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…
Drugs, the thyroid and the heart: a lethal cocktail
A 53 year old man was referred for evaluation of a raised International Normalised Ratio (INR) blood result. He had…
The Association Between Serum Calcium Levels and Short-Term Mortality in Patients with Chronic Heart Failure
Patients with chronic heart failure have vulnerable myocardial function and are susceptible to electrolyte disturbances. In these patients, diuretic treatment…