Evans Responds

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Refractory Thrombocytopenia Responds to Octreotide Treatment in a Case of Evans Syndrome with Gastric Neuroendocrine Tumor

A 37-year-old woman with history of Evans Syndrome with poor response to high-dose corticoid treatment presented to the emergency department with gastrointestinal and vaginal bleeding. The patient was later diagnosed with severe thrombocytopenia and a stage G1, well-differentiated gastric neuroendocrine tumor, confirmed by a biopsy. A total gastrectomy was performed to eradicate the tumor. Afte...

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Thank Evans!

In this paper we give a complete solution to the conjecture of Evans made in 1960 that if n— 1 cells of an nxn matrix are preassigned with no element repeated in any row or column then the remaining n — n+ 1 cells can be filled so as to produce a latin square. We in fact prove the stronger statement that n cells can be preassigned except in certain cases which we specify.

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The author responds.

In a recent special issue of RESPIRATORY CARE, Daniel Talmor presented a very nice review of airway management during a mass-casualty event.1 He rightly pointed out that only experienced clinicians should perform intubation in these circumstances, and that training clinicians for the sole purpose of providing intubation during a mass-casualty event is unwise. He also listed anesthesiologists, c...

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The author responds

duce the spread of Gram-negative bacteria.1 Meta-analyses have found that many nonpharmacologic interventions can significantly reduce the rate of ventilator-associated pneumonia; these include kinetic bed therapy, subglottic secretion drainage, heatand-moisture exchangers (rather than heated humidifiers), and oral decontamination with chlorhexidine.6 Environmental controls can prevent a large ...

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Thiry Mike Evans Lisa

Hospitals and health systems should take the following steps to improve their revenue cycle performance: > Collect patient responsibility amounts up front > Reduce credit balance accounts > Reduce preregistered patient no-shows > Identify and manage unbilled accounts receivable Healthcare reform will bring about the most far-reaching changes to hospital operations since the inception of Medicar...

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ژورنال

عنوان ژورنال: American Journal of Public Health

سال: 1997

ISSN: 0090-0036,1541-0048

DOI: 10.2105/ajph.87.5.872