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Emergency physicians are often consulted by patients experiencing ocular symptoms. It is estimated that more than two million emergency department (ED) visits occur in the United States every year (approximately 3% of total ED visits) due to ocular complaints. Acute vision loss is an especially frightening experience that leads many patients to seek emergency care. Although this symptom is rarely life-threatening, early recognition and treatment of the cause is of paramount importance, as the patient may permanently lose sight in the affected eye(s). Emergency physicians (EPs) should be adept at diagnosing, treating, and obtaining appropriate ophthalmology consultation and follow up for this reason.
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Investigators and student researchers repeatedly called the IRB at the University of the Incarnate Word, asking the same questions, and IRB reviewers complained of continually seeing the same mistakes. Clearly, it was time to make IRB office system and procedural changes.
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A recent series of stunning lapses and oversights in federal research labs working with deadly pathogens and potential bioterror agents has heightened calls for a moratorium on such research until biosafety and security can be assured.
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Percutaneous gastrostomy (PEG) and jejunostomy (J) tubes are utilized in hospital practice for medical or surgical patients in whom oral nutrition is either inadequate to meet caloric needs or unsafe as a result of structural or functional abnormality.
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Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and has been the leading arrhythmic cause for hospitalization. With an increasing trend toward outpatient care of subacute illness, it is possible that the AF hospitalization rate is stable or decreasing despite the aging population.
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This study demonstrated an association between increased discontinuity of physician care in the inpatient setting and increased hospital costs at a tertiary care center.
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Ischemic stroke remains a leading cause of death worldwide, and atrial fibrillation is a major risk factor, increasing the risk of ischemic stroke five-fold in those who have a confirmed diagnosis of atrial fibrillation.
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HIV-infected patients diagnosed with cryptococcal meningitis who received antiretroviral therapy (ART) 5 weeks after starting antifungal therapy had improved survival at 26 weeks compared to similar patients who received ART at 1-2 weeks (45% vs 30%, respectively, P=0.03).
