The 2015 Surveillance, Epidemiology, and End Results database reports 132,700 new colon cancer cases in the United States, with 49,700 estimated deaths.1 Colon cancer is a potentially preventable disease as a result of its relatively indolent natural history, making it ideal for screening and intervention. According to the American College…
Objectives: Little is known about the factors that affect the length of stay (LOS) of children hospitalized for perforated appendicitis. The objective of this study was to identify clinical and demographic factors associated with a prolonged LOS (PLOS) in children with perforated appendicitis. Methods: A retrospective cohort study was conducted…
Colorectal cancer (CRC) is a significant healthcare issue, with substantial morbidity and mortality. Screening for CRC is essential in the prevention and treatment of this disease. The two most common CRC screening modalities are colonoscopy and the stoolbased occult blood test, with two types of stool-based occult blood tests: the…
Some years ago, my wife — an opthamologist with a large geriatric practice Y had a patient inform her that he had a terminal illness and not long to live. Being the empathetic physician she is, my wife inquired about his end-of-life planning. He indicated that he and his wife…
Objectives: Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and wellness contribute to happiness….
Objectives: Community-associated methicillin-resistant Staphylococcus aureus (MRSA) is a growing problem in the pediatric population, causing many soft tissue infections. This study was designed to examine fingernail carriage of MRSA in children and their caregivers as a possible link to community-associated MRSA soft tissue infections in children. Methods: We documented the…
Despite advancements in cancer care that have resulted in improved outcomes and improved quality of life, older cancer patients remain vulnerable. In particular, elderly cancer patients experience barriers to treatment decision making as a result of both physician-specific and patient-specific factors. From the perspective of perceptions of therapy, these factors…
Overdiagnosis, in a true sense, is a type of misdiagnosis and occurs when an individual is told that he or she has a disease that he or she actually does not; it does not cause the person to experience symptoms or early death and may do more harm than benefit…
Objectives: Hospitalized oncology patients receive care from a variety of professionals, each of whom plays a role in decisions related to blood transfusions. We sought to examine differences in transfusion practices based on professional role, years of experience, and patient clinical scenario. Methods: We surveyed general medicine residents, hospitalists, and…
Pain is a multidimensional, complex experience. There are many challenges in identifying and meeting the needs of patients experiencing pain. Evaluation of pain from a bio-psycho-social-spiritual framework is particularly germane for patients approaching the end of life. This review explores the relation between the psychospiritual dimensions of suffering and the…
Coronary computed tomography angiography (CCTA) is a rapidly growing and powerful diagnostic test that offers a great deal of precision with respect to diagnosing coronary artery disease (CAD). Guideline statements for patients with stable ischemic heart disease have recommended CCTA for only a limited portion of intermediaterisk patients who have…
As emergency medicine physicians, we often encounter patients with diabetes mellitus (DM). These patients present with a variety of continuing problems, including episodic hyperglycemia, hypoglycemia from medication errors (mostly oral agents), diabetic-related infections of the limbs, pain management problems caused by diabetic neuropathy, bladder dysfunction, blindness, and renal insufficiency.1,2 Diabetic…
Methicillin-resistant Staphylococcus aureus (MRSA) has received widespread attention both in the media and the medical literature in response to an escalating incidence of infections caused by this ‘‘superbug.’’ In the past MRSA infections were limited to patients in hospitals or other long-term care facilities (hospital-acquired MRSA); however, infections have been…
Objectives: The purpose of this study was to assess and compare the perceptions of hematologists, medical oncologists, cancer patients aged 65 years and older, and family members/caregivers regarding the value of a geriatric assessment (GA) in the management of older adults with cancer. Methods: Participants included adults with cancer aged…
In early December 2015, a Helicopter Emergency Medical Service (HEMS) flight crew was dispatched in California to transport a patient. The helicopter took off in inclement weather conditions–heavy rain and fog–and subsequently crashed. The pilot, paramedic, nurse, and patient aboard ultimately died. At this point we do not know the…
Objective: The objective of this study was to examine the longitudinal trends in diabetes mellitus (DM) in emergency department (ED) patients and evaluate the factors associated with those trends. Methods: We conducted a retrospective analysis of all patients who presented to the ED from 2006 to 2011. The presence of…
Objectives: The purpose of the study was to review the impact on survival of trauma victims who were transported via helicopter ambulance versus ground transportation and who received cardiopulmonary resuscitation (CPR) within 1 hour of hospital arrival. Methods: A retrospective analysis of the trauma patients who underwent CPR within 1…
Membership grants access to journals, courses and a slew of premium benefits.
Please consider supporting us by choosing an option below:
View Membership Options Make A Tax-Deductable Donation
No Thanks, take me to the site and don't show me this again.