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What's new in ACP Hospitalist

What's new in ACP Hospitalist and other College publications, including the cover feature on spontaneous awakening trials, coverage of medication discrepancies during the transfer between facilities, and a Success Story about how one hospitalist Web site streamlines signouts. Plus, test yourself with questions on sedation and ventilation excerpted from MKSAP 14.
https://immattersacp.org/archives/2009/10/highlights.htm
1 Oct 2009

Experts debate pros, cons of vitamin D

An obscure nutrient is now being hailed as a link to prevention of diseases as disparate as diabetes, schizophrenia, cancer, strokes and heart attacks. Experts square off on how much vitamin D can be associated with illnesses, the proper amount that people should get, and how they can get it.
https://immattersacp.org/archives/2009/11/vitamin.htm
1 Nov 2009

What to do when one expects everything to fit, but it doesn't

James Hennessey, FACP, reports on a young woman's elevated testosterone level, and how he made a diagnosis even though the lab results and imaging conflicted. Our diagnostic experts consider confirmation bias and how this internist sidestepped being misled.
https://immattersacp.org/archives/2010/01/mindful.htm
1 Jan 2010

Expert explains thyroid diagnosis, treatment and common red flags

The estimate that 25 million people have thyroid problems would double if the normal range was adjusted, as some medical societies suggest. In this Web-only feature, Victor Bernet, FACP, the author of MKSAP 15's chapter on disorders of the thyroid gland, offers his insights into management.
https://immattersacp.org/archives/2010/01/thyroid.htm
1 Jan 2010

ADA supports A1C for diabetes diagnosis

ADA supports A1C for diabetes diagnosisExpert panel updates adult immunization schedule
https://immattersacp.org/weekly/archives/2010/01/12/1.htm
12 Jan 2010

Letters to the Editor

A reader offer support for the evidence base for nutritional supplements, while another cites anecdotal evidence on the benefits of fasting.
https://immattersacp.org/archives/2010/02/letters.htm
1 Feb 2010

Practice uses ACP survey for peer review, quality improvement

True North Health Center in Maine surveyed every patient who came through their doors from March through May last year to let each if its 28 practitioners know outcomes for each provider. Proprietary surveys are expensive, so they turned to ACP's tools. The results helped those performing best to teach their peers about best practices.
https://immattersacp.org/archives/2010/02/success.htm
1 Feb 2010

MKSAP Quiz: Dyspnea during walking

A 79-year-old woman is seen for an annual examination. She is in good health except for osteopenia, for which she takes calcium and Vitamin D supplements. She walks regularly to and from the bus stop several times per week. It takes her 25 minutes to get to the bus stop whereas it only took her 10 minutes a year ago. She describes dyspnea midway in her walk, causing her to stop and catch her breath. She denies angina, presyncope, syncope, or pedal edema. Following a physical exam and lab results, what is the most appropriate option for improving this patient's quality of life?.
https://immattersacp.org/archives/2010/03/mksap.htm
1 Mar 2010

Studies show limited evidence for vitamin D

Studies show limited evidence for vitamin D Lower pay drives doctors to cut hours Successful strategies found for refusing antidepressant requests
https://immattersacp.org/weekly/archives/2010/03/02/1.htm
2 Mar 2010

Array of symptoms can point to celiac

Celiac incidence has risen since the 1950s to today, so alert internists listen to the symptoms, get to the basis, and make accurate attributions to make the right diagnosis. A constellation of symptoms can point to a common underlying condition.
https://immattersacp.org/archives/2010/04/celiac.htm
1 Apr 2010

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