An Evaluation of Interprofessional Patient Navigation Services in High Utilizers at a County Tertiary Teaching Health System.

The Affordable Care Act holds health systems accountable for patient outcomes. Patients with low socioeconomic status are at highest risk of lacking a primary care provider, receiving lower quality of care, and being readmitted. These patients also have elevated risks of all-cause readmissions and death after discharge.

Organocatalytic Synthesis of Benzazetidines by Trapping Hemiaminals with Protecting Groups.

Benzazetidines are highly strained and inherently unstable heterocycles. There are only few methodologies for assembling these compounds. Here, a protocol is presented to trap an elusive cyclic, four-membered hemiaminal structure.

Relation of behavioral health to quality health care.

Primary health care provided by an integrated treatment team (e.g., physician, nurse, behavioral health specialist) is becoming increasingly common.

Electronic cigarettes in the media.

Electronic cigarettes (e-cigarettes) are an increasingly popular source of nicotine and an increasingly popular topic in the media. Concerns about potential hazards associated with e-cigarette use and advertising, especially to adolescents, have led to studies on e-cigarettes in both traditional media (TV, mail, print, and outdoor advertising) and social media (websites, social networking sites, blogs, and e-mails). This review presents a narrative description of available studies related to e-cigarettes in the media.

Case reports published by residents of Texas Tech University Health Sciences Center, Lubbock, 2008-2013.

Case report publications introduce new information into the current body of medical information and provide trainees with an opportunity to develop skills that enhance patient care. However, opportunities for publication are limited because journals often have other editorial priorities and some journals do not want to publish articles that might decrease their impact factors. Using PubMed and Google Scholar, we identified the case report articles published by our residents who completed training between 2008 and 2013.

Universal school-based prevention for illicit drug use.

Background: Drug addiction is a chronic, relapsing disease. Primary interventions should aim to reduce first use or to prevent the transition from experimental use to addiction. School is the appropriate setting for preventive interventions.

School policies for preventing smoking among young people.

Background: School tobacco policies (STPs) might prove to be a promising strategy to prevent smoking initiation among adolescents, as there is evidence that the school environment can influence young people to smoke. STPs are cheap, relatively easy to implement and have a wide reach, but it is not clear whether this approach is effective in preventing smoking uptake.

Objectives: To assess the effectiveness of policies aiming to prevent smoking initiation among students by regulating smoking in schools.

Characterization of sleep patterns and problems in healthcare workers in a tertiary care hospital.

Objectives: Restrictions in sleep can have important adverse effects on health and job performance. We collected information about sleep from US healthcare workers to determine whether they had sleep difficulties.

Methods: We used an Internet-based survey to collect information on sleep patterns and sleep quality in healthcare workers at a tertiary care hospital.

Maintenance of certification in Internal Medicine: participation rates and patient outcomes.

The clinical practice of internal medicine continues to evolve with the addition of new information and new technology. Most internists in practice will have erosion of their knowledge after they complete training unless life-long learning occurs. The American Board of Internal Medicine (ABIM) began to issue time-limited certification in 1990 and asserts that the Maintenance of Certification (MOC) program promotes the professional development of internists.

Short sleep times predict obesity in internal medicine clinic patients.

Study Objectives: Epidemiological studies have demonstrated an association between short sleep times and obesity as defined by body mass index (BMI). We wanted to determine whether this association occurs in patients with chronic medical diagnoses since the number of confounding factors is likely higher in patients than the general population.

Methods: Two hundred patients attending internal medicine clinics completed a survey regarding sleep habits, lifestyle characteristics, and medical diagnoses.

Granulomatous Pneumocystis jiroveci Pneumonia in a patient with chronic lymphocytic leukemia: a literature review and hypothesis on pathogenesis.

Background: Pneumocystis jiroveci pneumonia occurs frequently in patients with immunodeficiency syndromes, especially AIDS. Approximately 5% of AIDS patients have atypical granulomatous histology.

Case Report/methods: A 75-year-old woman with chronic lymphocytic leukemia was treated with alemtuzumab (campath-1H) 3 times weekly for 12 weeks.

Effects of Phos-Chek G75-F and Silv-Ex on red-winged blackbird (Agelaius phoeniceus) embryos.

Effects of field application levels of wildfire control chemicals, Phos-Chek G75-F (PC) and Silv-Ex (SE), were examined on red-winged blackbird (Agelaius phoeniceus) embryos. Embryos were more sensitive to PC and SE when eggs were immersed for 10s at an early developmental stage (days 3-5 of incubation) than at a later stage (days 6-9 of incubation). The LC(50) (concentration causing 50% mortality) for early stage embryos exposed to PC was 213.

Effects of the mosquito larvicide GB-1111 on red-winged blackbird embryos.

Golden Bear Oil (GB-1111; legal trade name for GB-1313) is a petroleum distillate that is used in the United States and other countries as a larvicide for mosquito suppression. As part of a multi-species evaluation of the potential effects of GB-1111 on birds, red-winged blackbird eggs were collected, artificially incubated, and treated with one of five amounts of GB-1111 varying from 0 to 10 times the expected exposure from a spray application of the maximum recommended amount (X=47 l/ha, 5 gal/ac). The application of 10 X caused a significant reduction in hatching success.

Churg-Strauss syndrome: diagnostic difficulties and pathogenesis.

A 52-year-old woman with a history of chronic obstructive pulmonary disease presented with symmetrical polyarthritis involving her metacarpophalangeal and proximal interphalangeal joints, knees, ankles, and hips and with a purpuric rash involving her lower extremities. She had a history of recurrent episodes of purulent otitis often associated with myalgias and arthralgias. Laboratory studies at presentation included leukocytosis with 16% eosinophils, an elevated rheumatoid factor titer, and an elevated antineutrophil cytoplasmic antibody titer.

Effects of Phos-Chek G75-F and Silv-Ex on developing northern bobwhite quail (Colinus virginianus).

Eggs of nesting birds situated in peripheral areas serving as fire breaks are at risk of being sprayed with fire control chemicals. Acute toxicity tests were conducted by immersing northern bobwhite quail eggs for 10 s in different water-based concentrations of Silv-Ex(R) (SE), a foam-suppressant chemical, and Phos-Chek(R) G75-F (PC), a fire retardant chemical, on day 4 or day 11 of incubation. An attempt was made to relate the treatment concentrations to the actual field application levels.