Practice Being a Leader With Vision.

Successful leaders who consistently make great decisions are skilled at seeing and considering a diverse set of options. This column explores how maintaining a broad field of vision helps leaders recognize possibilities and offers an exercise for practicing and developing this skill. .

Development of an Automated Ultrasound Signal Indicator of Lung Interstitial Syndrome.

Objectives: The number and distribution of lung ultrasound (LUS) imaging artifacts termed B-lines correlate with the presence of acute lung disease such as infection, acute respiratory distress syndrome (ARDS), and pulmonary edema. Detection and interpretation of B-lines require dedicated training and is machine and operator-dependent. The goal of this study was to identify radio frequency (RF) signal features associated with B-lines in a cohort of patients with cardiogenic pulmonary edema.

Alternative therapy used as primary treatment for breast cancer negatively impacts outcomes.

Background: The use of complementary and alternative medicine (CAM) has escalated over the past decade, despite the fact that clinical studies validating the efficacy of CAM remain sparse. Clinicians frequently encounter patients who reject standard treatment, but data on outcomes of patients choosing CAM as primary treatment for breast cancer are also lacking.

Materials And Methods: Breast cancer patients who refused/delayed standard treatments in favor of alternative therapies were identified in a community surgical practice over a 10-year period.

Clinical utility of breast-specific gamma imaging for evaluating disease extent in the newly diagnosed breast cancer patient.

Background: Breast-specific gamma imaging (BSGI) is a functional imaging modality that has comparable sensitivity but superior specificity compared with magnetic resonance imaging, yielding fewer false-positive results and thereby improving clinical management of the newly diagnosed breast cancer patient.

Methods: A retrospective review was performed from 2 community-based breast imaging centers of newly diagnosed breast cancer patients in whom BSGI was performed as part of the imaging work-up.

Results: A total of 138 patients (69 invasive ductal carcinoma, 20 invasive lobular carcinoma, 32 ductal carcinoma in situ, and 17 mixtures of invasive ductal carcinoma, invasive lobular carcinoma, or ductal carcinoma in situ and other) were reviewed.

Effects of oral habits' duration on dental characteristics in the primary dentition.

Background: Studies dating to the 1870s have demonstrated that long-term nonnutritive sucking habits may lead to occlusal abnormalities, including open bite and posterior crossbite. However, little is known as to whether habits of shorter durations have lasting effects.

Methods: The authors collected longitudinal data on nonnutritive sucking among children through a series of questionnaires regularly completed by parents.