the end of primary clinical practice, I believe I have found a satisfactory treatment. My […]

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Mindfulness-Based Laboratory Reduction: Reducing Utilization Through Trainee-Led Daily ‘Time Outs’

Overuse of laboratory investigations is widely prevalent in hospitalized patients, leads to discomfort, and increases direct and indirect costs. Objective We implemented a simple, inexpensive, mindfulness strategy on our inpatient medical clinical teaching unit to reduce unnecessary laboratory orders through education, a forcing function, and daily structured laboratory “time outs.” Methods On a 26-bed unit […]

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Predicting Falls in People Aged 65 Years and Older from Insurance Claims

Accidental falls among people aged 65 years and older caused approximately 2,700,000 injuries, 27,000 deaths, and cost more than 34 billion dollars in the US annually in recent years. Here, we derive and validate a predictive model for falls based on a retrospective cohort of those 65 years and older. Methods Insurance claims from a […]

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Recurrent Pneumothoraces: Making the Link to Catamenial Pneumothorax

A 44-year-old woman with history of endometriosis on ovulatory suppressant therapy and right spontaneous pneumothorax treated with tube thoracostomy 2 months prior, presented with dyspnea and pleuritic chest pain. Physical examination was remarkable for decreased breath sounds and hyperresonance over the right hemithorax. Her labs were unremarkable. Chest radiography revealed a right pneumothorax (Figure 1). Her […]

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Trends of Cannabis Use Disorder Among Inpatients (video)

As states legalize medical and recreational use of marijuana, hospitals are seeing an increase in inpatients who are marijuana users. The most common co-morbidities among marijuana users are psychiatric disease and alcoholism. There has been an increase in older, sicker patients using cannabis, most likely due to the advent of medical marijuana in many states. […]

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