Volunteerism is common in the United States, though less is known about volunteerism among medical professionals. We aimed to record and compare volunteer activities among hospitalists and non-hospitalists in academic and ...

Altered mental status (AMS) is a challenging symptom, commonly encountered in the acute inpatient setting. The underlying etiology could be metabolic, infectious, toxic, cardiac, neurological or trauma. We present a ...

[Case]: A 75-year old Caucasian female (height, 154.2 cm, weight, 49.9 kg) was transferred to a tertiary academic medical center from a rehabilitation facility for the management of new onset, foul smelling, non-draining, ...

This article explores the potential association between co-administration of vancomycin and piperacillin-tazobactam with the development of acute kidney injury (AKI) when compared with vancomycin and other beta lactam ...

Question: I ordered serologic testing for Lyme disease for one of my patients and I’m not sure how to interpret the results of the Western blot. The blot shows a few dark bands, but the report indicates it is not sufficient ...

Hyperhidrosis is a common, self-limiting problem affecting 2% to 3% of the population in the United States. Patients may complain of localized sweating of the hands, feet, face, or underarms or more systemic, generalized ...

Relocation across national borders poses unique challenges and possibilities to newcomer immigrant students. As they enter new schools, newcomer students face a number of challenges in their adjustment. School districts ...

An effective migraine prevention alternative with minimal adverse effects Melatonin is an accessible and affordable option for preventing migraine headaches in chronic sufferers.

An information technology solution to provide a real-time alert to the nursing staff is necessary to assist in identifying patients who may have sepsis and avoid the devastating effects of its late recognition. The objective ...

The mainstays of therapy for heart failure with reduced ejection fraction (HFrEF) have traditionally been angiotensin converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB), beta-blockers, aldosterone ...

We as humans don't realize how wasteful we are at times. We have the expectation that food will always be readily available to us and, when we are done with it all, a trash truck will come and haul away our unwanted scraps. ...

An obituary in The Southeast Missourian lists Elaine "Tommie" Davis as the business partner of Mary Jane "Miss Jane" Barnett for over forty years (Elaine Davis Obituary). However, the family albums of the two tell a richer ...

The main event of our Thanksgiving, oddly enough, is not the meal. For the past thirty years my family has prepared fried cauliflower on Thanksgiving. The tradition goes back to my grandmother's mother, my great grandma ...

As "time is brain", acute ischemic stroke is considered a medical emergency. With the introduction of thrombolytic therapy and availability of modern neuroimaging modalities, timely diagnosis of an ischemic lesion, exclusion ...

Atypical hemolytic uremic syndrome (aHUS) is a rare thrombotic microangiopathy (TMA) with a genetic predisposition. Like other TMAs, it presents clinically with thrombocytopenia and microangiopathic hemolytic anemia, which ...

Since 2010 the new antimicrobials introduced have activity against resistant Gram negative bacteria, long half-lives against Gram positive bacteria, better activity against Clostridium difficile, and safer antifungal ...

Parallelism has been considered a fundamental feature of artistic expression. Robert Lowth (1753:180) coined the term parallelismus membrorum (“parallelism of members”) to describe a variety of different types of equivalence ...

This essay treats parallelism as a means for articulating and communicating meaning in performance. Rather than a merely stylistic and structural marker, parallelism is discussed as an expressive and cognitive strategy for ...

When can exercise supplant surgery for degenerative meniscal tears? PRACTICE CHANGER: Recommend supervised exercise therapy to your patients with a medial, degenerative meniscal tear and a minimal history of osteoarthritis ...