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Clinical Management of Patients with Ebola Virus Disease in High-Resource Settings.
Curr Top Microbiol Immunol
May 2019
Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Emory University Hospital, 1364 Clifton Road NE, Suite B705, Atlanta, GA, 30322, USA.
Like most viral illnesses in humans, supportive care of the patient is the mainstay of clinical care for patients with Ebola virus disease (EVD). The goal is to maintain and sustain the patient until a specific immune response develops and clears the viral infection. Clearly, antiviral therapy may eventually help speed recovery, but supportive care will likely always be the centerpiece of care of the patient with EVD.
View Article and Find Full Text PDFState scholarship, loan forgiveness, and related programs: the unheralded safety net.
JAMA
October 2000
Cecil G. Sheps Center for Health Services Research, University of North Carolina, CB7590, Chapel Hill, NC 27599, USA.
Context: In the mid-1980s, states expanded their initiatives of scholarships, loan repayment programs, and similar incentives to recruit primary care practitioners into underserved areas. With no national coordination or mandate to publicize these efforts, little is known about these state programs and their recent growth.
Objectives: To identify and describe state programs that provide financial support to physicians and midlevel practitioners in exchange for a period of service in underserved areas, and to begin to assess the magnitude of the contributions of these programs to the US health care safety net.
Unheralded nurses. Male care givers in the nineteenth-century south.
Nurs Hist Rev
February 1997
College of Pharmacy and Health Sciences, Northeast Louisiana University, USA.
The infant with primary hyperoxaluria and oxalosis: from diagnosis to multiorgan transplantation.
Adv Ren Replace Ther
October 1996
University of Michigan Medical Center, Ann Arbor 48109-0297, USA.
The care of an infant with primary hyperoxaluria and oxalosis is discussed. After an unheralded presentation, followed by 9 months of intensive treatment that included combined hemodialysis and peritoneal dialysis, the infant successfully underwent combined liver and kidney transplantation to definitely address both kidney failure and the underlying metabolic defect. Discussion of this approach, including ongoing input from the parents, addresses both the implications of undertaking the "best therapy" for this disease as well as the ethical dilemma passed by the decision whether to proceed or not to proceed with therapy.
View Article and Find Full Text PDFEmergency care of the elderly in the short-stay ward of the accident and emergency department.
Arch Emerg Med
September 1985
Review of a consecutive series of the elderly patients who presented unheralded to the Accident and Emergency Department of the Royal Gwent Hospital showed that a relative minority (11%) were difficult to manage because they had no obvious acute medical condition or injury which qualified them for admission by the firms to whom they were first referred. The difficulty was compounded by the shortage of geriatric beds. Judicious use of short-stay ward beds in the accident and emergency department relieved pressure on beds elsewhere and allowed a short space of time in which preparation could be made for the patient's further care in the community.
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