Associations of Psoriatic Arthritis and Cardiovascular Conditions in a Large Population
Svetlana Kondratiouk, DO; Natalia Udaltsova, PhD; Arthur L Klatsky, MD
Among a multiethnic population of 76,465 men and women, none of the 99 persons with a confirmed outpatient diagnosis of psoriatic arthritis exhibited more atherothrombotic disease (coronary and cerebrovascular) or diabetes mellitus than two control groups, but all 99 persons did have an increased prevalence of systemic hypertension and heart failure, and a higher mean body mass index.
TPJ 2007 "Service Quality Awards" -- Institute for Healthcare Improvement 19th Annual National Forum on Quality Improvement in Health Care
Early Discharge Study for Premature Infants: Singapore General Hospital
At Singapore General Hospital, premature infants had a median birth weight of 1210 g. Discharge traditionally occurred when infants were medically fit and weighed 2000 g. The length of hospital stay was reduced 59.8%, primarily by improved discharge planning, revised guidelines (mean discharge at 1915 g), and nurses' active preparation of parents psychologically and mentally for care of their babies at home.
Are Foot Abnormalities More Common in Adults with Diabetes? A Cross-Sectional Study in Basrah, Iraq
Abbas Ali Mansour, MD; Samir Ghani Dahyak, MD
In a study population of 100 patients with type 2 diabetes and 100 patients without diabetes, researchers found 13 foot abnormalities--prominent metatarsal head, high medial arch, hammertoe, wasting, joint stiffness, amputation, fissures, nail changes, ulcers, blisters, dryness, sclerosis, and dermopathy--statistically more frequent in study participants with diabetes; however only wasting, ulcer, and dryness were strongly associated with diabetes.
The Role of B-Type and Other Natriuretic Peptides in Health and Disease
Ashok Krishnaswami, MD, FACC
B-type natriuretic peptide (BNP) levels are specifically useful in differentiating the etiology of shortness of breath between left ventricular (LV) dysfunction, acute congestive heart failure (CHF), and pulmonary dysfunction without CHF. The primary responsibility of natriuretic peptides (NP) is the maintenance of sodium and water homeostasis and vasomotor tone. Both atrial NP and BNP decrease plasma volume and blood pressure in response to an increased tension of the atrium or ventricle, respectively, but reflect LV function, mass, and load more than volume status.
An Unusual Case of a Cervical Mass Due to Nontuberculous Mycobacterium Fortuitum Infection
Hien Nguyen, MD; Connie Le, MD; Hanh Nguyen, MD
This case of an infected submandibular mass is unique because prompt recognition of the infection and treatment with antimicrobials averted surgery. The varied presentations of nontuberculous mycobacterial disease in immunocompetent patients is a trend important to recognize in a woman, aged 60 years, with stage 1 breast cancer for which she had received radiation and chemotherapy.
Diagnoses are Stereotypes: Go Where They Are
Dustin L Larson
What if clinicians accompanied a homeless person for a day, as the author did? Would they also learn how to inquire about sensitive issues, high-risk behaviors, or lifestyle? Would they learn that individuals don't fit stereotypes?
The Changing Face of HIV Infection
William J Towner, MD, FACP
Since the first report, in 1981, of AIDS in five men who have sex with men (MSM) in Los Angeles, the AIDS epidemic has swept the world. It now increasingly affects women, younger adults, is again increasing in MSM, and disproportionately affects people of color. Older age no longer predicts faster progression.
Walking labyrinths, recently opened at Kaiser Permanente (KP) Sunnyside and Antioch Medical Center hospitals, are intended to let those who enter find their way along a single, clear path. Modeled on the labyrinth of Chartres Cathedral in France, the labyrinths were first tested, through a KP innovation grant, on "finger labyrinths"--boards with the paths grooved into the wood. Surveys of users' stress levels revealed that most felt more relaxed afterward.
William Lynes, MD
The story of a five-year-old boy named Cody who was cared for by Urology Intern, Dr Cody, after fracturing his kidney in a car crash that killed his parents.
William Lynes, MD
A stone comes alive and recounts its journey through the renal system to expulsion from a woman's urethra.
Original Visual Art
Stephen Weiss, MD