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Communicating Effectively With Limited English Proficiency Patients: Incorporating Training on Working With Medical Interpreters in the Undergraduate Medical Curriculum.
Cureus
December 2024
Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA.
Introduction: It is imperative for the healthcare providers in the United States to be able to care for the growing number of patients with limited English proficiency (LEP) utilizing professional medical interpreters (MIs). Since little time in undergraduate medical education (UME) is devoted to this competency, an educational workshop on effective communication with MIs and Spanish-speaking LEP patients was developed.
Methods: A two-hour workshop was implemented for first-year medical students, featuring four educational strategies: (1) facilitator-led instructional simulation, (2) interactive didactic, (3) small-group clinical case discussion, and (4) large-group MI simulation.
Personalized Cutoffs for the Diagnosis of Neutropenic Fever Based on Patients' Baseline Body Temperature: A Retrospective Pilot Study.
Cureus
December 2024
Public Health and Preventive Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Background The management of neutropenic fever patients remains challenging. Patients' individual baseline body temperature may provide diagnostic and prognostic value. Methods This study is a retrospective analysis of 92 adults admitted for neutropenic fever to model the length of stay (LOS) and the ability to find a definitive diagnosis using the deviation of patients' temperature on admission from their outpatient baseline, acuity on admission, neutropenia level and persistence, fever persistence, and patients' age.
View Article and Find Full Text PDFA Rare Case of Idiopathic Megacolon and Megarectum.
Cureus
December 2024
General Surgery, King's College Hospital London, Dubai Hills, Dubai, ARE.
Idiopathic megacolon and megarectum are rare clinical conditions characterized by irreversible dilation of the colon and rectum without an identifiable organic cause. The underlying pathophysiology remains poorly understood, though hypotheses suggest abnormalities in the enteric nervous system or smooth muscle dysfunction. These conditions present significant diagnostic and therapeutic challenges, especially in cases refractory to conservative treatment.
View Article and Find Full Text PDFTrimethoprim-Sulfamethoxazole-Induced Pancytopenia: A Case Report.
Cureus
December 2024
Department of Internal Medicine, LewisGale Medical Center, Roanoke, USA.
Pancytopenia is defined as a decrease in all three myeloid cell lines, usually from a precipitating factor such as an autoimmune condition, prescription drug, or several other factors. The etiology of pancytopenia can be determined through laboratory testing, a peripheral blood smear, and a thorough history and physical examination. Trimethoprim-sulfamethoxazole (TMP/SMX, also known by the brand name of Bactrim® or Septra®) is known to cause pancytopenia in rare cases.
View Article and Find Full Text PDFAttitude of Medical Students Toward Rising Violence Against Doctors.
Cureus
December 2024
Psychiatry, Amrita Institute of Medical Sciences, Kochi, IND.
Introduction: In the past three years, there has been an increase in incidents of violence against healthcare workers in Kerala. The aim of the study is to explore the attitude of medical students toward violence against doctors.
Methodology: This was a cross-sectional study undertaken at three of the four medical colleges in Ernakulam district in India as a part of our convenience sampling, which included around 1,500 students.
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