Albert Einstein College of Medicine, Yeshiva University: Open Journal Systems
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The Association of Blood Urea Nitrogen Levels and Coronary Artery Disease
Get PDFRenal dysfunction has been associated with adverse cardiovascular outcomes. Estimates of renal function routinely utilize creatinine-based measures. Serum blood urea nitrogen (BUN) levels, however, may provide supplemental information in regard to renal function as renal proximal tubule cells may increase BUN reabsorption in the setting of increased neurohormonal activation. We performed a retrospective chart review on 156 consecutive adult patients presenting to the Montefiore Medical Center Emergency Department with symptoms of unstable angina and no known prior history of coronary artery disease (CAD) who underwent cardiac catheterization as part of their index hospitalization. On multivariate analysis, admission serum BUN was associated with an increased burden of CAD on cardiac catheterization and was not associated with ruling in for myocardial infarction (MI).
The History of the Hippocratic Oath: Outdated, Inauthentic, and Yet Still Relevant
Get PDFNearly all medical schools incorporate some form of professional medical oath into their graduation ceremo- nies. The oldest and most popular of these oaths is the Hippocratic Oath, composed more than 2,400 years ago. In modern times, especially during the twentieth century, the Hippocratic Oath has had its content changed and its authorship challenged. This article discusses the history of the Hippocratic Oath from its traditional form to its modern adaptations. Additionally, this article seeks to explain the Hippocratic Oath’s endurance despite these challenges, based upon the historical importance of Hippocrates and the Hippocratic tradition in Western medicine.
Pain Assessment and the Mental Health Practitioner: A Mind-Body Approach
Get PDFPain is the most common reason individuals visit physi- cians, yet medical doctors are often inadequately trained in pain assessment. Furthermore, pain is increasinglyviewed as having significant affective and cognitive components necessitating a biopsychosocial approach. The role of the mental health practitioner is essential in amind-body approach to pain assessment. In addition, issues arising in special populations, such as children and the elderly, require special attention
It is a Small World: Global Medical Education for the Twenty-first Century
Get PDFLast year’s epidemic of the Severe Acute Respiratory Syndrome (SARS) virus in Asia and the present world-wide concern about the spread of the H5N1 avian flu virus has brought international health concerns to the front pages of national and international newspapers, newsmagazines, and health journals around the world. Add to this the global Human Immunodeficiency Virus (HIV) epidemic, the global resurgence of tuberculosis (TB), and the disturbing increases in antibiotic-resistant bacteria, and it becomes difficult to imagine the compartmentalized world of even 30 years ago when diseases of different continents stayed in their place. Today, more than one million people cross international borders each day (not including refugees and displaced persons). Air transport guarantees a rapid transit of both person and pathogen well within the incubation period of many diseases. Body-heat detectors used recently at immigration points (e.g., Singapore and Hanoi) to detect febrile passengers are symbolic of the coarse screening attempts being used to control the movement of contagious diseases.