Is burnout associated with referral rates among primary care physicians in community clinics?

Background: There is little empirical research examining the effects of burnout on objective measures of primary care physicians' behaviour in the medical encounter.

Objectives: We studied possible associations between primary care physicians' burnout and the rates of referrals. We conceptualized referral rate as a negative outcome of burnout because high and unnecessary referral rates incur extra costs to health care systems.

Chronic urticaria can be triggered by eradication of Helicobacter pylori.

Background: Participation of Helicobacter pylori (HP) in the pathogenesis of chronic spontaneous urticaria (CU) is subject to dispute, although its eradication proved to be effective for some patients.

Aims: To investigate the cases of CU following eradication of HP.

Methods: The cases of patients in whom CU was diagnosed following triple therapy for HP eradication were retrospectively reviewed.

Symptomatic Secondary Selective IgM Immunodeficiency in Adult Man with Undiagnosed Celiac Disease.

Selective IgM immunodeficiency (SIgMID) is a heterogeneous disorder with no known genetic background and may occur as a primary or a secondary condition. Celiac disease has been reported in association with several humeral immunodeficiencies, including isolated severe selective IgA deficiency, panhypogammaglobulinemia, and isolated combined IgA and IgM deficiency. There are only few reported cases of pediatric and adult patients with SIgMID and celiac disease.