Month: May 2016

New Shelf Exams at Board Vitals

Richard Saldivar Front Page, Library News, New Resources

​The National Board of Medical Examiners (NBME) Shelf Exams are now available to all current PCOM students and faculty. These test prep resources make it easier to comprehend the materials you’ll need to know to pass your exam. Simply sign up for any one of the exams, as well as study tips. The shelf exams are divided into 7 specific practice categories: Neurology OBGYN Family medicine Pediatrics Internal medicine Surgery Psychiatry

Risk literacy in medical decision-making

PJ Grier Hot Topics in Research, May, Research Commentary

Risk literacy in medical decision-making – How can we better represent the statistical structure of risk? Imagine that you have received a positive result on a routine cancer screening test. Follow-up biopsies were inconclusive, and the decision to treat aggressively or monitor conservatively is yours. Consider the following information: 0.1% of the population has a terminal version of this form of cancer, 99% of those people will appear positive on the test you have been administered, and 5% of those without terminal cancer will still have a benign condition that tests positive. Given your test result, what is the probability that you…

Dietary patterns and the risk of major adverse cardiovascular events in a global study of high-risk patients with stable coronary heart disease

PJ Grier Cardiology, coronary artery disease, Hot Topics in Research, May

Dietary patterns and the risk of major adverse cardiovascular events in a global study of high-risk patients with stable coronary heart disease Objectives To determine whether dietary pattern assessed by a simple self-administered food frequency questionnaire is associated with major adverse cardiovascular events (MACE) in high-risk patients with stable coronary artery disease. Background A Mediterranean dietary pattern has been associated with lower cardiovascular (CV) mortality. It is less certain whether foods common in western diets are associated with CV risk. Methods At baseline, 15 482 (97.8%) patients (mean age 67 ± 9 years) with stable coronary heart disease from 39…

Pioglitazone after Ischemic Stroke or Transient Ischemic Attack

PJ Grier Cardiology, Hot Topics in Research, May

Pioglitazone after Ischemic Stroke or Transient Ischemic Attack BACKGROUND Patients with ischemic stroke or transient ischemic attack (TIA) are at increased risk for future cardiovascular events despite current preventive therapies. The identification of insulin resistance as a risk factor for stroke and myocardial infarction raised the possibility that pioglitazone, which improves insulin sensitivity, might benefit patients with cerebrovascular disease. METHODS In this multicenter, double-blind trial, we randomly assigned 3876 patients who had had a recent ischemic stroke or TIA to receive either pioglitazone (target dose, 45 mg daily) or placebo. Eligible patients did not have diabetes but were found to…

10 top patient safety issues for 2016

PJ Grier Hot Topics in Research, May, Research Commentary

10 top patient safety issues for 2016 Healthcare has no doubt made giant strides in patient safety in recent years: According to an HHS report released in December, hospital-acquired condition rates dropped 17 percent from 2010 to 2014, leading to 87,000 fewer patient deaths in hospitals.   Becker’s Hospital Review,  January 12, 2016 Shannon Barnet, Max Green and Heather Punke

Defining Rates and Risk Factors for Readmissions Following Emergency General Surgery

PJ Grier Hot Topics in Research, May

Defining Rates and Risk Factors for Readmissions Following Emergency General Surgery   Hospital readmission rates following surgery are increasingly being used as a marker of quality of care and are used in pay-for-performance metrics. To our knowledge, comprehensive data on readmissions to the initial hospital or a different hospital after emergency general surgery (EGS) procedures do not exist. Objective  To define readmission rates and identify risk factors for readmission after common EGS procedures. Design, Setting, and Participants  Patients undergoing EGS, as defined by the American Association for the Surgery of Trauma, were identified in the California State Inpatient Database (2007-2011)…