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 Showing 41-53 of 53 Articles
Teachable Moment 
Joseph W. Howells, DO; Patricia A. Short, MD

This case report describes a patient whose medical history, clinical presentation, and other known factors should have prompted greater suspicion of false-positive serum ammonia elevation.

Original Investigation 
Myreen E. Tomas, MD; Sirisha Kundrapu, MD; Priyaleela Thota, MD; Venkata C. K. Sunkesula, MD; Jennifer L. Cadnum, BS; Thriveen Sankar Chittoor Mana, MS; Annette Jencson, BS, CIC; Marguerite O’Donnell, RN; Trina F. Zabarsky, RN; Michelle T. Hecker, MD; Amy J. Ray, MD; Brigid M. Wilson, PhD; Curtis J. Donskey, MD
Includes: Supplemental Content

Importance  Contamination of the skin and clothing of health care personnel during removal of personal protective equipment (PPE) contributes to dissemination of pathogens and places personnel at risk for infection.

Objectives  To determine the frequency and sites of contamination on the skin and clothing of personnel ...

Invited Commentary: Health Care Worker Self-contamination; Michelle Doll, MD; Gonzalo M. Bearman, MD, MPH
Original Investigation 
Alan Rosenberg, MD; Abiy Agiro, PhD; Marc Gottlieb, MPA; John Barron, PharmD; Peter Brady, MBA; Ying Liu, MS; Cindy Li, MSc; Andrea DeVries, PhD
Includes: Supplemental Content

Importance  The Choosing Wisely campaign consists of more than 70 lists produced by specialty societies of medical practices or procedures of minimal clinical benefit to patients in most situations, with recommendations regarding judicious use.

Objective  To quantify the frequency and trends of some of the earliest ...

Invited Commentary: Changing Clinician Behavior When Less Is More; Ralph Gonzales, MD, MSPH; Adithya Cattamanchi, MD, MAS
Invited Commentary 
Michelle Doll, MD; Gonzalo M. Bearman, MD, MPH

The vulnerability of health care workers to acquisition and propagation of infectious agents has received global attention because of recent outbreaks of highly communicable and fatal diseases, including Ebola virus disease and severe acute respiratory syndrome. The emergence of these high-profile pathogens has prompted calls for better personal ...

Invited Commentary 
Ralph Gonzales, MD, MSPH; Adithya Cattamanchi, MD, MAS

The American Board of Internal Medicine Foundation intended for the Choosing Wisely campaign to support conversations between clinicians and their patients about what care is necessary.1 The campaign sought to do so by involving professional societies in creating lists of unnecessary tests and procedures and disseminating the ...

Special Communication 
Aaron S. Kesselheim, MD, JD, MPH; Michael S. Sinha, MD, JD, MPH; Steven Joffe, MD, MPH

Although insider trading is illegal, recent high-profile cases have involved physicians and scientists who are part of corporate governance or who have access to information about clinical trials of investigational products. Insider trading occurs when a person in possession of information that might affect the share price of ...

Original Investigation 
Mads E. Jørgensen, MB; Mark A. Hlatky, MD; Lars Køber, MD, DSc; Robert D. Sanders, MD, PhD, FRCA; Christian Torp-Pedersen, MD, DSc; Gunnar H. Gislason, MD, PhD; Per Føge Jensen, MD, PhD; Charlotte Andersson, MD, PhD
Includes: Supplemental Content

Importance  Perioperative β-blocker strategies are important to reduce risks of adverse events. Effectiveness and safety may differ according to patients’ baseline risk.

Objective  To determine the risk of major adverse cardiovascular events (MACEs) associated with long-term β-blocker therapy in patients with uncomplicated hypertension undergoing noncardiac surgery....

Editor's Note 
Joseph S. Ross, MD, MHS; Mitchell H. Katz, MD

When a patient is made to wait a long time to receive care from a physician or other health care professional, the implicit message is clear: the patient’s time is less important than the clinician’s. Although patients are understanding of waits due to professional emergencies (eg, when an ...

Challenges in Clinical Electrocardiography 
Philip S. Hall, MD; Babak Nazer, MD; Randall J. Lee, MD, PhD

A woman in her 50s with a history of intravenous drug use and hepatitis C was admitted with a diagnosis of community-acquired pneumonia. Physical examination demonstrated violaceous plaques on her ears, fingertips, hands, elbows, and ankles. She reported recent injection use of cocaine, 2 days prior to admission. ...

Research Letter 
Kristin N. Ray, MD, MS; Amalavoyal V. Chari, PhD; John Engberg, PhD; Marnie Bertolet, PhD; Ateev Mehrotra, MD, MPH

This Research Letter examined data from the American Time Use Survey and found that time waiting for or obtaining medical care was significantly longer for racial/ethnic minorities, individuals with less education, and individuals who are unemployed.

Editor's Note: No Time to Wait; Joseph S. Ross, MD, MHS; Mitchell H. Katz, MD
Research Letter 
Nynne Nyboe Andersen, MD; Björn Pasternak, MD, PhD; Mikael Andersson, MSc; Nete Munk Nielsen, MD, PhD; Tine Jess, MD, DMSc

This population-based cohort study suggests a possible 2-fold increased relative risk but a low absolute risk of central demyelinating diseases associated with anti-TNF exposure in patients with irritable bowel syndrome.

Comment & Response 
Charlotte Andersson, MD, PhD

To the Editor We have regretfully discovered an error in our program underlying the analyses of the paper “Association of β-Blocker Therapy With Risks of Adverse Cardiovascular Events and Deaths in Patients With Ischemic Heart Disease Undergoing Noncardiac Surgery: A Danish Nationwide Cohort Study” (2014;174[3]:336-344).1

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