Hyperactive Delirium with Severe Agitation.

Hyperactive delirium with severe agitation is a clinical syndrome of altered mental status, psychomotor agitation, and a hyperadrenergic state. The underlying pathophysiology is variable and often results from sympathomimetic abuse, psychiatric disease, sedative-hypnotic withdrawal, and metabolic derangement. Patients can go from a combative state to periarrest with little warning.

Approach considerations for the management of strangulation in the emergency department.

Patients with a history of strangulation present to the emergency department with a variety of different circumstances and injury patterns. We review the terminology, pathophysiology, evaluation, management, and special considerations for strangulation injuries, including an overview of forensic considerations and legal framework for strangulation events.

Coaching intervention as a strategy for minority recruitment to cancer clinical trials.

Purpose: Lack of trust and rapport with health care providers has been identified in the under-representation of racial/ethnic minorities within clinical trials. Our study used a coach to promote trust among minority patients with advanced cancer.

Patients And Methods: Minority patients with advanced breast, colorectal, lung, or prostate carcinoma were randomly assigned to receive a coach Intervention (CI) or usual care (UC).

An institutional strategy to increase minority recruitment to therapeutic trials.

Purpose: Participation in therapeutic clinical trials rarely reflects the race and ethnic composition of the patient population. To meet National Institutes of Health-mandated goals, strategies to increase participation are required. We present a framework for institutional enhancement of minority clinical trial accrual.

Ependymoma as a cause of low back pain in a young healthy athlete.

Young athletes with exercise-associated, acute low back pain are likely to be symptomatic from musculoskeletal trauma. Those who experience more insidious pain or pain not associated with physical activity must be assessed for infectious, inflammatory, or mass lesions. We present an adolescent athlete who was suspected of an overuse syndrome as the cause for low back pain.

Two cases of exertional rhabdomyolysis precipitated by personal trainers.

Introduction: Numerous cases of exertional rhabdomyolysis have been reported in the literature, and these cases mostly involve individuals who were inexperienced exercisers, uneducated in fitness and health principles, dehydrated or heat stressed, taking drugs, or military recruits in basic training.

Purpose: The purpose of this article is to review two cases of exertional rhabdomyolysis in healthy, experienced exercisers.

Methods/results: The cases reviewed are for a 22-yr-old female college student and a 37-yr-old male physician who presented with rhabdomyolysis secondary to exercise in a local health club that was part of a national chain.