Fatal Spontaneous Tumor Lysis Syndrome in a Patient with Metastatic Colon Cancer: A Clinical Case of Rare Oncological Emergency.

Tumor lysis syndrome (TLS) is a potentially life-threatening complication of chemotherapy. It usually occurs in rapidly proliferating hematological malignancies. TLS is deemed spontaneous (STLS) when it occurs prior to any cytotoxic or definite treatment.

[Pulmonary Tumor Thrombotic Microangiopathy in a Patient with Metastatic Gastric Cancer].

History And Clinical Findings:  A 53-year-old woman with relapsed metastatic gastric cancer after multimodal therapy was hospitalized 6 months after the end of treatment due to acute dyspnea.

Investigations And Diagnosis:  The examination showed tachycardia and tachypnea. D-dimers and LDH were elevated, blood gases were still in the standard range.

Lost opportunities for smoking cessation among adults with diabetes in Florida (2007) and Maryland (2006).

Introduction: Diabetes organizations recommend that people with diabetes should not smoke because of increased risk of diabetes complications. We describe smoking rates and health care service use among adults with diabetes in Florida and Maryland and identify the role of dentists in offering smoking cessation advice and services.

Methods: We analyzed data from 3 state telephone surveys: the 2007 Florida Behavioral Risk Factor Surveillance Survey (n = 39,549), the 2007 Florida Tobacco Callback Survey (n = 3,560), and the 2006 Maryland Adult Tobacco Survey (n = 21,799).

Peers, tobacco advertising, and secondhand smoke exposure influences smoking initiation in diverse adolescents.

Purpose: Identify demographic, social, and environmental factors associated with smoking initiation in a large, racially and ethnically diverse sample of underage youth participating in the 2006 Maryland Youth Tobacco Survey.

Design: Cross-sectional, multistage, probability sample survey.

Setting: Schools (308 middle and high schools) in Maryland.

The journey to the end of smoking: A personal and population perspective.

Background: Smoking cessation is best represented as a journey and not a single event. This article chronicles the path of change for the population of smokers in Maryland.

Purpose: This study compared the population of ever-smokers in Maryland over three time points (2000, 2002, and 2006) examining how the population of ever-smokers shifted over time.

The spatial epidemiology of trauma: the potential of geographic information science to organize data and reveal patterns of injury and services.

Despite important advances in the prevention and treatment of trauma, preventable injuries continue to impact the lives of millions of people. Motor vehicle collisions and violence claim close to 3 million lives each year worldwide. Public health agencies have promoted the need for systematic and ongoing surveillance as a foundation for successful injury control.

Defining rational hospital catchments for non-urban areas based on travel-time.

Background: Cost containment typically involves rationalizing healthcare service delivery through centralization of services to achieve economies of scale. Hospitals are frequently the chosen site of cost containment and rationalization especially in rural areas. Socio-demographic and geographic characteristics make hospital service allocation more difficult in rural and remote regions.