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General Medicine

The original Journal Watch. Readable summaries and practical interpretation of the most recent and most important research – all from the perspective of practicing physicians.

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Thiazolidinediones and Risk for Fractures

  • Summary and Comment
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In an observational study, users of TZDs had higher risk for fractures than those taking other antidiabetes medications.

More Data on Aromatase Inhibitors for Breast Cancer

  • Summary and Comment
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Extending endocrine therapy beyond 5 years prevents some breast cancer relapses.

Should Patients Be Fed Orally After Upper GI Surgery?

  • Summary and Comment
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No difference was noted in postoperative complications with enteral-tube or oral feeding.

Multislice CT for Pulmonary Embolism Makes Leg Ultrasound Unnecessary

  • Summary and Comment
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A simplified diagnostic approach is efficient and less costly than the standard protocol.

Smoking Prevention Intervention in Adolescents

  • Summary and Comment
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A specific provider- and peer-delivered intervention raised both continuing abstinence rates among nonsmokers and cessation rates among smokers.

Studies Reveal How Influenza Virus Antigenic Variation Develops and Spreads

  • Summary and Comment
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During the past decade, influenza strains causing winter epidemics worldwide have originated in the Asian tropics.

Rapid Sequencing of an Individual’s Entire Genome

  • Summary and Comment
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Technology has surpassed our understanding of the genome — at least for the present.

Diagnostic (In)accuracy in Patients with Dyspnea

Natriuretic peptide testing adds diagnostic value to physician judgment in determining which dyspneic patients have congestive heart failure in the ED.

Gestational Diabetes: Controversies About Diagnosis and Treatment Persist

  • Summary and Comment
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Increasing maternal glucose intolerance is associated with increasing birth weight, neonatal hypoglycemia, and fetal insulin levels.

Chronic Pain Common After Pfannenstiel Incision

  • Summary and Comment
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Abdominal wall nerve entrapment was present in more than half of women with moderate-to-severe pain.

Folic Acid, B Vitamins, and Heart Disease in Women

  • Summary and Comment
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No evidence shows that supplementation is beneficial, despite lower homocysteine levels.

Browse our complete General Medicine archive >>

Editor's Picks from across Journal Watch

Is Expedited Partner Therapy for STIs Legal in Your State?

  • Women's Health
  • Summary and Comment
  • Free

EPT was determined to be legally permissible in 12 jurisdictions and probably prohibited in 13.

Which New Medications May Cause SJS or TEN?

  • Dermatology
  • Summary and Comment
  • Subscription required

A useful summary of which drugs are most likely to cause these severe adverse reactions

Warfarin: To Stop or Not to Stop?

  • Dermatology
  • Summary and Comment
  • Subscription required

In outpatients on anticoagulant therapy undergoing minor procedures, the risks for clinically significant bleeding and thromboembolic events must be considered on an individual basis.

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Journal Watch General Medicine summarizes important medical journal articles about a wide variety of medical subjects including arthritis,asthma, diabetes, genetics, heart disease, hypertension, obesity, palliative care, pneumonia, and thrombocytopenia.

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Editor-in-Chief >

Allan S. Brett, MD
Allan S. Brett, MD
Professor of Medicine and Director, Division of General Internal Medicine, University of South Carolina School of Medicine

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