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Annals of Int Med

@AnnalsofIM

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Annals publishes content to inform medical professionals and society, advance standards of medical research, and improve the health of people worldwide.

Philadelphia, PA
Joined March 2010
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@AnnalsofIM
Annals of Int Med
6 years
Tell @NRA to stay in its own lane and out of the exam room. Take a stand today! Please click and make the commitment to talk to your patients about #gunviolence Evidence shows that your counsel could save a life #ThisisMyLane #ThisIsOurLane
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@AnnalsofIM
Annals of Int Med
11 months
New Annals #InTheClinic --“Dyslipidemia”
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@AnnalsofIM
Annals of Int Med
6 years
The @NRA tells doctors to "stay in their lane" re #GunViolence . We wish we could. Instead, we pledge to talk to our patients about gun violence whenever risk factors are present. Click the link at the top of the page and join us ….
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@AnnalsofIM
Annals of Int Med
1 year
New commentary from @NIH : for patient safety, #masking should continue in healthcare settings. Full text available here:
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@AnnalsofIM
Annals of Int Med
10 months
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@AnnalsofIM
Annals of Int Med
5 months
New ‘In the Clinic’--“Management of Heart Failure in Hospitalized Patients”
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@AnnalsofIM
Annals of Int Med
6 years
@DrMFraggle @BobDohertyACP @NRA You are so right. Firearms and #dementia is an important clinical issue .
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@AnnalsofIM
Annals of Int Med
4 months
New Annals #IntheClinic details screening, prevention, treatment, and practice improvements for #osteoporosis
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@AnnalsofIM
Annals of Int Med
2 years
In a new #InTheClinic , Michael B. Rothberg provides an update on community-acquired #pneumonia :
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@AnnalsofIM
Annals of Int Med
4 years
NEW in Annals: Both surgical and cotton #masks were found to be ineffective for preventing the dissemination of SARS-CoV-2 from the coughs of patients with #COVID19 .
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@AnnalsofIM
Annals of Int Med
1 year
New In the Clinic: ‘Periprocedural Anticoagulation’
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@AnnalsofIM
Annals of Int Med
5 months
New ‘In the Clinic’--“Management of Heart Failure in Hospitalized Patients”
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@AnnalsofIM
Annals of Int Med
3 months
New #InTheClinic discusses diagnosis and management of immune-related adverse events:
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@AnnalsofIM
Annals of Int Med
5 years
NEW #AnnalsGraphicMedicine by Dr. Grace Farris ( @gracefarris ), "Dr. Mom: Doing It All" available for free . #graphicmedicine
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@AnnalsofIM
Annals of Int Med
1 year
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@AnnalsofIM
Annals of Int Med
5 years
NEW: No link found between MMR #vaccine and autism, even among children with other risk factors for #autism . Read more in the latest issue of Annals: . #measles #MMRvaccine
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@AnnalsofIM
Annals of Int Med
4 years
#Racism is often subtle, and sometimes so blatant that it stuns. The words of @QuentinYoumans are powerful: Ten years of training and . . . no coat would ever be white enough to overcome my black skin in some patients' eyes. #endracismnow
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@AnnalsofIM
Annals of Int Med
3 years
NEW research by @EricTopol and @danieloran of @ScrippsRTI , @scrippsresearch found that at least 1/3 of SARS-CoV-2 infections are asymptomatic . #COVID19
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@AnnalsofIM
Annals of Int Med
2 months
New ‘In The Clinic’ discusses the diagnosis and treatment of acute colonic diverticulitis:
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@AnnalsofIM
Annals of Int Med
8 years
Prescribing exercise may be as important as prescribing medication—perhaps more important in some cases. Learn more:
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@AnnalsofIM
Annals of Int Med
4 years
The full study on the #coronavirus incubation period is freely available in Annals: .
@DrDenaGrayson
Dena Grayson, MD, PhD
4 years
⚠️US researchers say that it takes an average of 5 days for #COVID19 symptoms (fever, cough, shortness of breath) to appear in #coronavirus -infected people. Anyone symptom-free by day 12 is unlikely to get symptoms, but may still be infectious carriers.
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@AnnalsofIM
Annals of Int Med
20 days
New review from @ACPIMPhysicians finds SGLT2 inhibitors & GLP1 agonists reduce mortality & cardiovascular events in adults with Type 2 Diabetes. Compared to usual care, they also lower CKD progression & heart failure hospitalizations: #IM2024
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@AnnalsofIM
Annals of Int Med
1 year
New Annals #InTheClinic : “Care of the Patient With Abnormal Kidney Test Results”
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Annals of Int Med
5 years
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@AnnalsofIM
Annals of Int Med
8 days
New Annals research found that SGLT2 inhibitors may lower risk for dialysis, heart issues, and more for patients with diabetes and CKD:
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@AnnalsofIM
Annals of Int Med
3 years
Study from @YaleSPH and @yorkuniversity suggests U.S. population immunity against #COVID19 still insufficient to resume pre-pandemic social behavior. Increased #vaccination needed to prevent additional waves, evolution of novel variants. @Alison_Galvani
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@AnnalsofIM
Annals of Int Med
5 years
@shannonrwatts Exactly. Gun shows in Nevada, but not California, were associated with local, short-term increases in firearm injuries in California (link: ) ? Sensible gun laws should be a national priority. #ThisisOurLane
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@AnnalsofIM
Annals of Int Med
4 years
All NEW Annals content related to #coronavirus can be found here . The entire collection is #free to the public. #COVD19 #CoronavirusPandemic
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@AnnalsofIM
Annals of Int Med
6 years
@SarabSodhi @ChelseaClinton @NRA Thank you @SarabSodhi . Patient safety is our lane. The evidence clearly shows that physicians can play an important role in keeping patients safe from gun violence .
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@AnnalsofIM
Annals of Int Med
4 years
New findings published in @AnnalsofIM : #DownSyndrome is associated with a 10-fold increased risk for #COVID19 -related death. These researchers caution that public health orgs, policymakers, & #HCWs use this evidence to protect vulnerable individuals .
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@AnnalsofIM
Annals of Int Med
4 years
Authors @NP_Jewell of @LSHTM , @jLewnard , & @brittajewell provide a cautionary warning on using the IHME Model for predicting the course of the #COVID19 pandemic. Free to the public: .
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@AnnalsofIM
Annals of Int Med
4 years
Watch @ACPinternists & Annals virtual #COVID19 Vaccine Forum: What Physicians Need to Know. Expert panel discusses evidence-based info related to the science, approval processes, and development of clinical recos for COVID-19 #vaccines . @SecretaryLevine
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@AnnalsofIM
Annals of Int Med
2 years
Annals is excited to announce a 2021 #ImpactFactor of 51.598 – our highest ever! With > 1 million monthly views every month and >2.8 billion media impressions in 2021, Annals is the most cited general internal medicine journal in the world. Thank you to our authors and reviewers.
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@AnnalsofIM
Annals of Int Med
4 years
For those still resistant to wearing masks, new research published by @McMasterU may change your mind . #COVID19
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@AnnalsofIM
Annals of Int Med
10 months
New In the Clinic: “Atrial Fibrillation”
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@AnnalsofIM
Annals of Int Med
7 years
Prescribing #exercise may be as important as prescribing medication, perhaps more important in some cases.
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@AnnalsofIM
Annals of Int Med
5 years
NEW: Evidence suggests that most nutritional #supplements and dietary interventions offer no protection against #cardiovascular disease or death .
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@AnnalsofIM
Annals of Int Med
1 year
Trending this week in Annals: ‘In the Clinic: Migraine’
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@AnnalsofIM
Annals of Int Med
1 month
A new study in Annals found that guidelines for managing high BP in hospitals are inconsistent and lack clear targets or recommendations for asymptomatic patients, potentially impacting patient care: @TimAndersonMD
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@AnnalsofIM
Annals of Int Med
1 year
New #InTheClinic : Monoclonal Gammopathy of Undetermined Significance
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@AnnalsofIM
Annals of Int Med
4 years
New evidence by researchers from @JohnsHopkinsSPH suggests that persons infected with COVID-19 may be #symptom -free for about 5 days on average, and should expect to experience symptoms within 12 days. Read more: . #COVID2019 #IDTwitter
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@AnnalsofIM
Annals of Int Med
1 year
New In the Clinic: ‘Periprocedural Anticoagulation’
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@AnnalsofIM
Annals of Int Med
11 months
Low-dose #aspirin use among elderly patients associated with 20% increased incidence of anemia & decline in blood iron levels. Monitoring advised: @MonashUni #ASPREE #PrimaryPrevention
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@AnnalsofIM
Annals of Int Med
3 months
New #InTheClinic discusses the treatment of immune-related adverse events:
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@AnnalsofIM
Annals of Int Med
29 days
New #InTheClinic discusses prevention and screening for colorectal cancer with CME and MOC activities available: #CRC #ColonCancer
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@AnnalsofIM
Annals of Int Med
2 years
The poor and underserved around the globe lost a fierce advocate. Doctor and humanitarian Paul Farmer, MD, PhD @PIH passed away this month. We were privileged to publish his thoughts on reuse of life-saving medical devices .
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@AnnalsofIM
Annals of Int Med
4 years
NEW research published today in Annals of Internal Medicine: Hydroxychloroquine in Nonhospitalized Adults With Early #COVID19 . Read more at .
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@AnnalsofIM
Annals of Int Med
4 years
NEW! Risk for #COVID19 Resurgence Related to Duration and Effectiveness of Physical Distancing in Ontario, Canada by @DFisman , @AshTuite , @AmyGreerKalisz & Steven De Keninck out now in Annals .
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@AnnalsofIM
Annals of Int Med
4 years
NEW❗ #Fecal aerosol transmission may have caused the community outbreak of #COVID19 in this high-rise building researchers investigated .
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@AnnalsofIM
Annals of Int Med
3 months
New #InTheClinic discusses diagnosis and management of immune-related adverse events:
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@AnnalsofIM
Annals of Int Med
4 years
Science does not support the use of #hydroxychloriquine for prevention of #COVID19 . See these important Practice Points from @ACPinternists
@CNN
CNN
4 years
Trump's admission that he was dosing up on hydroxychloroquine, an unproven and possibly harmful therapy to ward off the coronavirus, appears to conflict with the codes of medical science | Analysis by @stcollinson
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@AnnalsofIM
Annals of Int Med
2 years
An evocative new #GraphicMedicine by @PristineThinPen depicts a moment of connection between a clinician and patient:
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@AnnalsofIM
Annals of Int Med
3 years
Congratulations to our newest deputy editor, @vineet_chopra ! He is an associate professor of #internalmedicine and chief of hospital medicine at @umichmedicine . As a #hospitalist , Dr. Chopra’s interests focus on improving safety of hospitalized patients .
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@AnnalsofIM
Annals of Int Med
5 years
Delivering bad news is never easy. @mike_natter 's #graphicmedicine illustrates his point of view as a med student caring for a patient diagnosed with #cancer in his Progress Notes series. Full comic freely available here: . #AnnalsGraphicMedicine
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@AnnalsofIM
Annals of Int Med
8 years
Prescribing exercise may be as important as prescribing medication—perhaps more important in some cases. Learn more:
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@AnnalsofIM
Annals of Int Med
4 years
NEW❗ @ACPinternists calls for comprehensive reform of U.S. #healthcare in a series of policy papers published in Annals. Better Is Possible: . #ACPVision4HealthCare
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@AnnalsofIM
Annals of Int Med
4 years
New in Annals❗ Lead authors @alhkim & @jeffsparks discuss how public interest in using #hydroxychloroquine in #COVID19 rapidly grew after a limited study was rapidly disseminated by the lay press and amplified on social media. Freely avail: . @rheum_covid
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@AnnalsofIM
Annals of Int Med
5 years
We're proud of @ACPinternists for partnering with @TIMESUPHC to launch an initiative aimed at assuring safety, #equity , & inclusion in the workplace for #WomenInMedicine . Don't miss @DarilynMoyer and @LFiellin 's commentary in Annals: .
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@AnnalsofIM
Annals of Int Med
1 year
Healthcare epidemiologists and infectious disease experts from 8 institutions say policies mandating universal masking in healthcare settings should end. Full text provides rationale, explains exceptions: . @MassGenBrigham
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@AnnalsofIM
Annals of Int Med
3 years
New review concludes universal mask use by laypersons reduces the spread of viral infections including SARS-CoV-2 . @CzypionkaThomas @IHSHealth @trishgreenhalgh @UniofOxford @NewbornZurich @Unispital_USZ
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@AnnalsofIM
Annals of Int Med
8 years
For every hour doctors spend with patients, nearly 2 additional hours are spent on electronic health records: #EHR
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@AnnalsofIM
Annals of Int Med
5 years
We are fascinated by this case report on #bloodletting to treat severe #hypertriglyceridemia when plasmapheresis was not possible:
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@AnnalsofIM
Annals of Int Med
3 years
New Best Practice Advice out from @ACPinternists : Appropriate Use of Short-Course #Antibiotics in Common Infections . Authored by @DoctorRachael , @medrants , Linda L. Humphrey, MD, MPH, @drjanetj , @doctorbecca1 , & @pennstate2003
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@AnnalsofIM
Annals of Int Med
7 years
Toward Patient-Centered Hospital Design: What Can Airports Teach Us? #VisualAbstract
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@AnnalsofIM
Annals of Int Med
4 years
NEW: Historical Insights on #COVID19 , the 1918 Influenza Pandemic, and Racial Disparities by @TheLakshmiK , @DrChelleMD , & @LisaCooperMD out in Annals of Internal Medicine .
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@AnnalsofIM
Annals of Int Med
5 years
Use this one-pager to help explain to patients that the #mumps , #measles , and #rubella (MMR) #vaccine does not cause #autism , even in at-risk children .
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@AnnalsofIM
Annals of Int Med
7 years
#Gunviolence is a public health issue—Arm yourself with science. All firearm-related content is free to the public.
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@AnnalsofIM
Annals of Int Med
2 years
Congratulations to Annals’ Associate Editor @_MiguelHernan 1 of 5 collaborators being awarded the Rousseeuw Prize for Statistics. Dr. Hernán's work influenced guidelines on when to initiate #antiretroviral therapy in people with #HIV . @HarvardEpi @CAUSALab
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@AnnalsofIM
Annals of Int Med
2 years
New editorial from @IrinaBancos : Adrenal Incidentalomas: Insights Into Prevalence
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@AnnalsofIM
Annals of Int Med
3 years
Physicians on the front lines of the #pandemic face demoralizing conditions, including angry misinformed patients. @RanaAwdish @HFHPulmCC writes eloquently of the struggle to hold onto yourself and your values in these difficult times. #COVIDburnout
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@AnnalsofIM
Annals of Int Med
5 years
(1/2) The @NRA does not believe #firearm -related injury and its prevention is within the purview of physicians. To address firearm injury as a public health crisis, Annals and @ACPInternists are proud to announce our collaboration with @ResearchAffirm . . .
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@AnnalsofIM
Annals of Int Med
2 years
Good news for #coffee drinkers who like it sweet. Moderate consumption (1.5 to 3.5 cups) of unsweetened and sugar-sweetened coffee was associated with lower risk for death. See free summary for patients . #sweetnews #spoonfulofsugar
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@AnnalsofIM
Annals of Int Med
7 years
The editors pen a powerful editorial about gun violence, a national healthcare crisis #gunviolence #lasvegasshooting
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@AnnalsofIM
Annals of Int Med
4 years
In honor of #NationalPhysicianSuicideAwarenessDay , Annals has published a special #OnBeingADoctor by @atkins_hsrd . A caring brother and suicide loss survivor cautions us all to put on our own oxygen masks first . #NPSADay #SPM20
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@AnnalsofIM
Annals of Int Med
7 years
Three cups of coffee a day may keep the doctor away, according to new findings in Annals of Internal Medicine.
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@AnnalsofIM
Annals of Int Med
4 years
Air hunger is torture. Science shows that #GeorgeFloyd was subjected to unimaginable trauma in his last moments. Talking does not mean breathing. . @HarvardPulm @BIDMChealth @anicalaw #thisisourlanetoo #Icantbreathe
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@AnnalsofIM
Annals of Int Med
3 years
1/ Study on patients hospitalized with #COVID19 in Michigan led by @vineet_chopra found nearly 1 in 3 patients died during hospitalization or within 60 days of discharge .
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@AnnalsofIM
Annals of Int Med
4 years
New study published in Annals of Internal Medicine found household contact was the main setting for transmission of SARS-CoV-2 . #COVID19
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@AnnalsofIM
Annals of Int Med
6 years
@ShannonOMac @c_diazepine @NRA You are so right. It is our job to keep our patients safe from things that will harm them. We wish we lived in a world where we didn't have to discuss gun violence, but the evidence shows that we can play an important role in preventing injury. If we can, we must!
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@AnnalsofIM
Annals of Int Med
2 years
Evaluating the Performance of the @CDCgov #COVID19 Community Levels as Leading Indicators of COVID-19 Mortality. Full text of this new article from @SalomonJA @StanfordHP is freely available at . @Brown_SPH
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@AnnalsofIM
Annals of Int Med
5 years
Free in Annals today: Unprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations From the NutriRECS Consortium #redmeat
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@AnnalsofIM
Annals of Int Med
4 years
An early referral from primary care to physical therapy helps to improve function and other outcomes for patients experiencing recent-onset #backpain with #sciatica @UofUHealth
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@AnnalsofIM
Annals of Int Med
6 years
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Annals of Int Med
3 years
Extended use of #anticoagulant therapy after a first unexplained blood clot is associated with considerable bleeding risk, especially for older, sicker patients or those with a history of bleeding. #VTE @FaizanK91 @uOttawa @OttawaHospital
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@AnnalsofIM
Annals of Int Med
3 years
Annals new impact factor is 25.391, based on Clarivate Analytics! Annals remains the most cited general internal medicine journal in the world. We are grateful to our esteemed authors and reviewers, and proud of our large global readership and frequent media mentions.
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Annals of Int Med
2 years
New: an analysis found that SGLT2 inhibitors reduce hospitalizations in people experiencing #HeartFailure with or without diabetes:
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Annals of Int Med
4 years
New review by @EricMeyerowitz , @AaronRichterman , @RMKGandhi , and @PaulSaxMD out now . Accumulated evidence suggests that most transmission is respiratory, with virus suspended either on droplets or, less commonly, on aerosols. #socialdistancing #COVID19
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@AnnalsofIM
Annals of Int Med
5 years
There is something we can do. See @ACPinternists common sense recommendations for preventing firearm injury and death in the U.S. . #ThisIsOurLane #WhatYouCanDo
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@AnnalsofIM
Annals of Int Med
3 years
Authors @obdocriley of @WCM_OBGYN and Denise J. Jamieson, MD, MPH, of @EmoryGynOb say it seems that #pregnant and lactating women can be safely included in #COVID19 vaccination efforts. Read their paper published in @AnnalsofIM here . #covidvaccine
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@AnnalsofIM
Annals of Int Med
7 years
Introducing "E-value," a new method for sensitivity analysis in observational studies.
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@AnnalsofIM
Annals of Int Med
3 years
How would you manage this patient with nonvariceal upper gastrointestinal bleeding? Another excellent #GrandRounds discussion from @BIDMChealth with discussants @AkwiAsombangMD @tberzin @zahirkanjee Annals #BeyondTheGuidelines
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@AnnalsofIM
Annals of Int Med
1 year
#NationalWomenPhysiciansDay spotlight: Dr. Anita Palepu is an Associate Editor of @AnnalsofIM and Head of @UBCDoM Her research focuses on urban health, housing and homelessness, social determinants of health, substance use and addiction treatment, and quality of life.
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@AnnalsofIM
Annals of Int Med
7 years
New in the Annals Graphic Medicine series: "Internship" To see more of his work, visit
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@AnnalsofIM
Annals of Int Med
1 year
New Annals ‘In The Clinic’: Chagas Disease
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@AnnalsofIM
Annals of Int Med
2 years
Most #CVD -related PROMs fall short of quality standards needed to guide #ClinicalResearch and practice @hvanspall
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@AnnalsofIM
Annals of Int Med
1 year
A #CostEffectiveness analysis of screening for #CKD has found that screening all adults in the United States starting at age 35 could be cost-effective for the quality of life-years gained:
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@AnnalsofIM
Annals of Int Med
4 years
Learn more about the screening and prevention, diagnosis, and treatment for #delirium in the latest Annals #InTheClinic by @MattisonMelissa .
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@AnnalsofIM
Annals of Int Med
5 years
NEW: Low #physical fitness and #obesity during teen years linked to disability later in life . @profithugr @CanalUGR @UGRdivulga @ortegaporcel
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@AnnalsofIM
Annals of Int Med
4 years
NEW in Annals, Environment, PPE Tests for SARS-CoV-2 in the Isolation Room of an Infant w/ Infection: These findings suggests that even generally well infants positive for #COVID19 w/ no respiratory symptoms can easily contaminate nearby environments.
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@AnnalsofIM
Annals of Int Med
1 year
In a new editorial, @boulware_dr @DrToddLee highlight the need for more #COVID19 outpatient trials and offer suggestions for future opportunities for research:
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