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The ECG shown above was obtained from a patient who was seen in the office with atypical chest pain. Is there cause for concern?
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Clinical trials of pharmacotherapy to prevent progression of cognitive decline in those with mild cognitive impairment (MCI) have been disappointing; neither cholinesterase inhibitors (donepezil, rivastigmine, galantamine), vitamin E, nor COX-2 inhibitors has demonstrated any clinically meaningful benefit in placebo-controlled MCI trials.
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Estrogen treatment (but not estrogen given along with progestin) seems associated with gastro-esophageal reflux (GER) in postmenopausal women. Weight gain increases risk.
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Members of the American Psychological Association in Washington, DC, have approved a resolution to prohibit psychologists from working in settings where "persons are held outside of, or in violation of, either International Law or the U.S. Constitution."
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As with many professional positions, personal referrals from other health care providers are what typically lead to an opportunity to serve on the ethics committee at Beaumont Hospitals in Royal Oak, MI.
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Every study participant has seen some variation of this assurance in informed consent documents: "You are free to participate in this research or to withdraw at any time without penalty or loss of benefits you are entitled to receive."
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One health care provider is using its approach to ethics to combat what one ethics leader in the organization calls "a perfect storm" of intense regulatory scrutiny, increased litigation, a large population of chronically ill patients in hospitals for long periods of time, and public mistrust of the health care system.
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Ambulatory surgery centers (ASCs) should re-examine their specialty services as they enter 2009 reimbursement, which will be 50% of the hospital outpatient department (HOPD) rate, according to Judith L. English, vice president of business operations and partner at Surgery Consultants of America (SCA) and Serbin Surgery Center Billing, both in Fort Myers, FL.
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Earlier this year, the Occupational Safety and Health Administration (OSHA) issued an updated Safety and Health Information Bulletin on latex sensitization and latex allergy. In it, OSHA suggests the following measures to reduce health care worker exposure to latex:
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The following information is excerpted with permission from the April 2008 issue of SAMBA Talks, published by the Society for Ambulatory Anesthesia:
