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CME/CE
Risk Factors Associated With the Onset of Persistent Pain
Chronic or persistent pain is pain that lasts beyond the normal healing period. The development of persistent pain is influenced by genetic and environmental factors.
Clinical Case, June 2008
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CME
Quality of Life Before Surgical ICU Admission
Quality of life can have a significant impact on outcomes of admission to the intensive care unit. The current study iterates these outcomes.
Journal Article, June 2008
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CME/CE
Spontaneous Bruising in a 2-Month-Old
A 2-month-old female with vomiting, bloody diarrhea, and decreased oral intake visits the ED. While there, bruising develops. Two days later, she returns with persistent vomiting. What's going on?
Article, June 2008
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CME/CE
Adult Immunization Update
Four leading experts in adult immunizations discuss the importance of vaccine delivery and the impact on patient and population health.
Commentary, June 2008
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CME
Palpitations in a 19-Year-Old Male With a Rash
A man presents to the ED in Connecticut after recurrent episodes of palpitations, fatigue, and syncope. Multiple, bilateral macular erythematous lesions with central pallor are noted on his thighs. What is the underlying etiology?
Clinical Case, June 2008
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Strategies for Reducing the Door-to-Balloon Time in Acute Myocardial Infarction
Saving a half hour to save more lives. Has your hospital implemented these strategies?
Journal Article, June 2008
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CME/CE
Managing Joint Pain and Swelling in Primary Care: A Patient Simulation Series for the Healthcare Team
These 3 patient cases will help the healthcare team to recognize the early stages of RA, assess disparities in care among minorities, and consider a variety of comorbidities during RA management.
Clinical Case, June 2008
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CME/CE
Implementing the Evidence Into Clinical Practice- Antibiotic-Associated Diarrhea and Clostridium difficile Infection
What is the classic presentation of patients with gastrointestinal (GI) disease due to CDI? What are the recommendations for testing, treatment, and managing this serious infection?
Clinical Case, June 2008
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Less Paper, More Healthcare
Georganne Chapin, JD, MPhil, President and CEO of the Hudson Center for Health Equity & Quality in Tarrytown, New York, emphasizes why electronics should replace paper in medical record keeping.
Editorial, June 2008
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When Doctors Are Patients: Is There Such a Thing as "Posttraumatic Bliss"?
Roger J. Bulger, MD, President (retired), Association of Academic Health Centers, Washington, DC, and physician cancer survivor, describes "posttraumatic bliss."
Editorial, June 2008
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Depression, Distress, and Stroke
Major depression increases the risk for heart disease and psychological distress is associated with increased morbidity and mortality, but does either condition affect risk for stroke?
Journal Article, June 2008
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Integrating Genetics Into Primary Care: Family History Is Key
Genomics is changing the face of health and disease, and it's time to translate genetic research into practice. Start by learning how family history and risk assessment can help provide better care.
Journal Article, June 2008
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CME
The Changing Shape of Type 2 Diabetes
Type 2 diabetes is becoming a pandemic. Maintaining effective glycemic control is important in all age groups to minimize the microvascular and macrovascular comorbidities associated with diabetes.
Journal Article, June 2008
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CME
Syncope in an Otherwise Healthy Man
A 30-year-old man presents to the ED after experiencing a syncopal event. He has had several such episodes in the past several years, but he has never sought medical evaluation for them. What is the patient's underlying disorder?
Clinical Case, June 2008
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An Ophthalmologist's Eye on Island Living
This physician lives and works in Saipan, and he provides a close look into everyday life on this tropical island.
Article, June 2008
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Treat Babies With Reflux Conservatively
Infants with gastroesophageal reflux symptoms are usually treated with acid-reducing medications although their necessity and efficacy are questioned. Might nonpharmacologic interventions be effective
Journal Article, June 2008
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Is Competition Important in Medical School?
How important is competition among medical students? How do we train our minds to strive for absolute excellence rather than a relative one?
Expert Viewpoint, June 2008
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Practice-Based Evidence Rather Than Evidence-Based Practice in Psychiatry
David Hellerstein, MD, Associate Professor of Clinical Psychiatry at Columbia University in New York, discusses his interesting twist of EBP to PBE.
Editorial, June 2008
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A Reader and Author Respond to "Honor Killings -- Still a Burning Issue in Pakistan"
A reader and author note that honor killing exists worldwide regardless of political, social, cultural, or religious boundaries.
Letter, June 2008
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Responding to the American Siege Against Continuing Medical Education
Dr. George Lundberg provides his take on the current CME funding conflict.
Editorial, June 2008