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Building Physician Connectivity for e-Prescribing
Kevin Hutchinson, President and Chief Executive Officer of Prematics, Inc., in Vienna, Virginia, tells us how to move e-prescribing forward.
Expert Viewpoint, July 2008
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A Reader Responds to "Should We Use Saline or Tap Water for Cleansing Wounds?"
A reader weighs in on the debate of tap water vs saline for cleaning wounds.
Letter, July 2008
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FDA Issues Black Box Warnings for Fluoroquinolones
What's behind the new FDA black box warnings for fluoroquinolones? Paul Auwaerter, MD, discusses the recent major labeling change in his videoblog.
Expert Viewpoint, July 2008
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Nasopharyngeal Carcinoma: The Role of the Epstein-Barr Virus
The etiology of nasopharyngeal cancer is multifactorial and includes genetic susceptibility and prior infection with the Epstein-Barr virus.
Clinical Review, July 2008
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CME/CE
A Cryptic Reason for Shortness of Breath in a Young Man
A 24-year-old man with Down syndrome presents to the ED with a history of flank pain, hematuria, and shortness of breath. He has a history of bilateral cryptorchidism that was corrected. What is the diagnosis?
Clinical Case, July 2008
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Methylnaltrexone: Relief for Opiate-Induced Constipation
Can selective mu-opioid receptor blockers provide relief for this common side effect of opiates?
Journal Article, July 2008
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Intravenous Prostacyclin Analogs for the Treatment of Pulmonary Arterial Hypertension
The current recommendation from the American College of Chest Physicians is use of IV prostacyclins in patients who are in NYHA functional class III or IV.
Expert Viewpoint, July 2008
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Green Healthcare: What Does the Future Hold?
Peter Yellowlees, MD, Professor of Psychiatry and Director of Academic Information Systems at UC Davis, Sacramento, California, describes good examples of "green" healthcare.
Editorial, July 2008
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Green Healthcare: What Is Happening Now?
Peter Yellowlees, MD, Professor of Psychiatry and Director of Academic Information Systems at UC Davis, Sacramento, California, explains how to make "green" healthcare possible.
Editorial, July 2008
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CME
A 76-Year-Old Woman Presents With a Sudden Transient Loss of Consciousness
A 76-year-old woman presents with a sudden transient loss of consciousness. The patient was on digoxin 0.125 mg/day. How would you diagnose and treat this patient?
Clinical Case, July 2008
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CME
A 49-Year-Old Man With a Femur Fracture and Hyperdense Bones
A 49-year-old man presents to the ED with pain after a fall onto the site of a previous complicated right femoral fracture. Severe limitation in knee flexion, muscle stiffness, and atrophy are noted. What is the underlying diagnosis?
Clinical Case, July 2008
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What Are the Long-Term Effects After Major Trauma?
Commentary on 2 studies of the long-term effects on pain and general health after major trauma, published March 2008 in the Archives of Surgery and April 2008 in The Journal of Trauma.
Expert Viewpoint, July 2008
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Primary And Secondary Intra-Abdominal Hypertension-Different Impact on ICU Outcome:. Commentary from F1000
Should you medical and surgical patients be checked for secondary IAH in the ICU? This study was ranked "recommended" and can change clinical practice.
Journal Article, July 2008
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Does Transfusion With "Old" Blood Place the Surgical Patient at Risk?
Commentary on a study on duration of stored transfusion blood and surgical outcomes, published March 20, 2008 in The New England Journal of Medicine
Expert Viewpoint, July 2008
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Association Between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit
Do critically ill patients admitted to ICUs really benefit from more intensive healthcare delivery from nurses, physicians, and other providers?
Expert Viewpoint, July 2008
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CME
A 48-Year-Old Man With Penile Trauma and Hematuria
A 48-year-old man suffered a direct blow to his perineum and penis. No damage was initially noted; however, when urinating later, the patient experienced severe pain in his penis and noted a large amount of hematuria. What is the diagnosis?
Clinical Case, July 2008
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A More Perfect Union
Learn why the hospitalist model is the wave of the future.
Journal Article, July 2008
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Evaluation of a Screening Protocol Using Auscultation and Portable Echocardiography to Detect Asymptomatic Rheumatic Heart Disease in Tongan Schoolchildren
What are the most appropriate screening strategies for asymptomatic rheumatic heart disease in developing countries?
Journal Article, July 2008
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A Reply to Thomas Stossel on the AMA-CEJA Draft Report
Rebuttal to Stossel's 12 June commentary responding to CEJA's Draft Report: "Ethical Guidance for Physicians and the Profession With Respect to Industry Support for Professional Education in Medicine"
Expert Viewpoint, July 2008
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CME
Alcaligenes xylosoxidans Bloodstream Infections in Outpatient Oncology Office
Alcaligenes xylosoxidans is an uncommon infection in the healthcare setting, but the current study describes how poor infection control practices promoted an outbreak of A xylosoxidans in a major US metropolitan center.
Journal Article, July 2008
