3,991 results match your criteria Delaware medical journal[Journal]


Fat Emboli Syndrome.

Del Med J 2017 May;89(5):148-150

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May 2017
4 Reads

A Uniform.Approach in the Use of U-500 Regular Insulin in the Management Of Paiients with Obesity and Insu] in Resistance: The Clinicia's View.

Del Med J 2017 May;89(5):142-146

Background: As patients with diabetes continue to have greater problems with obesity, the need for more medications and higher doses of insulin has increased. Some patients are so insulin resistant that they require U-500 insulin.

Questions/purposes: All insulins carry the risk of hypoglycemia. Read More

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May 2017
24 Reads

Intubation Barotrauma and/or CPR Causing Tension Pneumoperitoneum.

Del Med J 2016 Jul;88(7):218-220

Background: Review the radiologic findings and clinical significance of tension pneumoperitoneum.

Case Report: Imaging case presented to radiology during patient's prolonged and complicated hospital stay.

Conclusions: Tension pneumoperitoneum associated with barotrauma is a rare, but potentially life threatening complication of mechanical ventilation. Read More

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July 2016
18 Reads

Using Geographic Information Systems (GIS) to Characterize Pediatric Pedestrian Motor Vehicle Accidents in the State of Delaware.

Del Med J 2016 Jul;88(7):206-211

Background: Pediatric pedestrian motor vehicle-associated of injuries correlated with a particular census tract's trauma is a significant public health concern for children. demographic composition. GIS mapping software was used We aimed to use geographic information systems (GIS) to examine the relationship between motor vehicle pedestrian injuries in children and the demographics of the region in which they occurred for the state of Delaware. Read More

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July 2016
13 Reads

Physician Burnout.

Authors:
Dorothy M Moore

Del Med J 2016 Jul;88(7):201-202

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July 2016
5 Reads

Successful Percutaneous Transcatheter Patent Foramen Ovale Closure Through The Right Internal Jugular Vein Using Stiff Amplatzer Catheter With A Reshaped Tip.

Del Med J 2016 Aug;88(8):238-241

Division of Cardiology, Christiana Care Health System, Newark, DE.

Percutaneous transcatheter closure of a patent foramen ovale (PFO) remains challenging when femoral venous approach is not available. We describe the successful closure of a PFO using the right internal jugular venous approach and a catheter delivery system with a reshaped tip in a patient with a PFO, recurrent stroke, recurrent gastrointestinal bleeding, bilateral deep venous thrombosis and thrombosed bilateral inferior vena cava filter. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525048PMC
August 2016
20 Reads

Untangling the Mystery of Palliative Care.

Del Med J 2017 Apr;89(4):124-125

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April 2017
1 Read

Palliative Care: How It Can Help You Care for Your Patients.

Authors:
Tracv Tull

Del Med J 2017 Apr;89(4):122-123

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April 2017
1 Read

Education in Palliative Care: A First Step to Building a Program.

Authors:
Allison Gonzalez

Del Med J 2017 Apr;89(4):118-120

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April 2017
2 Reads

Community-Based Palliative Care: Important Link in the Continuum of Care.

Authors:
Loretta Higgins

Del Med J 2017 Apr;89(4):116-117

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April 2017
1 Read

Advance Care Planning in the 21st Century.

Authors:
John Goodill

Del Med J 2017 Apr;89(4):114-115

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April 2017
1 Read

Palliative Care Across the Continuum.

Del Med J 2017 Apr;89(4):110-112

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April 2017
2 Reads

Eluxadoline-Associated Pancreatitis in a Post-Cholecystectomy Patient: A Case Report.

Del Med J 2017 Mar;89(3):90-92

Eluxadoline has emerged as an effective treatment option for patients with diarrhea- predominant irritable bowel syndrome (IBS-D). It was approved by the Food and Drug Administration (FDA) in May 2015 for treatment of IBS-D. It is a p-opioid receptor agonist and 6-receptor antagonist that acts locally in the gastrointestinal (GI) tract. Read More

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March 2017
1 Read

Previous Laparotomy Scar Preventing Abdominal Injury from Gunshot Wound.

Del Med J 2017 Mar;89(3):86-89

Diagnostic laparoscopy has been used in select patients with penetrating abdominal trauma. Here we present a case report where a midline surgical scar from a previous trauma laparotomy potentially prevented intra-abdominal injury. Furthermore, laparoscopy was used to exclude other intra-abdominal injuries and retrieve the projectile from within a hematoma cavity. Read More

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March 2017
1 Read

The Impact of a Statewide Coalition to Decrease Pediatric All-Terrain Vehicle Injuries.

Del Med J 2017 Mar;89(3):78-84

Children lack the cognitive judgment and motor skills to safely operate all-terrain vehicles (ATVs) in all situations. The Trauma Team clinicians at Nemours Children's Health System/Alfred I. duPont Hospital for Children (N/AIDHC) were concerned about the severity of injuries sustained by children when they were either the driver or a passenger on an ATV. Read More

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March 2017
17 Reads

Apples & Oranges - How to Compare Job Offers.

Authors:
Bruce Armon

Del Med J 2017 Feb;89(2):58-61

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February 2017
1 Read

A Sad State of Affairs.

Authors:
Peter V Rocca

Del Med J 2017 Feb;89(2):52

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February 2017
1 Read

Community-I nitiated Pilot Program "My Baby's Breath" to Reduce Prenatal Alcohol Use.

Del Med J 2017 Feb;89(2):46-51

Prenatal alcohol use puts mothers and their children at risk for complications during pregnancy, birth, and the neonatal periods. This paper describes a currently implemented community-based pilot program to reduce drinking among pregnant mothers. The program has worked in collaboration with case managers from Crow Wing County Social Services. Read More

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February 2017
4 Reads

Successful Therapy with Nivolumab in Metastatic Renal Cell Carcinoma After Multiple Prior Treatments.

Del Med J 2017 Jan;89(1):14-17

Renal cell carcinoma (RCC) is responsible for 80 to 85 percent of all primary renal malignancies. In the United State%, there are about 63,000 new cases and almost :14,000 deaths per year from RCC. Surgical resection of localized RCC can be curative but many patients eventually recur. Read More

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January 2017
7 Reads

Navigating Changes while Advocating for the Physician Community and Safety of Patients.

Authors:
Prayus Tailor

Del Med J 2017 Jan;89(1):9-10

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January 2017
1 Read

The Impact of Direct Cardiac Output Determination On Using A Widely Available Direct Continuous Oxygen Consumption Measuring Device On The Hemodynamic Assessment of Aortic Valve.

Del Med J 2016 09;88(9):270-275

Section of Cardiology, Christiana Care Health System, Newark, DE, USA; Value Institute, Christiana Care Health System, Newark, DE, USA.

Background: Accurate assessment of cardiac output (CO) is essential for the hemodynamic assessment of aortic valve area (AVA). Estimation of oxygen consumption (VO2) and Thermodilution (TD) is employed in many cardiac catheterization laboratories (CCL) given the historically cumbersome nature of direct continuous VO2 measurement, the "gold standard" for this technique. A portable facemask device simplifies the direct continuous measurement of VO2, allowing for relatively rapid and continuous assessment of CO and AVA. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125626PMC
September 2016
21 Reads
1 Citation

Impact of Catheterization Lab Computer Software Settings on Hemodynamic Assessment of Aortic Stenosis.

Del Med J 2016 07;88(7):212-217

Section of Cardiology, Christiana Care Health System, Newark, DE; Value Institute, Christiana Care Health System, Newark, DE.

Background: Accurate assessment of Cardiac Output (CO) is a critical measurement in the calculation of aortic valve area (AVA). Due to the known inaccuracy of estimated Fick calculations, many measure thermodilution (TD) CO as well due to previous studies showing better correlation with the gold standard direct CO. Previous studies showed suboptimal correlation between both methods. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125631PMC
July 2016
31 Reads
1 Citation

The Birth of a New Branch of Medicine: Psychiatry.

Authors:
Aydin Z Bill

Del Med J 2016 Dec;88(12):374-377

Psychiatric treatment prior to 1955 seemed to be at a standstill. All kinds of treatments, including surgical ones, were used ineffectively. Then suddenly, out of nowhere, a new treatment -chlorpromazine - created a worldwide revolution. Read More

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December 2016
2 Reads

Targeted Next Generation Sequencing with ThyroSeq v2.1 for Indeterminate Thyroid Nodules in Clinical Practice.

Authors:
Robert L Witt

Del Med J 2016 Dec;88(12):366-372

Objective: To determine if patients elect molecular testing over diagnostic surgery or repeat fine needle aspiration for indeterminate thyroid nodules. Can ThyroSeq v2.1 molecular testing reduce diagnostic thyroid surgery and rule out cancer?

Study Design: Retrospective review Setting: Single institution, single-practice surgeon. Read More

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December 2016
8 Reads

THE GOOD NUTRITION GAME: Extending the Good Behavior Game to Promote Fruit and Vegetable Intake.

Del Med J 2016 Nov;88(11):342-345

Background: Consumption of diverse and nutritious food is challenging for children diagnosed with Autism Spectrum Disorder.

Objective: We created the Good Nutrition Game and implemented the intervention among students diagnosed with Autism Spectrum Disorder at a therapeutic after-school socialization program.

Method: We divided students into two teams in each session. Read More

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November 2016
1 Read

The Effect of Surgical Approach on Strength and Function after Total Hip Arthroplasty.

Del Med J 2016 Nov;88(11):334-340

Background: Although total hip arthroplasty (THA) has become standard procedure to manag the symptoms of end-stage osteoarthritis (OA), there are multiple surgical approaches to acceE the hip joint. To date, there is limited information on the effect of surgical approach on muscle strength and performance-based measures of functional ability after THA.

Questions/purposes: The purpose of this study was to compare the effect of posterior or anterolateral surgical approaches on strength and function after THA. Read More

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November 2016
1 Read

BEEBE HEALTHCARE: PHYSICIANS CARRY A DREAM FOR 100 YEARS.

Authors:
Pam George

Del Med J 2016 Oct;88(10):312-316

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October 2016
1 Read

Restrictive Dermopathy: A Rare Disease with Unusual Radiographic Findings.

Del Med J 2016 Oct;88(10):308-310

The patient is a unique case presenting with presumed Restrictive Dermopathy (RD) and intracranial and adrenal calcifications, an association not previously described in the literature. This case postulates the possibility of additional radiographic features that can be included in the spectrum of RD or as secondary events from the underlying pathophysiology of RD. Read More

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October 2016
1 Read

Pediatric Head Injury in the Delaware Trauma System: Toward Improved Calibration of Severity and Resource Utilization.

Del Med J 2016 Oct;88(10):302-307

Background: How the existence of trauma systems affects the care of less severely injured patients has received little attention.

Objective: The current study examines the longitudinal effect on the care of children with traumatic brain injuries (TBIs) of the incorporation of a pediatric trauma center into a regional trauma system.

Methods: The Delaware Trauma System provided registry data from 2000 to 2014. Read More

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October 2016
16 Reads

Crystal Induced Acute Kidney Injury.

Del Med J 2016 Sep;88(8):244-246

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September 2016
1 Read

STEMI in Pregnancy.

Del Med J 2016 Sep;88(8):242-243

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September 2016
3 Reads

Immunomodulatory Therapy and an Insidious Presentation of a Large Intra-Abdominal Abscess.

Del Med J 2016 Sep;88(9):280-2

Crohn's disease is a disorder characterized by transmural inflammation which can potentially affect any part of the gastrointestinal tract from the mouth to the perianal area. Cohn's disease is a systemic disease characterized by a relapsing remitting course, with variable intestinal and extra-intestinal complications. Abdominal and pelvic abscesses are not an uncommon complication of Crohn's disease occurring in 10-30 percent of all patients. Read More

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September 2016
3 Reads

Stump Appendicitis.

Del Med J 2016 Sep;88(9):276-8

Stump appendicitis is a delayed complication of appendectomy. Patients present with symptoms similar to an initial presentation for appendicitis. Diagnosis is often delayed as history of appendectomy often precludes focused workup for an appendiceal source of infection. Read More

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September 2016
7 Reads

MSD: Making Strides to Make Your Life Easier.

Authors:
Dorothy M Moore

Del Med J 2016 Sep;88(9):265-6

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September 2016
3 Reads

Be Prepared: Phase 2 HIPAA Audits Set to Begin.

Del Med J 2016 Jun;88(6):188

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June 2016
8 Reads

Osteogenesis Imperfecta.

Del Med J 2016 Jun;88(6):178-85

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June 2016
11 Reads

Are You a Victim of Identity Theft?

Authors:
Dorothy M Moore

Del Med J 2016 Jun;88(6):169-70

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June 2016
6 Reads

Infectious Disease in the Delaware Department of Correction.

Authors:
Vincent F Carr

Del Med J 2016 May;88(5):148-51

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May 2016
6 Reads

Patients with a Substance Use Disorder Need Treatment--Not Stigma.

Authors:

Del Med J 2016 May;88(5):142-4

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May 2016
7 Reads

Legislative Efforts.

Authors:
Dorothy M Moore

Del Med J 2016 May;88(5):137-8

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May 2016
9 Reads

Revenue Cycle Management Allows Your Staff to Concentrate on Clinical Issues.

Del Med J 2016 Apr;88(4):120-3

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April 2016
7 Reads

An Introduction to the Medical Services of the Delaware Department of Correction.

Authors:
Vincent F Carr

Del Med J 2016 Apr;88(4):116-9

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April 2016
6 Reads

Opioid Exposed Mothers and Infants in Delaware: Clinical and Legal Considerations.

Del Med J 2016 Apr;88(4):110-4

Drug use is on the rise in Delaware, as demonstrated by the continued increase in infants born with neonatal abstinence syndrome. Thoughtful, evidence-based, and coordinated approaches are necessary to impact this problem. There is solid evidence that mothers and infants who remain together have improved outcomes. Read More

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April 2016
45 Reads

Home Sweet Home.

Authors:
Dorothy M Moore

Del Med J 2016 Apr;88(4):103-4

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April 2016
13 Reads