Impact of profession and wards on moral distress in a community hospital.

Background: Recently, a singular survey titled "Measure of Moral Distress-Healthcare Professionals," which addresses shortcomings of previous instruments, has been validated.

Aim: To determine how moral distress affects nurses and physicians differently across the various wards of a community hospital.

Participant And Research Context: We distributed a self-administered, validated survey titled "Measure of Moral Distress-Healthcare Professionals" to all nurses and physicians in the medical/surgical ward, telemetry ward, intensive care units, and emergency rooms of a community hospital.

The Clinical Challenges of Diagnosing Acutely Decompensating Amyloidosis.

Advanced amyloidosis and related multi-organ manifestations are devastating clinical scenarios. Because ambiguous presentation of amyloidosis may occur, early diagnosis and prevention of organ damage, such as cardiac injury, is essential and requires high clinical intuition. Our patient was a middle-aged female with a past medical history of heart failure with several decompensation episodes who presented with jaundice, itchiness, and weight loss.

Single incision laparoscopic Nissen fundoplication: step by step.

Introduction: Laparoscopic Nissen fundoplication has been shown to have many benefits for patients including shorter hospital stay and fewer operative complications. The traditional laparoscopic Nissen fundoplication has been performed by the use of 5 incisions. With the inception of single incision procedures, surgeons have been examining other procedures that may benefit from adoption of an even less invasive technique.