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The Write Stuff:How Good Writing Can Enhance Patient Care and Professional Growth

Life is short,said Hippocrates,the art long. Human lifespan has lengthened substantially in the 2400 years since the Father of Medicine wrote,but these gains have been dwarfed by the explosive discoveries that have revolutionized the art and science of medicine. The American Journal of Medicine

Philematology:The Science of Kissing. A Message for the Marital Month of June

A friend recently sent me a list of “kissing facts” taken from an Internet website. Having reviewed this list,it occurred to me that the information was not necessarily evidence-based. Nevertheless,because it is now June,a time when many marriages occur,I decided to examine Internet sources and provide the readers of the Journal [...]

Breast Cancer Screening:The Paradigm Shifts (Finally)

See Related Article p. 472 The American Journal of Medicine

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The American Journal of Medicine

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The American Journal of Medicine

Guidelines for Writing Department of Medicine Summary Letters

Medical students pursuing an internal medicine residency position often require a department of medicine (DOM) letter,also known as a “chair’s letter” for their residency applications. DOM letters have the potential to provide important information about student attributes from the perspective of experienced internal medicine educators,but this potential is often unfulfilled. In a 2012 [...]

A New Decline in Hospitalization with Atrial Fibrillation among the Elderly

Abstract:Background:Recent studies of atrial fibrillation within the United States showed an increase in the number and rate of hospitalization and death from 1979 to 1999. We tested the hypothesis that the trends in hospitalization and death with atrial fibrillation would be upward and similar from 1999 to 2009.

Methods:We examined data for [...]

Lead,Mercury,and Arsenic Poisoning Due to Topical Use of Traditional Chinese Medicines

Abstract:Background:Metal poisonings through a mucocutaneous route are reported rarely in the literature.

Methods:We report 2 cases of heavy metal intoxication from inappropriate use of Chinese mineral medicines confirmed by toxicologic investigations.

Results:A 51-year-old man developed perianal gangrene and a high fever after a 2-week anal use of hong-dan herbal mixtures for [...]

The Reply

Antithrombotic therapies are important treatments for patients with both myocardial infarction and atrial fibrillation,and recent guidelines recommend dual antiplatelet therapy plus oral anticoagulation after coronary stenting. Nevertheless,as highlighted by Argulian in his letter,all antithrombotic agents increase bleeding risk,so the challenge lies in combining antiplatelet agents and oral anticoagulants with a favorable [...]

Atrial Fibrillation and Acute Myocardial Infarction:Antithrombotic Therapy and Outcomes

The study by Lopes et al,which is based on the data from the National Cardiovascular Data Registry,addresses an important issue of antithrombotic therapy in patients with coexisting atrial fibrillation and myocardial infarction. The study suggests that the pattern of antithrombotic therapy on discharge is highly variable in those patients,with only 15% receiving [...]