Iatrogenic breast pseudoaneurysm in a lactating female: A rare breast emergency treated with ultrasound guided thrombin administration.

Pseudoaneurysm development is a well-recognized consequence of arterial injury, frequently observed in procedures involving arterial groin access. Breast emergencies are infrequent but need prompt attention. We present a notable case of breast pseudoaneurysm postcore needle biopsy, incidentally, identified through subsequent magnetic resonance imaging.

Robot-assisted laparoscopic unroofing and fulguration of sequestered caliceal diverticula cluster.

Introduction: We report a rare case of four sequestered caliceal diverticula that failed previous percutaneous sclerotherapy and were subsequently managed with robot-assisted laparoscopic unroofing and fulguration of the sequestered diverticula cluster.

Methods: A 6 year-old female was admitted for urosepsis and flank pain. At age 2, a previous institution diagnosed a caliceal diverticulum.

Association of a Communication Training Program With Use of Antipsychotics in Nursing Homes.

Importance: Off-label antipsychotic prescribing in nursing homes (NHs) is common and is associated with increased risk of mortality in older adults. Prior large-scale, controlled trials in the NH setting failed to show meaningful reductions in antipsychotic use.

Objective: To quantify the influence of a large-scale communication training program on NH antipsychotic use called OASIS.

Effects on processes and costs of care associated with the addition of an internist to an inpatient psychiatry team.

Objective: This study examined the effects of collaboration between an internist and psychiatrists on the processes and cost of care among psychiatric inpatients.

Methods: A randomized controlled study was performed on the psychiatric inpatient units of an academic medical center. All inpatients who were admitted to the units between March 2001 and January 2002 were asked to participate in the study.