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Missouri hospitalist calendar, 2013-10
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Conference Calendar.
Missouri hospitalist, issue 49 (2013 October-December)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2013-10)
Diagnostic dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Questions: 1) A 68-year-old male was admitted for increasing shortness of breath. 2) A 45-year-old African American male presents to ER with increasing weakness.
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
QUESTION: My patient has a palpable neck mass that is suspicious for malignancy, and I am considering ordering a fine needle aspiration (FNA) versus a core needle or open biopsy. Which typeof biopsy will have the fastest ...
Laboratory diagnosis of infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Ever wonder what type of culture or test to order to diagnose an infection? Well, the IDSA haspublished guidelines which are arranged by anatomical site, with lots of tables that tell you what culture, Smear, PCR or serologic ...
Missouri hospitalist, issue 47 (2013 April-June)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2013-04)
High vitamin B12 level
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Vitamin B12/cobalamin functions as an important co-enzyme in the human body and is essential forpurine and pyrimidine synthesis. Vitamin B12 deficiency is a very well recognized clinical entity but the conditions leading ...
Improving primary prevention of coronary heart disease by increasing documentation of Framingham risk scores
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Heart disease is the leading cause of death in both men and women, accounting for nearly one-fourth of the deaths in the USA in 2010 [1]. Coronary heart disease (CHD) is the most common type of heart disease with about ...
Hospital-acquired infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Hospitals in Missouri perform surveillance and external reporting for a number of hospital-acquired infections (HAI). We are required to do so variously by the stateof Missouri, the Centers for Medicare and Medicaid Services (CMS) and for those...
Review Article : Sacubitril/valsartan use for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-10)
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 ...
65-year-old male patient with left sided headache and orbital pain of 2-3 months duration
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Despite advancement of neurotechnology and neuroimaging, detailed history and examination remain the most important tools for diagnosis of unilateral headache and orbital pain. Headache is a common symptom among all age ...
Acute ischemic stroke management review for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
The treatment of acute ischemic stroke is dependent on timely recognition. After ensuring airway, respiratory and circulatory stability, NIHSS should be performed and urgent CT scan obtained. If no exclusions exist, ...
Updates in Hospital Palliative Care
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
Background: This review critiques recent palliative care (PC) literature with likelihood of impacting general hospital practice in order to help address the PC needs of patients. Methods: Articles published between January and December 2018 were...
Transitional Care Intervention to Reduce 30-day Readmission Rate in Cardiac Transplant Patients
(2016-05)
Readmission remains a financial burden in our healthcare arena. Billions of dollars in hospital payments were made from Medicare towards readmissions. The problem of patients’ ineffective transitions during hospital discharge ...
Transforming the ethical behavior of clinicians through pedagogical innovation: sensemaking as a means to promote ethical practice in the face of moral ambiguity
(University of Missouri--Columbia, 2020)
Even though there is evidence to suggest that teaching normative ethical theory has limited influence on the ethical behavior of clinicians, typical pedagogy in clinical ethics continues to focus on adherence to professional ...
Multimodal Intervention to Increase Advance Care Planning in Primary Care Medicare Patients
(University of Missouri--Kansas City, 2018)
Advance care planning is the guideline recommended process which encourages adults to
analyze values, identify goals, and articulate preferences for future medical care in order to
protect autonomy in the event of ...
Standardized Code Blue Process
(University of Missouri -- Kansas City, 2019)
Cardiac arrest remains an increasing health problem, leading to thousands of cardiopulmonary
resuscitation attempts annually. With variations in code blue documentation and post-event team
debriefings, a standardized ...
Insights for rural health care provider retention : a quantitative survey analysis
(University of Missouri--Columbia, 2021)
Due to rural health disparities and an uneven distribution of health providers across the rural urban continuum, retaining the existing rural health care provider workforce may be an important strategy to maintain existing ...
An evaluation of an Electronic Medical Record (EMR) based system to characterize and correlate physician burnout and EMR use
(University of Missouri--Columbia, 2021)
and effort of administering traditional survey instruments. To address this challenge, we deployed a single-item burnout measure (SIBM) at the University of Missouri Healthcare, an academic medical center (AMC), to test the feasibility and reliability...