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Connecticut Medicine

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https://www.readbyqxmd.com/read/27509649/climbing-steep-hills
#1
Matthew C Katz
No abstract text is available yet for this article.
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509648/spring-update
#2
Henry E Jacobs
No abstract text is available yet for this article.
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509647/cdc-opioid-guidelines-in-today-s-drug-culture
#3
EDITORIAL
Michael M Deren
No abstract text is available yet for this article.
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509646/the-destruction-of-clinical-medicine-and-what-is-needed-for-its-resurrection
#4
Mark Rosenberg
No abstract text is available yet for this article.
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509645/spiro-writing-awards-2016
#5
Katelyn Norman, Harrison Hayward
No abstract text is available yet for this article.
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509644/the-respimat-soft-mist-inhaler-a-novel-inhaled-drug-delivery-device
#6
REVIEW
Emily A Perriello, Diana M Sobieraj
Summary The Respimat SMI offers a novel delivery mechanism for the management of primarily COPD, but asthma as well. Presently, four different medications, as monotherapy or a combination of two active ingredients, are available using the Respimat SMI technology. Multiple studies have demonstrated safety and efficacy of these drugs when delivered via Respimat SMI. Patients tend to prefer the Respimat SMI over traditional inhaler devices, as it overcomes some of the disadvantages posed by traditional delivery devices...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509643/rapidly-fatal-dissemination-of-merkel-cell-carcinoma-in-a-patient-treated-with-alemtuzumab-for-chronic-lymphocytic-leukemia
#7
Kenneth K Yu, Constantin A Dasanu
Alemtuzumab is FDA-approved for the treatment of chronic lymphocytic leukemia (CLL). Nonetheless, its use for this indication has fallen out of favor due to serious concerns for infectious complications and increased risks of second malignancies from the profound and lasting immunosuppression. We report here in a patient with a rapidly progressive metastatic Merkel cell carcinoma (MCC) who was previously treated with alemtuzumab and fludarabine for CLL. He developed profound lymphopenia and hypogammaglobulinemia...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509642/primary-myeloid-sarcoma-of-the-small-intestine-case-report-and-literature-review
#8
REVIEW
Scott McCusker, John Trangucci, William Frederick, A Aziz Richi, Salim Abunnaja
Primary myeloid sarcoma is a rare extramedullary manifestation of acute myeloid leukemia (AML). Typically, myeloid sarcoma presents after a diagnosis of AML or other myeloproliferative disorder. However, primary myeloid sarcoma may present without any preexisting condition, thereby making it extremely difficult to diagnose. We discuss a case of a 22-year-old female who was misdiagnosed initially with acute appendicitis and underwent an appendectomy. Postoperatively, she continued to be symptomatic and eventually developed small bowel obstruction...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509641/adenovirus-pneumonia-mimicking-legionnaire-s-disease-with-acute-pancreatitis
#9
Burke A Cunha
No abstract text is available yet for this article.
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509640/ceramic-on-ceramic-total-hip-arthroplasty-in-a-twelve-year-old-patient-case-report-with-a-27-year-follow-up
#10
Ameya V Save, Arya Varthi, Paul G Talusan, Raj Gala, Stephen Nelson, Kristaps J Keggi
Total hip arthroplasty in the juvenile patient with a severely diseasedjoint can provide long-term pain relief and improvement in function. We present a patient with juvenile rheumatoid arthritis who underwent a Mittelmeier ceramic-on-ceramic total hip arthroplasty at age 12 in 1986. The implant provided the patient with a functioning hip for 24 years, but subsequently required revision due to femoral component loosening. This case report represents the longest reported clinical follow-up of noncemented, ceramic-on-ceramic total hip arthroplasty in a juvenile patient and depicts an excellent outcome at 27 years...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509639/does-initial-imaging-modality-affect-breast-biopsy-upgrade-rates-a-single-institution-review
#11
Rachel B Scott, Tsetan Dolkar, Ramapriya Vidhun, Turner Osler, Valerie L Staradub
INTRODUCTION: Image-guided core needle biopsy (CNB) is the standard for diagnostic breast biopsy. However, the upgrade rate to a higher order lesion defined as identification of malignancy on final pathology from surgical excision remains problematic. MATERIALS AND METHODS: A retrospective chart review of all core needle biopsies from 2008 to 2012 was performed. We identified lesions demonstrating atypia without associated malignancy on core needle biopsy and recorded multiple factors to evaluate predictors of upgrade...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27509638/the-opioid-crisis-and-the-physician-s-role-in-contributing-to-its-resolution-step-one-prevention-of-overdoses
#12
REVIEW
Susan Wolfe, Dennis L Bouffard, Vania Modesto-LoweE
The escalation of opioid prescriptions, associated misuse, and related mortality continues to pose public health challenges in the United States. Data from the Centers for Disease Control and Prevention (CDC) indicates that opioid overdose death rates remain high, suggesting the need for improved access to, and use of naloxone to save lives. In this context, community-based overdose initiatives have trained laypersons to identify overdose and administer naloxone for reversal. Although there have been efforts to encourage physicians to prescribe naloxone to patients at-risk for opioid overdose, the rate of prescribing remains suboptimal...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328584/lcma-building-a-strong-foundation-for-organized-medicine-for-250-years
#13
Matthew C Katz
No abstract text is available yet for this article.
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328583/pharmaceutical-greed-and-its-consequences
#14
Henry E Jacobs
No abstract text is available yet for this article.
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328582/the-man-with-two-hearts
#15
EDITORIAL
Michael D Deren
No abstract text is available yet for this article.
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328581/optimal-vaccine-administration-for-patients-undergoing-chemotherapy
#16
Kellie J Goodlet, Jennifer E Girotto
No abstract text is available yet for this article.
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328580/idiopathic-pneumatosis-intestinalis-requiring-decompressive-laparotomy
#17
Andrew McGregor, Khaldoun Bekdache, Laura Choi
INTRODUCTION: Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are radiographic signs of questionable bowel ischemia. Pneumatosis intestinalis can be associated with possible benign conditions such as obstructive airway disease. We present a patient who demonstrated clinical signs of overt sepsis with corresponding radiological findings of PI and HPVG concering for possible small or large bowel ischemia. However at exploration, no sign of small or large bowel injury or ischemia could be detected...
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328579/cerebral-aneurysm-from-cardiobacterium-hominis-endocarditis
#18
Aaron Glucksman, Edgar Naut
A 43-year-old male with a history of bioprosthetic aortic valve replacement and tricuspid valve annuloplasty presented with vertigo and was found to have an acute infarct in the left superior cerebellum, as well as a left-middle cerebral artery mycotic aneurysm. Blood cultures grew Cardiobacterium hominis and bioprosthetic aortic valve vegetation was found on transthoracic echocardiogram.
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328578/efficacy-of-driving-simulator-training-for-novice-teen-drivers
#19
RANDOMIZED CONTROLLED TRIAL
Brendan T Campbell, Kevin Borrup, Meagan Derbyshire, Steven Rogers, Garry Lapidus
The objective of this study was to determine if driving simulator training lowers motor vehicle crash (MVC) rates for novice teen drivers. We enrolled 215 high school students, and randomly assigned 89 to the control group, and 126 to the intervention group. Twelve months after the intervention, participants completed a survey asking about crash history and driving infractions. Nearly two-thirds (n = 137, 63%) of participants completed the presimulator survey, follow-up survey, and obtained a license. Nearly one-third of the intervention group (n = 42, 33%) completed some of the 12 simulator training modules: 2-5 modules (n = 8, 19%), 6-11 modules (n = 7, 17%), and all 12 modules (n = 27, 64%)...
May 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27328577/things-they-didn-t-teach-me-at-yale-one-surgeon-s-generation
#20
Richard S Dutton
No abstract text is available yet for this article.
May 2016: Connecticut Medicine
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