Epidemiology of the Systemic Inflamatory Response Syndrome (SIRS) at the Internal Medicine and Critical Care Departments in a General Hospital. The Importance of Early Diagnosis.

1995 ◽  
Vol 23 (Supplement) ◽  
pp. A160
Author(s):  
M. G. Sánchez ◽  
O. A. Maldonedo ◽  
J. Osorio ◽  
G. J. Franco ◽  
G. J.J. Elizalde ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Critical Care ◽  
Early Diagnosis ◽  
General Hospital

Critical Care Communication Skills Training for Internal Medicine Residents

MedEdPORTAL ◽  
2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Laura Rock ◽  
Nina Gadmer ◽  
Robert Arnold ◽  
David Roberts ◽  
Asha Anandaiah ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Critical Care ◽  
Communication Skills ◽  
Skills Training ◽  
Communication Skills Training ◽  
Internal Medicine Residents

scholarly journals COVID-19: Nutrition and functional outcomes for critical care survivors in a 400- bedded district general hospital in North London

2021 ◽  
pp. 175114372110254
Author(s):  
Rachel Catlow ◽  
Charlotte Cheeseman ◽  
Helen Newman
Keyword(s):  
Critical Care ◽  
General Hospital ◽  
Health Professionals ◽  
Functional Outcomes ◽  
Critical Care Unit ◽  
Workforce Planning ◽  
District General Hospital ◽  
Allied Health Professionals ◽  
Novel Coronavirus ◽  
Rehabilitation Needs

Novel coronavirus disease (COVID-19) has resulted in huge numbers of critically ill patients. This study describes the inpatient recovery and rehabilitation needs of patients admitted with COVID-19 to the critical care unit of a 400 bedded general hospital in London, United Kingdom. The rehabilitation needs of our sample were considerable. It is recommended that the increase demand on allied health professionals capacity demonstrated is considered in future COVID-19-related workforce-planning.

scholarly journals The Fellowship Competitiveness Index: A Novel Way to Estimate Admission Competition into Internal Medicine Subspecialties

2019 ◽  
Author(s):  
Huynh Wynn Tran ◽  
Russell W. De Jong ◽  
Quinto Gesiotto
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Critical Care ◽  
Valid Measure ◽  
Medical Graduates ◽  
Multiple Factors ◽  
Physician Compensation ◽  
Salary Increase ◽  
Usmle Step 1 ◽  
Usmle Step

Abstract Background The competitiveness of internal medicine (IM) fellowships have not been well studied. Our novel competitiveness metric aims to estimate IM subspecialty fellowships entry competitiveness in a single, concise number that is easily accessible and understandable. Through this we hope to offer assistance to prospective fellowship applicants in making an educated and realistic fellowship choice. Methods Fellowship filled percentages, the percentage of applications from US medical graduates (USMGs), average matriculating USMLE Step 1 scores, and average post-fellowship salary were used to construct our metric. Procedural specialties included cardiology, pulmonary/critical care, and gastroenterology. Non-procedural specialties included hematology/oncology, rheumatology, endocrinology, infectious disease, and nephrology. Data were gathered from the National Resident Matching Program (NRMP) 2009 - 2018 reports, Medscape’s Physician Compensation Reports, and other sources used to corroborate salaries. Results 2018 procedural FCI (25.92) was higher than non-procedural (15.61). Cardiology (FCI 28.72, salary $423,000, Step 1 237.67) was the most competitive field. Hematology/oncology leads non-procedural fields in FCI (28.02), USMG percentage (60%), and salary ($363,000). Nephrology fill rates have declined from 94.8% to 60.1% despite 32% salary increase, giving it the lowest FCI (7.04). Conclusions Calculations show procedural specialties are most competitive, with cardiology at the top. Hematology/oncology leads non-procedural fields and is approaching procedural competitiveness, as evidenced by multiple factors that rival or surpass gastroenterology and pulmonary/critical care. We believe that this metric is a simple, accessible, and valid measure of competitiveness of fellowship entry and with further manipulation can be generalized to residency competitiveness.

scholarly journals Prevalensi periodontitis pada pasien diabetes mellitus (Studi observasional di poliklinik penyakit dalam RSUP Dr. Sardjito)

2017 ◽  
Vol 3 (2) ◽  
pp. 98 ◽  
Author(s):  
Rezmelia Sari ◽  
Dahlia Herawati ◽  
Rizky Nurcahyanti ◽  
Pramudita Kusuma Wardani
Keyword(s):  
Internal Medicine ◽  
Diabetes Mellitus ◽  
Informed Consent ◽  
Observational Study ◽  
General Hospital ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Central Java ◽  
Patients With Diabetes ◽  
Tissue Attachment

Prevalence of periodontal diseases in patients with  diabetes mellitus (An observational study     at internal medicine polyclinic in  Dr.  Sardjito General Hospital). Diabetes Mellitus (DM) is a  chronic disease    with an increasing prevalence and causes complications. The most frequent complication found in the oral cavity of patients with diabetes mellitus is periodontal diseases is characterized by the loss of tissue attachment. There have been numerous studies on the association of DM with periodontal diseases but there has not been any data on the prevalence of periodontal diseases in diabetic group, especially in Yogyakarta and Central Java. Dr. Sardjito General Hospital is a referral hospital in DIY and Central Java, so this study is expected to provide a picture regarding the level of periodontal tissue health among people in Yogyakarta and Central Java. This research was an observational study, involving 36 patients with DM according to criteria of the subjects: suffering from type 2 diabetes, being cooperative  and willing to sign an informed consent. The controlled variables: being 40 – 60 years of age, having good oral hygiene (OHI) according to Green and Vermillion, taking neither antibiotics nor anti-inammatory drugs in the last 3 months, not having a history of other systemic diseases. Oral hygiene exams were carried out, followed by examination using probe WHO to determine if there is CAL. The data were presented descriptively. The results showed that the prevalence of periodontal diseases in patients with DM at Internal Medicine Polyclinic in Dr. Sardjito General Hospital is 88.24% with a mean of CAL distance of 4.6 mm. The conclusion of this study is that the prevalence of periodontal diseases in patients with DM is high although the oral hygiene status is good. ABSTRAKDiabetes Mellitus (DM) adalah penyakit kronis menahun dengan prevalensi yang semakin meningkat dan menimbulkan komplikasi. Komplikasi yang paling sering terjadi di rongga mulut pasien DM adalah periodontitis yang ditandai dengan kehilangan perlekatan jaringan. Penelitian tentang hubungan DM dengan periodontitis banyak dilakukan namun belum ditemukan data mengenai prevalensi periodontitis pada kelompok  DM  khususnya di DIY dan  Jawa Tengah.  RSUP Dr. Sardjito merupakan rumah sakit rujukan DIY dan Jawa Tengah sehingga penelitian ini diharapkan dapat memberi gambaran mengenai tingkat kesehatan jaringan periodontal di masyarakat DIY dan Jawa Tengah. Jenis penelitian ini adalah observasional dengan melibatkan 36 orang pasien DM sesuai kriteria subjek yaitu menderita DM tipe II, kooperatif dan bersedia menandatangani informed consent. Variabel terkendali yaitu usia 40 – 60 tahun, kebersihan mulut (OHI) menurut Green and Vermillion dalam kriteria baik, tidak menggunakan antibiotik dan antiinamasi dalam 3 bulan terakhir dan tidak memiliki riwayat penyakit sistemik lain. Dilakukan pemeriksaan kebersihan mulut dilanjutkan dengan pemeriksaan menggunakan probe WHO untuk menentukan ada tidaknya CAL. Data disajikan secara deskriptif. Hasil penelitian menunjukkan bahwa prevalensi periodontitis pada pasien DM di Poli Klinik Penyakit Dalam RSUP Dr. Sardjito adalah 88,24% dengan rata-rata jarak CAL adalah 4,6 mm. Kesimpulan penelitian ini adalah prevalensi periodontitis pada pasien DM tinggi walaupun status kebersihan mulut tergolong dalam kriteria baik.

scholarly journals 53. A Descriptive Analysis of Air Medical Directors in the United States

1996 ◽  
Vol 11 (S2) ◽  
pp. S44-S44
Author(s):  
Kathy J. Rinnert ◽  
Ira J. Blumen ◽  
Michael Zanker ◽  
Sheryl G. A. Gabram
Keyword(s):  
Internal Medicine ◽  
United States ◽  
Emergency Medicine ◽  
Critical Care ◽  
Descriptive Analysis ◽  
The United States ◽  
Air Transport ◽  
Medical Services ◽  
Medical Directors ◽  
Mission Profile

Purpose: The practice of helicopter emergency medical services is variable in its mission profile, crew configuration, and transport capabilities. We sought to describe the characteristics of physician air medical directors in the United States.Methods: We surveyed medical directors concerning their education, training, transport experience, and roles/responsibilities in critical care air transport programs.Results: Two page surveys were mailed to 281 air medical services. Three programs merged or were dissolved. Data from 122/278 (43.9%) air medical directors were analyzed. One-hundred eleven respondents reported residency training in: Emergency Medicine (EM) 44 (39.6%), Internal Medicine (IM) 18 (16.2%), General Surgery (GS) 18 (16.2%), Family Practice (FP) 12 (10.8%), dual-trained (EM/IM, EM/FP, IM/FP) 11 (9.9%) and others 8 (7.2%). Medical directors’ roles/responsibilities consist, most frequently of: drafting protocols 108 (88.5%), QA/CQI activities 104 (85.3%), crew training 98 (80.3%), and administrative negotiations 95 (77.7%).

Variability in Critical Care–Related Charge Markups in Medicare Patients

2018 ◽  
Vol 84 (10) ◽  
pp. 1622-1625 ◽  
Author(s):  
Joshua Tseng ◽  
Harry C. Sax ◽  
Rodrigo F. Alban
Keyword(s):  
Internal Medicine ◽  
Critical Care ◽  
Endotracheal Intubation ◽  
Chest Tube ◽  
Critical Care Medicine ◽  
Tube Placement ◽  
Arterial Line ◽  
Fee For Service ◽  
Related Services ◽  
Line Placement

Charge markups for health care are variable and inflated several times beyond cost. Using the 2015 Medicare Provider Fee-For-Service Utilization and Payment Data file, we identified providers who billed for critical care hours and related procedures, including CPR, EKG interpretation, central line placement, arterial line placement, chest tube/thoracentesis, and emergent endotracheal intubation. Markup ratios (MRs), defined as the amount charged divided by the amount allowable, were calculated and compared; 42.1 per cent of physicians billing for critical care–related services were specialized in emergency medicine (EM). EM had the highest overall MR (median 4.99, IQR 3.60–6.88) and provided most of the services. MRs differed between genders in select cases (critical care hours: anesthesiology, EM, internal medicine, pulmonary and critical care medicine; CPR, pulmonary and critical care medicine; chest tube placement/thoracentesis, internal medicine). These differences in MR did not correspond to higher rates of Medicare allowable amounts ( P = NS). In conclusion, charge markups significantly varied by physician specialty. EM physicians had the highest MRs for most critical care–related services, including critical care hours, EKG interpretation, CPR, central venous line placement, and emergent endotracheal intubation. EM physicians also provided most of these services. Charge markups are associated with adverse consequences and represent potential targets for cost containment and consumer protection.

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