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Hypertension: Going More Than Skin Deep

Case Presentation: A 46‐year‐old woman presented to the referring hospital with uncontrolled high blood pressure for the preceding several weeks. Two months prior, she underwent an outpatient ablation for supraventricular tachycardia. At that time, she [...]

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Pelvic Pain and Genital Prolapse from a Giant Tarlov Cyst in a Patient with Marfan Syndrome

Case Presentation: This 67‐year‐old Caucasian MS female presented with progressively severe pelvic pain, intermittent explosive diarrhea, and dysuria. Physical and bimanual examination demonstrated genital prolapse and a non‐tender, cyst‐like mass fixed in the midline. Pelvis [...]

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Did You Look at the Smear?

Case Presentation: 2A 19 year old Bulgarian G2 P1 at 35 weeks by last menstrual period confirmed by ultrasound was found to have a platelet count of 40,000/µL during an admission for pyelonephritis. Past medical [...]

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Impact of Hospitalist Workload on Patient Outcomes: An Analysis of 2 Academic Medical Centers

Background: Front‐line hospitalists report that excessive hospitalist workload adversely affects quality of patient care. However, there is a paucity of research examining the direct impact of variation in workload on patient outcomes. We determined the [...]

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Implementation of Unit Based Interventions to Improve Teamwork and Patient Safety on a Medical Service

Background: Teamwork is essential to providing safe hospital care. In a prior study involving 2 medical units in our hospital, Structured Inter‐Disciplinary Rounds (SIDR) improved teamwork climate and reduced adverse events (AE). Methods: We sought [...]

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Effectiveness and Durability of a Patient‐Centered Hospital‐Based Approach to Provide Instruction on Inhaler Technique for Patients with Asthma or Copd: A Randomized Comparative Effectiveness Tria

Background: Avoiding missed opportunities to provide guideline recommended care through hospital‐based self‐management education is becoming increasingly common. To avoid preventable re‐hospitalizations it is important to know if and when post‐hospital discharge educational reinforcement is needed. [...]

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Serum Selenium Levels Are Associated with Blood Platelet Count in Us Adults

Background: Platelets play an important role in arterial thrombosis, acute coronary syndrome, and cardiovascular disease. Some epidemiological studies have suggested that high serum selenium levels may be associated with decreased risk of thrombosis and cardiovascular [...]

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The Association of Coffee and Caffeine Consumption with Nonalcoholic Hepatic Steatosis

Background: Previous studies have shown that coffee consumption is protective against hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. However, few have examined the relationship between coffee/caffeine and nonalcoholic hepatic steatosis (NAFLD). Aim: To assess the association [...]

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Association of Hemoglobin A1C and Non‐Traumatic Osteoporotic Fractures in Diabetic Patients

Background: Osteoporotic fractures are a significant health issue and create a heavy economic burden. Initial studies suggest that diabetes mellitus (DM) could be a risk factor for increased fractures. One of the main mechanisms could [...]

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Growing Strong: Findings from the American Academy of Pediatrics Hospital Medicine Workforce Survey 2012‐13

Background: Pediatric Hospital Medicine (PHM) has grown rapidly over the last 15 years. There is little information about the characteristics of the PHM workforce. Our objective was to describe the PHM workforce and note implications [...]

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Impact of a Computerized Copd Inpatient and Transition Pathway on Clinical Outcomes

Background: Few studies have examined the effect of a computerized order entry (CPOE) clinical pathway on clinical outcomes in hospitalizations for acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Reducing readmission rates for AECOPD is [...]

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Dosing of Basal‐Bolus Insulin Regimens in Hospitalized Medicine Patients with Type Ii Diabetes

Background: Hyperglycemia in hospitalized, non‐critically ill patients is associated with poor outcomes including increased length of hospital stay, infection, disability after discharge from hospital, and death. Current guidelines for the management of inpatient hyperglycemia suggest [...]

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Z136 — Closed Loop Communication Between Nurses and Physicians

Background: A significant number of patients die every year in United States hospitals due to medical error or delay in emergent patient care. One important source of medical errors or delay in care is lack [...]

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Preparing for Electronic Provider Documentation: A Survey of Physician Preferences About Dictation and Speech Recognition Capabilities at an Academic Medical Center

Background: Federal meaningful use programs continue to accelerate the adoption of electronic health records (EHRs) by U.S. hospitals. With increasing use of EHRs, it is likely that more hospitals will transition from paper to electronic [...]

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Hospitalist Performance on Handoff Knowledge Test Similar to Students and Interns

Background: Failure to synthesize and make available critical information about patients and care plans to cross‐covering physicians represents a predominant cause of decreased quality of care and communication breakdowns. Trainee duty hour restrictions and increased [...]

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