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Physicians: Organize for High Performance
Anthony Shih, MD, MPH, Assistant Vice President, Quality Improvement and Efficiency, The Commonwealth Fund, New York, explains why US healthcare delivery systems should be revamped.
Editorial, May 2008
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Post-Myocardial Infarction Cardiogenic Shock: What's New?
Advances in medical therapies, aggressive reperfusion, and the increasing availability of PCI and cardiac bypass may result in improvements in post-MI cardiogenic shock mortality rates.
Expert Viewpoint, May 2008
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Urgent Issues in Mental Health Now: An Expert Interview With Thomas R. Insel, MD
This Expert Interview explores the state of psychiatry in terms of recent success, the current state of research and clinical care, and challenges that must be addressed as the field progresses.
Expert Viewpoint, May 2008
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Roundworm Transmission From Dogs to Humans: Risk and Prevention
What are the risks for transmission of roundworm from an infected puppy to humans, and what preventive measures can be taken? An expert infectious disease veterinarian addresses a reader's concern.
Expert Viewpoint, May 2008
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Readers' and Author's Responses to "Poetry and Medicine"
Readers and author further discuss the benefits of poetry in medicine.
Letter, May 2008
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What Patients Really Want
A radio call-in show invites patients to advise new doctors -- and reveals some very simple truths.
Article, May 2008
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Pain in the Cognitively Impaired Elderly: Guidance for Clinicians
What do you do when your patients can't tell you they are in pain? Can you rely on self-report of pain in patients with dementia? Learn how to ask about pain, behaviors to watch for, and other tips.
Journal Article, May 2008
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A Tale of Two Neisseria: Video Blog with Paul Auwaerter, MD, MBA
It was the best of times, it was the worst of times. In the face of antimicrobial treatment resistance, what are the recommended changes in prescribing related to N. gonorrhoeae and N. meningitidis?
Expert Viewpoint, May 2008
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Surveying the Sex Lives of Medical Students
A small study offers a glimpse of how medical school affects students' sexual function. A larger survey may reveal a great deal more.
Article, May 2008
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How Do You Handle Pre-examination Stress?
I often panic before an exam because I am so worried about my performance. This makes it even harder to do well. What should I do?
Expert Viewpoint, May 2008
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Which Gynecologic Screening Tests Are Appropriate?
What tests would you order for a routine physical in a 75-year-old woman? Test your knowledge with these USMLE sample questions.
Article, May 2008
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CME/CE
Back Pain in a 39-Year-Old Man from Guatemala
A 39-year-old Guatemalan man presents to the ED with severe and debilitating back pain. He has been previously evaluated for his back pain twice in the past few weeks. The pain is throbbing and diffuse throughout the lower back, with radiation to his left buttock and upper back, and it has been progressively worsening. Mild tenderness to palpation is noted in the midline lower back. A lumbar radiograph and a magnetic resonance imaging scan of the spine are obtained. What is the diagnosis?
Clinical Case, May 2008
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How Can We Prevent Functional Deterioration in the Hospitalized Elderly?
I work in a long-term care setting and we often find that after a resident is hospitalized, they suffer setbacks in mobility and functional status. Can anything be done to prevent this?
Expert Viewpoint, May 2008
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Do Immigrants Help or Hurt US Healthcare?
Patients are not the only critical piece of the equation. A Web site that examines hot business topics in medicine offers an unusual perspective on this and other issues.
Article, May 2008
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What Should I Do When I Suspect That a Patient Is Suicidal?
I work in a primary care setting. What is the best course of action if I suspect that a patient is suicidal?
Expert Viewpoint, May 2008
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What Is the Diagnosis of This ECG?
What clinical diagnosis can be made from this ECG tracing?
Clinical Case, May 2008
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Why the NIH Trial to Assess Chelation Therapy (TACT) Should Be Abandoned
The $30 million, NIH Phase 3 Trial to Assess Chelation Therapy (TACT) exposes subjects to a risky method that is known to be ineffective. The TACT should be abandoned and its origins investigated.
Article, May 2008
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What Are the Risks of Contracting MRSA From Domesticated Animals?
Is there a risk of contracting MRSA from domesticated animals? An expert answers a reader's question about disease transmission from animals to humans.
Expert Viewpoint, May 2008
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Monthly Summaries of Nursing Research: March 2008
Research highlights include topics such as high blood pressure, gender differences in the perception of MI symptoms, pain, palliative care, and premature birth.
Journal Article Commentary, May 2008
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Infectious Syphilis: The Return of an Epidemic
An infectious syphilis epidemic returns to challenge public health. As past becomes present, what do clinicians need to know about this sexually transmitted infection?
Expert Viewpoint, May 2008
