P S Mueller

..The present study examined whether attendance at medical grand rounds increased after providing complimentary food to attendees and also assessed attendee attitudes about complimentary food...

..It is unclear whether ECT, which transiently, yet markedly, increases blood pressure and heart rate, can be safely performed in patients with AAA. We investigated the safety of ECT in patients with unrepaired AAA...

..We sought to assess self-rated importance of the medical interview to clinical practice and competence in physician-patient communication among new internal medicine faculty at an academic medical center...

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..The mean log impact factors of the journals by language, country of origin, and a combination of country of origin and language were compared...

..Hence, ECT was safe in 10 patients with severe aortic stenosis treated at our institution. Our findings may be informative to clinicians who manage the care of patients with severe aortic stenosis who are undergoing ECT...

..Since ECT requires the administration of general anaesthesia, it is assumed that extra care should be taken with asthmatic patients before and during ECT. We sought to investigate the safety of ECT in asthmatic patients...

..Nevertheless, the results shed light on the dying process during Osler's time. Furthermore, the results suggest that many dying patients during Osler's time experienced discomforts...

..This can balance the need to protect research participants with the ethical requirements of scientific validity, social value, and a favorable risk-benefit ratio...

..Clinicians may receive requests to deactivate pacemakers and implantable cardioverter-defibrillators (ICDs) in terminally ill patients...

..g., completing an advance directive) are discussed. Notably, given that the Schiavo saga occurred in the US, this article is written from a US perspective...

..However, many adults in the United States (US) lack the skills necessary to read and comprehend health care-related materials. In this study, we sought to determine the readability of state government-sponsored advance directive forms...

..To describe the history, objectives, statistics, and initiatives used to address challenges associated with the Mayo Clinic Visiting Medical Student (VMS) Clerkship Program...

..This study aimed to identify themes associated with role conflicts and moral distress experienced by cardiovascular implantable electronic device (CIED) industry-employed allied professionals (IEAPs) in the clinical setting...

..No published reports of studies have provided aggregate data on visiting medical student (VMS) programs at allopathic medical schools...

..In this article, we provide a summary of the HRS guidelines and highlight the most important features of CIED deactivation for the practicing clinician...

..To describe a series of patients with heart failure supported with a ventricular assist device (VAD) who requested (or whose surrogates requested) withdrawal of VAD support and the legal and ethical aspects pertaining to these requests...

..Inadequate physician training may be a barrier to physician-patient discussions of advance directives (ADs)...

..This approach enables clinicians to identify and analyze the relevant facts of a case, define the ethical problem, and suggest a solution...

..To determine the opinions of medical professionals, legal professionals, and patients regarding the withdrawal of implantable cardioverter-defibrillator (ICD) and pacemaker therapy at the end of life...

..Our patient responded well to amikacin and clarithromycin therapy. We also review the literature related to the diagnosis and management of this uncommon disease...

..Unprofessional behaviors in medical school predict high stakes consequences for practicing physicians, yet little is known about specific behaviors associated with professionalism during residency...

..To identify patient expectations regarding chaplain visitation, characteristics of patients who want to be visited by a chaplain, and what patients deem important when a chaplain visits...

..We also discuss the practical implications of this argument for implementing such policies and touch on the potential that such policies have for future pandemic preparedness...

..We discuss practical considerations and risk reduction strategies when using ECT in patients with severe AS...

..We conclude that use of "stress doses" of extra steroid medication is unnecessary in ECT practice and recommend that patients receive their usual morning dose of steroid before ECT treatments...

..We hypothesize that if instructions regarding LVAD management in ADs are explicit, surrogate and clinician distress may decrease, and ethical dilemmas may be avoided...

..Indeed, the Mayo Clinic experience validates professionalism a s a core physician competency...

..To evaluate patients' expectations of hospital chaplains...

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..This article reviews the pertinent aspects of the case and the ethical and legal questions raised and highlights the lessons we should learn from this unique story...

..Professional boundaries ensure that a dentist's focus remains on the patient's welfare. Such boundaries may be compromised by accepting gifts from patients...

..We present our multidisciplinary approach that combines medical, nutritional, and ethical principles for the care of these patients...

..There were no cases of clinically significant rise or fall in blood glucose. We provide recommendations for management of diabetics during ECT...

..Dysphagia improved once antibiotic treatment was initiated...

..The physiologic changes caused by modified ECT and the potential risk of hemorrhage (including intracranial hemorrhage) in thrombocytopenic patients undergoing ECT are also discussed...

..To determine health care preferences expressed by patients in advance directives (ADs) and to identify characteristics of patients who completed them...

..However, most departments use suboptimal teaching, planning, and evaluation methods, and many rely on industry to pay for MGR. Addressing these concerns and other challenges may enhance the value of MGR...

..Clinician familiarity with these concepts may lead to more expeditious withdrawal of unwanted medical support from terminally ill patients...

..0 +/- 24.6 persons in 1998 to 137.4 +/- 25.2 persons in 2001 (P < .001). CONCLUSION: An organized effort can improve attendance at medical grand rounds at an academic medical center...

..CONCLUSION: Becoming available online as FUTON is associated with a significant increase in journal impact factor...

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..Furthermore, many sources of spiritual care (e.g., chaplains) are available to clinicians to address the spiritual needs of patients...

..CONCLUSIONS: Our findings refute previous reports of dangerous hyperglycemia or improved glycemic control due to ECT in insulin-requiring type 2 diabetes, and suggest that ECT is safe and efficacious in these patients...

..CONCLUSIONS: Electroconvulsive therapy in patients receiving long-term warfarin therapy appears to be safe. Although no major adverse effects were identified in our case series, additional prospective evaluation is warranted...

..Our case report suggests that, with proper management and close monitoring, ECT can be administered safely, even in patients with recent MI...

..In this article, we review the history, epidemiology, and determinants of do-not-resuscitate orders, as well as frequently encountered questions and recommended strategies for discussing this important topic with patients...

..Rapid diagnosis with directed history, physical examination, and CT of the abdomen and pelvis may help decrease unnecessary laparotomy and lead to better triage of patients who present with RSH...

..To review clinical ethics consultations at a tertiary care academic medical center...

..We evaluated whether (1) receiving intercessory prayer or (2) being certain of receiving intercessory prayer was associated with uncomplicated recovery after coronary artery bypass graft (CABG) surgery...

..Electroconvulsive therapy (ECT) involves the administration of general anesthesia and assisted ventilation while the patient is apneic...

..Liver biopsy was safe. Some patients benefit from systemic chemotherapy...

..STEP is not designed to determine whether God exists or whether God does or does not respond to IP...