Endocrine disorders are a significant reason for consultation during pregnancy. Many of these conditions are common in women of fertile…
Preoperative and operative care
A huge number of surgical procedures are carried out annually. Although estimates of mortality and morbidity vary, they are generally…
Genomics in medicine
Nearly all diseases have a genomic basis. This varies from rare ‘single-gene disorders’ such as Duchenne muscular dystrophy, to ‘complex’…
Internal Medicine Residency Program Director Burnout and Program Director Turnover: Results of a National Survey
Burnout, a work-related syndrome involving high levels of emotional exhaustion, depersonalization, and sense of reduced personal accomplishment,1 is common among…
Drugs, the thyroid and the heart: a lethal cocktail
A 53 year old man was referred for evaluation of a raised International Normalised Ratio (INR) blood result. He had…
The Association Between Serum Calcium Levels and Short-Term Mortality in Patients with Chronic Heart Failure
Patients with chronic heart failure have vulnerable myocardial function and are susceptible to electrolyte disturbances. In these patients, diuretic treatment…
Prevalence, Determinants, and Clinical Associations of High-Sensitivity Cardiac Troponin in Patients Attending Emergency Departments
High-sensitivity cardiac troponin assays may improve the diagnosis of myocardial infarction but increase the detection of elevated cardiac troponin in…
The association between serum calcium levels and short-term mortality in chronic heart failure patients
Patients with chronic heart failure have a vulnerable myocardial function and are susceptible to electrolyte disturbances. In these patients, diuretic…
Concomitant Use of Direct Oral Anticoagulants with Antiplatelet Agents and the Risk of Major Bleeding in Patients with Nonvalvular Atrial Fibrillation
Patients with nonvalvular atrial fibrillation commonly have comorbidities requiring concurrent use of oral anticoagulants and antiplatelets. There are no real-world…
Wanted: Local Medical Experts /Champions to Prevent Gun Violence
In response to the current, horrific, US public health crisis, an epidemic of gun violence, due primarily to handguns, physician…