Comparative treatment of homeless persons with an infectious disease in the US emergency department setting: a retrospective approach.

Background: Research has long documented the increased emergency department usage by persons who are homeless compared with their housed counterparts, as well as an increased prevalence of infectious diseases. However, there is a gap in knowledge regarding the comparative treatment that persons who are homeless receive. This study seeks to describe this potential difference in treatment, including diagnostic services tested, procedures performed and medications prescribed.

A cadaver study evaluating intraluminal anomalies of the left common iliac vein.

Objective: Intraluminal anomalies within the left common iliac vein, characteristic of iliac vein compression syndrome, are thought to result from compression by and pulsation of the overlying right common iliac artery. This cadaver study was designed to expand on the existing literature by surveying and photographing these spurs in addition to exploring whether certain factors, inherent to the cadaver, are associated with spur presence.

Methods: Dissection to expose the aorta, inferior vena cava, and common iliac arteries and veins was performed in 51 cadavers.

Mapping a Danger Zone of the Dorsal Nerve of the Clitoris: Implications in Female Cosmetic Genital Surgery.

Background: The literature regarding the route of the dorsal nerve of the clitoris is sparse and lacks surgical focus. With an increasing number of procedures being performed on the labia, it is important to elucidate the route and note any variation from normal of the nerve.

Methods: Fifty-one cadavers were dissected to yield 97 dorsal nerve of the clitoris samples.

Spatial Visualization of Human Anatomy through Art Using Technical Drawing Exercises.

Spatial visualization, the ability to mentally rotate three-dimensional (3D) images, plays a significant role in anatomy education. This study examines the impact of technical drawing exercises on the improvement of spatial visualization and anatomy education in a Neuroscience course. First-year medical students (n = 84) were randomly allocated into a control group (n = 41) or art-training group (n = 43).

Depth Transitions of the Frontal Branch of the Facial Nerve: Implications in SMAS rhytidectomy.

Background: Anatomy of the frontal branch of the facial nerve relative to the zygomatic arch and the superficial musculoaponeurotic system (SMAS) has been well described. The variability centers on the location where the frontal branch traverses from a deeper to more superficial plane in the SMAS. The goal of this study is to examine the depth transition of the frontal branch of the facial nerve relative to the zygomatic arch with hopes of pinpointing a caution zone for dissection to avoid nerve injury.

Student perceptions of online and in-person microbiology laboratory experiences in undergraduate medical education.

: Universities are facing increased budget constraints, often resulting in reduced funds to support microbiology laboratories. Online mock laboratory activities are often instituted as a cost-effective alternative to traditional wet labs for medical students.: The purpose of this study was to examine students' perceptions of online and in-person microbiology lab learning experiences.

Effect of phenylephrine 1.0%-ketorolac 0.3% injection on tamsulosin-associated intraoperative floppy-iris syndrome.

Purpose: To determine the effect of phenylephrine 1.0%-ketorolac 0.3% injection (Omidria) on different components of intraoperative floppy-iris syndrome (IFIS).

Using anatomical landmark to avoid phrenic nerve injury during balloon-based procedures in atrial fibrillation patients.

Purpose: Atrial fibrillation (AF) is an arrhythmia which affects as many as 2.7 million Americans. AF should be treated, because it can lead to a four-to-fivefold increased risk of experiencing a stroke.

Prevalence of Nasal Colonization by Methicillin-Resistant in Persons Using a Homeless Shelter in Kansas City.

Nasal colonization of methicillin-resistant (MRSA) plays an important role in the epidemiology and pathogenesis of disease. Situations of close-quarter contact in groups are generally regarded as a risk factor for community-acquired MRSA strains due to transmission fomites and person-to-person contact. With these criteria for risk, homeless individuals using shelter facilities, including showers and toilets, should be considered high risk for colonization and infection.

Examining body mass index in an urban core population: from health screening to physician visit.

Unlabelled: BACKGROUND. Childhood obesity is commonly encountered in the primary care office and disproportionately affects those from low income or minority backgrounds.

Objective: To determine how accurately primary care clinicians in an urban setting identified patients with body mass indices (BMIs) at or above the 95th percentile for age and to determine which obesity treatment strategies are used.

Case of ischemic colitis in a young adolescent associated with triphasic hormonal contraceptive therapy: a case report and review of the literature.

There has been speculation that third generation hormonal contraceptives may be less prone to inducing clotting than the earlier generation products. We present a case of colonic ischemia in a young adolescent receiving pharmacotherapy with a third-generation hormonal contraceptive. Ischemic colitis is an uncommon adverse effect in young adolescents associated with hormonal contraception, especially the third generation agents.

Assessment of antihyperlipidemic therapy in US patients with coronary heart disease.

Context: Knowledge of the trends and possible differences in the use of antihyperlipidemic medications in US patients with coronary heart disease (CHD) is vital in order to stimulate a positive change in the health of society.

Objective: To assess, in the ambulatory setting, the frequency of antihyperlipidemic medication use in US patients with CHD.

Design: Retrospective, national, cross-sectional study using data from the 2004 National Ambulatory Medical Care Survey (NAMCS).

Prescribing trends for management of congestive heart failure from 2002 to 2004.

Background: The incidence and prevalence of the patients diagnosed with congestive heart failure (CHF) continues to grow in the United States. The use of prescription drugs is a vital part of the management of CHF, and pharmacological regimens may vary among patients.

Objectives: To examine the CHF prescription trends in the United States and to determine present prescribing patterns.

Assessing prescriptions for statins in ambulatory diabetic patients in the United States: a national, cross-sectional study.

Background: Diabetes mellitus affects >20 million people in the United States each year, and >4000 new cases are diagnosed daily.

Objective: This study assessed the prescription of statin medications in the ambulatory setting in US diabetic patients.

Methods: We used data from the 2002 through 2004 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey.