Journal of Translational Internal Medicine: Birth at the right moment

2013 ◽  
Vol 1 (1) ◽  
pp. 3
Author(s):  
Jian Kang
Keyword(s):  
Internal Medicine ◽  
The Right

scholarly journals The Niguarda MEWS, a new and refined tool to determine criticality and instability in Internal Medicine Ward and Emergency Medicine Unit

2017 ◽  
Vol 11 (3) ◽  
pp. 310
Author(s):  
Fabrizio Colombo ◽  
Lucia Taurino ◽  
Giulia Colombo ◽  
Massimo Amato ◽  
Salvatore Rizzo ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Early Warning ◽  
Primary Outcome ◽  
Area Under The Curve ◽  
Warning System ◽  
Early Warning Score ◽  
Secondary Outcome ◽  
Internal Medicine Ward ◽  
Level Of Consciousness ◽  
The Right

This study compares the effect of the modified early warning score (MEWS) <em>versus</em> a new early warning system (Niguarda MEWS) for detecting instability and criticality in hospital medical departments. A retrospective observational study was conducted in the Internal Medicine ward of Niguarda Ca’ Granda Hospital in Milan between November 2013 and October 2014. MEWS and Niguarda-MEWS were gathered using: systolic blood pressure, respiratory frequency, heart rate, temperature, level of consciousness, oxygen saturation, creatinine level, hematocrit level and age. In order to determine if the patient was critical or not the MEWS criticality cut-off value chosen was 3, while in the Niguarda MEWS it was 6. The primary outcome was the correlation between the critical level of the two scores and in-hospital mortality. The secondary endpoint was the correlation between a specific disease and the two scores. In the study, 471 patients were included, using both the MEWS and the Niguarda MEWS score at admittance: 33.4% of patients turned out to be critically ill using the former, 40.98% when using the latter. Therefore, the specificity of scores was 70% for MEWS and 73% for Niguarda MEWS, the sensitivity 58% for MEWS and 63% for Niguarda MEWS, Niguarda MEWS area under the curve (AUC): 0.736, MEWS AUC: 0.670. For the secondary outcome, the new score is higher for genitourinary and respiratory diseases. Niguarda-MEWS could be an optimal tool to detect criticality and instability in order to address the patient to the right level of care.

The New Internal Medicine Fellowship Match Timeline: A Change in the Right Direction

2014 ◽  
Vol 127 (11) ◽  
pp. 1132-1136 ◽  
Author(s):  
Steven Angus ◽  
Michael Adams ◽  
Lisa L. Willett ◽  
Sara L. Swenson ◽  
Saima I. Chaudhry ◽  
...  
Keyword(s):  
Internal Medicine ◽  
The Right

scholarly journals Changes in the end part of the QRS complex and the ST-T segment in patients with coronavirus infection

2021 ◽  
Vol 40 (1) ◽  
pp. 19-25
Author(s):  
Ekaterina O. Ryadnova ◽  
Viktor P. Kitsyshin ◽  
Vladimir V. Salukhov ◽  
Aleksandr A. Сhugunov
Keyword(s):  
Internal Medicine ◽  
Postgraduate Training ◽  
Mathematical Program ◽  
Underlying Disease ◽  
Irregular Shape ◽  
New Method ◽  
Qrs Complex ◽  
Coronavirus Infection ◽  
The Right

This article is devoted to the patterns of changes in the QRS complex and the ST-T segment in patients with a new coronavirus infection. The article presents the results of a comparison of electrocardiogram data in 70 patients with COVID-19 who were treated in 1st Department of Internal Medicine Postgraduate Training from April to July 2020. Each patient had at least two electrocardiograms taken (at the beginning and at the end of the disease). In the course of the work, a new method for measuring the area of the teeth P, T, QRS complex and ST-T segment was developed and described using the dynamic mathematical program GeoGebra Classic 6.0 by correlating the millimeter grids of the electrocardiogram and the program and further constructing an irregular shape taking into account the polarity of the teeth and segments. According to the study, the sum of the ST-T segment areas in all 12 leads is statistically significantly greater at the end of the disease in individuals over 30 years old. It is also significantly higher in the right thoracic leads (V1-V2) in for all ages. Probably, these changes are associated with the severity of the underlying disease and, consequently, with the overload of the right parts of the heart.

scholarly journals Effect of a high value care curriculum on standardized patient exam in the Core Clerkship in Internal Medicine

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amit K. Pahwa ◽  
Kevin Eaton ◽  
Ariella Apfel ◽  
Amanda Bertram ◽  
Rebecca Ridell ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Medical Students ◽  
Primary Outcome ◽  
Intervention Group ◽  
Cost Effective ◽  
The Core ◽  
The Right ◽  
And Control ◽  
The Impact ◽  
Core Clerkship

Abstract Background With almost 20% unnecessary spending on healthcare, there has been increasing interest in high value care defined as the best care for the patient, with the optimal result for the circumstances, delivered at the right price. The American Association of Medical Colleges recommend that medical students are proficient in concepts of cost-effective clinical practice by graduation, thus leading to curricula on high value care. However little is published on the effectiveness of these curricula on medical students’ ability to practice high value care. Methods In addition to the standard curriculum, the intervention group received two classroom sessions and three virtual patients focused on the concepts of high value care. The primary outcome was number of tests and charges for tests on standardized patients. Results 136 students enrolled in the Core Clerkship in Internal Medicine and 70 completed the high value care curriculum. There were no significant differences in ordering of appropriate tests (3.1 vs. 3.2 tests/students, p = 0.55) and inappropriate tests (1.8 vs. 2.2, p = 0.13) between the intervention and control. Students in the intervention group had significantly lower median Medicare charges ($287.59 vs. $500.86, p = 0.04) and felt their education in high value care was appropriate (81% vs. 56%, p = 0.02). Conclusions This is the first study to describe the impact of a high value care curriculum on medical students’ ordering practices. While number of inappropriate tests was not significantly different, students in the intervention group refrained from ordering expensive tests.

scholarly journals Diversity During Recruitment At An Internal Medicine Residency Program

2020 ◽  
Author(s):  
Sarwan Kumar ◽  
Deepak Gupta
Keyword(s):  
Internal Medicine ◽  
Residency Program ◽  
Internal Medicine Residency ◽  
Significant Finding ◽  
Internal Medicine Residency Program ◽  
Residency Programs ◽  
Application Service ◽  
Weak Association ◽  
Residency Application ◽  
The Right

AbstractBackgroundThe right problem for graduate medical education (GME) program directors is whether diversity in their GME programs is as good as diversity in feeder entities to their GME programs. Generally, the feeder entities to GME residency programs are their affiliated medical schools. However, the specific feeder entities to GME residency programs are the unfiltered applicants’ pool who apply to these programs through Electronic Residency Application Service® (ERAS®).ObjectivesTo analyze associations in diversity among the GME applicants, the GME interviewees and the GME residents within an internal medicine residency program assuming that unfiltered applicants’ pool is the specific feeder entity to the analyzed GME program.MethodsWe analyzed associations in age-group, gender, ethnicity and race diversity among the GME applicants, the GME interviewees and the GME residents within an internal medicine residency program for ERAS® 2018-2020 seasons to decipher Cramer’s V as association coefficients (“diversity scores”).ResultsThe only significant finding was that among Not Hispanic or Latino ethnicity applications, race of ERAS® applicants had a very weak association with them being called for interviews or them becoming residents during ERAS® 2019 season as well as during the entire three-season-period (2018-2020).ConclusionRace of Not Hispanic or Latino ethnicity ERAS® applicants had a very weak association with them being called for interviews or them becoming residents at the analyzed internal medicine residency program.

scholarly journals Pendekatan Komunikasi Terapeutik Dokter Spesialis Penyakit Dalam pada Pasien Diabetes Mellitus di Kota Kediri

2019 ◽  
Author(s):  
ROISYA NUR FARHANIA
Keyword(s):  
Internal Medicine ◽  
Diabetes Mellitus ◽  
Diagnostic Process ◽  
Therapeutic Communication ◽  
Communication Techniques ◽  
Patients With Diabetes ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
The Right ◽  
Research Author

Communication is one of the most important aspects in diagnostic process, therapy, and educating patients. The purpose of this research is to describe how therapeutic communication between internal medicine specialist and patient with diabetes mellitus in Kediri. In this research, author uses qualitative method with a qualitative descriptive approach. The way to communicate carried out by internal medicine specialists to patients with diabetes mellitus depends on the condition and personality of the patient. Besides using verbal therapeutic communication techniques, doctors also communicate nonverbally. The right communication between doctors and patients will make patients feel comfortable and can increase patient's trust. Hopefully this research can be a reference for further research.

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