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Not All Chest Pains Are Made Equal: A Case of Apica Hypertrophic Cardiomyopathy. 不是所有的胸痛都是一样的:一例Apica肥厚性心肌病。
Delaware medical journal Pub Date : 2017-02-01
Ahmed S Abuzaid, Syed Ali Hamid, Mandip Gakhal, Sandra Weiss, Robin Horn, William Weintraub
{"title":"Not All Chest Pains Are Made Equal: A Case of Apica Hypertrophic Cardiomyopathy.","authors":"Ahmed S Abuzaid, Syed Ali Hamid, Mandip Gakhal, Sandra Weiss, Robin Horn, William Weintraub","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 2","pages":"54-56"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Sad State of Affairs. 可悲的事态。
Delaware medical journal Pub Date : 2017-02-01 DOI: 10.7748/ldp.12.3.3.s1
P. Rocca
{"title":"A Sad State of Affairs.","authors":"P. Rocca","doi":"10.7748/ldp.12.3.3.s1","DOIUrl":"https://doi.org/10.7748/ldp.12.3.3.s1","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 2 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44759846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community-I nitiated Pilot Program "My Baby's Breath" to Reduce Prenatal Alcohol Use. 社区一级启动了“我宝宝的呼吸”试点方案，以减少产前饮酒。
Delaware medical journal Pub Date : 2017-02-01
Ykiko Washio, Julie Frederick, Anne Archibald, Nathan Bertram, Jody Allen Crowe
{"title":"Community-I nitiated Pilot Program \"My Baby's Breath\" to Reduce Prenatal Alcohol Use.","authors":"Ykiko Washio,&nbsp;Julie Frederick,&nbsp;Anne Archibald,&nbsp;Nathan Bertram,&nbsp;Jody Allen Crowe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prenatal alcohol use puts mothers and their children at risk for complications during pregnancy, birth, and the neonatal periods. This paper describes a currently implemented community-based pilot program to reduce drinking among pregnant mothers. The program has worked in collaboration with case managers from Crow Wing County Social Services. Participants were required to provide daily breath samples with monetary incentives on alcohol-negative sample submissions. The program has treated four pregnant mothers so far, with an average of 94 percent compliance rate and no alcohol-positive breath samples. Future planned adjustments include using a remotely reloadlable debit card to reinforce daily sample submission, switching to completely random monitoring schedules to avoid falsenegative results, and expanding the program service in other counties. The community-based program using mobile technology has promise to increase opportunities to reinforce healthy lifestyle during pregnancy.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 2","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Sad State of Affairs. 可悲的事态。
Delaware medical journal Pub Date : 2017-02-01
Peter V Rocca
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引用次数: 0
Apples & Oranges - How to Compare Job Offers. 苹果和橘子——如何比较工作机会。
Delaware medical journal Pub Date : 2017-02-01
Bruce Armon
{"title":"Apples & Oranges - How to Compare Job Offers.","authors":"Bruce Armon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 2","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating Changes while Advocating for the Physician Community and Safety of Patients. 在倡导医生社区和患者安全的同时导航变化。
Delaware medical journal Pub Date : 2017-01-01
Prayus Tailor
{"title":"Navigating Changes while Advocating for the Physician Community and Safety of Patients.","authors":"Prayus Tailor","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 1","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36059224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Therapy with Nivolumab in Metastatic Renal Cell Carcinoma After Multiple Prior Treatments. 纳武单抗在转移性肾细胞癌多次治疗后的成功治疗。
Delaware medical journal Pub Date : 2017-01-01
Nicole C Finelli, Sarim A Baig, Gregory A Masters
{"title":"Successful Therapy with Nivolumab in Metastatic Renal Cell Carcinoma After Multiple Prior Treatments.","authors":"Nicole C Finelli,&nbsp;Sarim A Baig,&nbsp;Gregory A Masters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Renal cell carcinoma (RCC) is responsible for 80 to 85 percent of all primary renal malignancies. In the United State%, there are about 63,000 new cases and almost :14,000 deaths per year from RCC. Surgical resection of localized RCC can be curative but many patients eventually recur. Immunotherapy appears to be a promising new modality for many malignancies, including RCC. Nivolumab, a specific immunotherapy agent indicated for advanced RCC, may restore antitumor immunity and allow for greater progression-free survival by targeting proteins that negatively regulate T cell immunity. This case study aims to demonstrate the integration of nivolumab into the management of a patient with advanced RCC and provide a stimulus for further investigation and research into this treatment modality.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36059619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MSD CONTEMPORARY VETERAN PROJECT An effort to record the military service of Delaware physicians for the Archives of the Medical Society of Delaware. MSD当代退伍军人项目为特拉华州医学协会档案记录特拉华州医生服兵役的努力。
Delaware medical journal Pub Date : 2017-01-01
William Duncan
{"title":"MSD CONTEMPORARY VETERAN PROJECT An effort to record the military service of Delaware physicians for the Archives of the Medical Society of Delaware.","authors":"William Duncan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"89 1","pages":"18-19"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36059620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeted Next Generation Sequencing with ThyroSeq v2.1 for Indeterminate Thyroid Nodules in Clinical Practice. 应用ThyroSeq v2.1进行不确定甲状腺结节的新一代靶向测序
Delaware medical journal Pub Date : 2016-12-01
Robert L Witt
{"title":"Targeted Next Generation Sequencing with ThyroSeq v2.1 for Indeterminate Thyroid Nodules in Clinical Practice.","authors":"Robert L Witt","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To determine if patients elect molecular testing over diagnostic surgery or repeat fine needle aspiration for indeterminate thyroid nodules. Can ThyroSeq v2.1 molecular testing reduce diagnostic thyroid surgery and rule out cancer?</p><p><strong>Study design: </strong>Retrospective review Setting: Single institution, single-practice surgeon.</p><p><strong>Subjects and methods: </strong>Fifteen month retrospective review of indeterminate thyroid nodules that went on to ThyroSeq v2.1 testing.</p><p><strong>Results: </strong>286 patients met American Thyroid Association guideline criteria for surgeon- performed, ultrasound-guided fine needle aspiration for a thyroid nodule with on-site cytopathology. The indeterminate (Bethesda III or IV) fine needle aspiration cytology rate was 9.1 percent. Prevalence of malignancy in indeterminate nodules was 19 percent. 26/26 (100 percent) patients with indeterminate thyroid nodules elected molecular testing. 16 patients had no mutation, 9 had one or more mutations, and I had no result. 16 of 25 (64 percent) patients with no mutation elected not to undergo diagnostic surgery for indeterminate thyroid nodules.</p><p><strong>Conclusions: </strong>Patients demonstrated a strong preference for molecular testing instead of diagnostic thyroid surgery for indeterminate thyroid nodules. All patients in this series, 25/25 (100 percent) with indeterminate thyroid nodules elected molecular testing instead of repeat biopsy or diagnostic thyroid surgery. 16 of 25 (64 percent) patients tested had no mutation. All 16/16 (100 percent) patients with no mutation on ThyroSeq \"rule out\" testing elected active surveillance rather than surgery or biopsy, reducing diagnostic surgery. The risk of malignancy among mutation negative patients was not definitively established. There are a number of factors currently that may mute the power of \"rule in\" testing.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"88 12","pages":"366-372"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35847165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Birth of a New Branch of Medicine: Psychiatry. 一个新的医学分支的诞生:精神病学。
Delaware medical journal Pub Date : 2016-12-01
Aydin Z Bill
{"title":"The Birth of a New Branch of Medicine: Psychiatry.","authors":"Aydin Z Bill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Psychiatric treatment prior to 1955 seemed to be at a standstill. All kinds of treatments, including surgical ones, were used ineffectively. Then suddenly, out of nowhere, a new treatment -chlorpromazine - created a worldwide revolution. Here is what we saw in Delaware. It was not much different in the rest of the world. Patients improved and were rapidly dischargedfrom mental institutions causing workforce reductions. I was sitting on a state employee job application evaluation committee and witnessed these events. It was also exciting to see rapid changes in administration at the state hospital. Since what happened in Delaware also happened nationally, this was a national event and should be recognized as such. The following few pages are to remember the details. Major changes made psychiatry more of an accepted medical specialty. Psychiatrists are no longer \"outsiders.\" I would be glad to answer any questions about the information presented here.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"88 12","pages":"374-377"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35847084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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