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Conference calendar (AJHM, volume 3, issue 1, 2019)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
Conference calendar (AJHM, volume 3, issue 4, 2019)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
Conference calendar (AJHM, volume 2, issue 4, 2018)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-10)
Calendar of hospital medicine conferences (2018)....
Fluoroquinolones : more and more warnings
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
"Fluoroquinolones can be the drug of choice in several clinical situations due to their antibacterial spectrum, good tissue penetration, and excellent oral bioavailability. However, side effects, drug interactions and the ...
Ask a pathologist : again. Faster. The impact of MALDI-TOF technology on rapid microbial identification and changes in hospital practice
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
"Question: I've heard about a new technology called MALDI-TOF for rapid identification of microbial organisms. What is it and how will it impact hospital medicine?"...
Dangerous use of loperamide to counteract withdrawal symptoms from prescription opiates
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
Increased awareness of opioid overuse in recent years has brought a new set of problems for both patients and clinicians. A 36-year-old woman with severe opioid use disorder began self-treating withdrawal symptoms with ...
Literature Review of Brevibacillus Laterosporus and Related Species
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Brevibacillus laterosporus is a gram-positive aerobic bacillus that is rarely associated with human infection. A review of multiple online databases revealed fewer than ten total reports of infection by this genus of ...
When to Think Zebras, Not Horses: A Case of Delayed Care in anti-NMDA Receptor Encephalitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Anti-NMDA receptor encephalitis (NMDAr) presents a diagnostic challenge for clinicians due to its varying symptom presentation such as psychosis, abnormal behavior, and seizures. Given the presentation, and it only newly ...
A cloud on the horizon : a deadly complication of norepinephrine
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Symmetrical peripheral gangrene is a life-threatening complication of norepinephrine which is associated with a high mortality rate (up to 40[percent]). It presents as bilateral distal limb gangrene without evidence of ...
"The Show" must go on : improving the no show rate in an internal medicine resident clinic through continuous quality improvement using lean methodology
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"'No shows' or missed appointments impede optimal medical care and organizational functioning, particularly in primary care setting 1. They lead to expenses associated with loss of the continuity of care, inadequate control of chronic diseases...
Do Areas with More Primary Care Physicians have Lower Cardiovascular and Cancer Mortality?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"There are an estimated 647 000 deaths in the United states from cardiovascular disease (CVD) each year and 606 000 from cancer in 2019 [2,3] . Primary, secondary and tertiary prevention are all independent factors in reducing overall mortality...
Missed opportunities : the case for inpatient lung cancer screening
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
"Over the past twenty years, the hospitalist field has grown from an uncommon metropolitan profession to a ubiquitous, broad specialty focused on the rapidly evolving field of inpatient medicine 1. Hospitalists are no longer limited to acute medical...
Clotting vs. bleeding : the importance of pharmacologic thromboprophylaxis in IBD
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Inflammatory bowel disease (IBD) patients are at increased risk of developing venous thromboembolism (VTE), a complication associated with significant morbidity and mortality. Despite this, pharmacologic prophylaxis (with ...
Innovative Treatment for Inferior Vena Cava Thrombosis without Use of Thrombolytics
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
the risk of bleeding. Moreover, they lengthen hospital stays and have many contraindications. The Inari ClotTriever is an innovative device for percutaneous mechanical thrombectomy. We present a case of an ileofemoral DVT with extension to the inferior vena...
Single-cell RNA-sequencing reveals Transcriptional Changes and Clonal Architecture associated with Post-Transplant Relapse in Acute Myeloid Leukemia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Acute myeloid leukemia (AML) is a malignancy characterized by overproduction of myeloid precursors at the expense of more differentiated, functional hematopoietic cells, resulting in anemia, thrombocytopenia, and neutropenia. ...
Improving Confidence in ACLS among UMKC Internal Medicine Residents
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"The American Board of Internal Medicine requires all residents to have their certification in basic life support (BLS) and advanced cardiovascular life support (ACLS) renewed every two years. However, there is concern that residents do not retain...
A re-challenging case
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Immune Checkpoint Inhibitors (ICI) are associated with multiple cardiotoxic effects. Balancing adverse effects with anti-tumor response poses a challenge to treating advanced cancers. The safety of re-starting ICI therapy ...
Non-Caucasian race, chronic opioid use and lack of insurance or public insurance were predictors of hospitalizations in cyclic vomiting syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
is considered first-line therapy (2, 3). This reduces the frequency of emergency department (ED) visits and hospitalizations (2). However, patients continue to be hospitalized for acute CVS flares. Reasons for CVS-related hospitalizations in these patients...
Effect of Chronic Illnesses on Length of Stay and Mortality of Community Acquired Pneumonia in a Community Hospital
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
The aim of this study was to determine the effect of demographics, substance abuse, and chronic illnesses on length of hospitalization and mortality of pneumonia. 866 patients admitted to a community hospital with diagnosis of community...