Reassessing D-dimer Cut-offs for Pulmonary Embolism: A Path Toward Safer and More Cost-effective Diagnosis [0.03%]
重新评估肺栓塞D-二聚体切点：更安全、更经济的诊断之路
Amer Abu-Shanab,Montaser Alrjoob,Zain Albdour et al.
Amer Abu-Shanab et al.
Background: Pulmonary embolism (PE) is a life-threatening condition requiring early and accurate diagnosis. The Wells and Geneva scores, along with D-dimer testing, are key tools in assessment. However, the standard D-dim...
Ranjana Chimauriya,Chiranjibi Mainali,George J Pyrgos et al.
Ranjana Chimauriya et al.
Leukostasis is characterized by respiratory or neurological issues in the context of hyperleukocytosis, secondary to elevated blood viscosity and WBC plugs (aggregates of mature leukocytes or leukemic blasts physically obstructing the micro...
Educational Development for New GME Programs at Community Hospitals: Process, Outcomes and Recommendations [0.03%]
社区医院新的住院医项目教育发展的过程、结果和建议
Ebun O Ebunlomo,Christine Ford,Kamilla Guinn et al.
Ebun O Ebunlomo et al.
Introduction: Changes in the U.S. healthcare system have led to graduate medical education (GME) programs expanding beyond academic medical centers to community hospitals. Direct-care physicians at these hospitals are now...
Gizem Reyhanoglu,Mohsan Khan,Andrea Venturini
Gizem Reyhanoglu
Background: Histoplasmosis capsulatum and Blastomyces dermatitidis are fungi that are uniquely distributed across the United States. Co-infection with both fungi remains uncommon. The literature review of coinfection was ...
Bilateral Pulmonary Embolism With Bi-atrial Cardiac Thrombi Entrapped in a Patent Foramen Ovale [0.03%]
卵圆孔未闭中被困的双心房血栓并发肺动脉的双侧肺栓塞
Denise Mourad,Fahd E Mohamed,Yashi Ballal et al.
Denise Mourad et al.
Bi-atrial thrombi with bilateral pulmonary embolism (PE) through a patent foramen ovale (PFO) is rare and life-threatening, requiring urgent management due to embolization risk. We present a 53-year-old female with left lower extremity exte...
Fluid Resuscitation Choice and its Effect on Plasma Chloride and Acute Kidney Injury in Severe Acute Pancreatitis: A Randomized Study of Normal Saline vs. Balanced Crystalloids (Physiomax) [0.03%]
不同液体复苏方案对重度急性胰腺炎血浆氯浓度及急性肾损伤的影响：生理盐水与平衡液（参比林）的随机对照研究
Mandip S Bhatia,Ritu Attri,Ashok K Pannu et al.
Mandip S Bhatia et al.
Background: Acute pancreatitis (AP) is a potentially fatal gastrointestinal condition, often associated with organ failure and acute kidney injury (AKI). Early fluid resuscitation with Normal saline (NS) may lead to hyper...
Investigation of the Optimal Length of Discharge Summaries in Care Transitions: A Cross-sectional Study [0.03%]
出院小结的理想长度在护理转换中的调查：横断面研究
Taku Harada,Shintaro Kosaka,Aki Morishima et al.
Taku Harada et al.
Introduction: Discharge summaries are essential documents that support continuity of care during patient transitions between inpatient and outpatient settings. They help ensure that crucial clinical information is conveye...
Thyrotoxicosis Triggering Takotsubo Cardiomyopathy and Acute Coronary Syndrome: A Case of Severe Cardiovascular Manifestations in Hyperthyroidism [0.03%]
甲状腺毒症诱发应激性心肌病和急性冠脉综合征：甲状腺功能亢进的严重心血管表现一例
Raiyan Ali,Nathaniel Lin,Taha Siddiqui et al.
Raiyan Ali et al.
Hyperthyroidism can lead to serious cardiovascular complications, including arrhythmias, high-output heart failure, and myocardial ischemia. Thyrotoxicosis, a hypermetabolic emergency, may mimic or exacerbate acute coronary syndrome (ACS) a...
Practical Pre-rotation Resources Enhance Knowledge and Attitude Towards Discharge Planning for Medical Students [0.03%]
实用的预转科资源可增强医学生对出院计划的知识和态度
Ho-Man Yeung
Ho-Man Yeung
Interdisciplinary discharge planning is known to be a difficult subject for medical students to comprehend given its convoluted nature. There is no standardized curriculum for students and there is a large variety between every inpatient ro...
Role of Addiction Medicine Consultation Service in a Community Hospital: Evaluation of the Novel Service [0.03%]
戒瘾医学咨询服务在社区医院的作用：新型服务的评估研究
Srikrishna V Malayala,Wesley C Perez,Rukshar Thapa et al.
Srikrishna V Malayala et al.
Objectives: Fewer than 2500 physicians nationwide are certified in addiction medicine. Inpatient addiction hospitalist services have been shown to improve patient outcomes, but their capabilities and impact are underexplo...