RSS Medical Articles

October 2017 Issue Highlights
Κύριακη, 10.01.2017, 03:00am
The Use of Storytelling in Medicine
Κύριακη, 10.01.2017, 03:00am
This Viewpoint describes an organization created to share stories and experiences of medical professionals.
Risk Stratification to Reduce Errors in Cervical Cancer Prevention
Κύριακη, 10.01.2017, 03:00am
This Viewpoint posits that safely and effectively implementing consensus guidelines for Papanicolou and human papillomavirus testing for cervical cancer prevention requires accurate risk stratification of patients.
Making All Lives Matter in Medicine From the Inside Out
Κύριακη, 10.01.2017, 03:00am
This Viewpoint examines racial bias in the health care workplace.
Don’t Just Do Something, Stand There!
Κύριακη, 10.01.2017, 03:00am
Penalty kicks in soccer can make fans crumple with anguish or weep with elation. The kicker sends the ball rocketing toward the goal and goalkeepers lunge acrobatically to stop it. Often the fate of the match hangs in the balance. Analyses suggest that goalkeepers may block more goals by staying stolidly in the center of the goal instead of diving to one side. Surprisingly, goalkeepers rarely adopt this strategy. One explanation is that staying in the middle looks deceptively foolish when kickers shoot toward the side. On the contrary, even when their dive is unsuccessful, goalkeepers are seen to have failed while trying. Knowing the ferocity of soccer, this is an understandable decision.
Mistakes Were Made (by Me)
Κύριακη, 10.01.2017, 03:00am
I still remember taking care of a particular patient when I was a medical student. She was a middle-aged woman with cyclic vomiting syndrome who presented with nausea, vomiting, and abdominal pain. The plan was the same as always: nothing by mouth, intravenous fluid, antiemetics, and discharge once she could eat. On hospital day 2 she suddenly developed chest pain. An electrocardiogram (EKG) revealed ST-segment elevations, which prompted emergent cardiac catheterization. I reviewed her admission EKG and realized it had identical ST-segment elevations. I became nauseated myself, because no one from our team had looked at the initial EKG. The angiogram excluded acute coronary syndrome, but the guilt of a potentially tragic mistake remained. I wanted to share this experience with my colleagues so we could learn from it. I asked a colleague for the best forum to discuss our mistake, and my colleague gestured “hush” and said, “There is no need to tell anyone because she didn’t have plaque rupture.” I was confused by that reaction. Was I to be ashamed of my mistake?
Meeting the Needs of Patients for Specialty Care
Κύριακη, 10.01.2017, 03:00am
Timely access to specialists has been a longstanding concern for patients with Medicaid compared with patients who have private insurance. Thus, instituting requirements that Medicaid managed care plans adhere to timeliness and proximity standards seems like an excellent solution to a longstanding problem. However, as with so many things in health care, the issue is more complicated.
A Call for Social Responsibility and Suicide Intervention
Κύριακη, 10.01.2017, 03:00am
The national suicide rate has risen steadily in recent decades, making suicide now the second leading cause of death among young people, accounting for more than 1 in 6 deaths. Adolescent reports of suicide ideation and attempts are on the rise. According to national high school Youth Risk Behavior Survey, the percentage of high school respondents who reported that they seriously considered attempting suicide during the 12 months preceding the survey rose from 13.8% in 2009 to 17.7% in 2015; during this same interval, the percentage of high school students making a plan for how they would attempt suicide increased (10.9% to 14.6%), as did the percentage who actually attempted suicide (6.3% to 8.6%).
Consent to Study Purpose in Randomized Clinical Trials of Antibiotics
Κύριακη, 10.01.2017, 03:00am
This cross-sectional analysis of trial documents submitted to regulators examines the degree to which the study purpose is explained to potential participants in randomized clinical trials of antibiotics.
Social Determinants of Health in Managed Care Payment Formulas
Κύριακη, 10.01.2017, 03:00am
This modeling analysis adds social determinants of health variables to a diagnosis-based payment formula that allocates funds to managed care plans and physician networks.
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