(6419,2166,'article_published_date','20100318'),(6420,2166,'_article_published_date','field_544113dfe5203'),(6421,2166,'article_volume_number','7'),(6422,2166,'_article_volume_number','field_5441144fe5205'),(6423,2166,'article_number_in_volume','1'),(6424,2166,'_article_number_in_volume','field_54411483e5206'),(6425,2166,'article_starting_page','42'),(6426,2166,'_article_starting_page','field_54411492e5207'),(6427,2166,'article_ending_page','43'),(6428,2166,'_article_ending_page','field_544114b0e5208'),(6429,2166,'article_description','This case presents an unusual etiology of a tender abdominal mass in a patient with a history of chronic alcoholic pancreatitis who presented to the emergency department with abdominal pain. The case underscores the importance of maintaining a wide differential diagnosis in recurrent pancreatitis so as to avoid a potentially lethal, if rare, complication. Appropriate imaging and consultation were essential to achieve a satisfactory result.'),(6430,2166,'_article_description','field_544114c4e5209'),(6431,2166,'article_pdf','2111'),(6432,2166,'_article_pdf','field_54411501e520a'),(6433,2167,'_edit_lock','1430239374:12'),(6434,2167,'_edit_last','12'),(6435,2167,'article_title','Sounding Board: Why Are Very Few Autopsies Performed Today?'),(6436,2167,'_article_title','field_54410d9ae5200'),(6437,2167,'article_author','Daniel M. Avery, MD'),(6438,2167,'_article_author','field_544112e3e5201'),(6439,2167,'article_publication','American Journal of Clinical Medicine®'),(6440,2167,'_article_publication','field_5441130be5202'),(6441,2167,'article_date_published_text','Winter'),(6442,2167,'_article_date_published_text','field_54411429e5204'),(6443,2167,'article_published_date','20100318'),(6444,2167,'_article_published_date','field_544113dfe5203'),(6445,2167,'article_volume_number','7'),(6446,2167,'_article_volume_number','field_5441144fe5205'),(6447,2167,'article_number_in_volume','1'),(6448,2167,'_article_number_in_volume','field_54411483e5206'),(6449,2167,'article_starting_page','46'),(6450,2167,'_article_starting_page','field_54411492e5207'),(6451,2167,'article_ending_page','46'),(6452,2167,'_article_ending_page','field_544114b0e5208'),(6453,2167,'article_description','<p style=\"text-align: justify;\">Thirty years ago autopsies were performed regularly in both teaching and private hospitals. In fact, teaching hospitals had to have a certain percentage of deaths certified by autopsy as part of the educational process. Today, autopsies are rare. Most that are performed are for very specific purposes, usually litigation oriented. Complete autopsies are very unusual today.</p>'),(6454,2167,'_article_description','field_544114c4e5209'),(6455,2167,'article_pdf','2110'),(6456,2167,'_article_pdf','field_54411501e520a'),(6457,2169,'_wp_attached_file','Factors-Associated-with-Choosing-Family-Medicine.pdf'),(6458,2170,'_wp_attached_file','Epidemic-Involving-Widespread-Closures.pdf'),(6459,2171,'_wp_attached_file','American-Health-Care-in-Crisis.pdf'),(6460,2172,'_wp_attached_file','Tuscaloosa-Experience-in-Rural-Medicine.pdf'),(6461,2173,'_wp_attached_file','Attention-Deficit-Disorder.pdf'),(6462,2174,'_wp_attached_file','The-Physician’s-Role.pdf'),(6463,2175,'_wp_attached_file','Medical-Ethics-Life-After-Life1.pdf'),(6464,2176,'_wp_attached_file','Management-of-Osteoporotic-Vertebral.pdf'),(6465,2177,'_wp_attached_file','My-Aching-Back.pdf'),(6466,2178,'_wp_attached_file','Founder-of-Obstetrics-Fellowships.pdf'),(6467,2179,'_wp_attached_file','The-History-of-Board-Certification-of-Family-Medicine-Obstetricians.pdf'),(6468,2180,'_wp_attached_file','Who-Will-Deliver-our-Babies.pdf'),(6469,2181,'_wp_attached_file','Postpartum-Depression.pdf'),(6470,2182,'_wp_attached_file','The-Maternal-and-Child-Health-Model.pdf'),(6471,2183,'_wp_attached_file','Prenatal-Patients-Not-Delivered.pdf'),(6472,2184,'_wp_attached_file','Laparotomy-for-Postoperative-Hemorrhage.pdf'),(6473,2185,'_wp_attached_file','The-Need-for-Rural-Family-Physicians-Who-Can-Perform-Cesareans.pdf'),(6474,2186,'_wp_attached_file','Obstetric-Emergencies.pdf'),(6475,2187,'_wp_attached_file','Improving-Maternal-and-Child-Health-Outcomes.pdf'),(6476,2188,'_wp_attached_file','Review-of-Emergency-Medical-Treatment.pdf'),(6477,2189,'_wp_attached_file','Addressing-Psychosocial-Determinants-of-Poor-Birth-Outcomes.pdf'),(6478,2190,'_wp_attached_file','Cesarean-Hysterectomy-for-Family-Medicine-Physicians.pdf'),(6479,2191,'_wp_attached_file','Medical-Ethics-Without-the-Rhetoric-Case-Two-Out-of-Practice.pdf'),(6480,2192,'_wp_attached_file','Minilaparotomy-Technique-for-Ectopic-Pregnancy.pdf'),(6481,2193,'_wp_attached_file','Sounding-Board-Chernobyl-Nuclear-Disaster.pdf'),(6482,2194,'_wp_attached_file','Chemical-Ocular-Burns.pdf'),(6483,2195,'_wp_attached_file','Disaster-Preparedness-and-Disaster-Management.pdf'),(6484,2196,'_wp_attached_file','Medical-Legal-How-Good-Is-Informed-Consent-in-Another-Language.pdf'),(6485,2197,'_wp_attached_file','Medical-Legal-Summary-of-Informed-Consent-and-Refusal.pdf'),(6486,2198,'_wp_attached_file','Physiologic-Mechanisms.pdf'),(6487,2199,'_wp_attached_file','Building-a-Stroke-Referral-Center.pdf'),(6488,2200,'_wp_attached_file','Medical-Ethics-Whose-Witness.pdf'),(6489,2201,'_wp_attached_file','Upper-Eyelid-Ptosis-Revisited.pdf'),(6490,2202,'_wp_attached_file','Controversies-in-Prehospital-Care.pdf'),(6491,2203,'_wp_attached_file','Medical-Ethics-Without-the-Rhetoric-Case-One-Put-the-Patient-First.pdf'),(6492,2204,'_wp_attached_file','Lyme-Disease-and-Rocky-Mountain-Spotted-Fever.pdf'),(6493,2205,'_wp_attached_file','An-Approach-to-the-Initial-Care-of-Patients-with-Chest-Pain.pdf'),(6494,2206,'_wp_attached_file','Sounding-Board-Emergency-Medicine-Afield-The-Russian-Federation.pdf'),(6495,2207,'_wp_attached_file','Hypercalcemic-Crisis.pdf'),(6496,2208,'_wp_attached_file','Penetrating-Eye-Injury.pdf'),(6497,2209,'_edit_lock','1430236367:12'),(6498,2209,'_edit_last','12'),(6499,2209,'article_title','Management of Osteoporotic Vertebral Compression Fractures: A Review'),(6500,2209,'_article_title','field_54410d9ae5200'),(6501,2209,'article_author','Ravishankar Vedantam, MD'),(6502,2209,'_article_author','field_544112e3e5201'),(6503,2209,'article_publication','American Journal of Clinical Medicine®'),(6504,2209,'_article_publication','field_5441130be5202'),(6505,2209,'article_date_published_text','Fall'),(6506,2209,'_article_date_published_text','field_54411429e5204'),(6507,2209,'article_published_date','20091216'),(6508,2209,'_article_published_date','field_544113dfe5203'),(6509,2209,'article_volume_number','6'),(6510,2209,'_article_volume_number','field_5441144fe5205'),(6511,2209,'article_number_in_volume','4'),(6512,2209,'_article_number_in_volume','field_54411483e5206'),(6513,2209,'article_starting_page','14'),(6514,2209,'_article_starting_page','field_54411492e5207'),(6515,2209,'article_ending_page','18'),(6516,2209,'_article_ending_page','field_544114b0e5208'),(6517,2209,'article_description','<p style=\"text-align: justify;\">Osteoporotic vertebral compression fractures are increasing in prevalence as the general population ages. The consequences of these fragility fractures are significant and include pain, impaired normal physical functioning, decreased lung capacity, kyphosis of the spine, loss of appetite, depression, and increased mortality. Early aggressive treatment of these fractures can prevent the ripple effect of morbidity associated with these fractures. Prevention and treatment of the underlying osteoporosis forms the foundation of the treatment paradigm for these fractures. A review of epidemiology, consequences, diagnosis, and treatment options for osteoporotic vertebral compression fractures is presented.</p>'),(6518,2209,'_article_description','field_544114c4e5209'),(6519,2209,'article_pdf','2176'),(6520,2209,'_article_pdf','field_54411501e520a'),(6521,2210,'_edit_lock','1430315175:12'),(6522,2210,'_edit_last','12'),(6523,2210,'article_title','Medical Ethics Without the Rhetoric: Case Four, Life after Life'),(6524,2210,'_article_title','field_54410d9ae5200'),(6525,2210,'article_author','Mark Pastin, PhD'),(6526,2210,'_article_author','field_544112e3e5201'),(6527,2210,'article_publication','American Journal of Clinical Medicine®'),(6528,2210,'_article_publication','field_5441130be5202'),(6529,2210,'article_date_published_text','Fall'),(6530,2210,'_article_date_published_text','field_54411429e5204'),(6531,2210,'article_published_date','20091216'),(6532,2210,'_article_published_date','field_544113dfe5203'),(6533,2210,'article_volume_number','6'),(6534,2210,'_article_volume_number','field_5441144fe5205'),(6535,2210,'article_number_in_volume','4'),(6536,2210,'_article_number_in_volume','field_54411483e5206'),(6537,2210,'article_starting_page','19'),(6538,2210,'_article_starting_page','field_54411492e5207'),(6539,2210,'article_ending_page','19'),(6540,2210,'_article_ending_page','field_544114b0e5208'),(6541,2210,'article_description','<p style=\"text-align: justify;\">A woman who was considered perfectly healthy at the time she became pregnant is found to have terminal cancer early in her pregnancy. While there is little chance of the cancer being transferred to the fetus, there is also little chance of the mother surviving long enough for a viable delivery. The women and her husband request that her body functions be maintained, even after she is legally dead, until the baby can be safely delivered.</p>'),(6542,2210,'_article_description','field_544114c4e5209'),(6543,2210,'article_pdf','2109'),(6544,2210,'_article_pdf','field_54411501e520a'),(6545,2212,'_edit_lock','1430239129:12'),(6546,2212,'_edit_last','12'),(6547,2212,'article_title','“Oh, My Aching Back!” An Evidence-Based Review of One of Mankind’s Oldest Afflictions'),(6548,2212,'_article_title','field_54410d9ae5200'),(6549,2212,'article_author','David M. Lemonick, MD, FAAEP, FACEP'),(6550,2212,'_article_author','field_544112e3e5201'),(6551,2212,'article_publication','American Journal of Clinical Medicine®'),(6552,2212,'_article_publication','field_5441130be5202'),(6553,2212,'article_date_published_text','Fall'),(6554,2212,'_article_date_published_text','field_54411429e5204'),(6555,2212,'article_published_date','20091216'),(6556,2212,'_article_published_date','field_544113dfe5203'),(6557,2212,'article_volume_number','6'),(6558,2212,'_article_volume_number','field_5441144fe5205'),(6559,2212,'article_number_in_volume','4'),(6560,2212,'_article_number_in_volume','field_54411483e5206'),(6561,2212,'article_starting_page','5'),(6562,2212,'_article_starting_page','field_54411492e5207'),(6563,2212,'article_ending_page','13'),(6564,2212,'_article_ending_page','field_544114b0e5208'),(6565,2212,'article_description','<p style=\"text-align: justify;\">A majority of adults suffer from at least one episode of low back pain (LBP), which is second only to upper respiratory infection as a reason to visit a physician. Most of these episodes are due to a variety of muscular and ligamentous strains and sprains, but in a minority of cases, LBP heralds a life threat or a spinal cord threat. Identifying the few serious conditions that lead to LBP among all the benign causes is a daunting task. The evaluation and treatment of LBP is also quite expensive. Total costs of low back pain in the United States exceed $100 billion per year, with two-thirds of these costs indirect, due to lost wages and reduced productivity. In order to effectively and efficiently evaluate LBP in the ambulatory care setting, a practitioner needs an organized approach to risk stratification, testing, and treatment. This article strives to present such an approach. By using history and physical examination to identify “red flags” for serious disease in patients with LBP and then utilizing testing and imaging selectively, both the patient and the practitioner will be well served. Evidence-based treatment of LBP is reviewed, and several well-entrenched myths regarding pharmaceutical and physical therapies for LBP are discussed.</p>'),(6566,2212,'_article_description','field_544114c4e5209'),(6567,2212,'article_pdf','2177'),(6568,2212,'_article_pdf','field_54411501e520a'),(6569,2214,'_edit_lock','1430245653:12'),(6570,2214,'_edit_last','12'),(6571,2214,'article_title','The Physician’s Role in Cost Effective Prescriptions'),(6572,2214,'_article_title','field_54410d9ae5200'),(6573,2214,'article_author','Daniel M. Avery, MD, Elizabeth Cockrum, MD'),(6574,2214,'_article_author','field_544112e3e5201'),(6575,2214,'article_publication','American Journal of Clinical Medicine®'),(6576,2214,'_article_publication','field_5441130be5202'),(6577,2214,'article_date_published_text','Fall'),(6578,2214,'_article_date_published_text','field_54411429e5204'),(6579,2214,'article_published_date','20091216'),(6580,2214,'_article_published_date','field_544113dfe5203'),(6581,2214,'article_volume_number','6'),(6582,2214,'_article_volume_number','field_5441144fe5205'),(6583,2214,'article_number_in_volume','4'),(6584,2214,'_article_number_in_volume','field_54411483e5206'),(6585,2214,'article_starting_page','20'),(6586,2214,'_article_starting_page','field_54411492e5207'),(6587,2214,'article_ending_page','21'),(6588,2214,'_article_ending_page','field_544114b0e5208'),(6589,2214,'article_description','<p style=\"text-align: justify;\">The cost of medication remains a major problem in healthcare in this country. The physician can help control the rising cost of medication by prescribing cost-effective drugs for their patients. Two large pharmacy chain drug stores offer generic drugs at a very reasonable cost of $4.00 for a month’s worth of medications.1,2 One of these pharmacy chains subsequently added additional generic drugs including two oral contraceptives for $9.00 per month.1 This paper discusses how this program works in a medical school clinic.</p>'),(6590,2214,'_article_description','field_544114c4e5209'),(6591,2214,'article_pdf','2171'),(6592,2214,'_article_pdf','field_54411501e520a'),(6593,2215,'_edit_lock','1430246033:12'),(6594,2215,'_edit_last','12'),(6595,2215,'article_title','Attention Deficit Disorder (ADD) Attention Deficit Hyperactive Disorder (ADHD)'),(6596,2215,'_article_title','field_54410d9ae5200'),(6597,2215,'article_author','Nagui Hanna, MD'),(6598,2215,'_article_author','field_544112e3e5201'),(6599,2215,'article_publication','American Journal of Clinical Medicine®'),(6600,2215,'_article_publication','field_5441130be5202'),(6601,2215,'article_date_published_text','Fall'),(6602,2215,'_article_date_published_text','field_54411429e5204'),(6603,2215,'article_published_date','20091216'),(6604,2215,'_article_published_date','field_544113dfe5203'),(6605,2215,'article_volume_number','6'),(6606,2215,'_article_volume_number','field_5441144fe5205'),(6607,2215,'article_number_in_volume','4'),(6608,2215,'_article_number_in_volume','field_54411483e5206'),(6609,2215,'article_starting_page','22'),(6610,2215,'_article_starting_page','field_54411492e5207'),(6611,2215,'article_ending_page','28'),(6612,2215,'_article_ending_page','field_544114b0e5208'),(6613,2215,'article_description','<p style=\"text-align: justify;\">ADHD is a complex disorder of impairment of brain functions, which burdens our society with significant financial costs. Its salient features are inattention, hyperactivity, and impulsivity. In many cases, it is accompanied by one or more serious psychiatric comorbidities. Criteria for its diagnosis have emerged over the past four decades, resulting in better recognition and more widespread treatment. The current opinion estimates its prevalence in the USA to be 5 – 10% among school-aged children. It has strong heritability and genetic links, as well as environmental predispositions and triggers. Although it mostly affects school-aged children, it is well known to affect preschoolers, youths, and even adults, with distinct manifestations and progression. Treatment predominantly relies on prescribing stimulant medications (amphetamines), of which methylphenidate is the most widely used. Psychosocial therapy has an important but less distinguished role in the management of the disorder.</p>'),(6614,2215,'_article_description','field_544114c4e5209'),(6615,2215,'article_pdf','2173'),(6616,2215,'_article_pdf','field_54411501e520a'),(6617,2216,'_edit_lock','1430246291:12'),(6618,2216,'_edit_last','12'),(6619,2216,'article_title','The Tuscaloosa Experience in Rural Medicine: An Integrated Approach to Competency-Based Education'),(6620,2216,'_article_title','field_54410d9ae5200'),(6621,2216,'article_author','Daniel M. Avery, MD'),(6622,2216,'_article_author','field_544112e3e5201'),(6623,2216,'article_publication','American Journal of Clinical Medicine®'),(6624,2216,'_article_publication','field_5441130be5202'),(6625,2216,'article_date_published_text','Fall'),(6626,2216,'_article_date_published_text','field_54411429e5204'),(6627,2216,'article_published_date','20091216'),(6628,2216,'_article_published_date','field_544113dfe5203'),(6629,2216,'article_volume_number','6'),(6630,2216,'_article_volume_number','field_5441144fe5205'),(6631,2216,'article_number_in_volume','4'),(6632,2216,'_article_number_in_volume','field_54411483e5206'),(6633,2216,'article_starting_page','30'),(6634,2216,'_article_starting_page','field_54411492e5207'),(6635,2216,'article_ending_page','31'),(6636,2216,'_article_ending_page','field_544114b0e5208'),(6637,2216,'article_description','Many changes are occurring at every level of medical education, ranging from first-year medical students to residents to fellows to newly graduating physicians to tenured private practice physicians.'),(6638,2216,'_article_description','field_544114c4e5209'),(6639,2216,'article_pdf','2172'),(6640,2216,'_article_pdf','field_54411501e520a'),(6641,2217,'_edit_lock','1430247292:12'),(6642,2217,'_edit_last','12'),(6643,2217,'article_title','American Health Care in Crisis: Fundamentals of Health Care Reform'),(6644,2217,'_article_title','field_54410d9ae5200'),(6645,2217,'article_author','American Health Care in Crisis: Fundamentals of Health Care Reform'),(6646,2217,'_article_author','field_544112e3e5201'),(6647,2217,'article_publication','American Journal of Clinical Medicine®'),(6648,2217,'_article_publication','field_5441130be5202'),(6649,2217,'article_date_published_text','Fall'),(6650,2217,'_article_date_published_text','field_54411429e5204'),(6651,2217,'article_published_date','20091216'),(6652,2217,'_article_published_date','field_544113dfe5203'),(6653,2217,'article_volume_number','6'),(6654,2217,'_article_volume_number','field_5441144fe5205'),(6655,2217,'article_number_in_volume','4'),(6656,2217,'_article_number_in_volume','field_54411483e5206'),(6657,2217,'article_starting_page','32'),(6658,2217,'_article_starting_page','field_54411492e5207'),(6659,2217,'article_ending_page','46'),(6660,2217,'_article_ending_page','field_544114b0e5208'),(6661,2217,'article_description','<p style=\"text-align: justify;\">The American Health Care system costs too much and is unsustainable. In 2008 the United States Gross Domestic Product (GDP) was $14.29 trillion and health expenditure was $2.38 trillion or 16.2 %.2 From 1965 to 2007, health spending as a percent of GDP has steadily increased from 5.9% to the current 16.2%. It is inequitably distributed, leaving a significant portion of the population inadequately covered. When looked at in totality, the United States Health care system still lags by a wide measure on key population-level outcome measures in comparison to other developed countries. Proposals for reform include universal health care coverage, universal coverage, cost control measures, insurance market reform, quality improvement measures, and promotion of fitness and wellness.</p>'),(6662,2217,'_article_description','field_544114c4e5209'),(6663,2217,'article_pdf','2171'),(6664,2217,'_article_pdf','field_54411501e520a'),(6665,2218,'_edit_lock','1430247616:12'),(6666,2218,'_edit_last','12'),(6667,2218,'article_title','Epidemic Involving Widespread Closures of Industries and How to Control Major Factors in Company Closings'),(6668,2218,'_article_title','field_54410d9ae5200'),(6669,2218,'article_author','Ata Ulhaq, MD, FACEP, MPH'),(6670,2218,'_article_author','field_544112e3e5201'),(6671,2218,'article_publication','American Journal of Clinical Medicine®'),(6672,2218,'_article_publication','field_5441130be5202'),(6673,2218,'article_date_published_text','Fall'),(6674,2218,'_article_date_published_text','field_54411429e5204'),(6675,2218,'article_published_date','20091216'),(6676,2218,'_article_published_date','field_544113dfe5203'),(6677,2218,'article_volume_number','6'),(6678,2218,'_article_volume_number','field_5441144fe5205'),(6679,2218,'article_number_in_volume','4'),(6680,2218,'_article_number_in_volume','field_54411483e5206'),(6681,2218,'article_starting_page','47'),(6682,2218,'_article_starting_page','field_54411492e5207'),(6683,2218,'article_ending_page','51'),(6684,2218,'_article_ending_page','field_544114b0e5208'),(6685,2218,'article_description','<p style=\"text-align: justify;\">One major reason for companies closing is poorly coordinated health care that results in increased costs for the company with devastating financial results. In 2008, total national health expenditures were expected to rise 6.9% - two times the rate of inflation. Total spending was $2.4 trillion in 2007, or $7900 per person. We can reduce costs to our health care system and improve our nation’s health through pre-placement examinations, reporting problems, coordination with emergency room contacts, specialists (referrals and consultations), physical therapy, sickness and accident, FMLA (Family Medical Leave Act), EAP (Employee Assessment Programs), and TRUST. A good place to start would be incentives, disincentives, memberships, free screenings, support groups, fitness centers, and home education. One thing is certain - health and productivity costs from absenteeism and presenteeism are costs the employer cannot ignore and cannot afford.</p>'),(6686,2218,'_article_description','field_544114c4e5209'),(6687,2218,'article_pdf','2170'),(6688,2218,'_article_pdf','field_54411501e520a'),(6689,2219,'_edit_lock','1430247870:12'),(6690,2219,'_edit_last','12'),(6691,2219,'article_title','Factors Associated with Choosing Family Medicine as a Career Specialty: What Can We Use?'),(6692,2219,'_article_title','field_54410d9ae5200'),(6693,2219,'article_author','Daniel M. Avery, MD, John R. Wheat, MD, MPH, Jerry T. McKnight, MD, MPH, James D. Leeper, PhD'),(6694,2219,'_article_author','field_544112e3e5201'),(6695,2219,'article_publication','American Journal of Clinical Medicine®'),(6696,2219,'_article_publication','field_5441130be5202'),(6697,2219,'article_date_published_text','Fall'),(6698,2219,'_article_date_published_text','field_54411429e5204'),(6699,2219,'article_published_date','20091216'),(6700,2219,'_article_published_date','field_544113dfe5203'),(6701,2219,'article_volume_number','6'),(6702,2219,'_article_volume_number','field_5441144fe5205'),(6703,2219,'article_number_in_volume','4'),(6704,2219,'_article_number_in_volume','field_54411483e5206'),(6705,2219,'article_starting_page','54'),(6706,2219,'_article_starting_page','field_54411492e5207'),(6707,2219,'article_ending_page','58'),(6708,2219,'_article_ending_page','field_544114b0e5208'),(6709,2219,'article_description','<p style=\"text-align: justify;\">There are many factors associated with choosing family medicine as a career. Many medical students have an interest in primary or non-primary care prior to entering medical school, while other students decide on a residency choice during their third and fourth year of medical school. There are a number of well-documented reasons why medical students choose family medicine as a career. These are categorized into Admission, Medical School Curriculum, and Structural Factors. This paper looks at those factors influencing the choice of family medicine as a career. In reviewing the literature, there is little new information since 2003. Limited effort has gone into effecting productive changes.</p>'),(6710,2219,'_article_description','field_544114c4e5209'),(6711,2219,'article_pdf','2169'),(6712,2219,'_article_pdf','field_54411501e520a'),(6713,2220,'_edit_lock','1430249960:12'),(6714,2220,'_edit_last','12'),(6715,2220,'article_title','Upper Eyelid Ptosis Revisited'),(6716,2220,'_article_title','field_54410d9ae5200'),(6717,2220,'article_author','Padmaja Sudhakar, MBBS, DNB (Ophthalmology), Qui Vu, BS, M3, Omofolasade Kosoko-Lasaki, MD, MSPH, MBA, Millicent Palmer, MD'),(6718,2220,'_article_author','field_544112e3e5201'),(6719,2220,'article_publication','American Journal of Clinical Medicine®'),(6720,2220,'_article_publication','field_5441130be5202'),(6721,2220,'article_date_published_text','Summer'),(6722,2220,'_article_date_published_text','field_54411429e5204'),(6723,2220,'article_published_date','20090929'),(6724,2220,'_article_published_date','field_544113dfe5203'),(6725,2220,'article_volume_number','6'),(6726,2220,'_article_volume_number','field_5441144fe5205'),(6727,2220,'article_number_in_volume','3'),(6728,2220,'_article_number_in_volume','field_54411483e5206'),(6729,2220,'article_starting_page','5'),(6730,2220,'_article_starting_page','field_54411492e5207'),(6731,2220,'article_ending_page','14'),(6732,2220,'_article_ending_page','field_544114b0e5208'),(6733,2220,'article_description','<p style=\"text-align: justify;\">Blepharoptosis, commonly referred to as ptosis is an abnormal drooping of the upper eyelid. This condition has multiple etiologies and is seen in all age groups. Ptosis results from a congenital or acquired weakness of the levator palpebrae superioris and the Muller’s muscle responsible for raising the eyelid, damage to the nerves which control those muscles, or laxity of the skin of the upper eyelids. Ptosis may be found isolated, or may signal the presence of a more serious underlying neurological disorder. Treatment depends on the underlying etiology. This review attempts to give an overview of ptosis for the primary healthcare provider with particular emphasis on the classification, salient features of each of the subtypes, clinical evaluation, and treatment.</p>'),(6734,2220,'_article_description','field_544114c4e5209'),(6735,2220,'article_pdf','2201'),(6736,2220,'_article_pdf','field_54411501e520a'),(6737,2221,'_edit_lock','1430250361:12'),(6738,2221,'_edit_last','12'),(6739,2221,'article_title','Medical Ethics Without the Rhetoric: Case Three, Whose Witness?'),(6740,2221,'_article_title','field_54410d9ae5200'),(6741,2221,'article_author','Mark Pastin, Ph.D.'),(6742,2221,'_article_author','field_544112e3e5201'),(6743,2221,'article_publication','American Journal of Clinical Medicine®'),(6744,2221,'_article_publication','field_5441130be5202'),(6745,2221,'article_date_published_text','Summer'),(6746,2221,'_article_date_published_text','field_54411429e5204'),(6747,2221,'article_published_date','20090929'),(6748,2221,'_article_published_date','field_544113dfe5203'),(6749,2221,'article_volume_number','6'),(6750,2221,'_article_volume_number','field_5441144fe5205'),(6751,2221,'article_number_in_volume','3'),(6752,2221,'_article_number_in_volume','field_54411483e5206'),(6753,2221,'article_starting_page','15'),(6754,2221,'_article_starting_page','field_54411492e5207'),(6755,2221,'article_ending_page','15'),(6756,2221,'_article_ending_page','field_544114b0e5208'),(6757,2221,'article_description','<p style=\"text-align: justify;\">You are working in the ER when a minor, who has been seriously injured in a car accident, comes in. The child, who is accompanied by his parents, shouts  repeatedly, “I don’t want to die.” Immediate surgery is required, and you explain the situation to the parents. They advise you that they belong to a religious group which does not permit transfusions and would rather you didn’t perform surgery if a transfusion is necessary.</p>'),(6758,2221,'_article_description','field_544114c4e5209'),(6759,2221,'article_pdf','2200'),(6760,2221,'_article_pdf','field_54411501e520a'),(6761,2222,'_edit_lock','1430251375:12'),(6762,2222,'_edit_last','12'),(6763,2222,'article_title','Building a Stroke Referral Center in Your Emergency Department: Protocols and Thrombolysis'),(6764,2222,'_article_title','field_54410d9ae5200'),(6765,2222,'article_author','Frank Rasler, MD, MPH'),(6766,2222,'_article_author','field_544112e3e5201'),(6767,2222,'article_publication','American Journal of Clinical Medicine®'),(6768,2222,'_article_publication','field_5441130be5202'),(6769,2222,'article_date_published_text','Summer'),(6770,2222,'_article_date_published_text','field_54411429e5204'),(6771,2222,'article_published_date','20090929'),(6772,2222,'_article_published_date','field_544113dfe5203'),(6773,2222,'article_volume_number','6'),(6774,2222,'_article_volume_number','field_5441144fe5205'),(6775,2222,'article_number_in_volume','3'),(6776,2222,'_article_number_in_volume','field_54411483e5206'),(6777,2222,'article_starting_page','16'),(6778,2222,'_article_starting_page','field_54411492e5207'),(6779,2222,'article_ending_page','21'),(6780,2222,'_article_ending_page','field_544114b0e5208'),(6781,2222,'article_description','<p style=\"text-align: justify;\">The past decade’s success with thrombolysis for ischemic stroke has generated intense interest, despite the risk of intracranial hemorrhage. Stroke centers and rapid treatment protocols have become a new focus of emergency medicine, although risk-factor reduction deserves greater emphasis. This article details the development of a stroke center, protocols, and medical-legal issues. A patient case is used to visibly explain how improved outcome can result from reducing a few minutes at every step in the three-hour window to thrombolysis.</p>'),(6782,2222,'_article_description','field_544114c4e5209'),(6783,2222,'article_pdf','2199'),(6784,2222,'_article_pdf','field_54411501e520a'),(7468,2278,'_wp_attached_file','2015-Annual-Registration-6.8.15.pdf'),(6787,2224,'_edit_lock','1430312693:12'),(6788,2224,'_edit_last','12'),(6789,2224,'article_title','Physiologic Mechanisms Associated with the Trendelenburg Position'),(6790,2224,'_article_title','field_54410d9ae5200'),(6791,2224,'article_author','Richard L. Summers, MD, James R. Thompson, MD, LouAnn H. Woodward, MD, David S. Martin, BS'),(6792,2224,'_article_author','field_544112e3e5201'),(6793,2224,'article_publication','American Journal of Clinical Medicine®'),(6794,2224,'_article_publication','field_5441130be5202'),(6795,2224,'article_date_published_text','Summer'),(6796,2224,'_article_date_published_text','field_54411429e5204'),(6797,2224,'article_published_date','20090929'),(6798,2224,'_article_published_date','field_544113dfe5203'),(6799,2224,'article_volume_number','6'),(6800,2224,'_article_volume_number','field_5441144fe5205'),(6801,2224,'article_number_in_volume','3'),(6802,2224,'_article_number_in_volume','field_54411483e5206'),(6803,2224,'article_starting_page','24'),(6804,2224,'_article_starting_page','field_54411492e5207'),(6805,2224,'article_ending_page','27'),(6806,2224,'_article_ending_page','field_544114b0e5208'),(6807,2224,'article_description','<p style=\"text-align: justify;\">The Trendelenburg position is a common intervention used to stabilize patients in hemodynamic shock. It has been assumed that the head-down tilt position would create a hydrostatic gradient to improve venous return and, therefore, increase the cardiac output. However, numerous studies have shown this maneuver to be ineffective for hemodynamic enhancement. This study analyzed the physiologic mechanisms responsible for the limited benefits of Trendelenburg positioning.</p>'),(6808,2224,'_article_description','field_544114c4e5209'),(6809,2224,'article_pdf','2198'),(6810,2224,'_article_pdf','field_54411501e520a'),(7470,2280,'_edit_last','15'),(7469,2280,'_edit_lock','1433771874:15'),(6813,2225,'_edit_lock','1430314429:12'),(6814,2225,'_edit_last','12'),(6815,2225,'article_title','Medical Legal: Summary of Informed Consent and Refusal'),(6816,2225,'_article_title','field_54410d9ae5200'),(6817,2225,'article_author','Daniel M. Avery, MD'),(6818,2225,'_article_author','field_544112e3e5201'),(6819,2225,'article_publication','American Journal of Clinical Medicine®'),(6820,2225,'_article_publication','field_5441130be5202'),(6821,2225,'article_date_published_text','Summer'),(6822,2225,'_article_date_published_text','field_54411429e5204'),(6823,2225,'article_published_date','20090929'),(6824,2225,'_article_published_date','field_544113dfe5203'),(6825,2225,'article_volume_number','6'),(6826,2225,'_article_volume_number','field_5441144fe5205'),(6827,2225,'article_number_in_volume','3'),(6828,2225,'_article_number_in_volume','field_54411483e5206'),(6829,2225,'article_starting_page','28'),(6830,2225,'_article_starting_page','field_54411492e5207'),(6831,2225,'article_ending_page','29'),(6832,2225,'_article_ending_page','field_544114b0e5208'),(6833,2225,'article_description','<p style=\"text-align: justify;\">This is a brief summary of the salient points about informed consent and refusal. This is summarized from the American Medical Association website on Informed Consent and the American College of Obstetricians and Gynecologists Compendium of Selected Publications called Informed Refusal. The important points are summarized and discussed below.</p>'),(6834,2225,'_article_description','field_544114c4e5209'),(6835,2225,'article_pdf','2197'),(6836,2225,'_article_pdf','field_54411501e520a'),(6837,2226,'_edit_lock','1430314661:12'),(6838,2226,'_edit_last','12'),(6839,2226,'article_title','Medical Legal: Cuan Util Es El Consentimiendo Informado en Otro Idioma? How Good Is Informed Consent in Another Language?'),(6840,2226,'_article_title','field_54410d9ae5200'),(6841,2226,'article_author','Daniel M. Avery, MD, FACOG, FACS, Tomas C. Vegas, MD'),(6842,2226,'_article_author','field_544112e3e5201'),(6843,2226,'article_publication','American Journal of Clinical Medicine®'),(6844,2226,'_article_publication','field_5441130be5202'),(6845,2226,'article_date_published_text','Summer'),(6846,2226,'_article_date_published_text','field_54411429e5204'),(6847,2226,'article_published_date','20090929'),(6848,2226,'_article_published_date','field_544113dfe5203'),(6849,2226,'article_volume_number','6'),(6850,2226,'_article_volume_number','field_5441144fe5205'),(6851,2226,'article_number_in_volume','3'),(6852,2226,'_article_number_in_volume','field_54411483e5206'),(6853,2226,'article_starting_page','30'),(6854,2226,'_article_starting_page','field_54411492e5207'),(6855,2226,'article_ending_page','31'),(6856,2226,'_article_ending_page','field_544114b0e5208'),(6857,2226,'article_description','<p style=\"text-align: justify;\">Informed consent is an important part of medical care today. This paper discusses the difficulty with informed consent when there are language barriers.</p>'),(6858,2226,'_article_description','field_544114c4e5209'),(6859,2226,'article_pdf','2196'),(6860,2226,'_article_pdf','field_54411501e520a'),(6861,2227,'_edit_lock','1430314929:12'),(6862,2227,'_edit_last','12'),(6863,2227,'article_title','Disaster Preparedness and Disaster Management: The Development and Piloting of a Self-Assessment Survey to Judge the Adequacy of Community-Based Physician Knowledge'),(6864,2227,'_article_title','field_54410d9ae5200'),(6865,2227,'article_author','Bruce R. Guerdan, MD, MPH'),(6866,2227,'_article_author','field_544112e3e5201'),(6867,2227,'article_publication','American Journal of Clinical Medicine®'),(6868,2227,'_article_publication','field_5441130be5202'),(6869,2227,'article_date_published_text','Summer'),(6870,2227,'_article_date_published_text','field_54411429e5204'),(6871,2227,'article_published_date','20090929'),(6872,2227,'_article_published_date','field_544113dfe5203'),(6873,2227,'article_volume_number','6'),(6874,2227,'_article_volume_number','field_5441144fe5205'),(6875,2227,'article_number_in_volume','3'),(6876,2227,'_article_number_in_volume','field_54411483e5206'),(6877,2227,'article_starting_page','32'),(6878,2227,'_article_starting_page','field_54411492e5207'),(6879,2227,'article_ending_page','40'),(6880,2227,'_article_ending_page','field_544114b0e5208'),(6881,2227,'article_description','<p style=\"text-align: justify;\">Disaster preparedness and disaster management have received a high level of  attention in the aftermath of the United States’ recent experience with both natural and manmade events. Primary care physicians are often forced to respond with little or no formal training. Physicians in training receive little to no education on this subject. The capabilities of these professionals have significant public health relevance in both general public health as well as disaster preparedness and disaster management. There are several organizations and academic institutions that have made inroads into training on this subject. There is no standardized assessment tool to judge these clinicians’ competency. Currently available training and some of the major response organizations are reviewed. A format for the development of an assessment tool and a pilot survey completed at two community hospitals are both discussed.</p>'),(6882,2227,'_article_description','field_544114c4e5209'),(6883,2227,'article_pdf','2195'),(6884,2227,'_article_pdf','field_54411501e520a'),(6885,2228,'_edit_lock','1430315404:12'),(6886,2228,'_edit_last','12'),(6887,2228,'article_title','Chemical Ocular Burns: A Case Review'),(6888,2228,'_article_title','field_54410d9ae5200'),(6889,2228,'article_author','Adeola Kosoko, BA, M3, Qui Vu, BS, M3, Omofolasade Kosoko-Lasaki, MD, MSPH, MBA'),(6890,2228,'_article_author','field_544112e3e5201'),(6891,2228,'article_publication','American Journal of Clinical Medicine®'),(6892,2228,'_article_publication','field_5441130be5202'),(6893,2228,'article_date_published_text','Summer'),(6894,2228,'_article_date_published_text','field_54411429e5204'),(6895,2228,'article_published_date','20090929'),(6896,2228,'_article_published_date','field_544113dfe5203'),(6897,2228,'article_volume_number','6'),(6898,2228,'_article_volume_number','field_5441144fe5205'),(6899,2228,'article_number_in_volume','3'),(6900,2228,'_article_number_in_volume','field_54411483e5206'),(6901,2228,'article_starting_page','41'),(6902,2228,'_article_starting_page','field_54411492e5207'),(6903,2228,'article_ending_page','49'),(6904,2228,'_article_ending_page','field_544114b0e5208'),(6905,2228,'article_description','<p style=\"text-align: justify;\">Chemical injury to the eye accounts for a significant portion of ocular trauma. Proper management in the acute setting as well as follow-up by an ophthalmologist is crucial in limiting adverse effects of ocular tissue damage secondary to the chemicals. This case study describes the presentation and treatment of an adult male who presented to the Emergency Department (ED) at Creighton University Medical Center (CUMC) following an accidental occupational facial and ocular chemical injury. Described is the immediate management of ocular injury secondary to chemical exposure and the follow-up care provided by the ophthalmologist. In addition, detailed is the medical and surgical management of ocular chemical burns including the preventative strategies utilized. The management of the case described may serve as an approach to the care of patients presenting with facial and ocular burn injury in the ED.</p>'),(6906,2228,'_article_description','field_544114c4e5209'),(6907,2228,'article_pdf','2194'),(6908,2228,'_article_pdf','field_54411501e520a'),(6909,2229,'_edit_lock','1430316923:12'),(6910,2229,'_edit_last','12'),(6911,2230,'_wp_attached_file','AAPS-Credentialing.jpg'),(6912,2230,'_wp_attachment_metadata','a:5:{s:5:\"width\";i:300;s:6:\"height\";i:234;s:4:\"file\";s:22:\"AAPS-Credentialing.jpg\";s:5:\"sizes\";a:2:{s:9:\"thumbnail\";a:4:{s:4:\"file\";s:30:\"AAPS-Credentialing-150x150.jpg\";s:5:\"width\";i:150;s:6:\"height\";i:150;s:9:\"mime-type\";s:10:\"image/jpeg\";}s:6:\"medium\";a:4:{s:4:\"file\";s:30:\"AAPS-Credentialing-300x234.jpg\";s:5:\"width\";i:300;s:6:\"height\";i:234;s:9:\"mime-type\";s:10:\"image/jpeg\";}}s:10:\"image_meta\";a:11:{s:8:\"aperture\";i:0;s:6:\"credit\";s:0:\"\";s:6:\"camera\";s:0:\"\";s:7:\"caption\";s:0:\"\";s:17:\"created_timestamp\";i:0;s:9:\"copyright\";s:0:\"\";s:12:\"focal_length\";i:0;s:3:\"iso\";i:0;s:13:\"shutter_speed\";i:0;s:5:\"title\";s:0:\"\";s:11:\"orientation\";i:0;}}'),(6913,2230,'_wp_attachment_image_alt','AAPS-Credentialing'),(6914,2229,'article_title','Sounding Board: The Chernobyl Nuclear Disaster: Medical Effects 23 Years Later'),(6915,2229,'_article_title','field_54410d9ae5200'),(6916,2229,'article_author','James W. Meade, MD, FAAEP'),(6917,2229,'_article_author','field_544112e3e5201'),(6918,2229,'article_publication','American Journal of Clinical Medicine®'),(6919,2229,'_article_publication','field_5441130be5202'),(6920,2229,'article_date_published_text','Summer'),(6921,2229,'_article_date_published_text','field_54411429e5204'),(6922,2229,'article_published_date','20090929'),(6923,2229,'_article_published_date','field_544113dfe5203'),(6924,2229,'article_volume_number','6'),(6925,2229,'_article_volume_number','field_5441144fe5205'),(6926,2229,'article_number_in_volume','3'),(6927,2229,'_article_number_in_volume','field_54411483e5206'),(6928,2229,'article_starting_page','51'),(6929,2229,'_article_starting_page','field_54411492e5207'),(6930,2229,'article_ending_page','55'),(6931,2229,'_article_ending_page','field_544114b0e5208'),(6932,2229,'article_description','<p style=\"text-align: justify;\">April 26, 2009, is exactly 23 years after the explosion of Reactor 4 at Chernobyl nuclear reactor site in the Ukraine. March 30 was the thirtieth anniversary of the meltdown of the reactor at Three Mile Island. Because of these incidents, no further nuclear power plants have been constructed in the United States since then. The time has come to reevaluate the possible dangers of such power plants.</p>'),(6933,2229,'_article_description','field_544114c4e5209'),(6934,2229,'article_pdf','2193'),(6935,2229,'_article_pdf','field_54411501e520a'),(6936,2233,'_edit_lock','1430317444:12'),(6937,2233,'_edit_last','12'),(6938,2233,'article_title','Paul David Mozley, MD, FACOG, FACS, FAPA: Founder of Obstetrics Fellowships in the United States'),(6939,2233,'_article_title','field_54410d9ae5200'),(6940,2233,'article_author','Daniel M. Avery, MD'),(6941,2233,'_article_author','field_544112e3e5201'),(6942,2233,'article_publication','American Journal of Clinical Medicine®'),(6943,2233,'_article_publication','field_5441130be5202'),(6944,2233,'article_date_published_text','Spring'),(6945,2233,'_article_date_published_text','field_54411429e5204'),(6946,2233,'article_published_date','20090714'),(6947,2233,'_article_published_date','field_544113dfe5203'),(6948,2233,'article_volume_number','6'),(6949,2233,'_article_volume_number','field_5441144fe5205'),(6950,2233,'article_number_in_volume','2'),(6951,2233,'_article_number_in_volume','field_54411483e5206'),(6952,2233,'article_starting_page','6'),(6953,2233,'_article_starting_page','field_54411492e5207'),(6954,2233,'article_ending_page','7'),(6955,2233,'_article_ending_page','field_544114b0e5208'),(6956,2233,'article_description','<p style=\"text-align: justify;\">Dr. Paul David Mozley, MD, FACOG, FACS, FAPA, founded the Obstetrics Fellowships in the United States in 1980 at the University of Alabama School of Medicine in Tuscaloosa, Alabama, now the oldest Obstetrics Fellowship Training Program in the country. This program has been the model for other programs not only in the United States but internationally as well. Dr. Mozley is being recognized as the founder of this subspecialty by the American Board of Family Medicine Obstetrics and the American Board of Physician Specialties.</p>'),(6957,2233,'_article_description','field_544114c4e5209'),(6958,2233,'article_pdf','2178'),(6959,2233,'_article_pdf','field_54411501e520a'),(6960,2234,'_edit_lock','1430317758:12'),(6961,2234,'_edit_last','12'),(6962,2234,'article_title','The History of Board Certification of Family Medicine Obstetricians'),(6963,2234,'_article_title','field_54410d9ae5200'),(6964,2234,'article_author','Daniel M. Avery, MD, FACOG, FACS'),(6965,2234,'_article_author','field_544112e3e5201'),(6966,2234,'article_publication','American Journal of Clinical Medicine®'),(6967,2234,'_article_publication','field_5441130be5202'),(6968,2234,'article_date_published_text','Spring'),(6969,2234,'_article_date_published_text','field_54411429e5204'),(6970,2234,'article_published_date','20090714'),(6971,2234,'_article_published_date','field_544113dfe5203'),(6972,2234,'article_volume_number','6'),(6973,2234,'_article_volume_number','field_5441144fe5205'),(6974,2234,'article_number_in_volume','2'),(6975,2234,'_article_number_in_volume','field_54411483e5206'),(6976,2234,'article_starting_page','8'),(6977,2234,'_article_starting_page','field_54411492e5207'),(6978,2234,'article_ending_page','10'),(6979,2234,'_article_ending_page','field_544114b0e5208'),(6980,2234,'article_description','<p style=\"text-align: justify;\">The need for board certification of Family Medicine Obstetricians is antedated only by the development of Obstetrics Fellowship Training Programs themselves. Postgraduate Fellowship Training in Obstetrics for Family Medicine Physicians began in 1984 as a result of the dire need of obstetric healthcare providers in rural areas of this country. Attempts to recognize and certify these physicians have actually been a long-term task, dating back to the 1980s. This paper is a history of the attempts at board certification.</p>'),(6981,2234,'_article_description','field_544114c4e5209'),(6982,2234,'article_pdf','2179'),(6983,2234,'_article_pdf','field_54411501e520a'),(6984,2235,'_edit_lock','1430320235:12'),(6985,2235,'_edit_last','12'),(6986,2235,'article_title','Who Will Deliver our Babies? Crisis in the Physician Workforce'),(6987,2235,'_article_title','field_54410d9ae5200'),(6988,2235,'article_author','Mark Loafman, MD, MPH, Shivani Nanda, BS'),(6989,2235,'_article_author','field_544112e3e5201'),(6990,2235,'article_publication','American Journal of Clinical Medicine®'),(6991,2235,'_article_publication','field_5441130be5202'),(6992,2235,'article_date_published_text','Spring'),(6993,2235,'_article_date_published_text','field_54411429e5204'),(6994,2235,'article_published_date','20090714'),(6995,2235,'_article_published_date','field_544113dfe5203'),(6996,2235,'article_volume_number','6'),(6997,2235,'_article_volume_number','field_5441144fe5205'),(6998,2235,'article_number_in_volume','2'),(6999,2235,'_article_number_in_volume','field_54411483e5206'),(7000,2235,'article_starting_page','11'),(7001,2235,'_article_starting_page','field_54411492e5207'),(7002,2235,'article_ending_page','16'),(7003,2235,'_article_ending_page','field_544114b0e5208'),(7004,2235,'article_description','<p style=\"text-align: justify;\">Recruitment, retention, and distribution of the primary care physician workforce remains one of the nation’s more complex and persistent problems. Obstetrics and gynecology has become particularly prone to workforce challenges in relationship to concerns surrounding professional liability, lifestyle, declining medical student interest, reductions in the numbers of OBGyn residency programs, and increasing sub-specialization by graduating residents. These trends are associated with inadequate access to maternal and reproductive care, especially in underserved communities. This is particularly concerning given the persistent disparities in maternal and child health (MCH) outcomes. Addressing these concerns will require an emphasis on innovative models for the provision of primary care services in general and maternity care in particular. The MCH model for Family Medicine OB Fellowship programs has been designed to provide advanced training in Obstetrics for family physicians using a family medicine approach to primary care for women and their children.</p>'),(7005,2235,'_article_description','field_544114c4e5209'),(7006,2235,'article_pdf','2180'),(7007,2235,'_article_pdf','field_54411501e520a'),(7008,2236,'_edit_lock','1430320892:12'),(7009,2236,'_edit_last','12'),(7010,2236,'article_title','Postpartum Depression (PPD)'),(7011,2236,'_article_title','field_54410d9ae5200'),(7012,2236,'article_author','Sara Thurgood, BS, Daniel M. Avery, MD, Lloyda Williamson, MD'),(7013,2236,'_article_author','field_544112e3e5201'),(7014,2236,'article_publication','American Journal of Clinical Medicine®'),(7015,2236,'_article_publication','field_5441130be5202'),(7016,2236,'article_date_published_text','Spring'),(7017,2236,'_article_date_published_text','field_54411429e5204'),(7018,2236,'article_published_date','20090714'),(7019,2236,'_article_published_date','field_544113dfe5203'),(7020,2236,'article_volume_number','6'),(7021,2236,'_article_volume_number','field_5441144fe5205'),(7022,2236,'article_number_in_volume','2'),(7023,2236,'_article_number_in_volume','field_54411483e5206'),(7024,2236,'article_starting_page','17'),(7025,2236,'_article_starting_page','field_54411492e5207'),(7026,2236,'article_ending_page','22'),(7027,2236,'_article_ending_page','field_544114b0e5208'),(7028,2236,'article_description','<p style=\"text-align: justify;\">Postpartum Depression (PPD) affects 10-15% of new mothers, but many cases of PPD remain undiagnosed. The term “Postpartum Depression” encompasses several mood disorders that follow childbirth and are discussed in this paper. Important developments in the study of PPD include its association with symptoms of anxiety and bipolar disorders in addition to those of depression.</p>'),(7029,2236,'_article_description','field_544114c4e5209'),(7030,2236,'article_pdf','2181'),(7031,2236,'_article_pdf','field_54411501e520a'),(7032,2237,'_edit_lock','1430322212:12'),(7033,2237,'_edit_last','12'),(7034,2237,'article_title','The Maternal and Child Health Model: Promoting Quality Improvement through a Family Medicine Obstetrics Fellowship'),(7035,2237,'_article_title','field_54410d9ae5200'),(7036,2237,'article_author','Mark T. Loafman, MD, MPH, Kyle D. Basques, BA, Alex C. Herskovic, BA'),(7037,2237,'_article_author','field_544112e3e5201'),(7038,2237,'article_publication','American Journal of Clinical Medicine®'),(7039,2237,'_article_publication','field_5441130be5202'),(7040,2237,'article_date_published_text','Spring'),(7041,2237,'_article_date_published_text','field_54411429e5204'),(7042,2237,'article_published_date','20090714'),(7043,2237,'_article_published_date','field_544113dfe5203'),(7044,2237,'article_volume_number','6'),(7045,2237,'_article_volume_number','field_5441144fe5205'),(7046,2237,'article_number_in_volume','2'),(7047,2237,'_article_number_in_volume','field_54411483e5206'),(7048,2237,'article_starting_page','23'),(7049,2237,'_article_starting_page','field_54411492e5207'),(7050,2237,'article_ending_page','30'),(7051,2237,'_article_ending_page','field_544114b0e5208'),(7052,2237,'article_description','<p style=\"text-align: justify;\">In the United States, according to almost every measure, we do not have enough trained maternity care providers to meet the\r\nneed. Family physicians are the logical choice to help provide that care, particularly in underserved settings. Advanced training through family medicine obstetrics fellowship programs has proven successful in preparing physicians to provide the full scope of maternity care. However, clinically-determined health outcomes are a function of the system of care and not simply the competency of an individual physician. It is reasonable to expect that better health outcomes can be achieved with a model that combines performance improvement processes with a community medicine-based approach to maternal and child health. In this paper, we describe an approach to family medicine obstetrics fellowship training that emphasizes this model, using a comprehensive academic curriculum featuring elements of quality improvement, peer review, evidence-based medicine, and resource management.</p>'),(7053,2237,'_article_description','field_544114c4e5209'),(7054,2237,'article_pdf','2182'),(7055,2237,'_article_pdf','field_54411501e520a'),(7056,2238,'_edit_lock','1430322734:12'),(7057,2238,'_edit_last','12'),(7058,2238,'article_title','Prenatal Patients Not Delivered: Unplanned Events, Uncounted Services, and Risks'),(7059,2238,'_article_title','field_54410d9ae5200'),(7060,2238,'article_author','Wm. MacMillan Rodney, MD, Conchita Martinez, MD, James Chiu, MD, Garth Carson, Robin Luis Garcia'),(7061,2238,'_article_author','field_544112e3e5201'),(7062,2238,'article_publication','American Journal of Clinical Medicine®'),(7063,2238,'_article_publication','field_5441130be5202'),(7064,2238,'article_date_published_text','Spring'),(7065,2238,'_article_date_published_text','field_54411429e5204'),(7066,2238,'article_published_date','20090714'),(7067,2238,'_article_published_date','field_544113dfe5203'),(7068,2238,'article_volume_number','6'),(7069,2238,'_article_volume_number','field_5441144fe5205'),(7070,2238,'article_number_in_volume','2'),(7071,2238,'_article_number_in_volume','field_54411483e5206'),(7072,2238,'article_starting_page','31'),(7073,2238,'_article_starting_page','field_54411492e5207'),(7074,2238,'article_ending_page','36'),(7075,2238,'_article_ending_page','field_544114b0e5208'),(7076,2238,'article_description','<p style=\"text-align: justify;\">This study tabulated pregnancy-related services among prenatal patients, who did not deliver with the medical home. The null hypothesis stated that accounting bias should not significantly undercount services and revenue.</p>'),(7077,2238,'_article_description','field_544114c4e5209'),(7078,2238,'article_pdf','2183'),(7079,2238,'_article_pdf','field_54411501e520a'),(7080,2239,'_edit_lock','1430322921:12'),(7081,2239,'_edit_last','12'),(7082,2239,'article_title','Laparotomy for Postoperative Hemorrhage for Family Medicine Obstetricians'),(7083,2239,'_article_title','field_54410d9ae5200'),(7084,2239,'article_author','Daniel M. Avery MD, Dwight E. Hooper, MD, MBA, Clifton E. Garris, MD'),(7085,2239,'_article_author','field_544112e3e5201'),(7086,2239,'article_publication','American Journal of Clinical Medicine®'),(7087,2239,'_article_publication','field_5441130be5202'),(7088,2239,'article_date_published_text','Spring'),(7089,2239,'_article_date_published_text','field_54411429e5204'),(7090,2239,'article_published_date','20090714'),(7091,2239,'_article_published_date','field_544113dfe5203'),(7092,2239,'article_volume_number','6'),(7093,2239,'_article_volume_number','field_5441144fe5205'),(7094,2239,'article_number_in_volume','2'),(7095,2239,'_article_number_in_volume','field_54411483e5206'),(7096,2239,'article_starting_page','37'),(7097,2239,'_article_starting_page','field_54411492e5207'),(7098,2239,'article_ending_page','38'),(7099,2239,'_article_ending_page','field_544114b0e5208'),(7100,2239,'article_description','<p style=\"text-align: justify;\">Family Physicians trained in Obstetrics who perform cesarean sections, tubal ligations, and manage ectopic pregnancies surgically will eventually have the need to perform an emergency laparotomy for postoperative hemorrhage. A re-operation necessitates opening the original incision to visualize the area that is bleeding to repair it. The stability of the patient will dictate the need for expedient operative management. It is imperative to have blood available. If there is a physician or surgeon who can assist, it would be helpful. Preparation includes anticipation of most likely sites of bleeding. Since it is essentially the same operation as previously performed, a Family Physician should be credentialed and technically able to perform this operation.</p>'),(7101,2239,'_article_description','field_544114c4e5209'),(7102,2239,'article_pdf','2184'),(7103,2239,'_article_pdf','field_54411501e520a'),(7104,2240,'_edit_lock','1430323928:12'),(7105,2240,'_edit_last','12'),(7106,2240,'article_title','The Need for Rural Family Physicians Who Can Perform Cesareans'),(7107,2240,'_article_title','field_54410d9ae5200'),(7108,2240,'article_author','Lee Dresang, MD, Paul Koch, MD, MS'),(7109,2240,'_article_author','field_544112e3e5201'),(7110,2240,'article_publication','American Journal of Clinical Medicine®'),(7111,2240,'_article_publication','field_5441130be5202'),(7112,2240,'article_date_published_text','Spring'),(7113,2240,'_article_date_published_text','field_54411429e5204'),(7114,2240,'article_published_date','20090714'),(7115,2240,'_article_published_date','field_544113dfe5203'),(7116,2240,'article_volume_number','6'),(7117,2240,'_article_volume_number','field_5441144fe5205'),(7118,2240,'article_number_in_volume','2'),(7119,2240,'_article_number_in_volume','field_54411483e5206'),(7120,2240,'article_starting_page','39'),(7121,2240,'_article_starting_page','field_54411492e5207'),(7122,2240,'article_ending_page','41'),(7123,2240,'_article_ending_page','field_544114b0e5208'),(7124,2240,'article_description','<p style=\"text-align: justify;\">Rural areas are in need of maternity care services, including cesarean delivery. Multiple studies have linked lack of local obstetrical services with increased preterm delivery and infant mortality. Family physicians are the main providers of rural maternity care. With the paucity of non-family physician rural maternity care providers, it is essential that family physicians with caesarean capabilities be available to rural communities. Opportunities for family medicine cesarean training include residency, fellowship, and on-the-job training. The American Board of Family Medicine Obstetrics certification is a means to document competency.</p>'),(7125,2240,'_article_description','field_544114c4e5209'),(7126,2240,'article_pdf','2185'),(7127,2240,'_article_pdf','field_54411501e520a'),(7128,2241,'_edit_lock','1430325323:12'),(7129,2241,'_edit_last','12'),(7130,2241,'article_title','Obstetric Emergencies'),(7131,2241,'_article_title','field_54410d9ae5200'),(7132,2241,'article_author','Daniel M. Avery, MD'),(7133,2241,'_article_author','field_544112e3e5201'),(7134,2241,'article_publication','American Journal of Clinical Medicine®'),(7135,2241,'_article_publication','field_5441130be5202'),(7136,2241,'article_date_published_text','Spring'),(7137,2241,'_article_date_published_text','field_54411429e5204'),(7138,2241,'article_published_date','20090714'),(7139,2241,'_article_published_date','field_544113dfe5203'),(7140,2241,'article_volume_number','6'),(7141,2241,'_article_volume_number','field_5441144fe5205'),(7142,2241,'article_number_in_volume','2'),(7143,2241,'_article_number_in_volume','field_54411483e5206'),(7144,2241,'article_starting_page','42'),(7145,2241,'_article_starting_page','field_54411492e5207'),(7146,2241,'article_ending_page','47'),(7147,2241,'_article_ending_page','field_544114b0e5208'),(7148,2241,'article_description','<p style=\"text-align: justify;\">No specialty of medicine is more inundated with emergencies than obstetrics. This paper describes a number of the more common obstetric emergencies from a practical and rural practitioner standpoint. Obstetrics is unique in that there are two patients to consider and care for. This paper discusses basic emergency care, obstetric and fetal assessment, preterm labor, premature rupture of membranes, severe preeclampsia, eclampsia, prolapsed umbilical cord, antepartum hemorrhage, abortion with hemorrhagic shock, ectopic pregnancy with shock, acute abdominal pain during pregnancy, DIC, uterine inversion, postpartum hemorrhage, retained placenta, abdominal pregnancy, shoulder dystocia, amniotic fluid embolism, trauma, CPR during pregnancy, postmortem cesarean section, cesarean section with local or no anesthesia, and transport of the obstetric patient.</p>'),(7149,2241,'_article_description','field_544114c4e5209'),(7150,2241,'article_pdf','2186'),(7151,2241,'_article_pdf','field_54411501e520a'),(7152,2242,'_edit_lock','1430325980:12'),(7153,2242,'_edit_last','12'),(7154,2242,'article_title','Improving Maternal and Child Health Outcomes: Family Medicine Obstetrics and the HRSA Perinatal Collaborative Project'),(7155,2242,'_article_title','field_54410d9ae5200'),(7156,2242,'article_author','Mark Loafman, MD, MPH, Ahmed Calvo, MD, MPH, Siu-Hin Wan, BS, Shuojing Song, BS'),(7157,2242,'_article_author','field_544112e3e5201'),(7158,2242,'article_publication','American Journal of Clinical Medicine®'),(7159,2242,'_article_publication','field_5441130be5202'),(7160,2242,'article_date_published_text','Spring'),(7161,2242,'_article_date_published_text','field_54411429e5204'),(7162,2242,'article_published_date','20090714'),(7163,2242,'_article_published_date','field_544113dfe5203'),(7164,2242,'article_volume_number','6'),(7165,2242,'_article_volume_number','field_5441144fe5205'),(7166,2242,'article_number_in_volume','2'),(7167,2242,'_article_number_in_volume','field_54411483e5206'),(7168,2242,'article_starting_page','48'),(7169,2242,'_article_starting_page','field_54411492e5207'),(7170,2242,'article_ending_page','52'),(7171,2242,'_article_ending_page','field_544114b0e5208'),(7172,2242,'article_description','<p style=\"text-align: justify;\">Maternal and child healthcare is experiencing great challenges, as many physicians are becoming increasingly reluctant to serve high-risk populations. From 2004 to 2006, the Health Resources and Services Administration (HRSA) led a quality improvement effort known as the Perinatal and Patient Safety Pilot Collaborative (PPSPC) to improve perinatal patient safety and reduce the ethnic disparities in low birth weight and infant mortality, focused on the historically under-served and high-risk populations. Constructing individualized health plans require recognition that pregnancy and childbirth are an important part of a continuum of life experiences. A myriad of events and circumstances both prior and subsequent to pregnancy are invariably linked to the eventual outcome for women and their children. Improving efficiency and effectiveness of care requires greater communication among different providers and the various community networks. Greater effort and emphasis must be placed on recruiting and retaining the health profession’s workforce and training future family physicians as skilled in providing the full spectrum of maternal child healthcare.</p>'),(7173,2242,'_article_description','field_544114c4e5209'),(7174,2242,'article_pdf','2187'),(7175,2242,'_article_pdf','field_54411501e520a'),(7176,2243,'_edit_lock','1430331670:12'),(7177,2243,'_edit_last','12'),(7178,2243,'article_title','Medical Legal: Review of Emergency Medical Treatment & Active Labor Act (EMTALA)'),(7179,2243,'_article_title','field_54410d9ae5200'),(7180,2243,'article_author','Daniel M. Avery, MD'),(7181,2243,'_article_author','field_544112e3e5201'),(7182,2243,'article_publication','American Journal of Clinical Medicine®'),(7183,2243,'_article_publication','field_5441130be5202'),(7184,2243,'article_date_published_text','Spring'),(7185,2243,'_article_date_published_text','field_54411429e5204'),(7186,2243,'article_published_date','20090714'),(7187,2243,'_article_published_date','field_544113dfe5203'),(7188,2243,'article_volume_number','6'),(7189,2243,'_article_volume_number','field_5441144fe5205'),(7190,2243,'article_number_in_volume','2'),(7191,2243,'_article_number_in_volume','field_54411483e5206'),(7192,2243,'article_starting_page','56'),(7193,2243,'_article_starting_page','field_54411492e5207'),(7194,2243,'article_ending_page','57'),(7195,2243,'_article_ending_page','field_544114b0e5208'),(7196,2243,'article_description','<p style=\"text-align: justify;\">The Emergency Medical Treatment and Active Labor Act (EMTALA), often called the “anti-dumping law,” was passed by Congress to prevent patients from being refused treatment or being transferred to another hospital when they are unstable. This paper summarizes the basic concepts of EMTALA and is taken directly from the EMTALA website and the EMTALA Section of the American College of Emergency Physicians (ACEP) website. It discusses appropriate medical screening, women in active labor, components of an appropriate transfer, obligations of hospitals and physicians, and penalties. The salient points are outlined below.</p>'),(7197,2243,'_article_description','field_544114c4e5209'),(7198,2243,'article_pdf','2188'),(7199,2243,'_article_pdf','field_54411501e520a'),(7200,2245,'_edit_lock','1430332016:12'),(7201,2245,'_edit_last','12'),(7202,2245,'article_title','Addressing Psychosocial Determinants of Poor Birth Outcomes: Enhanced Screening in Family Medicine Obstetrics'),(7203,2245,'_article_title','field_54410d9ae5200'),(7204,2245,'article_author','Mark T. Loafman, MD, MPH, Feng Zhang, BA, Christine E. Cherella, BA'),(7205,2245,'_article_author','field_544112e3e5201'),(7206,2245,'article_publication','American Journal of Clinical Medicine®'),(7207,2245,'_article_publication','field_5441130be5202'),(7208,2245,'article_date_published_text','Spring'),(7209,2245,'_article_date_published_text','field_54411429e5204'),(7210,2245,'article_published_date','20090714'),(7211,2245,'_article_published_date','field_544113dfe5203'),(7212,2245,'article_volume_number','6'),(7213,2245,'_article_volume_number','field_5441144fe5205'),(7214,2245,'article_number_in_volume','2'),(7215,2245,'_article_number_in_volume','field_54411483e5206'),(7216,2245,'article_starting_page','58'),(7217,2245,'_article_starting_page','field_54411492e5207'),(7218,2245,'article_ending_page','64'),(7219,2245,'_article_ending_page','field_544114b0e5208'),(7220,2245,'article_description','<p style=\"text-align: justify;\">Maternal stress is correlated with premature delivery and lower birth rate, both of which are leading causes of infant mortality. Early detection of maternal stressors should be of utmost importance, especially in communities affected by high rates of infant mortality. However, in-depth screening for these risk factors is not a part of routine prenatal care. Missing thus far is a comprehensive psychosocial screening tool that can be used in a supportive setting by skilled providers. As part of the Perinatal Patient Safety Collaborative Pilot Project, a preliminary screening tool was developed and implemented to identify many of the psychosocial risk factors implicated in poor pregnancy outcomes. This approach to screening attempts to address many of the challenges and concerns that have been identified with existing assessments and the current approach to perinatal care, all of which would benefit from focused research.</p>'),(7221,2245,'_article_description','field_544114c4e5209'),(7222,2245,'article_pdf','2189'),(7223,2245,'_article_pdf','field_54411501e520a'),(7224,2246,'_edit_lock','1430335801:12'),(7225,2246,'_edit_last','12'),(7226,2246,'article_title','Cesarean Hysterectomy for Family Medicine Physicians Practicing Obstetrics'),(7227,2246,'_article_title','field_54410d9ae5200'),(7228,2246,'article_author','Daniel M. Avery, MD, Dwight E. Hooper, MD, MBA, John B. Waits, MD'),(7229,2246,'_article_author','field_544112e3e5201'),(7230,2246,'article_publication','American Journal of Clinical Medicine®'),(7231,2246,'_article_publication','field_5441130be5202'),(7232,2246,'article_date_published_text','Spring'),(7233,2246,'_article_date_published_text','field_54411429e5204'),(7234,2246,'article_published_date','20090714'),(7235,2246,'_article_published_date','field_544113dfe5203'),(7236,2246,'article_volume_number','6'),(7237,2246,'_article_volume_number','field_5441144fe5205'),(7238,2246,'article_number_in_volume','2'),(7239,2246,'_article_number_in_volume','field_54411483e5206'),(7240,2246,'article_starting_page','68'),(7241,2246,'_article_starting_page','field_54411492e5207'),(7242,2246,'article_ending_page','71'),(7243,2246,'_article_ending_page','field_544114b0e5208'),(7244,2246,'article_description','<p style=\"text-align: justify;\">Cesarean hysterectomy is an uncommonly performed, but lifesaving operation, usually for massive hemorrhage. One of the criticisms of family medicine physicians practicing obstetrics is that they are not trained in cesarean hysterectomy should the occasion arise. Unfortunately, newly graduated OB/GYN physicians, likely, have rarely performed a cesarean hysterectomy either. Even seasoned OB/GYNs may not have performed the procedure for quite some time. This paper describes a straightforward approach to cesarean hysterectomy that family medicine physicians practicing obstetrics or newly graduated OB/GYN physicians can perform. Following this description is a case report of a cesarean section hysterectomy performed by an obstetrics fellowship trained family medicine physician with a general surgeon for a ruptured uterus in a rural hospital without a labor and delivery unit or nursery. Both mother and baby survived.</p>'),(7245,2246,'_article_description','field_544114c4e5209'),(7246,2246,'article_pdf','2190'),(7247,2246,'_article_pdf','field_54411501e520a'),(7248,2247,'_edit_lock','1430336128:12'),(7249,2247,'_edit_last','12'),(7250,2247,'article_title','Medical Ethics Without the Rhetoric: Case Two, Out of Practice'),(7251,2247,'_article_title','field_54410d9ae5200'),(7252,2247,'article_author','Mark Pastin, Ph.D.'),(7253,2247,'_article_author','field_544112e3e5201'),(7254,2247,'article_publication','American Journal of Clinical Medicine®'),(7255,2247,'_article_publication','field_5441130be5202'),(7256,2247,'article_date_published_text','Spring'),(7257,2247,'_article_date_published_text','field_54411429e5204'),(7258,2247,'article_published_date','20090714'),(7259,2247,'_article_published_date','field_544113dfe5203'),(7260,2247,'article_volume_number','6'),(7261,2247,'_article_volume_number','field_5441144fe5205'),(7262,2247,'article_number_in_volume','2'),(7263,2247,'_article_number_in_volume','field_54411483e5206'),(7264,2247,'article_starting_page','72'),(7265,2247,'_article_starting_page','field_54411492e5207'),(7266,2247,'article_ending_page','72'),(7267,2247,'_article_ending_page','field_544114b0e5208'),(7268,2247,'article_description','<p style=\"text-align: justify;\">You are a member of a surgical group practice. You are attending a medical school class reunion and one of your classmates asks you if Dr. Y still practices. You are shocked by the question as you see no reason why Dr. Y, who is a member of your group, would not be practicing. Your classmate tells you that Dr. Y confided in him almost a decade ago that he had Hepatitis C and was considering leaving medicine. That is about the time that Dr. Y joined your practice. When you return from the reunion, you confront Dr. Y, who admits that he has had Hepatitis C for at least a decade, but offers in his defense that he has not infected anyone. You and your other partners wonder what to do.</p>'),(7269,2247,'_article_description','field_544114c4e5209'),(7270,2247,'article_pdf','2191'),(7271,2247,'_article_pdf','field_54411501e520a'),(7272,2248,'_edit_lock','1430336975:12'),(7273,2248,'_edit_last','12'),(7274,2248,'article_title','Minilaparotomy Technique for Ectopic Pregnancy for Family Medicine Obstetricians'),(7275,2248,'_article_title','field_54410d9ae5200'),(7276,2248,'article_author','Daniel M. Avery, MD, Dwight E. Hooper, MD, MBA, Clifton E. Garris, MD'),(7277,2248,'_article_author','field_544112e3e5201'),(7278,2248,'article_publication','American Journal of Clinical Medicine®'),(7279,2248,'_article_publication','field_5441130be5202'),(7280,2248,'article_date_published_text','Spring'),(7281,2248,'_article_date_published_text','field_54411429e5204'),(7282,2248,'article_published_date','20090714'),(7283,2248,'_article_published_date','field_544113dfe5203'),(7284,2248,'article_volume_number','6'),(7285,2248,'_article_volume_number','field_5441144fe5205'),(7286,2248,'article_number_in_volume','2'),(7287,2248,'_article_number_in_volume','field_54411483e5206'),(7288,2248,'article_starting_page','73'),(7289,2248,'_article_starting_page','field_54411492e5207'),(7290,2248,'article_ending_page','74'),(7291,2248,'_article_ending_page','field_544114b0e5208'),(7292,2248,'article_description','<p style=\"text-align: justify;\">Family Medicine physicians trained in obstetrics have become particularly invaluable in areas, such as rural communities, where a physician practicing solely obstetrics and gynecology is fiscally impractical. In such communities, often the general surgeons are reluctant to manage any pregnancy complication, including ectopic pregnancy, leaving the Family Physician trained in obstetrics the only physician capable of aiding such unstable patients. Ectopic pregnancy is a life-threatening obstetric emergency demanding accurate diagnosis and expedient treatment. Obstetrics fellowship programs in the United States have heretofore not taught surgical management of ectopic pregnancy. Obstetrics fellows can be taught a fairly simple minilaparotomy technique for surgical treatment of these emergencies. Physician credentialing is also discussed.</p>'),(7293,2248,'_article_description','field_544114c4e5209'),(7294,2248,'article_pdf','2192'),(7295,2248,'_article_pdf','field_54411501e520a'),(7296,2249,'_edit_lock','1430337218:12'),(7297,2249,'_edit_last','12'),(7298,2249,'article_title','Controversies in Prehospital Care'),(7299,2249,'_article_title','field_54410d9ae5200'),(7300,2249,'article_author','David M. Lemonick, M.D., FAAEP'),(7301,2249,'_article_author','field_544112e3e5201'),(7302,2249,'article_publication','American Journal of Clinical Medicine®'),(7303,2249,'_article_publication','field_5441130be5202'),(7304,2249,'article_date_published_text','Winter'),(7305,2249,'_article_date_published_text','field_54411429e5204'),(7306,2249,'article_published_date','20090310'),(7307,2249,'_article_published_date','field_544113dfe5203'),(7308,2249,'article_volume_number','6'),(7309,2249,'_article_volume_number','field_5441144fe5205'),(7310,2249,'article_number_in_volume','1'),(7311,2249,'_article_number_in_volume','field_54411483e5206'),(7312,2249,'article_starting_page','5'),(7313,2249,'_article_starting_page','field_54411492e5207'),(7314,2249,'article_ending_page','17'),(7315,2249,'_article_ending_page','field_544114b0e5208'),(7316,2249,'article_description','<p style=\"text-align: justify;\">Nowhere in emergency medicine are mythology, legend, and tradition as conspicuous as they are in the field of prehospital care (EMS). Images of speeding ambulances with lights and sirens, aeromedical helicopters in flight, and heroic medical interventions in austere environments are awe-inspiring, thrilling, and reassuring to many of us. As dispassionate scientific scrutiny is applied to these and other practices in EMS, however, it becomes evident that many of the current practices and protocols in EMS are not based on any level of scientific evidence. This article will review current evidence about the costs and benefits of some of the most common current practices in EMS. These include the use of lights and sirens and helicopters, endotracheal intubation and its alternatives in airway management, cardiopulmonary resuscitation, advanced cardiac life support, public access defibrillation, and analgesics. It is hoped that by shining the light of scientific scrutiny upon these practices, dogma will be replaced by clinical evidence. Only in this way may cost-effective emergency care be provided for the greatest benefit to the largest number of citizens.</p>'),(7317,2249,'_article_description','field_544114c4e5209'),(7318,2249,'article_pdf','2202'),(7319,2249,'_article_pdf','field_54411501e520a'),(7320,2250,'_edit_lock','1430338525:12'),(7321,2250,'_edit_last','12'),(7322,2250,'article_title','Medical Ethics Without the Rhetoric: Case One, Put the Patient First?'),(7323,2250,'_article_title','field_54410d9ae5200'),(7324,2250,'article_author','Mark Pastin, Ph.D.'),(7325,2250,'_article_author','field_544112e3e5201'),(7326,2250,'article_publication','American Journal of Clinical Medicine®'),(7327,2250,'_article_publication','field_5441130be5202'),(7328,2250,'article_date_published_text','Winter'),(7329,2250,'_article_date_published_text','field_54411429e5204'),(7330,2250,'article_published_date','20090310'),(7331,2250,'_article_published_date','field_544113dfe5203'),(7332,2250,'article_volume_number','6'),(7333,2250,'_article_volume_number','field_5441144fe5205'),(7334,2250,'article_number_in_volume','1'),(7335,2250,'_article_number_in_volume','field_54411483e5206'),(7336,2250,'article_starting_page','18'),(7337,2250,'_article_starting_page','field_54411492e5207'),(7338,2250,'article_ending_page','18'),(7339,2250,'_article_ending_page','field_544114b0e5208'),(7340,2250,'article_description','<p style=\"text-align: justify;\">Your patient is a pregnant 12-year-old girl and you are discussing options with her and her parents, who are practicing Catholics. The girl is pregnant by her boyfriend so there is no question of molestation. The girl is in poor health and, even putting aside her age, continuing the pregnancy is not medically advisable. The parents and the girl do not want to continue the pregnancy but have a special request. The request is that the girl’s medical record not state that she had an abortion.</p>'),(7341,2250,'_article_description','field_544114c4e5209'),(7342,2250,'article_pdf','2203'),(7343,2250,'_article_pdf','field_54411501e520a'),(7344,2251,'_edit_lock','1430339003:12'),(7345,2251,'_edit_last','12'),(7346,2251,'article_title','Lyme Disease and Rocky Mountain Spotted Fever: Diagnosis, Prevention, and Management'),(7347,2251,'_article_title','field_54410d9ae5200'),(7348,2251,'article_author','Ribhi Hazin, M.D., Jamil Y. Abuzetun, M.D., Manar Suker, M.D.'),(7349,2251,'_article_author','field_544112e3e5201'),(7350,2251,'article_publication','American Journal of Clinical Medicine®'),(7351,2251,'_article_publication','field_5441130be5202'),(7352,2251,'article_date_published_text','Winter'),(7353,2251,'_article_date_published_text','field_54411429e5204'),(7354,2251,'article_published_date','20090310'),(7355,2251,'_article_published_date','field_544113dfe5203'),(7356,2251,'article_volume_number','6'),(7357,2251,'_article_volume_number','field_5441144fe5205'),(7358,2251,'article_number_in_volume','1'),(7359,2251,'_article_number_in_volume','field_54411483e5206'),(7360,2251,'article_starting_page','19'),(7361,2251,'_article_starting_page','field_54411492e5207'),(7362,2251,'article_ending_page','22'),(7363,2251,'_article_ending_page','field_544114b0e5208'),(7364,2251,'article_description','<p style=\"text-align: justify;\">Most reported cases of Lyme disease and RMSF occur in the spring and summer months when tick infestations reach their peak. The primary care physician can play an important role during peak periods by remaining vigilant to early signs of both Lyme disease and RMSF. Although both Lyme disease and RMSF are treatable, clinicians should be aware of early signs of both diseases to help reduce long-term complications. Patients should also be encouraged to adopt personal protective measures to minimize exposure to ticks and, thus, either of these diseases. The following is a comprehensive overview in which pertinent diagnostic aspects of each disease are highlighted with a particular emphasis placed upon the role of the primary care physician in treating and minimizing the risks of Lyme disease and RMSF.</p>'),(7365,2251,'_article_description','field_544114c4e5209'),(7366,2251,'article_pdf','2204'),(7367,2251,'_article_pdf','field_54411501e520a'),(7368,2252,'_edit_lock','1430399726:12'),(7369,2252,'_edit_last','12'),(7370,2252,'article_title','An Approach to the Initial Care of Patients with Chest Pain in an Emergency Department Located in a Non-Cardiac Center'),(7371,2252,'_article_title','field_54410d9ae5200'),(7372,2252,'article_author','Alex A. Agostini-Miranda, M.D., Loren A. Crown, M.D.'),(7373,2252,'_article_author','field_544112e3e5201'),(7374,2252,'article_publication','American Journal of Clinical Medicine®'),(7375,2252,'_article_publication','field_5441130be5202'),(7376,2252,'article_date_published_text','Winter'),(7377,2252,'_article_date_published_text','field_54411429e5204'),(7378,2252,'article_published_date','20090310'),(7379,2252,'_article_published_date','field_544113dfe5203'),(7380,2252,'article_volume_number','6'),(7381,2252,'_article_volume_number','field_5441144fe5205'),(7382,2252,'article_number_in_volume','1'),(7383,2252,'_article_number_in_volume','field_54411483e5206'),(7384,2252,'article_starting_page','24'),(7385,2252,'_article_starting_page','field_54411492e5207'),(7386,2252,'article_ending_page','29'),(7387,2252,'_article_ending_page','field_544114b0e5208'),(7388,2252,'article_description','<p style=\"text-align: justify;\">Emergency department management of chest pain is a common, with potentially serious problem. With multiple risk  factors, target groups, and care pathways, the myriad etiologies of chest pain can be perplexing. This article describes some of the diagnostic and risk stratification scenarios currently used in departments which do not have percutaneous cardiac intervention capabilities.</p>'),(7389,2252,'_article_description','field_544114c4e5209'),(7390,2252,'article_pdf','2205'),(7391,2252,'_article_pdf','field_54411501e520a'),(7392,2253,'_edit_lock','1430401425:12'),(7393,2253,'_edit_last','12'),(7394,2253,'article_title','Sounding Board: Emergency Medicine Afield: The Russian Federation'),(7395,2253,'_article_title','field_54410d9ae5200'),(7396,2253,'article_author','James Meade, M.D., FAAEP'),(7397,2253,'_article_author','field_544112e3e5201'),(7398,2253,'article_publication','American Journal of Clinical Medicine®'),(7399,2253,'_article_publication','field_5441130be5202'),(7400,2253,'article_date_published_text','Winter'),(7401,2253,'_article_date_published_text','field_54411429e5204'),(7402,2253,'article_published_date','20090310'),(7403,2253,'_article_published_date','field_544113dfe5203'),(7404,2253,'article_volume_number','6'),(7405,2253,'_article_volume_number','field_5441144fe5205'),(7406,2253,'article_number_in_volume','1'),(7407,2253,'_article_number_in_volume','field_54411483e5206'),(7408,2253,'article_starting_page','30'),(7409,2253,'_article_starting_page','field_54411492e5207'),(7410,2253,'article_ending_page','33'),(7411,2253,'_article_ending_page','field_544114b0e5208'),(7412,2253,'article_description','<p style=\"text-align: justify;\">I recently traveled in the Russian Federation on a tour with my college alumni. I visited the emergency department of the largest hospital in St. Petersburg, the Elizavetinsky, and met with the director of the hospital. There is no formal training in emergency medicine or any certification of emergency physicians in the Russian federation. Their physical plants suffer from severe lack of funds for equipment and salaries. As a result, the health of the population has deteriorated, with falling population, birth rate, and longevity.</p>'),(7413,2253,'_article_description','field_544114c4e5209'),(7414,2253,'article_pdf','2206'),(7415,2253,'_article_pdf','field_54411501e520a'),(7416,2254,'_edit_lock','1430402045:12'),(7417,2254,'_edit_last','12'),(7418,2254,'article_title','Hypercalcemic Crisis: A Case Study'),(7419,2254,'_article_title','field_54410d9ae5200'),(7420,2254,'article_author','Loren A. Crown, M.D., Andra Kofahl, EMT-P, Robert B. Smith, M.D.'),(7421,2254,'_article_author','field_544112e3e5201'),(7422,2254,'article_publication','American Journal of Clinical Medicine®'),(7423,2254,'_article_publication','field_5441130be5202'),(7424,2254,'article_date_published_text','Winter'),(7425,2254,'_article_date_published_text','field_54411429e5204'),(7426,2254,'article_published_date','20090310'),(7427,2254,'_article_published_date','field_544113dfe5203'),(7428,2254,'article_volume_number','6'),(7429,2254,'_article_volume_number','field_5441144fe5205'),(7430,2254,'article_number_in_volume','1'),(7431,2254,'_article_number_in_volume','field_54411483e5206'),(7432,2254,'article_starting_page','38'),(7433,2254,'_article_starting_page','field_54411492e5207'),(7434,2254,'article_ending_page','41'),(7435,2254,'_article_ending_page','field_544114b0e5208'),(7436,2254,'article_description','<p style=\"text-align: justify;\">A 46-year-old female in an acute delusional state arrived by EMS to the Emergency Department. She was hypertensive, hyponatremic, hypokalemic, and most importantly, hypercalcemic with an extremely elevated lipase level. The causes and treatment of hypercalcemia are reviewed in this case study.</p>'),(7437,2254,'_article_description','field_544114c4e5209'),(7438,2254,'article_pdf','2207'),(7439,2254,'_article_pdf','field_54411501e520a'),(7440,2255,'_edit_lock','1430402268:12'),(7441,2255,'_edit_last','12'),(7442,2255,'article_title','Penetrating Eye Injury: A Case Study'),(7443,2255,'_article_title','field_54410d9ae5200'),(7444,2255,'article_author','Shane Havens, BS, M4, Omofolasade Kosoko-Lasaki, M.D., MSPH, MBA, Millicent Palmer, M.D.'),(7445,2255,'_article_author','field_544112e3e5201'),(7446,2255,'article_publication','American Journal of Clinical Medicine®'),(7447,2255,'_article_publication','field_5441130be5202'),(7448,2255,'article_date_published_text','Winter'),(7449,2255,'_article_date_published_text','field_54411429e5204'),(7450,2255,'article_published_date','20090310'),(7451,2255,'_article_published_date','field_544113dfe5203'),(7452,2255,'article_volume_number','6'),(7453,2255,'_article_volume_number','field_5441144fe5205'),(7454,2255,'article_number_in_volume','1'),(7455,2255,'_article_number_in_volume','field_54411483e5206'),(7456,2255,'article_starting_page','42'),(7457,2255,'_article_starting_page','field_54411492e5207'),(7458,2255,'article_ending_page','49'),(7459,2255,'_article_ending_page','field_544114b0e5208'),(7460,2255,'article_description','<p style=\"text-align: justify;\">Eye injuries resulting from ocular trauma pose a frequent threat to vision the world over. The setting and causes of eye injury are diverse, but previous studies have demonstrated that the risk and type of injury is often correlated with age, gender, and race. While a focused history and prompt ocular examination are essential to immediate management, patient education regarding safety precautions and risk reduction help to prevent future recurrences. This article describes a case of BB gun-related penetrating eye injury with a retained intraocular foreign body in a 10-year-old male. The case discussion will review the initial examination, resultant management decisions, and final visual outcome. A suggested approach to the management of patients with ocular trauma with emphasis on the differential diagnosis, clinical signs, management, and referral of common injuries to the eyes will be 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Ethics Without the Rhetoric - ER Frequent Flyer'),(7590,2407,'_article_title','field_54410d9ae5200'),(7591,2407,'article_author','Mark Pastin, PhD'),(7592,2407,'_article_author','field_544112e3e5201'),(7593,2407,'article_publication','American Journal of Clinical Medicine®'),(7594,2407,'_article_publication','field_5441130be5202'),(7595,2407,'article_date_published_text','Winter'),(7596,2407,'_article_date_published_text','field_54411429e5204'),(7597,2407,'article_published_date','20140722'),(7598,2407,'_article_published_date','field_544113dfe5203'),(7599,2407,'article_volume_number','10'),(7600,2407,'_article_volume_number','field_5441144fe5205'),(7601,2407,'article_number_in_volume','1'),(7602,2407,'_article_number_in_volume','field_54411483e5206'),(7603,2407,'article_starting_page','48'),(7604,2407,'_article_starting_page','field_54411492e5207'),(7605,2407,'article_ending_page','49'),(7606,2407,'_article_ending_page','field_544114b0e5208'),(7607,2407,'article_description','You are meeting with a patient who is a “frequent flyer.” You and several other physicians in the area see this patient regularly to deal with the patient’s real and, in most cases, imaginary ailments. In this case, the patient complains of anxiety attacks, a complaint that he has presented before. He tells you that he already visited a specialist, a psychiatrist, but the medicine he prescribed is not working. The psychiatrist told him to take the medicine as prescribed and check back in a week. The prescription was written yesterday and is for a multivitamin. Your inclination is to tell the patient to follow the psychiatrist’s advice, but you wonder if you should tell him that he is taking a placebo.'),(7608,2407,'_article_description','field_544114c4e5209'),(7609,2407,'article_pdf','2387'),(7610,2407,'_article_pdf','field_54411501e520a'),(7611,2408,'_edit_lock','1438370805:12'),(7612,2408,'_edit_last','12'),(7613,2408,'article_title','Ocular Manifestations of Domestic Violence: A Case Review'),(7614,2408,'_article_title','field_54410d9ae5200'),(7615,2408,'article_author','Anjulie Kelkar, BS, W. Abraham White, MD, Omofolasade Kosoko-Lasaki, MD, MSPH, MBA, FAASS'),(7616,2408,'_article_author','field_544112e3e5201'),(7617,2408,'article_publication','American Journal of Clinical Medicine®'),(7618,2408,'_article_publication','field_5441130be5202'),(7619,2408,'article_date_published_text','Winter'),(7620,2408,'_article_date_published_text','field_54411429e5204'),(7621,2408,'article_published_date','20140722'),(7622,2408,'_article_published_date','field_544113dfe5203'),(7623,2408,'article_volume_number','10'),(7624,2408,'_article_volume_number','field_5441144fe5205'),(7625,2408,'article_number_in_volume','1'),(7626,2408,'_article_number_in_volume','field_54411483e5206'),(7627,2408,'article_starting_page','40'),(7628,2408,'_article_starting_page','field_54411492e5207'),(7629,2408,'article_ending_page','46'),(7630,2408,'_article_ending_page','field_544114b0e5208'),(7631,2408,'article_description','<p style=\"text-align: justify;\">Domestic violence is a serious and preventable worldwide problem that may be unrecognized by health care providers as the primary cause of ocular trauma. Proper management and counseling in these cases is crucial in limiting adverse effects from injury and preventing future cases of violence. We discuss a case of an adult female who presented to the emergency department following an assault by her husband. The diagnosis and management will be discussed, and a logical model will be provided for treatment using a multidisciplinary and social team approach. Preventive modalities will also be discussed. This case highlights the need for healthcare workers to recognize and advocate for the early recognition and management of ocular manifestations of injury from domestic violence.</p>'),(7632,2408,'_article_description','field_544114c4e5209'),(7633,2408,'article_pdf','2389'),(7634,2408,'_article_pdf','field_54411501e520a'),(7635,2409,'_edit_lock','1438370078:12'),(7636,2409,'_edit_last','12'),(7637,2409,'article_title','Older Patients’ Perception and Experience with Lifestyle Changes Following Cardiac Revascularization'),(7638,2409,'_article_title','field_54410d9ae5200'),(7639,2409,'article_author','Lufei Young, PhD, RN, APRN-NP, Susan Barnason, PhD, RN, APRN-CNS, CCRN, CEN, FAHA'),(7640,2409,'_article_author','field_544112e3e5201'),(7641,2409,'article_publication','American Journal of Clinical Medicine®'),(7642,2409,'_article_publication','field_5441130be5202'),(7643,2409,'article_date_published_text','Winter'),(7644,2409,'_article_date_published_text','field_54411429e5204'),(7645,2409,'article_published_date','20140722'),(7646,2409,'_article_published_date','field_544113dfe5203'),(7647,2409,'article_volume_number','10'),(7648,2409,'_article_volume_number','field_5441144fe5205'),(7649,2409,'article_number_in_volume','1'),(7650,2409,'_article_number_in_volume','field_54411483e5206'),(7651,2409,'article_starting_page','30'),(7652,2409,'_article_starting_page','field_54411492e5207'),(7653,2409,'article_ending_page','38'),(7654,2409,'_article_ending_page','field_544114b0e5208'),(7655,2409,'article_description','Objective: To describe patients’ perception and experience related to  lifestyle change after coronary revascularization.\r\n\r\nBackground: Engaging in lifestyle change is crucial to realizing the benefits of cardiac revascularization. However, patients often fail to adhere to lifestyle change recommendations after cardiac revascularization. Method: A qualitative study of 30 patients following cardiac revascularization was conducted. Data were collected by telephone using a semi-structured interview questionnaire.\r\n\r\nResults: The average age of the patients was 73.9 (± 6.0) years. The majority of patients denied that they had a chronic heart condition, even though some had repeated coronary revascularization. Given the false assumption that coronary revascularization had “fixed” their heart problems, patients failed to perceive the critical need to make lifestyle changes. In addition, the relationship with healthcare providers was perceived as an important factor to help patients recognize the need for lifestyle change.'),(7656,2409,'_article_description','field_544114c4e5209'),(7657,2409,'article_pdf','2390'),(7658,2409,'_article_pdf','field_54411501e520a'),(7659,2410,'article_title','Older Patients’ Perception and Experience with Lifestyle Changes Following Cardiac Revascularization'),(7660,2410,'_article_title','field_54410d9ae5200'),(7661,2410,'article_author','Lufei Young, PhD, RN, APRN-NP, Susan Barnason, PhD, RN, APRN-CNS, CCRN, CEN, FAHA'),(7662,2410,'_article_author','field_544112e3e5201'),(7663,2410,'article_publication','American Journal of Clinical Medicine®'),(7664,2410,'_article_publication','field_5441130be5202'),(7665,2410,'article_date_published_text','Winter'),(7666,2410,'_article_date_published_text','field_54411429e5204'),(7667,2410,'article_published_date','20140722'),(7668,2410,'_article_published_date','field_544113dfe5203'),(7669,2410,'article_volume_number','10'),(7670,2410,'_article_volume_number','field_5441144fe5205'),(7671,2410,'article_number_in_volume','1'),(7672,2410,'_article_number_in_volume','field_54411483e5206'),(7673,2410,'article_starting_page','30'),(7674,2410,'_article_starting_page','field_54411492e5207'),(7675,2410,'article_ending_page','38'),(7676,2410,'_article_ending_page','field_544114b0e5208'),(7677,2410,'article_description','Objective: To describe patients’ perception and experience related to  lifestyle change after coronary revascularization.\r\n\r\nBackground: Engaging in lifestyle change is crucial to realizing the benefits of cardiac revascularization. However, patients often fail to adhere to lifestyle change recommendations after cardiac revascularization. Method: A qualitative study of 30 patients following cardiac revascularization was conducted. Data were collected by telephone using a semi-structured interview questionnaire.\r\n\r\nResults: The average age of the patients was 73.9 (± 6.0) years. The majority of patients denied that they had a chronic heart condition, even though some had repeated coronary revascularization. Given the false assumption that coronary revascularization had “fixed” their heart problems, patients failed to perceive the critical need to make lifestyle changes. In addition, the relationship with healthcare providers was perceived as an important factor to help patients recognize the need for lifestyle change.'),(7678,2410,'_article_description','field_544114c4e5209'),(7679,2410,'article_pdf','2390'),(7680,2410,'_article_pdf','field_54411501e520a'),(7681,2411,'_edit_lock','1438370555:12'),(7682,2411,'_edit_last','12'),(7683,2411,'article_title','Sounding Board: Minimalism and the Promotion of Substandard Medical Care: A Lawrence, Kansas Perspective'),(7684,2411,'_article_title','field_54410d9ae5200'),(7685,2411,'article_author','Bruce Rothschild, MD'),(7686,2411,'_article_author','field_544112e3e5201'),(7687,2411,'article_publication','American Journal of Clinical Medicine®'),(7688,2411,'_article_publication','field_5441130be5202'),(7689,2411,'article_date_published_text','Winter'),(7690,2411,'_article_date_published_text','field_54411429e5204'),(7691,2411,'article_published_date','20140722'),(7692,2411,'_article_published_date','field_544113dfe5203'),(7693,2411,'article_volume_number','10'),(7694,2411,'_article_volume_number','field_5441144fe5205'),(7695,2411,'article_number_in_volume','1'),(7696,2411,'_article_number_in_volume','field_54411483e5206'),(7697,2411,'article_starting_page','26'),(7698,2411,'_article_starting_page','field_54411492e5207'),(7699,2411,'article_ending_page','29'),(7700,2411,'_article_ending_page','field_544114b0e5208'),(7701,2411,'article_description','Semantics is a major challenge in medicine, as in most other fields. The term “minimalistic medical care approaches” utilized herein reflects how little effort is expended, in contrast to the effort-intensive process of medication minimalism. The latter is exemplified by utilization of the safest medications at the lowest effective doses, mindful of their continuing necessity and vigilance for drug interactions and development of side effects and obtaining consultations in a timely manner.'),(7702,2411,'_article_description','field_544114c4e5209'),(7703,2411,'article_pdf','2388'),(7704,2411,'_article_pdf','field_54411501e520a'),(7705,2412,'_edit_lock','1438610073:12'),(7706,2412,'_edit_last','12'),(7707,2412,'article_title','Comparison of Delivery-Related Complications Among Obstetrician-Gynecologists and Family Physicians Practicing Obstetrics'),(7708,2412,'_article_title','field_54410d9ae5200'),(7709,2412,'article_author','Daniel M. Avery, Jr, MD, Shelley Waits, MD, Jason M. Parton, PhD'),(7710,2412,'_article_author','field_544112e3e5201'),(7711,2412,'article_publication','American Journal of Clinical Medicine®'),(7712,2412,'_article_publication','field_5441130be5202'),(7713,2412,'article_date_published_text','Winter'),(7714,2412,'_article_date_published_text','field_54411429e5204'),(7715,2412,'article_published_date','20140722'),(7716,2412,'_article_published_date','field_544113dfe5203'),(7717,2412,'article_volume_number','10'),(7718,2412,'_article_volume_number','field_5441144fe5205'),(7719,2412,'article_number_in_volume','1'),(7720,2412,'_article_number_in_volume','field_54411483e5206'),(7721,2412,'article_starting_page','21'),(7722,2412,'_article_starting_page','field_54411492e5207'),(7723,2412,'article_ending_page','25'),(7724,2412,'_article_ending_page','field_544114b0e5208'),(7725,2412,'article_description','Background: Delivery-related complications and maternal postpartum outcomes of family physicians practicing obstetrics and obstetrician-gynecologists have been studied for four decades. Previous studies have shown no difference in the outcomes of family physicians practicing obstetrics compared to obstetrician-gynecologists in low-risk pregnancies. However, there is very little information in the literature regarding maternal outcomes under the care of family physicians when high-risk pregnancies are considered. This study compares the delivery-related complications among family physicians practicing obstetrics and obstetrician-gynecologists when high-risk pregnancies are included without any risk adjustment.'),(7726,2412,'_article_description','field_544114c4e5209'),(7727,2412,'article_pdf','2385'),(7728,2412,'_article_pdf','field_54411501e520a'),(7729,2413,'_edit_lock','1438373436:12'),(7730,2413,'_edit_last','12'),(7731,2413,'article_title','Comparison of Delivery Procedure Rates Among Obstetrician-Gynecologists and Family Physicians Practicing Obstetrics'),(7732,2413,'_article_title','field_54410d9ae5200'),(7733,2413,'article_author','Daniel M. Avery, Jr, MD, Kristine R. Graettinger, MD, Shelley Waits, MD, Jason M. Parton, PhD'),(7734,2413,'_article_author','field_544112e3e5201'),(7735,2413,'article_publication','American Journal of Clinical Medicine®'),(7736,2413,'_article_publication','field_5441130be5202'),(7737,2413,'article_date_published_text','Winter'),(7738,2413,'_article_date_published_text','field_54411429e5204'),(7739,2413,'article_published_date','20140722'),(7740,2413,'_article_published_date','field_544113dfe5203'),(7741,2413,'article_volume_number','10'),(7742,2413,'_article_volume_number','field_5441144fe5205'),(7743,2413,'article_number_in_volume','1'),(7744,2413,'_article_number_in_volume','field_54411483e5206'),(7745,2413,'article_starting_page','16'),(7746,2413,'_article_starting_page','field_54411492e5207'),(7747,2413,'article_ending_page','20'),(7748,2413,'_article_ending_page','field_544114b0e5208'),(7749,2413,'article_description','<p style=\"text-align: justify;\">Background: Delivery rates and maternal postpartum outcomes comparing obstetrician-gynecologists (OB/GYNs) and family physicians practicing obstetrics have been studied for the last four decades. Family physicians who practice obstetrics and perform cesarean sections have lower rates of cesarean section, use of forceps, and labor inductions in low risk pregnancies. Family physicians have higher rates of spontaneous vaginal delivery, vaginal birth after cesarean section (VBAC), and vacuum-assisted delivery. There is very little information in the literature regarding maternal outcomes and mode of delivery of patients under the care of family  physicians when high-risk pregnancies are included.</p>'),(7750,2413,'_article_description','field_544114c4e5209'),(7751,2413,'article_pdf','2384'),(7752,2413,'_article_pdf','field_54411501e520a'),(7753,2414,'_edit_lock','1438373704:12'),(7754,2414,'_edit_last','12'),(7755,2414,'article_title','Summary of the International Scientific Conference “Civil Military Cooperation Enhancing Combat Trauma System and Disaster Medical Management Capabilities”'),(7756,2414,'_article_title','field_54410d9ae5200'),(7757,2414,'article_author','Col. Rostislav Kostadinov, MD, PhD'),(7758,2414,'_article_author','field_544112e3e5201'),(7759,2414,'article_publication','American Journal of Clinical Medicine®'),(7760,2414,'_article_publication','field_5441130be5202'),(7761,2414,'article_date_published_text','Winter'),(7762,2414,'_article_date_published_text','field_54411429e5204'),(7763,2414,'article_published_date','20140722'),(7764,2414,'_article_published_date','field_544113dfe5203'),(7765,2414,'article_volume_number','10'),(7766,2414,'_article_volume_number','field_5441144fe5205'),(7767,2414,'article_number_in_volume','1'),(7768,2414,'_article_number_in_volume','field_54411483e5206'),(7769,2414,'article_starting_page','12'),(7770,2414,'_article_starting_page','field_54411492e5207'),(7771,2414,'article_ending_page','15'),(7772,2414,'_article_ending_page','field_544114b0e5208'),(7773,2414,'article_description','<p style=\"text-align: justify;\">The last several decades have recorded a dramatic increase in the frequency and severity of man-made and natural disasters. Climate change and technological developments create new sources of disaster. Population growth contributes to the severity of disasters’ impact, and emerging infectious diseases present new challenges to crisis managers. With globalization, society is becoming more complex and interdependent. Medical science and technological development have significantly increased the capabilities and capacities of the disaster response community over the last 20 years.</p>'),(7774,2414,'_article_description','field_544114c4e5209'),(7775,2414,'article_pdf','2393'),(7776,2414,'_article_pdf','field_54411501e520a'),(7777,2415,'_edit_lock','1438610375:12'),(7778,2415,'_edit_last','12'),(7779,2415,'article_title','Positive Predictive Value of D-dimer in Diagnosing Pulmonary Embolism in Patients With No Risk Factors'),(7780,2415,'_article_title','field_54410d9ae5200'),(7781,2415,'article_author','Kishore Yellumahanthi, MD, MPH, John B. Waits, MD, Melanie Tucker, PhD, Sarah Gilmore'),(7782,2415,'_article_author','field_544112e3e5201'),(7783,2415,'article_publication','American Journal of Clinical Medicine®'),(7784,2415,'_article_publication','field_5441130be5202'),(7785,2415,'article_date_published_text','Winter'),(7786,2415,'_article_date_published_text','field_54411429e5204'),(7787,2415,'article_published_date','20140722'),(7788,2415,'_article_published_date','field_544113dfe5203'),(7789,2415,'article_volume_number','10'),(7790,2415,'_article_volume_number','field_5441144fe5205'),(7791,2415,'article_number_in_volume','1'),(7792,2415,'_article_number_in_volume','field_54411483e5206'),(7793,2415,'article_starting_page','8'),(7794,2415,'_article_starting_page','field_54411492e5207'),(7795,2415,'article_ending_page','10'),(7796,2415,'_article_ending_page','field_544114b0e5208'),(7797,2415,'article_description','<p style=\"text-align: justify;\">Based on an elevated D-dimer, vast numbers of patients who have no risk factors are routinely worked up for PE with a battery of tests, including computed tomographic angiography (CTA) of the chest which exposes patients to significant radiation. We are not certain whether this elaborate workup is warranted in this subset of population with no risk factors. To address this concern, it was felt that knowing positive predictive value (PPV) of D-dimer in predicting PE in patients with no risk factors would be helpful. However, to our knowledge, no studies were documented in the literature assessing PPV in those with no risk factors for PE. Hence this study was designed.</p>'),(7798,2415,'_article_description','field_544114c4e5209'),(7799,2415,'article_pdf','2391'),(7800,2415,'_article_pdf','field_54411501e520a'),(7801,2418,'_edit_lock','1438608967:12'),(7802,2418,'_edit_last','12'),(7803,2418,'article_title','Predictability of Negative Group B Streptococcus at Time of Delivery in Pregnant Women Who Were Negative at 35-37 Weeks'),(7804,2418,'_article_title','field_54410d9ae5200'),(7805,2418,'article_author','Dwight E. Hooper, MD, MBA, Carneita Creighton, MD, Salah Al-Abbadi, MD, Thomas W. Broughton, MD, Jessica Grayson, BS'),(7806,2418,'_article_author','field_544112e3e5201'),(7807,2418,'article_publication','American Journal of Clinical Medicine®'),(7808,2418,'_article_publication','field_5441130be5202'),(7809,2418,'article_date_published_text','Winter'),(7810,2418,'_article_date_published_text','field_54411429e5204'),(7811,2418,'article_published_date','20140822'),(7812,2418,'_article_published_date','field_544113dfe5203'),(7813,2418,'article_volume_number','10'),(7814,2418,'_article_volume_number','field_5441144fe5205'),(7815,2418,'article_number_in_volume','1'),(7816,2418,'_article_number_in_volume','field_54411483e5206'),(7817,2418,'article_starting_page','5'),(7818,2418,'_article_starting_page','field_54411492e5207'),(7819,2418,'article_ending_page','7'),(7820,2418,'_article_ending_page','field_544114b0e5208'),(7821,2418,'article_description','<p style=\"text-align: justify;\">Group B streptococcus (GBS), also known as Streptococcus agalactiae, is the leading cause of neonatal morbidity and mortality in the United States. Early-onset GBS disease (EOGBS) in newborns occurs within the first week of life. Clinical syndromes associated with EOGBS include meningitis, pneumonia, and sepsis, which can ultimately lead to death.</p>'),(7822,2418,'_article_description','field_544114c4e5209'),(7823,2418,'article_pdf','2392'),(7824,2418,'_article_pdf','field_54411501e520a'),(7825,2419,'_edit_lock','1438609455:12'),(7826,2419,'_edit_last','12'),(7827,2419,'article_title','EDITORIAL Family Medicine Obstetrics: A Wide Spectrum of Training and Practice'),(7828,2419,'_article_title','field_54410d9ae5200'),(7829,2419,'article_author','Mark T. Loafman, MD, MPH'),(7830,2419,'_article_author','field_544112e3e5201'),(7831,2419,'article_publication','American Journal of Clinical Medicine®'),(7832,2419,'_article_publication','field_5441130be5202'),(7833,2419,'article_date_published_text','Winter'),(7834,2419,'_article_date_published_text','field_54411429e5204'),(7835,2419,'article_published_date','20140722'),(7836,2419,'_article_published_date','field_544113dfe5203'),(7837,2419,'article_volume_number','10'),(7838,2419,'_article_volume_number','field_5441144fe5205'),(7839,2419,'article_number_in_volume','1'),(7840,2419,'_article_number_in_volume','field_54411483e5206'),(7841,2419,'article_starting_page','4'),(7842,2419,'_article_starting_page','field_54411492e5207'),(7843,2419,'article_ending_page','4'),(7844,2419,'_article_ending_page','field_544114b0e5208'),(7845,2419,'article_description','<p style=\"text-align: justify;\">Optimal maternal child health outcomes depend in part on access to providers who are prepared to manage complications\r\nthat not uncommonly arise during pregnancy and childbirth, including surgical delivery when indicated. While there is room\r\nto improve our knowledge about the indications for cesarean section, there is no doubt that this procedure is at times a necessary and even life-saving procedure for some women and infants.</p>'),(7846,2419,'_article_description','field_544114c4e5209'),(7847,2419,'article_pdf','2386'),(7848,2419,'_article_pdf','field_54411501e520a'),(8043,68,'_oembed_aff7fcddcb403913c579fbc6538434c1','{{unknown}}'),(7850,2421,'_edit_lock','1438610471:12'),(7851,2421,'_edit_last','12'),(7852,2421,'article_title','Undulant Fever in ED: A Case Report'),(7853,2421,'_article_title','field_54410d9ae5200'),(7854,2421,'article_author','Andrzej Skarpetowski, MD'),(7855,2421,'_article_author','field_544112e3e5201'),(7856,2421,'article_publication','American Journal of Clinical Medicine®'),(7857,2421,'_article_publication','field_5441130be5202'),(7858,2421,'article_date_published_text','Summer'),(7859,2421,'_article_date_published_text','field_54411429e5204'),(7860,2421,'article_published_date','20140808'),(7861,2421,'_article_published_date','field_544113dfe5203'),(7862,2421,'article_volume_number','10'),(7863,2421,'_article_volume_number','field_5441144fe5205'),(7864,2421,'article_number_in_volume','2'),(7865,2421,'_article_number_in_volume','field_54411483e5206'),(7866,2421,'article_starting_page','90'),(7867,2421,'_article_starting_page','field_54411492e5207'),(7868,2421,'article_ending_page','93'),(7869,2421,'_article_ending_page','field_544114b0e5208'),(7870,2421,'article_description','<p style=\"text-align: justify;\">Brucellosis is the most common zoonosis worldwide. It is an uncommon entity in humans in the United States, with Texas reporting a third of cases. It is difficult to diagnose and hence can be easily missed. If not recognized and treated in a timely manner, brucellosis can lead to serious complications including death. The majority of cases in the United States are linked to consumption of unpasteurized dairy products imported from Mexico or travel to endemic areas. All health care providers should keep this infection in mind while dealing with patients presenting with fever. Clinicians should be vigilant and investigate for recent travel, consumption of unpasteurized dairy products, and animal exposure in these patients. More importantly, this pathogen can be used as a biological weapon as well. The article depicts a case of acute brucellosis in a patient who presented to an emergency room with a low-grade fever and nonspecific symptoms. Additionally, it reviews the crucial information regarding brucellosis and emphasizes important points on how to avoid misdiagnosis.</p>'),(7871,2421,'_article_description','field_544114c4e5209'),(7872,2421,'article_pdf','2394'),(7873,2421,'_article_pdf','field_54411501e520a'),(7874,2422,'_edit_lock','1438611036:12'),(7875,2422,'_edit_last','12'),(7876,2422,'article_title','Extraosseous Ewing Sarcoma of the Larynx: A Report of a Rare Case'),(7877,2422,'_article_title','field_54410d9ae5200'),(7878,2422,'article_author','Nicole F. De Simone, DO, MPH, Capt, USAF, Anuj Parikh, DO, Kurt Graupensperger, DO, James P. Malone, MD'),(7879,2422,'_article_author','field_544112e3e5201'),(7880,2422,'article_publication','American Journal of Clinical Medicine®'),(7881,2422,'_article_publication','field_5441130be5202'),(7882,2422,'article_date_published_text','Summer'),(7883,2422,'_article_date_published_text','field_54411429e5204'),(7884,2422,'article_published_date','20140808'),(7885,2422,'_article_published_date','field_544113dfe5203'),(7886,2422,'article_volume_number','10'),(7887,2422,'_article_volume_number','field_5441144fe5205'),(7888,2422,'article_number_in_volume','2'),(7889,2422,'_article_number_in_volume','field_54411483e5206'),(7890,2422,'article_starting_page','87'),(7891,2422,'_article_starting_page','field_54411492e5207'),(7892,2422,'article_ending_page','89'),(7893,2422,'_article_ending_page','field_544114b0e5208'),(7894,2422,'article_description','<p style=\"text-align: justify;\"><strong>Objectives:</strong> Extraosseous Ewing sarcoma is a variant of Ewing sarcoma that can occur anywhere in the body. There are few documented cases reported in the head and neck region and only two reported cases arising from the larynx.\r\n<strong>Methods/Results:</strong> We report a case of a 45-year-old female who was found to have primary extraosseous Ewing sarcoma of the larynx. Initial workup of her new neck mass, appearing to arise from the thyroid gland, was concerning for lymphoma based on fine needle aspiration. However, further biopsy and immunohistochemistry confirmed a much different diagnosis. She received the current recommended therapy for this rare disease that has a high rate of recurrence.\r\n<strong>Conclusions:</strong> These tumors can be mistaken for other neoplasms due to their primitive morphology and rare occurrence. We discuss the workup to allow for accurate diagnosis, treatment, and prognosis to improve morbidity and mortality from this rare disease.</p>'),(7895,2422,'_article_description','field_544114c4e5209'),(7896,2422,'article_pdf','2395'),(7897,2422,'_article_pdf','field_54411501e520a'),(7898,2423,'_edit_lock','1438611671:12'),(7899,2423,'_edit_last','12'),(7900,2424,'_wp_attached_file','A-Case-Report-on-the-Recurrence-of-Lemierres-Syndrome.pdf'),(7901,2423,'article_title','A Case Report on the Recurrence of Lemierre’s Syndrome: Awareness to Diagnosis and Treatment'),(7902,2423,'_article_title','field_54410d9ae5200'),(7903,2423,'article_author','Caleb A. Awoniyi, MD, PhD, Douglas Hanson, MD'),(7904,2423,'_article_author','field_544112e3e5201'),(7905,2423,'article_publication','American Journal of Clinical Medicine®'),(7906,2423,'_article_publication','field_5441130be5202'),(7907,2423,'article_date_published_text','Summer'),(7908,2423,'_article_date_published_text','field_54411429e5204'),(7909,2423,'article_published_date','20140808'),(7910,2423,'_article_published_date','field_544113dfe5203'),(7911,2423,'article_volume_number','10'),(7912,2423,'_article_volume_number','field_5441144fe5205'),(7913,2423,'article_number_in_volume','2'),(7914,2423,'_article_number_in_volume','field_54411483e5206'),(7915,2423,'article_starting_page','82'),(7916,2423,'_article_starting_page','field_54411492e5207'),(7917,2423,'article_ending_page','85'),(7918,2423,'_article_ending_page','field_544114b0e5208'),(7919,2423,'article_description','<p style=\"text-align: justify;\">In 1936, Andrew Lemierre described a syndrome that now bears his name. He presented 20 cases of postanginal septicemia in healthy young adults that involved an acute oropharyngeal infection complicated by septic thrombophlebitis and metastatic infection.1,2 In recent years, more cases of Lemierre’s syndrome have re-emerged, thus bringing back into the spotlight the importance of prompt diagnosis and treatment.3 Because of its previous rarity, clinicians may overlook and miss the diagnosis at the initial presentation. Mortality has been estimated at 15% to 18%, and the disease itself has been associated with significant morbidity.4,5 It is crucial that clinicians have a high index of suspicion and heightened awareness of signs and symptoms associated with this disease. Early recognition and treatment invariably leads to optimal outcome.</p>'),(7920,2423,'_article_description','field_544114c4e5209'),(7921,2423,'article_pdf','2424'),(7922,2423,'_article_pdf','field_54411501e520a'),(7923,2425,'_edit_lock','1438611899:12'),(7924,2425,'_edit_last','12'),(7925,2425,'article_title','Medical Ethics Without the Rhetoric: Shaky Ground'),(7926,2425,'_article_title','field_54410d9ae5200'),(7927,2425,'article_author','Mark Pastin, PhD'),(7928,2425,'_article_author','field_544112e3e5201'),(7929,2425,'article_publication','American Journal of Clinical Medicine®'),(7930,2425,'_article_publication','field_5441130be5202'),(7931,2425,'article_date_published_text','Summer'),(7932,2425,'_article_date_published_text','field_54411429e5204'),(7933,2425,'article_published_date','20140808'),(7934,2425,'_article_published_date','field_544113dfe5203'),(7935,2425,'article_volume_number','10'),(7936,2425,'_article_volume_number','field_5441144fe5205'),(7937,2425,'article_number_in_volume','2'),(7938,2425,'_article_number_in_volume','field_54411483e5206'),(7939,2425,'article_starting_page','80'),(7940,2425,'_article_starting_page','field_54411492e5207'),(7941,2425,'article_ending_page','81'),(7942,2425,'_article_ending_page','field_544114b0e5208'),(7943,2425,'article_description','<p style=\"text-align: justify;\">Your patient is a highly regarded surgeon who is a member of the same medical staff to which you belong. She complains that she is occasionally bothered by shaky hands and blacked out for just a second once during surgery. You think she smells of alcohol and that alcohol abuse is probably the\r\nproblem.</p>'),(7944,2425,'_article_description','field_544114c4e5209'),(7945,2425,'article_pdf','2406'),(7946,2425,'_article_pdf','field_54411501e520a'),(7947,2426,'_edit_lock','1438612966:12'),(7948,2426,'_edit_last','12'),(7949,2426,'article_title','The Declining Number of Family Physicians Practicing Obstetrics: Rural Impact, Reasons, Recommendations and Considerations'),(7950,2426,'_article_title','field_54410d9ae5200'),(7951,2426,'article_author','Daniel M. Avery, Jr, MD, John T. McDonald, Jr, MD, CPA'),(7952,2426,'_article_author','field_544112e3e5201'),(7953,2426,'article_publication','American Journal of Clinical Medicine®'),(7954,2426,'_article_publication','field_5441130be5202'),(7955,2426,'article_date_published_text','Summer'),(7956,2426,'_article_date_published_text','field_54411429e5204'),(7957,2426,'article_published_date','20140808'),(7958,2426,'_article_published_date','field_544113dfe5203'),(7959,2426,'article_volume_number','10'),(7960,2426,'_article_volume_number','field_5441144fe5205'),(7961,2426,'article_number_in_volume','2'),(7962,2426,'_article_number_in_volume','field_54411483e5206'),(7963,2426,'article_starting_page','70'),(7964,2426,'_article_starting_page','field_54411492e5207'),(7965,2426,'article_ending_page','78'),(7966,2426,'_article_ending_page','field_544114b0e5208'),(7967,2426,'article_description','<p style=\"text-align: justify;\">Maternity care in the United States is in jeopardy. There is a need for physicians trained in obstetrics, including preconception, prenatal, delivery, and postpartum care. Almost 50% of counties in the United States have no obstetrical provider.1 The importance and high quality of family medicine obstetrics has been documented repeatedly2-7, but the number of family physicians providing maternity care in the United States continues to decline.8-12 This is also an international trend as reported in Australia and Canada.3,13</p>'),(7968,2426,'_article_description','field_544114c4e5209'),(7969,2426,'article_pdf','2396'),(7970,2426,'_article_pdf','field_54411501e520a'),(7971,2427,'_edit_lock','1438612426:12'),(7972,2427,'_edit_last','12'),(7973,2427,'article_title','Factors Affecting Rural Patients’ Compliance with Screening Colonoscopy: Importance of Distance and Physician'),(7974,2427,'_article_title','field_54410d9ae5200'),(7975,2427,'article_author','Arsheeya Mashaw, MD, Justin T. Arcury, MS'),(7976,2427,'_article_author','field_544112e3e5201'),(7977,2427,'article_publication','American Journal of Clinical Medicine®'),(7978,2427,'_article_publication','field_5441130be5202'),(7979,2427,'article_date_published_text','Summer'),(7980,2427,'_article_date_published_text','field_54411429e5204'),(7981,2427,'article_published_date','20140808'),(7982,2427,'_article_published_date','field_544113dfe5203'),(7983,2427,'article_volume_number','10'),(7984,2427,'_article_volume_number','field_5441144fe5205'),(7985,2427,'article_number_in_volume','2'),(7986,2427,'_article_number_in_volume','field_54411483e5206'),(7987,2427,'article_starting_page','64'),(7988,2427,'_article_starting_page','field_54411492e5207'),(7989,2427,'article_ending_page','69'),(7990,2427,'_article_ending_page','field_544114b0e5208'),(7991,2427,'article_description','<p style=\"text-align: justify;\">Introduction: Rural populations face unique barriers to obtaining colorectal cancer (CRC) screening. This study assessed factors associated with rural patients obtaining a colonoscopy, including distance to services, patient knowledge, and discussion with a physician.</p>'),(7992,2427,'_article_description','field_544114c4e5209'),(7993,2427,'article_pdf','2397'),(7994,2427,'_article_pdf','field_54411501e520a'),(7995,2428,'_edit_lock','1438612796:12'),(7996,2428,'_edit_last','12'),(7997,2428,'article_title','Comparison of Actual and Predicted Emergency Department Wait Times'),(7998,2428,'_article_title','field_54410d9ae5200'),(7999,2428,'article_author','LouAnn H. Woodward, MD, Jason Zimmerman, BSN, Kristen C. Isom, RN, Richard L. Summers, MD'),(8000,2428,'_article_author','field_544112e3e5201'),(8001,2428,'article_publication','American Journal of Clinical Medicine®'),(8002,2428,'_article_publication','field_5441130be5202'),(8003,2428,'article_date_published_text','Summer'),(8004,2428,'_article_date_published_text','field_54411429e5204'),(8005,2428,'article_published_date','20140808'),(8006,2428,'_article_published_date','field_544113dfe5203'),(8007,2428,'article_volume_number','10'),(8008,2428,'_article_volume_number','field_5441144fe5205'),(8009,2428,'article_number_in_volume','2'),(8010,2428,'_article_number_in_volume','field_54411483e5206'),(8011,2428,'article_starting_page','61'),(8012,2428,'_article_starting_page','field_54411492e5207'),(8013,2428,'article_ending_page','63'),(8014,2428,'_article_ending_page','field_544114b0e5208'),(8015,2428,'article_description','<p style=\"text-align: justify;\">Patient dissatisfaction and elopements from overcrowded emergency department (ED) waiting rooms are becoming increasingly common. Previous studies suggest that patients leaving an ED before being seen by a physician presents a legitimate safety concern. Predicted wait times are often communicated to patients in ED waiting rooms as a customer service function and in an attempt to reduce elopements. Common methodologies used by the restaurant industry have been adopted to make these wait predictions. In this study, we compare these predicted wait times to actual wait times experienced by patients.</p>'),(8016,2428,'_article_description','field_544114c4e5209'),(8017,2428,'article_pdf','2398'),(8018,2428,'_article_pdf','field_54411501e520a'),(8019,2429,'_edit_lock','1438615894:12'),(8020,2429,'_edit_last','12'),(8021,2429,'article_title','The Utility of Anti-tissue Transglutaminase Antibody-IgA (tTG-IgA) Testing for Celiac Disease in Adults with Down Syndrome'),(8022,2429,'_article_title','field_54410d9ae5200'),(8023,2429,'article_author','Brian Chicoine, MD, Shalin Parikh, MD, Suela Sulo, MSc, Laura Chicoine'),(8024,2429,'_article_author','field_544112e3e5201'),(8025,2429,'article_publication','American Journal of Clinical 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