Internal Medicine

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Statistical analysis is essential to practicing modern medicine. Properly designed clinical trials are at the heart of Evidence-based medicine (EBM). The concept of EBM has evolved over the last 30 years from the work of Archie Cochran, an epidemiologist, who wrote a series of lectures in 1972 on the efficacy of medical services.

When it comes to ordering the correct test for Vitamin D, too many doctors just can't get it right, a new study found. A Seattle team found 66% of tests ordered for one type of test were made in error, delaying care and potentially putting patients at risk. But it took the laboratory specialists 2 years of trial and error--and a lot of patience--to get the doctors to order the right tests.

In the February issue of MD Magazine, our cover story takes a look at the growing world of so-called "concierge medicine." In this video, Princeton, NJ internist Simon D. Murray, MD, discusses how switching to a retainer-based model of care has affected his workflow.

Smoking rates were found to be higher in men than in women, but decreasing in both sexes – reports had indicated the rates may be increasing in young women. Previous studies have shown women become addicted to nicotine faster and have greater difficulty quitting smoking due to more intense cravings when stimulated by cues than men.

Opioids can be effective in controlling back pain, but their use carries risk of complications, misuse, and abuse. Clinicians have to decide when it is a good idea to prescribe them and when it is not.

Researchers in Scotland have shown that while diabetes is a growing problem for that country's population, patients diagnosed with the condition are living considerably longer than they would have in the past. This is particularly true for patients diagnosed with type 1 diabetes.

While suicide ideation (SI) and depression is common among individuals suffering from Chronic Obstructive Pulmonary Disease (COPD), emerging research has also discovered women with the condition disproportionately experience SI and it persists despite undergoing mental health treatment.

A group of scientists have recently discovered the method to cholera bacterium's madness: horizontal gene transfer‑stabbing and killing other bacteria to absorb their DNA. The disease, which is associated with acute watery diarrhea, is often caused by Vibrio cholera (V. cholerae) infection within the small intestine.