Prescription opioid use and opioid related deaths continue to increase nationwide. Several states have adopted legislation allowing for recreational use…
Hypertension in pregnancy
As women are becoming pregnant at older ages, hypertension in pregnancy is more commonly encountered. Pre-eclampsia affects 5% of women.…
The management of pre-existing (type 1 and type 2) diabetes mellitus in pregnancy
Diabetes mellitus is common and complicates 2–5% of pregnancies in the UK, with an increasing prevalence of pre-existing diabetes mellitus…
Divisions, Departments, and the 2018 Red Sox Baseball Team: Qualities of Leadership That Lead to Success
I am a converted Red Sox baseball fan. I grew up in New Haven, Conn, and was an ardent New…
Risk Estimation in Type 2 Myocardial Infarction and Myocardial Injury: The TARRACO Risk Score
Cardiac troponin (cTn) is the recommended and preferred biomarker for diagnosing acute myocardial infarction.1,2 The use of high-sensitivity cTn assays…
Altitude Sickness Prevention with Ibuprofen Relative to Acetazolamide
Acute mountain sickness is a common occurrence for travel to high altitudes. Although previous studies of ibuprofen have shown efficacy…
Genomics in medicine
Nearly all diseases have a genomic basis. This varies from rare ‘single-gene disorders’ such as Duchenne muscular dystrophy, to ‘complex’…
Preoperative and operative care
A huge number of surgical procedures are carried out annually. Although estimates of mortality and morbidity vary, they are generally…
Endocrine disorders in pregnancy
Endocrine disorders are a significant reason for consultation during pregnancy. Many of these conditions are common in women of fertile…
Internal Medicine Residency Program Director Burnout and Program Director Turnover: Results of a National Survey
Burnout, a work-related syndrome involving high levels of emotional exhaustion, depersonalization, and sense of reduced personal accomplishment,1 is common among…