11210 research outputs found
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Illinois Masonic Medical Center House Staff, 1993-94
No full textIllinois Masonic Medical Center, Chicago, IL: House staff roster with photos of IMMC residents in 1993-1994 for the specialties of anesthesiology, cardiology, dentistry, emergency medicine, internal medicine, obstetrics and gynecology, pathology, podiatry, radiology, general surgery, and transitional year.https://institutionalrepository.aah.org/alldocuments/2165/thumbnail.jp
Delirium screening in the neurointensive care unit: Comparison of the confusion assessment method for the intensive care unit and intensive care delirium screening checklist
No full textBackground: Delirium is a common and serious potential complication of an ICU stay, associated with risk of mortality and worse outcomes. Screening tools including ICDSC and CAM-ICU have been validated in critical care populations, however, few studies have examined their utility in neurocritically ill patients. Research on delirium is highly segregated with varying terminology used among specialties, making research efforts difficult.
Objectives: Evaluate which screening tool is more feasible in neurocritically ill patients.
Methods: Single-center, retrospective analysis of a prospective QI initiative in a neurosciences ICU at a tertiary medical center in Chicago, IL. Patients admitted January 2019-2020 were screened for delirium with ICDSC, CAM-ICU and gold-standard DSM-5 throughout ICU stay. 206 patients were included who underwent 1442 assessments. Agreement of detection tools assessed using Fleiss\u27 kappa.
Results: Prevalence of delirium using DSM-5 criteria was 1.6 %. Of the 1442 assessments, 116 were CAM-ICU-positive (8 %) and 343 were ICDSC-positive (23.8 %). The three tools had a kappa-agreement of 0.249. Of the 23 patients with confirmed delirium per DSM-5, 10 (4.8 %) were also positive for ICDSC but negative for CAM-ICU. 7 patients with a positive DSM-5 diagnosis were negative for both the CAM-ICU and ICDSC. CAM-ICU: sensitivity 26 %, specificity 94.5 %. ICDSC: sensitivity 69.5 %, specificity 87.6 %.
Conclusions: Current methods for detection of delirium in the neurocritically ill are imperfect, and terminology bias exists in the literature, limiting data comparison. While limited, the ICDSC appears a more sensitive tool for detection of delirium in the neurocritically ill compared to CAM-ICU. Larger validation studies are warranted
The future of applications to podiatric medical school in the United States-2024
No full textBackground: The number of applications to podiatric medical schools in the United States continues to fall. There are many reasons for this decline, and this article attempts an impartial look at some of the forces at play in potentially affecting students\u27 decisions to apply to podiatric medical school in the first place.
Methods: I reviewed the existing literature on the current state of the podiatric medical profession in the United States, with attention to enrollment rates in podiatric medical schools during the past decade.
Results: There are limited definitive data, and those displayed herein come from the American Association of Colleges of Podiatric Medicine and other organizations. The data suggest a steady decline in applicants to US podiatric medical schools during the past decade.
Conclusions: The reasons for this decline are multifactorial and include problems extrinsic to the profession, such as a declining US birth rate, as well as problems within the profession, most of which are now easily discoverable through Internet searches and research. The issue of lack of plenary licensure, the inconsistent salary data, and in-fighting among the various boards that exist within the profession seem to be major factors that may be perceived as negative influences in choosing a career in podiatric medicine
A case of yogurt central line-associated bloodstream infection in a child with intestinal failure
No full textCentral line-associated bloodstream infections (CLABSI) are a significant cause of morbidity in children with intestinal failure (IF). Probiotic therapy is discouraged in patients with IF because of the increased risk of bacteremia with the probiotic organism. We report an unusual, previously undescribed, clinical presentation of a Lactobacillus-species CLABSI linked to yogurt consumption in a toddler with IF secondary to Megacystis-microcolon-intestinal hypoperistalsis syndrome. Lactobacillus is abundant in fermented foods like yogurt and among the commensal constituents of the oral cavity microbiome and mucosal surfaces in the gastrointestinal tract. It is rarely implicated as the causative organism in CLABSI. At the time of presentation with fever, blood cultures were collected from the patient\u27s central venous catheter (CVC), and peripherally. Both grew Lactobacillus species. Comparative genetic analysis predicted ~99% similarity between the CLABSI isolate and Lactobacillus isolates from the Greek yogurt the patient regularly consumed. Our patient\u27s Lactobacillus CLABSI was linked to the consumption of Greek yogurt. We speculate that daily consumption of yogurt with live cultures posed a high cumulative exposure to Lactobacillus species either through external contamination of our patient\u27s CVC or translocation of the ingested organisms from his gastrointestinal tract into the bloodstream. This is the first case report that links CLABSI in children with IF to yogurt consumption
Inside WAMH, April 2007
No full textWest Allis Memorial Hospital, West Allis, WI: Inside WAMH is a monthly newsletter for employees, volunteers, and guests of the hospital. This issue includes announcements of programs and services.https://institutionalrepository.aah.org/alldocuments/2187/thumbnail.jp
Inside WAMH, March 2007
No full textWest Allis Memorial Hospital, West Allis, WI: Inside WAMH is a monthly newsletter for employees, volunteers, and guests of the hospital. This issue highlights the volunteers working at the hospital and pet therapy.https://institutionalrepository.aah.org/alldocuments/2186/thumbnail.jp
Inside AWAMC, May 2009
No full textAurora West Allis Medical Center, West Allis, WI: Inside AWAMC is a monthly newsletter for employees, volunteers, and guests of the hospital. This issue announces that the hospital was named a top 100 hospital nationally by Thomson Healthcare.https://institutionalrepository.aah.org/alldocuments/2211/thumbnail.jp
Inside AWAMC, April 2009
No full textAurora West Allis Medical Center, West Allis, WI: Inside AWAMC is a monthly newsletter for employees, volunteers, and guests of the hospital. This issue has a feature on the hospital\u27s SHHH campaign to promote noise reduction in patient areas.https://institutionalrepository.aah.org/alldocuments/2210/thumbnail.jp
Inside WAMH, February 2008
No full textWest Allis Memorial Hospital, West Allis, WI: Inside WAMH is a monthly newsletter for employees, volunteers, and guests of the hospital. This issue has information on a pilot Open Medical Record program.https://institutionalrepository.aah.org/alldocuments/2196/thumbnail.jp