INTRODUCTION Detection and response to medically urgent situations in patients with diabetes mellitus can improve the process and outcomes of care and potentially decrease morbidity and mortality. We examined the detection and remediation of medically urgent situations among older patients receiving telemedicine case management for diabetes. METHODS In the setting of a randomized trial, 338 p...

OBJECTIVE To demonstrate the recent trends of admission and surgical management for diverticulitis in the United States. DESIGN Retrospective database analysis. SETTING The National Inpatient Sample database. PATIENTS Patients admitted to the hospital for diverticulitis from 2002 to 2007. MAIN OUTCOME MEASURES Patient characteristics, surgical approach, and mortality were evaluated for ...

A recent development to reduce ED crowding and increase urgent patient admissions is the opening of an Emergency Observation and Assessment Ward (EOA Ward). At these wards urgent patients are temporarily hospitalized until they can be transferred to an inpatient bed. In this paper we present an overflow model to evaluate the effect of employing an EOA Ward on elective and urgent patient admissi...

and clearly described; the section on rupture of the urethra being particularly good. Various ingenious methods for the removal of foreign bodies from the urethra are also included. Section VIII deals with the rectum and anus; ano-rectal imperforations comprise a larcre'portion of it ; the author emphasizes the view that an artificial anus in the iliac region should be nothing but a last resort...

As the safety and effectiveness of urgent carotid artery stenting (CAS) for neurologically progressing patients remain controversial, we retrospectively analyzed the outcome of urgent CAS based on the patients' pathophysiological condition and neuroimaging findings. We divided 71 patients who underwent CAS within 14 days of stroke onset into two groups. Group 1 (n = 35) was comprised of patient...

BACKGROUND Emergency Medical Services (ES) are medical-surgical facilities where extremely ill patients, victims of accidents, intoxications and other urgent clinical situations should be rapidly and efficiently attended. However, a worldwide experience is that a large proportion of patients who require attention in an ES do not qualify as emergencies and they obstruct the possibilities of othe...

not in close touch with surgical practice. The standard of excellence is so high that it is difficult to select any section for special mention ; perhaps that on the abdomen is the best; the author is a strong advocate of the rule "when in doubt operate;" with this we think the vast majority of surgeons ngree. As regards appendicitis, the practice is "every case of acute appendicitis, ought to ...

By Felix Lejars. Translated from the Sixth French Edition by W. S. Dickie, F.R.C.S. Vol. I. Pp. xiv, 617. Bristol: John Wright & Sons Ltd. 1909. The translator and publishers of this work are to be congratulated on its material and artistic excellence, and its production is an honour to its author and an ornament to European surgery. There are few authors who can say of a book, " I have lived i...

La pluripatología, la dependencia y la fragilidad asociadas a la vejez y a la merma de las capacidades de la persona suponen un sufrimiento importante que debe tenerse en cuenta en estrategias y planes terapéuticos. La respuesta al diagnóstico de una enfermedad crónica siempre tiene implicaciones psicológicas y sociales complejas, que dan lugar a una merma en la calidad de vida percibida por la...

We retrospectively analysed patients seen in a rapid referral clinic to identify those with abnormalities genuinely requiring urgent assessment, and to evaluate the impact of the clinic on routine services. After advertising the availability of the service, 25% of telephone referrals from primary-care physicians led to identification of patients considered suitable for urgent evaluation. We ass...