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(Clorith)</a>, <a href=\"https://profiles.wordpress.org/swissspidy\">Pascal Birchler</a>, <a href=\"https://profiles.wordpress.org/rpayne7264\">Robert D Payne</a>, <a href=\"https://profiles.wordpress.org/sergeybiryukov\">Sergey Biryukov</a>, and <a href=\"https://profiles.wordpress.org/nmt90\">Triet Minh</a>.</p>\n\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}s:30:\"com-wordpress:feed-additions:1\";a:1:{s:7:\"post-id\";a:1:{i:0;a:5:{s:4:\"data\";s:4:\"4507\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}}}i:2;a:6:{s:4:\"data\";s:36:\"\n		\n		\n		\n		\n				\n		\n\n		\n		\n				\n			\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";s:5:\"child\";a:4:{s:0:\"\";a:6:{s:5:\"title\";a:1:{i:0;a:5:{s:4:\"data\";s:26:\"WordPress 4.6 “Pepper”\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:4:\"link\";a:1:{i:0;a:5:{s:4:\"data\";s:42:\"https://wordpress.org/news/2016/08/pepper/\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:7:\"pubDate\";a:1:{i:0;a:5:{s:4:\"data\";s:31:\"Tue, 16 Aug 2016 19:06:46 +0000\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:8:\"category\";a:2:{i:0;a:5:{s:4:\"data\";s:8:\"Releases\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}i:1;a:5:{s:4:\"data\";s:3:\"4.6\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:4:\"guid\";a:1:{i:0;a:5:{s:4:\"data\";s:34:\"https://wordpress.org/news/?p=4444\";s:7:\"attribs\";a:1:{s:0:\"\";a:1:{s:11:\"isPermaLink\";s:5:\"false\";}}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:11:\"description\";a:1:{i:0;a:5:{s:4:\"data\";s:276:\"Version 4.6 of WordPress, named “Pepper” in honor of jazz baritone saxophonist Park Frederick “Pepper” Adams III, is available for download or update in your WordPress dashboard. 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New features in 4.6 help you to focus on the important things while feeling more at home.</p>\n<p><iframe width=\'632\' height=\'354\' src=\'https://videopress.com/embed/GbdhpGF3?hd=1\' frameborder=\'0\' allowfullscreen></iframe><script src=\'https://v0.wordpress.com/js/next/videopress-iframe.js?m=1435166243\'></script></p>\n<hr />\n<h2 style=\"text-align: center\">Streamlined Updates</h2>\n<p><img class=\"aligncenter wp-image-4454 size-large\" src=\"https://i0.wp.com/wordpress.org/news/files/2016/08/streamlined-updates.png?resize=632%2C379&#038;ssl=1\" srcset=\"https://i0.wp.com/wordpress.org/news/files/2016/08/streamlined-updates.png?resize=1024%2C614&amp;ssl=1 1024w, https://i0.wp.com/wordpress.org/news/files/2016/08/streamlined-updates.png?resize=300%2C180&amp;ssl=1 300w, https://i0.wp.com/wordpress.org/news/files/2016/08/streamlined-updates.png?resize=768%2C461&amp;ssl=1 768w, https://i0.wp.com/wordpress.org/news/files/2016/08/streamlined-updates.png?w=1264&amp;ssl=1 1264w, https://i0.wp.com/wordpress.org/news/files/2016/08/streamlined-updates.png?w=1896&amp;ssl=1 1896w\" sizes=\"(max-width: 632px) 100vw, 632px\" data-recalc-dims=\"1\" /></p>\n<p>Don’t lose your place: stay on the same page while you update, install, and delete your plugins and themes.</p>\n<hr />\n<h2 style=\"text-align: center\">Native Fonts</h2>\n<p><img class=\"aligncenter wp-image-4455 size-large\" src=\"https://i2.wp.com/wordpress.org/news/files/2016/08/native-fonts.png?resize=632%2C379&#038;ssl=1\" srcset=\"https://i2.wp.com/wordpress.org/news/files/2016/08/native-fonts.png?resize=1024%2C614&amp;ssl=1 1024w, https://i2.wp.com/wordpress.org/news/files/2016/08/native-fonts.png?resize=300%2C180&amp;ssl=1 300w, https://i2.wp.com/wordpress.org/news/files/2016/08/native-fonts.png?resize=768%2C461&amp;ssl=1 768w, https://i2.wp.com/wordpress.org/news/files/2016/08/native-fonts.png?w=1264&amp;ssl=1 1264w, https://i2.wp.com/wordpress.org/news/files/2016/08/native-fonts.png?w=1896&amp;ssl=1 1896w\" sizes=\"(max-width: 632px) 100vw, 632px\" data-recalc-dims=\"1\" /></p>\n<p>The WordPress dashboard now takes advantage of the fonts you already have, making it load faster and letting you feel more at home on whatever device you use.</p>\n<hr />\n<h2 style=\"text-align: center\">Editor Improvements</h2>\n<div style=\"float: left;width: 48%;margin: 0\">\n<h3>Inline Link Checker</h3>\n<p><img class=\"aligncenter wp-image-4456 size-full\" src=\"https://i1.wp.com/wordpress.org/news/files/2016/08/inline-link-checker.png?resize=632%2C379&#038;ssl=1\" srcset=\"https://i1.wp.com/wordpress.org/news/files/2016/08/inline-link-checker.png?w=992&amp;ssl=1 992w, https://i1.wp.com/wordpress.org/news/files/2016/08/inline-link-checker.png?resize=300%2C180&amp;ssl=1 300w, https://i1.wp.com/wordpress.org/news/files/2016/08/inline-link-checker.png?resize=768%2C461&amp;ssl=1 768w\" sizes=\"(max-width: 632px) 100vw, 632px\" data-recalc-dims=\"1\" /></p>\n<p>Ever accidentally made a link to https://wordpress.org/example.org? Now WordPress automatically checks to make sure you didn’t.</p>\n</div>\n<div style=\"float: right;width: 48%;margin: 0\">\n<h3>Content Recovery</h3>\n<p><img class=\"aligncenter wp-image-4457 size-full\" src=\"https://i1.wp.com/wordpress.org/news/files/2016/08/content-recovery.png?resize=632%2C379&#038;ssl=1\" srcset=\"https://i1.wp.com/wordpress.org/news/files/2016/08/content-recovery.png?w=992&amp;ssl=1 992w, https://i1.wp.com/wordpress.org/news/files/2016/08/content-recovery.png?resize=300%2C180&amp;ssl=1 300w, https://i1.wp.com/wordpress.org/news/files/2016/08/content-recovery.png?resize=768%2C461&amp;ssl=1 768w\" sizes=\"(max-width: 632px) 100vw, 632px\" data-recalc-dims=\"1\" /></p>\n<p>As you type, WordPress saves your content to the browser. Recovering saved content is even easier with WordPress 4.6.</p>\n</div>\n<hr style=\"clear: both\" />\n<h2 style=\"text-align: center\">Under The Hood</h2>\n<h3>Resource Hints</h3>\n<p><a href=\"https://make.wordpress.org/core/2016/07/06/resource-hints-in-4-6/\">Resource hints help browsers</a> decide which resources to fetch and preprocess. WordPress 4.6 adds them automatically for your styles and scripts making your site even faster.</p>\n<h3>Robust Requests</h3>\n<p>The HTTP API now leverages the Requests library, improving HTTP standard support and adding case-insensitive headers, parallel HTTP requests, and support for Internationalized Domain Names.</p>\n<h3><code>WP_Term_Query</code> and <code>WP_Post_Type</code></h3>\n<p>A new <code><a href=\"https://developer.wordpress.org/reference/classes/wp_term_query\">WP_Term_Query</a></code> class adds flexibility to query term information while a new <code><a href=\"https://developer.wordpress.org/reference/classes/wp_post_type\">WP_Post_Type</a></code> object makes interacting with post types more predictable.</p>\n<h3>Meta Registration API</h3>\n<p>The Meta Registration API <a href=\"https://make.wordpress.org/core/2016/07/08/enhancing-register_meta-in-4-6/\">has been expanded</a> to support types, descriptions, and REST API visibility.</p>\n<h3>Translations On Demand</h3>\n<p>WordPress will install and use the newest language packs for your plugins and themes as soon as they’re available from <a href=\"https://translate.wordpress.org/\">WordPress.org’s community of translators</a>.</p>\n<h3>JavaScript Library Updates</h3>\n<p>Masonry 3.3.2, imagesLoaded 3.2.0, MediaElement.js 2.22.0, TinyMCE 4.4.1, and Backbone.js 1.3.3 are bundled.</p>\n<h3>Customizer APIs for Setting Validation and Notifications</h3>\n<p>Settings now have an <a href=\"https://make.wordpress.org/core/2016/07/05/customizer-apis-in-4-6-for-setting-validation-and-notifications/\">API for enforcing validation constraints</a>. Likewise, customizer controls now support notifications, which are used to display validation errors instead of failing silently.</p>\n<h3>Multisite, now faster than ever</h3>\n<p>Cached and comprehensive site queries improve your network admin experience. The addition of <code><a href=\"https://developer.wordpress.org/reference/classes/wp_site_query\">WP_Site_Query</a></code> and <code><a href=\"https://developer.wordpress.org/reference/classes/wp_network_query\">WP_Network_Query</a></code> help craft advanced queries with less effort.</p>\n<hr />\n<h2 style=\"text-align: center\">The Crew</h2>\n<p>This release was led by <a href=\"https://dominikschilling.de/\">Dominik Schilling</a>, backed up by <a href=\"https://www.garthmortensen.com/\">Garth Mortensen</a> as Release Deputy, and with the help of these fine individuals. There are <span style=\"font-weight: 400\">272</span> contributors with props in this release. Pull up some Pepper Adams on your music service of choice, and check out some of their profiles:</p>\n<a href=\"https://profiles.wordpress.org/a5hleyrich\">A5hleyRich</a>, <a href=\"https://profiles.wordpress.org/jorbin\">Aaron Jorbin</a>, <a href=\"https://profiles.wordpress.org/achbed\">achbed</a>, <a href=\"https://profiles.wordpress.org/adamsilverstein\">Adam Silverstein</a>, <a href=\"https://profiles.wordpress.org/adamsoucie\">Adam Soucie</a>, <a href=\"https://profiles.wordpress.org/adrianosilvaferreira\">Adriano Ferreira</a>, <a href=\"https://profiles.wordpress.org/afineman\">afineman</a>, <a href=\"https://profiles.wordpress.org/mrahmadawais\">Ahmad Awais</a>, <a href=\"https://profiles.wordpress.org/aidvu\">aidvu</a>, <a href=\"https://profiles.wordpress.org/akibjorklund\">Aki Bj&#246;rklund</a>, <a href=\"https://profiles.wordpress.org/xknown\">Alex Concha</a>, <a href=\"https://profiles.wordpress.org/xavortm\">Alex Dimitrov</a>, <a href=\"https://profiles.wordpress.org/alexkingorg\">Alex King</a>, <a href=\"https://profiles.wordpress.org/viper007bond\">Alex Mills (Viper007Bond)</a>, <a href=\"https://profiles.wordpress.org/alexvandervegt\">alexvandervegt</a>, <a href=\"https://profiles.wordpress.org/ambrosey\">Alice Brosey</a>, <a href=\"https://profiles.wordpress.org/aaires\">Ana Aires</a>, <a href=\"https://profiles.wordpress.org/afercia\">Andrea Fercia</a>, <a href=\"https://profiles.wordpress.org/andg\">Andrea Gandino</a>, <a href=\"https://profiles.wordpress.org/nacin\">Andrew Nacin</a>, <a href=\"https://profiles.wordpress.org/azaozz\">Andrew Ozz</a>, <a href=\"https://profiles.wordpress.org/rockwell15\">Andrew Rockwell</a>, <a href=\"https://profiles.wordpress.org/afragen\">Andy Fragen</a>, <a href=\"https://profiles.wordpress.org/andizer\">Andy Meerwaldt</a>, <a href=\"https://profiles.wordpress.org/andy\">Andy Skelton</a>, <a href=\"https://profiles.wordpress.org/anilbasnet\">Anil Basnet</a>, <a href=\"https://profiles.wordpress.org/ankit-k-gupta\">Ankit K Gupta</a>, <a href=\"https://profiles.wordpress.org/anneschmidt\">anneschmidt</a>, <a href=\"https://profiles.wordpress.org/zuige\">Antti Kuosmanen</a>, <a href=\"https://profiles.wordpress.org/ideag\">Arunas Liuiza</a>, <a href=\"https://profiles.wordpress.org/barry\">Barry</a>, <a href=\"https://profiles.wordpress.org/barryceelen\">Barry Ceelen</a>, <a href=\"https://profiles.wordpress.org/kau-boy\">Bernhard Kau</a>, <a href=\"https://profiles.wordpress.org/birgire\">Birgir Erlendsson (birgire)</a>, <a href=\"https://profiles.wordpress.org/bobbingwide\">bobbingwide</a>, <a href=\"https://profiles.wordpress.org/gitlost\">bonger</a>, <a href=\"https://profiles.wordpress.org/boonebgorges\">Boone B. Gorges</a>, <a href=\"https://profiles.wordpress.org/bradt\">Brad Touesnard</a>, <a href=\"https://profiles.wordpress.org/kraftbj\">Brandon Kraft</a>, <a href=\"https://profiles.wordpress.org/brianvan\">brianvan</a>, <a href=\"https://profiles.wordpress.org/borgesbruno\">Bruno Borges</a>, <a href=\"https://profiles.wordpress.org/bpetty\">Bryan Petty</a>, <a href=\"https://profiles.wordpress.org/purcebr\">Bryan Purcell</a>, <a href=\"https://profiles.wordpress.org/chandrapatel\">Chandra Patel</a>, <a href=\"https://profiles.wordpress.org/chaos-engine\">Chaos Engine</a>, <a href=\"https://profiles.wordpress.org/chouby\">Chouby</a>, <a href=\"https://profiles.wordpress.org/chris_dev\">Chris Mok</a>, <a href=\"https://profiles.wordpress.org/c3mdigital\">Chris Olbekson</a>, <a href=\"https://profiles.wordpress.org/chriscct7\">chriscct7</a>, <a href=\"https://profiles.wordpress.org/christophherr\">Christoph Herr</a>, <a href=\"https://profiles.wordpress.org/cfinke\">Christopher Finke</a>, <a href=\"https://profiles.wordpress.org/cliffseal\">Cliff Seal</a>, <a href=\"https://profiles.wordpress.org/clubduece\">clubduece</a>, <a href=\"https://profiles.wordpress.org/cmillerdev\">cmillerdev</a>, <a href=\"https://profiles.wordpress.org/craig-ralston\">Craig Ralston</a>, <a href=\"https://profiles.wordpress.org/crstauf\">crstauf</a>, <a href=\"https://profiles.wordpress.org/dabnpits\">dabnpits</a>, <a href=\"https://profiles.wordpress.org/danielbachhuber\">Daniel Bachhuber</a>, <a href=\"https://profiles.wordpress.org/danielhuesken\">Daniel H&#252;sken</a>, <a href=\"https://profiles.wordpress.org/danielkanchev\">Daniel Kanchev</a>, <a href=\"https://profiles.wordpress.org/mte90\">Daniele Scasciafratte</a>, <a href=\"https://profiles.wordpress.org/dashaluna\">dashaluna</a>, <a href=\"https://profiles.wordpress.org/davewarfel\">davewarfel</a>, <a href=\"https://profiles.wordpress.org/davidakennedy\">David A. Kennedy</a>, <a href=\"https://profiles.wordpress.org/davidanderson\">David Anderson</a>, <a href=\"https://profiles.wordpress.org/dbrumbaugh10up\">David Brumbaugh</a>, <a href=\"https://profiles.wordpress.org/dcavins\">David Cavins</a>, <a href=\"https://profiles.wordpress.org/dlh\">David Herrera</a>, <a href=\"https://profiles.wordpress.org/davidmosterd\">David Mosterd</a>, <a href=\"https://profiles.wordpress.org/dshanske\">David Shanske</a>, <a href=\"https://profiles.wordpress.org/realloc\">Dennis Ploetner</a>, <a href=\"https://profiles.wordpress.org/valendesigns\">Derek Herman</a>, <a href=\"https://profiles.wordpress.org/downstairsdev\">Devin Price</a>, <a href=\"https://profiles.wordpress.org/dd32\">Dion Hulse</a>, <a href=\"https://profiles.wordpress.org/dougwollison\">Doug Wollison</a>, <a href=\"https://profiles.wordpress.org/drewapicture\">Drew Jaynes</a>, <a href=\"https://profiles.wordpress.org/iseulde\">Ella Iseulde Van Dorpe</a>, <a href=\"https://profiles.wordpress.org/elrae\">elrae</a>, <a href=\"https://profiles.wordpress.org/ericlewis\">Eric Andrew Lewis</a>, <a href=\"https://profiles.wordpress.org/ethitter\">Erick Hitter</a>, <a href=\"https://profiles.wordpress.org/fab1en\">Fabien Quatravaux</a>, <a href=\"https://profiles.wordpress.org/faison\">Faison</a>, <a href=\"https://profiles.wordpress.org/flixos90\">Felix Arntz</a>, <a href=\"https://profiles.wordpress.org/flyingdr\">flyingdr</a>, <a href=\"https://profiles.wordpress.org/foliovision\">FolioVision</a>, <a href=\"https://profiles.wordpress.org/francescobagnoli\">francescobagnoli</a>, <a href=\"https://profiles.wordpress.org/bueltge\">Frank Bueltge</a>, <a href=\"https://profiles.wordpress.org/frank-klein\">Frank Klein</a>, <a href=\"https://profiles.wordpress.org/efarem\">Frank Martin</a>, <a href=\"https://profiles.wordpress.org/frozzare\">Fredrik Forsmo</a>, <a href=\"https://profiles.wordpress.org/mintindeed\">Gabriel Koen</a>, <a href=\"https://profiles.wordpress.org/gma992\">Gabriel Maldonado</a>, <a href=\"https://profiles.wordpress.org/pento\">Gary Pendergast</a>, <a href=\"https://profiles.wordpress.org/gblsm\">gblsm</a>, <a href=\"https://profiles.wordpress.org/geekysoft\">Geeky Software</a>, <a href=\"https://profiles.wordpress.org/geminorum\">geminorum</a>, <a href=\"https://profiles.wordpress.org/georgestephanis\">George Stephanis</a>, <a href=\"https://profiles.wordpress.org/hardeepasrani\">Hardeep Asrani</a>, <a href=\"https://profiles.wordpress.org/helen\">Helen Hou-Sandí</a>, <a href=\"https://profiles.wordpress.org/henrywright\">Henry Wright</a>, <a href=\"https://profiles.wordpress.org/hugobaeta\">Hugo Baeta</a>, <a href=\"https://profiles.wordpress.org/polevaultweb\">Iain Poulson</a>, <a href=\"https://profiles.wordpress.org/iandunn\">Ian Dunn</a>, <a href=\"https://profiles.wordpress.org/igmoweb\">Ignacio Cruz Moreno</a>, <a href=\"https://profiles.wordpress.org/imath\">imath</a>, <a href=\"https://profiles.wordpress.org/inderpreet99\">Inderpreet Singh</a>, <a href=\"https://profiles.wordpress.org/ionutst\">Ionut Stanciu</a>, <a href=\"https://profiles.wordpress.org/ipstenu\">Ipstenu (Mika Epstein)</a>, <a href=\"https://profiles.wordpress.org/jdgrimes\">J.D. Grimes</a>, <a href=\"https://profiles.wordpress.org/macmanx\">James Huff</a>, <a href=\"https://profiles.wordpress.org/jnylen0\">James Nylen</a>, <a href=\"https://profiles.wordpress.org/underdude\">Janne Ala-&#196;ij&#228;l&#228;</a>, <a href=\"https://profiles.wordpress.org/jaspermdegroot\">Jasper de Groot</a>, <a href=\"https://profiles.wordpress.org/javorszky\">javorszky</a>, <a href=\"https://profiles.wordpress.org/jfarthing84\">Jeff Farthing</a>, <a href=\"https://profiles.wordpress.org/cheffheid\">Jeffrey de Wit</a>, <a href=\"https://profiles.wordpress.org/jeremyfelt\">Jeremy Felt</a>, <a href=\"https://profiles.wordpress.org/endocreative\">Jeremy Green</a>, <a href=\"https://profiles.wordpress.org/jeherve\">Jeremy Herve</a>, <a href=\"https://profiles.wordpress.org/jmichaelward\">Jeremy Ward</a>, <a href=\"https://profiles.wordpress.org/jerrysarcastic\">Jerry Bates (jerrysarcastic)</a>, <a href=\"https://profiles.wordpress.org/jesin\">Jesin A</a>, <a href=\"https://profiles.wordpress.org/jipmoors\">Jip Moors</a>, <a href=\"https://profiles.wordpress.org/joedolson\">Joe Dolson</a>, <a href=\"https://profiles.wordpress.org/joehoyle\">Joe Hoyle</a>, <a href=\"https://profiles.wordpress.org/joemcgill\">Joe McGill</a>, <a href=\"https://profiles.wordpress.org/joelwills\">Joel Williams</a>, <a href=\"https://profiles.wordpress.org/j-falk\">Johan Falk</a>, <a href=\"https://profiles.wordpress.org/johnbillion\">John Blackbourn</a>, <a href=\"https://profiles.wordpress.org/johnjamesjacoby\">John James Jacoby</a>, <a href=\"https://profiles.wordpress.org/johnpgreen\">John P. Green</a>, <a href=\"https://profiles.wordpress.org/john_schlick\">John_Schlick</a>, <a href=\"https://profiles.wordpress.org/kenshino\">Jon (Kenshino)</a>, <a href=\"https://profiles.wordpress.org/jbrinley\">Jonathan Brinley</a>, <a href=\"https://profiles.wordpress.org/spacedmonkey\">Jonny Harris</a>, <a href=\"https://profiles.wordpress.org/joostdevalk\">Joost de Valk</a>, <a href=\"https://profiles.wordpress.org/josephscott\">Joseph Scott</a>, <a href=\"https://profiles.wordpress.org/shelob9\">Josh Pollock</a>, <a href=\"https://profiles.wordpress.org/joshuagoodwin\">Joshua Goodwin</a>, <a href=\"https://profiles.wordpress.org/jpdavoutian\">jpdavoutian</a>, <a href=\"https://profiles.wordpress.org/jrf\">jrf</a>, <a href=\"https://profiles.wordpress.org/jsternberg\">jsternberg</a>, <a href=\"https://profiles.wordpress.org/juanfra\">Juanfra Aldasoro</a>, <a href=\"https://profiles.wordpress.org/juhise\">Juhi Saxena</a>, <a href=\"https://profiles.wordpress.org/julesaus\">julesaus</a>, <a href=\"https://profiles.wordpress.org/justinsainton\">Justin Sainton</a>, <a href=\"https://profiles.wordpress.org/ryelle\">Kelly Dwan</a>, <a href=\"https://profiles.wordpress.org/khag7\">Kevin Hagerty</a>, <a href=\"https://profiles.wordpress.org/ixkaito\">Kite</a>, <a href=\"https://profiles.wordpress.org/kjbenk\">kjbenk</a>, <a href=\"https://profiles.wordpress.org/kovshenin\">Konstantin Kovshenin</a>, <a href=\"https://profiles.wordpress.org/obenland\">Konstantin Obenland</a>, <a href=\"https://profiles.wordpress.org/kurtpayne\">Kurt Payne</a>, <a href=\"https://profiles.wordpress.org/offereins\">Laurens Offereins</a>, <a href=\"https://profiles.wordpress.org/lukecavanagh\">Luke Cavanagh</a>, <a href=\"https://profiles.wordpress.org/latz\">Lutz Schr&#246;er</a>, <a href=\"https://profiles.wordpress.org/mpol\">Marcel Pol</a>, <a href=\"https://profiles.wordpress.org/clorith\">Marius L. 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Their efforts make it possible to use WordPress 4.6 in 52 languages. The WordPress 4.6 release video has been captioned into 43 languages.</p>\n<p>If you want to follow along or help out, check out <a href=\"https://make.wordpress.org/\">Make WordPress</a> and our <a href=\"https://make.wordpress.org/core/\">core development blog</a>. Thanks for choosing WordPress. See you soon for version 4.7!</p>\n\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}s:30:\"com-wordpress:feed-additions:1\";a:1:{s:7:\"post-id\";a:1:{i:0;a:5:{s:4:\"data\";s:4:\"4444\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}}}i:3;a:6:{s:4:\"data\";s:39:\"\n		\n		\n		\n		\n				\n		\n		\n\n		\n		\n				\n			\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";s:5:\"child\";a:4:{s:0:\"\";a:6:{s:5:\"title\";a:1:{i:0;a:5:{s:4:\"data\";s:17:\"WordPress 4.6 RC2\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:4:\"link\";a:1:{i:0;a:5:{s:4:\"data\";s:53:\"https://wordpress.org/news/2016/08/wordpress-4-6-rc2/\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:7:\"pubDate\";a:1:{i:0;a:5:{s:4:\"data\";s:31:\"Thu, 11 Aug 2016 00:31:04 +0000\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:8:\"category\";a:3:{i:0;a:5:{s:4:\"data\";s:11:\"Development\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}i:1;a:5:{s:4:\"data\";s:8:\"Releases\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}i:2;a:5:{s:4:\"data\";s:3:\"4.6\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:4:\"guid\";a:1:{i:0;a:5:{s:4:\"data\";s:34:\"https://wordpress.org/news/?p=4427\";s:7:\"attribs\";a:1:{s:0:\"\";a:1:{s:11:\"isPermaLink\";s:5:\"false\";}}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:11:\"description\";a:1:{i:0;a:5:{s:4:\"data\";s:341:\"The second release candidate for WordPress 4.6 is now available. We’ve made over 30 changes since the first release candidate. RC means we think we’re done, but with millions of users and thousands of plugins and themes, it’s possible we’ve missed something. We hope to ship WordPress 4.6 on Tuesday, August 16, but we need [&#8230;]\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}s:32:\"http://purl.org/dc/elements/1.1/\";a:1:{s:7:\"creator\";a:1:{i:0;a:5:{s:4:\"data\";s:27:\"Dominik Schilling (ocean90)\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}s:40:\"http://purl.org/rss/1.0/modules/content/\";a:1:{s:7:\"encoded\";a:1:{i:0;a:5:{s:4:\"data\";s:3450:\"<p>The second release candidate for WordPress 4.6 is now available.</p>\n<p>We’ve made over <a href=\"https://core.trac.wordpress.org/log/branches/4.6/src?action=stop_on_copy&amp;mode=follow_copy&amp;rev=38246&amp;stop_rev=38170&amp;limit=200&amp;verbose=on&amp;sfp_email=&amp;sfph_mail=\">30 changes</a> since the first release candidate. RC means we think we’re done, but with millions of users and thousands of plugins and themes, it’s possible we’ve missed something. We hope to ship WordPress 4.6 on <strong>Tuesday, August 16</strong>, but we need <em>your</em> help to get there.</p>\n<p>If you haven’t tested 4.6 yet, now is the time!</p>\n<p><strong>Think you&#8217;ve found a bug?</strong> Please post to the <a href=\"https://wordpress.org/support/forum/alphabeta/\">Alpha/Beta support forum</a>. If any known issues come up, you&#8217;ll be able to <a href=\"https://core.trac.wordpress.org/report/5\">find them here</a>.</p>\n<p>To test WordPress 4.6, you can use the <a href=\"https://wordpress.org/plugins/wordpress-beta-tester/\">WordPress Beta Tester</a> plugin or you can <a href=\"https://wordpress.org/wordpress-4.6-RC2.zip\">download the release candidate here</a> (zip).</p>\n<p>For more information about what’s new in version 4.6, check out the <a href=\"https://wordpress.org/news/2016/06/wordpress-4-6-beta-1/\">Beta 1</a>, <a href=\"https://wordpress.org/news/2016/07/wordpress-4-6-beta-2/\">Beta 2</a>, <a href=\"https://wordpress.org/news/2016/07/wordpress-4-6-beta-3/\">Beta 3</a>, <a href=\"https://wordpress.org/news/2016/07/wordpress-4-6-beta-4/\">Beta 4</a>, and <a href=\"https://wordpress.org/news/2016/07/wordpress-4-6-release-candidate/\">RC 1</a> blog posts.</p>\n<p>A few changes of note since the first release candidate:</p>\n<ul>\n<li>Support for custom HTTP methods and proxy authentication has been restored.</li>\n<li>Various fixes for the streamlined updates, including better failure messages and error handling, basic back-compat styling for custom update notifications, and additional and standardized JavaScript events.</li>\n<li>Unnecessary reference parameters have been removed from new multisite functions.</li>\n<li>A compatibility issue with PHP 7.0.9 (and PHP 7.1) has been fixed.</li>\n</ul>\n<p><strong>Developers</strong>, please test your plugins and themes against WordPress 4.6 and update your plugin&#8217;s <em>Tested up to</em> version in the readme to 4.6. If you find compatibility problems please be sure to post to the support forums so we can figure those out before the final release – we never want to break things.</p>\n<p>Be sure to read the <a href=\"https://make.wordpress.org/core/2016/07/26/wordpress-4-6-field-guide/\">in-depth field guide</a>, a post with all the developer-focused changes that take place under the hood.</p>\n<p><strong>Translators</strong>, strings are now frozen, including the About Page, so you are clear to translate! <a href=\"https://translate.wordpress.org/projects/wp/dev\">Help us translate WordPress into more than 100 languages!</a></p>\n<p>Happy testing!</p>\n<p><em>The verdict is in,</em><br />\n<em>Can I haz all the features,</em><br />\n<em>Your best WordPress yet.</em></p>\n<p><img src=\"https://s.w.org/images/core/emoji/2.2.1/72x72/1f3f3.png\" alt=\"?\" class=\"wp-smiley\" style=\"height: 1em; max-height: 1em;\" />️‍<img src=\"https://s.w.org/images/core/emoji/2.2.1/72x72/1f308.png\" alt=\"?\" class=\"wp-smiley\" style=\"height: 1em; max-height: 1em;\" /></p>\n\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}s:30:\"com-wordpress:feed-additions:1\";a:1:{s:7:\"post-id\";a:1:{i:0;a:5:{s:4:\"data\";s:4:\"4427\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}}}}i:4;a:6:{s:4:\"data\";s:39:\"\n		\n		\n		\n		\n				\n		\n		\n\n		\n		\n				\n			\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";s:5:\"child\";a:4:{s:0:\"\";a:6:{s:5:\"title\";a:1:{i:0;a:5:{s:4:\"data\";s:31:\"WordPress 4.6 Release Candidate\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:4:\"link\";a:1:{i:0;a:5:{s:4:\"data\";s:67:\"https://wordpress.org/news/2016/07/wordpress-4-6-release-candidate/\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:7:\"pubDate\";a:1:{i:0;a:5:{s:4:\"data\";s:31:\"Wed, 27 Jul 2016 19:14:32 +0000\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:8:\"category\";a:3:{i:0;a:5:{s:4:\"data\";s:11:\"Development\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}i:1;a:5:{s:4:\"data\";s:8:\"Releases\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}i:2;a:5:{s:4:\"data\";s:3:\"4.6\";s:7:\"attribs\";a:0:{}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:4:\"guid\";a:1:{i:0;a:5:{s:4:\"data\";s:34:\"https://wordpress.org/news/?p=4416\";s:7:\"attribs\";a:1:{s:0:\"\";a:1:{s:11:\"isPermaLink\";s:5:\"false\";}}s:8:\"xml_base\";s:0:\"\";s:17:\"xml_base_explicit\";b:0;s:8:\"xml_lang\";s:0:\"\";}}s:11:\"description\";a:1:{i:0;a:5:{s:4:\"data\";s:337:\"The release candidate for WordPress 4.6 is now available. 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To test WordPress 4.6, try the <a href=\"https://wordpress.org/plugins/wordpress-beta-tester/\">WordPress Beta Tester</a> plugin (you’ll want “bleeding edge nightlies”). Or you can <a href=\"https://wordpress.org/wordpress-4.6-beta4.zip\">download the beta here</a> (zip).</p>\n<p>For more information on what’s new in 4.6, check out the <a href=\"https://wordpress.org/news/2016/06/wordpress-4-6-beta-1/\">Beta 1</a>, <a href=\"https://wordpress.org/news/2016/07/wordpress-4-6-beta-2/\">Beta 2</a>, and <a href=\"https://wordpress.org/news/2016/07/wordpress-4-6-beta-3/\">Beta 3</a> blog posts, along with <a href=\"https://make.wordpress.org/core/tag/4-6+dev-notes/\">in-depth field guides</a>. 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(<a href=\"https://core.trac.wordpress.org/ticket/37233\">#37233</a>, <a href=\"https://core.trac.wordpress.org/ticket/37373\">#37373</a>)</li>\n<li>The media player <strong>MediaElement.js</strong> has been updated to 2.22.0 to fix YouTube video embeds (<a href=\"https://core.trac.wordpress.org/ticket/37363\">#37363</a>).</li>\n<li>The <strong>Import screen</strong> was overhauled, improving accessibility and making it much easier to install and run an importer (<a href=\"https://core.trac.wordpress.org/ticket/35191\">#35191</a>).</li>\n<li><strong>Emoji support</strong> has been updated to include all of the latest Unicode 9 emoji characters (<a href=\"https://core.trac.wordpress.org/ticket/37361\">#37361</a>). ???<img src=\"https://s.w.org/images/core/emoji/2.2.1/72x72/1f57a.png\" alt=\"?\" class=\"wp-smiley\" style=\"height: 1em; max-height: 1em;\" /><img src=\"https://s.w.org/images/core/emoji/2.2.1/72x72/1f3fd.png\" alt=\"?\" class=\"wp-smiley\" style=\"height: 1em; max-height: 1em;\" />?<img src=\"https://s.w.org/images/core/emoji/2.2.1/72x72/1f3ff.png\" alt=\"?\" class=\"wp-smiley\" style=\"height: 1em; max-height: 1em;\" /></li>\n<li><strong>Various bug fixes</strong>. 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We’ve made <a href=\"https://core.trac.wordpress.org/log/trunk/src?action=stop_on_copy&amp;mode=stop_on_copy&amp;rev=37992&amp;stop_rev=37925&amp;limit=200&amp;verbose=on\">just over 50 changes</a> in the last week.</li>\n</ul>\n<p>For more of what’s new in version 4.6, <a href=\"https://wordpress.org/news/2016/06/wordpress-4-6-beta-1/\">check out the Beta 1 blog post</a>.</p>\n<p>Do you speak a language other than English? <a href=\"https://translate.wordpress.org/projects/wp/dev\">Help us translate WordPress into more than 100 languages!</a></p>\n<p>If you think you’ve found a bug, you can post to the <a href=\"https://wordpress.org/support/forum/alphabeta\">Alpha/Beta area</a> in the support forums. Or, if you’re comfortable writing a bug report, <a href=\"https://core.trac.wordpress.org/\">file one on the WordPress Trac</a>. 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Ballard, MD, Jia Chen, MA'),(4148,1857,'_article_author','field_544112e3e5201'),(4149,1857,'article_publication','American Journal of Clinical Medicine®'),(4150,1857,'_article_publication','field_5441130be5202'),(4151,1857,'article_date_published_text','Summer'),(4152,1857,'_article_date_published_text','field_54411429e5204'),(4153,1857,'article_published_date','20120924'),(4154,1857,'_article_published_date','field_544113dfe5203'),(4155,1857,'article_volume_number','9'),(4156,1857,'_article_volume_number','field_5441144fe5205'),(4157,1857,'article_number_in_volume','2'),(4158,1857,'_article_number_in_volume','field_54411483e5206'),(4159,1857,'article_starting_page','70'),(4160,1857,'_article_starting_page','field_54411492e5207'),(4161,1857,'article_ending_page','77'),(4162,1857,'_article_ending_page','field_544114b0e5208'),(4163,1857,'article_description','Family medicine is central to medical education strategies that produce rural physicians. In 1996, the Rural Medical Scholars\r\nProgram was created to produce rural family physicians in Alabama. The literature suggests that curriculum can play a supporting role with special admissions in the production of rural family physicians. This study seeks to determine if curriculum factors were associated with family medicine specialty choice among Rural Medical Scholars. A questionnaire was sent to 112 students who had completed the Rural Medical Scholars Program and had either entered or completed residency. Eighty responded to the survey. Several curriculum factors are associated with choosing family medicine specialty among medical students in the Rural Medical Scholars Program; i.e., positive attitudes toward Family Medicine by clinical faculty in  OB/GYN, Pediatrics, Psychiatry, and Neurology, and viewing Family Medicine faculty, Family Medicine residents, and community-based family physician preceptors as stronger than other faculty in terms of being clinicians, teachers, and mentors.'),(4164,1857,'_article_description','field_544114c4e5209'),(4165,1857,'article_pdf','919'),(4166,1857,'_article_pdf','field_54411501e520a'),(4167,1857,'_yoast_wpseo_title','Curriculum Factors Predicting Family Medicine Specialty Choice: An Exploratory Study Among Rural Medical Scholars'),(4168,1858,'_edit_lock','1423603277:12'),(4169,1858,'_edit_last','12'),(4170,1858,'article_title','The Physician’s Role in a Disaster: Our Place in the Community is Greater than Just in our Offices'),(4171,1858,'_article_title','field_54410d9ae5200'),(4172,1858,'article_author','Thomas Horowitz, DO'),(4173,1858,'_article_author','field_544112e3e5201'),(4174,1858,'article_publication','American Journal of Clinical Medicine®'),(4175,1858,'_article_publication','field_5441130be5202'),(4176,1858,'article_date_published_text','Summer'),(4177,1858,'_article_date_published_text','field_54411429e5204'),(4178,1858,'article_published_date','20120924'),(4179,1858,'_article_published_date','field_544113dfe5203'),(4180,1858,'article_volume_number','9'),(4181,1858,'_article_volume_number','field_5441144fe5205'),(4182,1858,'article_number_in_volume','2'),(4183,1858,'_article_number_in_volume','field_54411483e5206'),(4184,1858,'article_starting_page','78'),(4185,1858,'_article_starting_page','field_54411492e5207'),(4186,1858,'article_ending_page','78'),(4187,1858,'_article_ending_page','field_544114b0e5208'),(4188,1858,'article_description','Los Angeles County has one of the most sophisticated disaster systems of any county in the United States. There is one weak link that we need to strengthen, however. The physician community is ill trained and poorly equipped for the type of event we can expect here. We know there are earthquakes coming. There are train and other vehicle accidents. We are on the terrorist’s radar. Yet few outside of the emergency medicine specialty prepare.'),(4189,1858,'_article_description','field_544114c4e5209'),(4190,1858,'article_pdf','918'),(4191,1858,'_article_pdf','field_54411501e520a'),(4192,1858,'_yoast_wpseo_title','The Physician’s Role in a Disaster: Our Place in the Community is Greater than Just in our Offices'),(4194,1860,'_edit_lock','1415116518:12'),(4195,1860,'_edit_last','12'),(4196,1860,'article_title','Urgent Care Centers: An Overview'),(4197,1860,'_article_title','field_54410d9ae5200'),(4198,1860,'article_author','Urgent Care Centers: An Overview'),(4199,1860,'_article_author','field_544112e3e5201'),(4200,1860,'article_publication','American Journal of Clinical Medicine®'),(4201,1860,'_article_publication','field_5441130be5202'),(4202,1860,'article_date_published_text','Summer'),(4203,1860,'_article_date_published_text','field_54411429e5204'),(4204,1860,'article_published_date','20120124'),(4205,1860,'_article_published_date','field_544113dfe5203'),(4206,1860,'article_volume_number','9'),(4207,1860,'_article_volume_number','field_5441144fe5205'),(4208,1860,'article_number_in_volume','2'),(4209,1860,'_article_number_in_volume','field_54411483e5206'),(4210,1860,'article_starting_page','80'),(4211,1860,'_article_starting_page','field_54411492e5207'),(4212,1860,'article_ending_page','81'),(4213,1860,'_article_ending_page','field_544114b0e5208'),(4214,1860,'article_description','Although there are currently more than 9,000 urgent care centers in the United States alone, they continue to be an almost  underground success. Perhaps the roller coaster history of  urgent care has contributed to the quiet but sustained second surge in centers. Although sources are not definitive, the concept of urgent care began as early as 1970, with entrepreneurial physicians opening individual clinics to serve patients’ needs for acute but non-emergent medical care.'),(4215,1860,'_article_description','field_544114c4e5209'),(4216,1860,'article_pdf','917'),(4217,1860,'_article_pdf','field_54411501e520a'),(4218,1860,'_yoast_wpseo_title','Urgent Care Centers: An Overview'),(4219,1861,'_edit_lock','1415116764:12'),(4220,1861,'_edit_last','12'),(4221,1861,'article_title','Urinary Tract Infection Update'),(4222,1861,'_article_title','field_54410d9ae5200'),(4223,1861,'article_author','Kim Gibson, MD, Joseph Toscano, MD'),(4224,1861,'_article_author','field_544112e3e5201'),(4225,1861,'article_publication','American Journal of Clinical Medicine®'),(4226,1861,'_article_publication','field_5441130be5202'),(4227,1861,'article_date_published_text','Summer'),(4228,1861,'_article_date_published_text','field_54411429e5204'),(4229,1861,'article_published_date','20120924'),(4230,1861,'_article_published_date','field_544113dfe5203'),(4231,1861,'article_volume_number','9'),(4232,1861,'_article_volume_number','field_5441144fe5205'),(4233,1861,'article_number_in_volume','2'),(4234,1861,'_article_number_in_volume','field_54411483e5206'),(4235,1861,'article_starting_page','82'),(4236,1861,'_article_starting_page','field_54411492e5207'),(4237,1861,'article_ending_page','86'),(4238,1861,'_article_ending_page','field_544114b0e5208'),(4239,1861,'article_description','Urinary tract infections are commonly treated in urgent care practice. Clinicians need to be aware of the advantages and limitations of diagnostic tests, as well as the proper empiric antibiotic treatment of these infections, in order to effect the best outcomes for patients. Several recent articles and a published guideline provide the most up-to-date information and form the basis of this review.'),(4240,1861,'_article_description','field_544114c4e5209'),(4241,1861,'article_pdf','916'),(4242,1861,'_article_pdf','field_54411501e520a'),(4243,1861,'_yoast_wpseo_title','Urinary Tract Infection Update'),(4244,1862,'_edit_lock','1415117918:12'),(4245,1862,'_edit_last','12'),(4246,1862,'article_title','Acute Infectious Mononucleosis: A Review for Urgent Care Physicians'),(4247,1862,'_article_title','field_54410d9ae5200'),(4248,1862,'article_author','Mark E. Rogers, MD'),(4249,1862,'_article_author','field_544112e3e5201'),(4250,1862,'article_publication','American Journal of Clinical Medicine®'),(4251,1862,'_article_publication','field_5441130be5202'),(4252,1862,'article_date_published_text','Summer'),(4253,1862,'_article_date_published_text','field_54411429e5204'),(4254,1862,'article_published_date','20120924'),(4255,1862,'_article_published_date','field_544113dfe5203'),(4256,1862,'article_volume_number','9'),(4257,1862,'_article_volume_number','field_5441144fe5205'),(4258,1862,'article_number_in_volume','2'),(4259,1862,'_article_number_in_volume','field_54411483e5206'),(4260,1862,'article_starting_page','88'),(4261,1862,'_article_starting_page','field_54411492e5207'),(4262,1862,'article_ending_page','91'),(4263,1862,'_article_ending_page','field_544114b0e5208'),(4264,1862,'article_description','Acute infectious mononucleosis (IM) is a common illness that presents to urgent care facilities. The presenting symptoms of acute IM can range from the obvious, such as persistent exudative tonsillitis and marked cervical lymphadenopathy, to the\r\nmore vague symptoms of fatigue and malaise. Although most cases of acute IM are either subclinical or require only supportive care, some cases can have severe and life-threatening complications. Arrival at the correct diagnosis can be complicated by the timing of the patient’s presentation, since the sensitivities and specificities of the various laboratory and diagnostic tests change as the illness evolves. Even those patients without any complications can have prolonged symptoms and difficulty returning to school, work, or physical activities.'),(4265,1862,'_article_description','field_544114c4e5209'),(4266,1862,'article_pdf','915'),(4267,1862,'_article_pdf','field_54411501e520a'),(4268,1862,'_yoast_wpseo_title','Acute Infectious Mononucleosis: A Review for Urgent Care Physicians'),(4269,1863,'_edit_lock','1415124286:12'),(4270,1863,'_edit_last','12'),(4271,1863,'article_title','Review of Important ECG Findings in Patients with Syncope'),(4272,1863,'_article_title','field_54410d9ae5200'),(4273,1863,'article_author','Joseph Toscano, MD'),(4274,1863,'_article_author','field_544112e3e5201'),(4275,1863,'article_publication','American Journal of Clinical Medicine®'),(4276,1863,'_article_publication','field_5441130be5202'),(4277,1863,'article_date_published_text','Summer'),(4278,1863,'_article_date_published_text','field_54411429e5204'),(4279,1863,'article_published_date','20120924'),(4280,1863,'_article_published_date','field_544113dfe5203'),(4281,1863,'article_volume_number','9'),(4282,1863,'_article_volume_number','field_5441144fe5205'),(4283,1863,'article_number_in_volume','2'),(4284,1863,'_article_number_in_volume','field_54411483e5206'),(4285,1863,'article_starting_page','92'),(4286,1863,'_article_starting_page','field_54411492e5207'),(4287,1863,'article_ending_page','96'),(4288,1863,'_article_ending_page','field_544114b0e5208'),(4289,1863,'article_description','Guidelines recommend 12-lead ECG as an important test to perform in patients with syncope. Though the incidence of ECG abnormalities is quite low, urgent care clinicians must be knowledgeable about the findings which portend the highest risk for these patients. Having a structured approach to interpreting these patients’ ECGs, and acting appropriately when abnormalities are found, should minimize morbidity and mortality in this patient group.'),(4290,1863,'_article_description','field_544114c4e5209'),(4291,1863,'article_pdf','914'),(4292,1863,'_article_pdf','field_54411501e520a'),(4293,1863,'_yoast_wpseo_title','Review of Important ECG Findings in Patients with Syncope'),(4294,1864,'_edit_lock','1415123937:12'),(4295,1864,'_edit_last','12'),(4296,1864,'article_title','Rhinosinusitis: An Urgent Care Perspective'),(4297,1864,'_article_title','field_54410d9ae5200'),(4298,1864,'article_author','Sean M. McNeeley, MD'),(4299,1864,'_article_author','field_544112e3e5201'),(4300,1864,'article_publication','American Journal of Clinical Medicine®'),(4301,1864,'_article_publication','field_5441130be5202'),(4302,1864,'article_date_published_text','Summer'),(4303,1864,'_article_date_published_text','field_54411429e5204'),(4304,1864,'article_published_date','20120924'),(4305,1864,'_article_published_date','field_544113dfe5203'),(4306,1864,'article_volume_number','9'),(4307,1864,'_article_volume_number','field_5441144fe5205'),(4308,1864,'article_number_in_volume','2'),(4309,1864,'_article_number_in_volume','field_54411483e5206'),(4310,1864,'article_starting_page','98'),(4311,1864,'_article_starting_page','field_54411492e5207'),(4312,1864,'article_ending_page','101'),(4313,1864,'_article_ending_page','field_544114b0e5208'),(4314,1864,'article_description','Although sinusitis in one of the most common diagnoses in the acute care setting, controversy remains about how to diagnose and treat it. This is particularly evident when you  compare practice patterns to the medical literature. Although  less than 2% of acute sinusitis cases are likely bacterial, as many as 92% of patients receive antibiotics. Part of this disparity may be due to patients’ expectations. An understanding of the currently accepted methods of diagnosis and treatment as well as tools to assist providers in decreasing patients’ expectations for antibiotics may help providers narrow this gap. This article reviews current diagnostic and treatment patterns and methods to modify patient expectations with the goal of applying the information to the urgent care setting.'),(4315,1864,'_article_description','field_544114c4e5209'),(4316,1864,'article_pdf','913'),(4317,1864,'_article_pdf','field_54411501e520a'),(4318,1864,'_yoast_wpseo_title','Rhinosinusitis: An Urgent Care Perspective'),(4319,1865,'_edit_lock','1415123896:12'),(4320,1865,'_edit_last','12'),(4321,1865,'article_title','Wellens’ Syndrome: A Case Report'),(4322,1865,'_article_title','field_54410d9ae5200'),(4323,1865,'article_author','Joseph Toscano, MD'),(4324,1865,'_article_author','field_544112e3e5201'),(4325,1865,'article_publication','American Journal of Clinical Medicine®'),(4326,1865,'_article_publication','field_5441130be5202'),(4327,1865,'article_date_published_text','Summer'),(4328,1865,'_article_date_published_text','field_54411429e5204'),(4329,1865,'article_published_date','20120924'),(4330,1865,'_article_published_date','field_544113dfe5203'),(4331,1865,'article_volume_number','9'),(4332,1865,'_article_volume_number','field_5441144fe5205'),(4333,1865,'article_number_in_volume','2'),(4334,1865,'_article_number_in_volume','field_54411483e5206'),(4335,1865,'article_starting_page','102'),(4336,1865,'_article_starting_page','field_54411492e5207'),(4337,1865,'article_ending_page','103'),(4338,1865,'_article_ending_page','field_544114b0e5208'),(4339,1865,'article_description','Patients uncommonly present to urgent care clinics with ischemic cardiac symptoms, but these situations do occur and represent a high risk to both clinician and patient. All clinicians should be aware of any ECG findings which may predict potential cardiac risk. Wellens’ sign is one ECG pattern which, when present, is highly specific for significant coronary heart disease, even in patients whose symptoms have resolved by the time the ECG is performed. This article will present a specific patient case and review the pertinent ECG findings of Wellens’ syndrome.'),(4340,1865,'_article_description','field_544114c4e5209'),(4341,1865,'article_pdf','912'),(4342,1865,'_article_pdf','field_54411501e520a'),(4343,1865,'_yoast_wpseo_title','Wellens’ Syndrome: A Case Report'),(4344,1866,'_edit_lock','1415890131:12'),(4345,1866,'_edit_last','12'),(4346,1866,'article_title','The Rural Health Landscape in Jeopardy'),(4347,1866,'_article_title','field_54410d9ae5200'),(4348,1866,'article_author','Alan Morgan, CEO, National Rural Health Association'),(4349,1866,'_article_author','field_544112e3e5201'),(4350,1866,'article_publication','American Journal of Clinical Medicine®'),(4351,1866,'_article_publication','field_5441130be5202'),(4352,1866,'article_date_published_text','Winter'),(4353,1866,'_article_date_published_text','field_54411429e5204'),(4354,1866,'article_published_date','20120316'),(4355,1866,'_article_published_date','field_544113dfe5203'),(4356,1866,'article_volume_number','9'),(4357,1866,'_article_volume_number','field_5441144fe5205'),(4358,1866,'article_number_in_volume','1'),(4359,1866,'_article_number_in_volume','field_54411483e5206'),(4360,1866,'article_starting_page','8'),(4361,1866,'_article_starting_page','field_54411492e5207'),(4362,1866,'article_ending_page','9'),(4363,1866,'_article_ending_page','field_544114b0e5208'),(4364,1866,'article_description','Rural America is not simply a “small” version of urban America. It is a unique health care delivery environment. Rural is that place where those most in need of health care services oftentimes have the fewest options available when it comes to accessing care. Sixty-two million Americans live and work in rural areas of the United States, and a substantial number of these areas are federally designated as Health Profession Shortage Areas. The challenge from a national perspective is how best to address the health care needs of this important population group.'),(4365,1866,'_article_description','field_544114c4e5209'),(4366,1866,'article_pdf','1878'),(4367,1866,'_article_pdf','field_54411501e520a'),(4368,1867,'_wp_attached_file','About-Rural-Health-in-America.pdf'),(4369,1868,'_wp_attached_file','Adenocarcinoma-Arising-in-a-Three-Millimeter-Thick-Endometrium.pdf'),(4370,1869,'_wp_attached_file','Anaphylaxis-Diagnois-Management-in-the-Rural-Emergency-Department.pdf'),(4371,1870,'_wp_attached_file','Celluitis-Following-Newborn-Circumcision.pdf'),(4372,1871,'_wp_attached_file','Fetal-Heart-Rate-Misrepresented-by-Maternal-Heart-Rate.pdf'),(4373,1872,'_wp_attached_file','Heterotaxy-Syndrome-in-a-Young-Adult.pdf'),(4374,1873,'_wp_attached_file','Investigating-a-Rural-Rotation-in-the-Mississippi-Delta.pdf'),(4375,1874,'_wp_attached_file','Medical-Education-Cost-Debt-Impacting-Future-Rural-Physicians.pdf'),(4376,1875,'_wp_attached_file','Medical-Ethics-without-the-Rhetoric.pdf'),(4377,1876,'_wp_attached_file','Orthopedic-Issues-in-Family-and-EM-Managing-Common-Fractures-The-Heel.pdf'),(4378,1877,'_wp_attached_file','Preconception-Couseling-to-Prevent-the-Complicatoins-of-Obesity-during-Pregnancy.pdf'),(4379,1878,'_wp_attached_file','Rural-Health-Landscape-in-Jeopardy.pdf'),(4380,1879,'_wp_attached_file','Sounding-Board-Doctor-My-Legs-are-Swelling.pdf'),(4381,1880,'_wp_attached_file','Unusual-Presentation-of-Aggressive-Neuroendocrine-Tumor.pdf'),(4382,1881,'_edit_lock','1415127985:12'),(4383,1881,'_edit_last','12'),(4384,1881,'article_title','About Rural Health in America'),(4385,1881,'_article_title','field_54410d9ae5200'),(4386,1881,'article_author','National Organization of State Offices of Rural Health'),(4387,1881,'_article_author','field_544112e3e5201'),(4388,1881,'article_publication','American Journal of Clinical Medicine®'),(4389,1881,'_article_publication','field_5441130be5202'),(4390,1881,'article_date_published_text','Winter'),(4391,1881,'_article_date_published_text','field_54411429e5204'),(4392,1881,'article_published_date','20120916'),(4393,1881,'_article_published_date','field_544113dfe5203'),(4394,1881,'article_volume_number','9'),(4395,1881,'_article_volume_number','field_5441144fe5205'),(4396,1881,'article_number_in_volume','1'),(4397,1881,'_article_number_in_volume','field_54411483e5206'),(4398,1881,'article_starting_page','10'),(4399,1881,'_article_starting_page','field_54411492e5207'),(4400,1881,'article_ending_page','4'),(4401,1881,'_article_ending_page','field_544114b0e5208'),(4402,1881,'article_description','Approximately 62 million people – nearly one in five Americans – live in rural and frontier areas.'),(4403,1881,'_article_description','field_544114c4e5209'),(4404,1881,'article_pdf','1867'),(4405,1881,'_article_pdf','field_54411501e520a'),(4406,1882,'_edit_lock','1415128394:12'),(4407,1882,'_edit_last','12'),(4408,1882,'article_title','Medical Education Cost & Debt Impacting Future Rural Physicians'),(4409,1882,'_article_title','field_54410d9ae5200'),(4410,1882,'article_author','C. Cory Smith, RN, PhD(c)'),(4411,1882,'_article_author','field_544112e3e5201'),(4412,1882,'article_publication','American Journal of Clinical Medicine®'),(4413,1882,'_article_publication','field_5441130be5202'),(4414,1882,'article_date_published_text','Winter'),(4415,1882,'_article_date_published_text','field_54411429e5204'),(4416,1882,'article_published_date','20120916'),(4417,1882,'_article_published_date','field_544113dfe5203'),(4418,1882,'article_volume_number','9'),(4419,1882,'_article_volume_number','field_5441144fe5205'),(4420,1882,'article_number_in_volume','1'),(4421,1882,'_article_number_in_volume','field_54411483e5206'),(4422,1882,'article_starting_page','11'),(4423,1882,'_article_starting_page','field_54411492e5207'),(4424,1882,'article_ending_page','13'),(4425,1882,'_article_ending_page','field_544114b0e5208'),(4426,1882,'article_description','The concept of a rural physician shortage is not a recent discovery.  The shortage has existed for more than 80 years despite the fact that, in general, people living in rural areas have a greater need for medical care, being older, sicker, and poorer than their non–rural peers.'),(4427,1882,'_article_description','field_544114c4e5209'),(4428,1882,'article_pdf','1874'),(4429,1882,'_article_pdf','field_54411501e520a'),(4430,1883,'_edit_lock','1415129005:12'),(4431,1883,'_edit_last','12'),(4432,1883,'article_title','Anaphylaxis: Diagnosis & Management in the Rural Emergency Department'),(4433,1883,'_article_title','field_54410d9ae5200'),(4434,1883,'article_author','M. Scott Linscott, MD'),(4435,1883,'_article_author','field_544112e3e5201'),(4436,1883,'article_publication','American Journal of Clinical Medicine®'),(4437,1883,'_article_publication','field_5441130be5202'),(4438,1883,'article_date_published_text','Winter'),(4439,1883,'_article_date_published_text','field_54411429e5204'),(4440,1883,'article_published_date','20120316'),(4441,1883,'_article_published_date','field_544113dfe5203'),(4442,1883,'article_volume_number','9'),(4443,1883,'_article_volume_number','field_5441144fe5205'),(4444,1883,'article_number_in_volume','1'),(4445,1883,'_article_number_in_volume','field_54411483e5206'),(4446,1883,'article_starting_page','14'),(4447,1883,'_article_starting_page','field_54411492e5207'),(4448,1883,'article_ending_page','21'),(4449,1883,'_article_ending_page','field_544114b0e5208'),(4450,1883,'article_description','<p style=\"text-align: justify;\">It is not uncommon for patients to present to a rural emergency department with one of the syndromes of  anaphylaxis: urticaria, angioedema, and severe anaphylaxis. Therefore, it is important for the rural health care provider to be able to recognize these anaphylaxis syndromes and manage them appropriately. Urticaria and/or angioedema may present as isolated entities or may be combined with asthma and/or hypotension to produce severe anaphylaxis. The mainstays of treatment of urticaria are the H1 and H2 receptor anatagonists, most effective when given in combination intravenously. Acute angioedema may occur with or without urticaria and is treated with epinephrine. In severe anaphylaxis, urticaria and/or angioedema are accompanied by acute bronchospasm and or hypotension. Immediate therapy with parenteral epinephrine as well as rapid fluid resuscitation is critical for its successful management. Patients with angioedema or severe anaphylaxis should be given epinephrine auto-injectors prior to discharge. Follow-up with an allergist is recommended for most patients with anaphylaxis.</p>'),(4451,1883,'_article_description','field_544114c4e5209'),(4452,1883,'article_pdf','1869'),(4453,1883,'_article_pdf','field_54411501e520a'),(4454,1884,'_edit_lock','1415889998:12'),(4455,1884,'_edit_last','12'),(4456,1884,'article_title','Investigating a Rural Rotation in the Mississippi Delta: A Qualitative Study in Medical Education'),(4457,1884,'_article_title','field_54410d9ae5200'),(4458,1884,'article_author','C. Cory Smith, RN, PhD(c)'),(4459,1884,'_article_author','field_544112e3e5201'),(4460,1884,'article_publication','American Journal of Clinical Medicine®'),(4461,1884,'_article_publication','field_5441130be5202'),(4462,1884,'article_date_published_text','Winter'),(4463,1884,'_article_date_published_text','field_54411429e5204'),(4464,1884,'article_published_date','20120316'),(4465,1884,'_article_published_date','field_544113dfe5203'),(4466,1884,'article_volume_number','9'),(4467,1884,'_article_volume_number','field_5441144fe5205'),(4468,1884,'article_number_in_volume','1'),(4469,1884,'_article_number_in_volume','field_54411483e5206'),(4470,1884,'article_starting_page','22'),(4471,1884,'_article_starting_page','field_54411492e5207'),(4472,1884,'article_ending_page','27'),(4473,1884,'_article_ending_page','field_544114b0e5208'),(4474,1884,'article_description','<p style=\"text-align: justify;\">With access to health care coupled with a severe shortage of  physicians being on the forefront of much debate nationally and internationally, rural areas often suffer the worst. Innovations in medical education, such as the creation of rural immersion rotations,  are attempting to solve this health crisis. The purpose of this study was to investigate and analyze the narrative writings of 36 fourth-year medical students and primary care residents that participated in a rural immersion rotation in the Mississippi Delta. A grounded theory data analysis led to the emergence of  three central themes: professional development, contrast from academic medicine, and alteration of prior perceptions/misconceptions. The findings of this research provided rich data from the perspective of the medical student and resident.</p>'),(4475,1884,'_article_description','field_544114c4e5209'),(4476,1884,'article_pdf','1873'),(4477,1884,'_article_pdf','field_54411501e520a'),(4481,1886,'_article_title','field_54410d9ae5200'),(4482,1886,'article_author','Thomas G. Pelz, DO'),(4483,1886,'_article_author','field_544112e3e5201'),(4484,1886,'article_publication','American Journal of Clinical Medicine®'),(4485,1886,'_article_publication','field_5441130be5202'),(4486,1886,'article_date_published_text','Winter'),(4487,1886,'_article_date_published_text','field_54411429e5204'),(4488,1886,'article_published_date','20120316'),(4489,1886,'_article_published_date','field_544113dfe5203'),(4490,1886,'article_volume_number','9'),(4491,1886,'_article_volume_number','field_5441144fe5205'),(4492,1886,'article_number_in_volume','1'),(4493,1886,'_article_number_in_volume','field_54411483e5206'),(4494,1886,'article_starting_page','28'),(4495,1886,'_article_starting_page','field_54411492e5207'),(4496,1886,'article_ending_page','29'),(4497,1886,'_article_ending_page','field_544114b0e5208'),(4498,1886,'article_description','One of the most frequent reasons a physician is consulted by a patient is for leg swelling. The expected response from the physician is a prescription for a diuretic, such as hydrochlorothiazide or furosemide. Unfortunately, our society expects that a pill will cure their problem. All too often, the desired solution has untoward outcomes. I find it interesting that the person seeking the pill solution to this problem will ignore all of the published side effects of the diuretic but will usually demand to be informed what the complications are for a medication that they need for another problem.'),(4499,1886,'_article_description','field_544114c4e5209'),(4500,1886,'article_pdf','1879'),(4501,1886,'_article_pdf','field_54411501e520a'),(4503,1889,'_edit_lock','1415891218:12'),(4504,1889,'_edit_last','12'),(4505,1889,'article_title','Preconception Counseling to Prevent the Complications of Obesity During Pregnancy'),(4506,1889,'_article_title','field_54410d9ae5200'),(4507,1889,'article_author','Merri M. Paden, MD, Daniel M. Avery Jr., MD'),(4508,1889,'_article_author','field_544112e3e5201'),(4509,1889,'article_publication','American Journal of Clinical Medicine®'),(4510,1889,'_article_publication','field_5441130be5202'),(4511,1889,'article_date_published_text','Winter'),(4512,1889,'_article_date_published_text','field_54411429e5204'),(4513,1889,'article_published_date','20120316'),(4514,1889,'_article_published_date','field_544113dfe5203'),(4515,1889,'article_volume_number','9'),(4516,1889,'_article_volume_number','field_5441144fe5205'),(4517,1889,'article_number_in_volume','1'),(4518,1889,'_article_number_in_volume','field_54411483e5206'),(4519,1889,'article_starting_page','30'),(4520,1889,'_article_starting_page','field_54411492e5207'),(4521,1889,'article_ending_page','35'),(4522,1889,'_article_ending_page','field_544114b0e5208'),(4523,1889,'article_description','<p style=\"text-align: justify;\">Obesity is epidemic in proportions in the United States, and obesity rates continue to rise each year. The group with the fastest rising obesity rate is young women in the reproductive years between the ages of 19 and 28. Obstetricians   and gynecologists see many women who fall into the overweight and obese categories. Without intervention these numbers will  continue to rise, putting patients and offspring at risk for numerous complications during pregnancy. Obstetricians and gynecologists often function as primary care providers because many women see only their OB/GYN for health care needs. Obstetricians and gynecologists have an opportunity to incorporate nutrition and exercise education into the primary care regimen of the women they see, because pregnancy and the postpartum period present a unique opportunity to impact the health of women for the rest of their lives. Lifestyle, nutrition, and weight loss counseling are not traditional  components of OB/GYN care but can complement services of other primary care specialties such as internal medicine and family medicine. Pre-pregnancy body mass index, weight gain during  pregnancy, and weight loss in the first year postpartum are all independent predictors of body mass index 15 years after pregnancy.</p>'),(4524,1889,'_article_description','field_544114c4e5209'),(4525,1889,'article_pdf','1877'),(4526,1889,'_article_pdf','field_54411501e520a'),(4527,1890,'_edit_lock','1415892204:12'),(4528,1890,'_edit_last','12'),(4529,1890,'article_title','Case Report: Cellulitis Following Newborn Circumcision'),(4530,1890,'_article_title','field_54410d9ae5200'),(4531,1890,'article_author','Daniel M. Avery Jr., MD, Daniel M. Avery, III, MD, John T. McDonald, Jr., MD, Joseph C. Wallace, MD'),(4532,1890,'_article_author','field_544112e3e5201'),(4533,1890,'article_publication','American Journal of Clinical Medicine®'),(4534,1890,'_article_publication','field_5441130be5202'),(4535,1890,'article_date_published_text','Winter'),(4536,1890,'_article_date_published_text','field_54411429e5204'),(4537,1890,'article_published_date','20120316'),(4538,1890,'_article_published_date','field_544113dfe5203'),(4539,1890,'article_volume_number','9'),(4540,1890,'_article_volume_number','field_5441144fe5205'),(4541,1890,'article_number_in_volume','1'),(4542,1890,'_article_number_in_volume','field_54411483e5206'),(4543,1890,'article_starting_page','45'),(4544,1890,'_article_starting_page','field_54411492e5207'),(4545,1890,'article_ending_page','47'),(4546,1890,'_article_ending_page','field_544114b0e5208'),(4547,1890,'article_description','<p style=\"text-align: justify;\">An obstetrics fellow performed a circumcision using a Plastibell ® Circumcision Device on a healthy, term newborn male without incident several hours before discharge. The parents returned with the infant to the hospital emergency department because of a “bubble at the end of his penis the size of a grape.” The child was visibly distressed and crying, but this stopped when the “bubble” burst. An emergency medicine attending and a family medicine resident covering OB/GYN and pediatrics examined the newborn. Several diagnoses were entertained including an allergic reaction. Both physicians thought that the findings were not serious, and the child was discharged home with follow up the next day in the pediatric clinic.</p>'),(4548,1890,'_article_description','field_544114c4e5209'),(4549,1890,'article_pdf','1870'),(4550,1890,'_article_pdf','field_54411501e520a'),(4551,1891,'_edit_lock','1415892721:12'),(4552,1891,'_edit_last','12'),(4553,1891,'article_title','Medical Ethics Without the Rhetoric - Case 11 Hands off, Doc!'),(4554,1891,'_article_title','field_54410d9ae5200'),(4555,1891,'article_author','Mark Pastin, PhD'),(4556,1891,'_article_author','field_544112e3e5201'),(4557,1891,'article_publication','American Journal of Clinical Medicine®'),(4558,1891,'_article_publication','field_5441130be5202'),(4559,1891,'article_date_published_text','Winter'),(4560,1891,'_article_date_published_text','field_54411429e5204'),(4561,1891,'article_published_date','20120316'),(4562,1891,'_article_published_date','field_544113dfe5203'),(4563,1891,'article_volume_number','9'),(4564,1891,'_article_volume_number','field_5441144fe5205'),(4565,1891,'article_number_in_volume','1'),(4566,1891,'_article_number_in_volume','field_54411483e5206'),(4567,1891,'article_starting_page','48'),(4568,1891,'_article_starting_page','field_54411492e5207'),(4569,1891,'article_ending_page','49'),(4570,1891,'_article_ending_page','field_544114b0e5208'),(4571,1891,'article_description','<p style=\"text-align: justify;\">You are on duty in an area of the hospital where there are many elderly patients. While you are caring for one patient in a shared room, you hear warning beeps from a monitoring device for the other patient in the room. While the other patient has a different attending physician, you look to see if the situation is serious and conclude that an immediate intervention is needed. When you approach the patient, the patient mutters, “I don’t want one of you touching me.” You are from the Middle East and assume that the patient is referring to this fact in saying “one of you.” In the state in which you are practicing, it is considered assault to touch a patient against the patient’s wishes. You doubt that you can get another physician to the scene in time to save the patient’s life. Should you intervene?</p>'),(4572,1891,'_article_description','field_544114c4e5209'),(4573,1891,'article_pdf','1875'),(4574,1891,'_article_pdf','field_54411501e520a'),(4575,1892,'_edit_lock','1415893258:12'),(4576,1892,'_edit_last','12'),(4577,1892,'article_title','Adenocarcinoma Arising in a Three Millimeter-Thick Endometrium'),(4578,1892,'_article_title','field_54410d9ae5200'),(4579,1892,'article_author','Daniel M. Avery, Jr., MD, Daniel M. Avery, III, MD, Marion D. Reed, MD, Joseph C. Wallace, MD'),(4580,1892,'_article_author','field_544112e3e5201'),(4581,1892,'article_publication','American Journal of Clinical Medicine®'),(4582,1892,'_article_publication','field_5441130be5202'),(4583,1892,'article_date_published_text','Winter'),(4584,1892,'_article_date_published_text','field_54411429e5204'),(4585,1892,'article_published_date','20120316'),(4586,1892,'_article_published_date','field_544113dfe5203'),(4587,1892,'article_volume_number','9'),(4588,1892,'_article_volume_number','field_5441144fe5205'),(4589,1892,'article_number_in_volume','1'),(4590,1892,'_article_number_in_volume','field_54411483e5206'),(4591,1892,'article_starting_page','50'),(4592,1892,'_article_starting_page','field_54411492e5207'),(4593,1892,'article_ending_page','51'),(4594,1892,'_article_ending_page','field_544114b0e5208'),(4595,1892,'article_description','<p style=\"text-align: justify;\">Numerous papers have recommended nonintervention for postmenopausal bleeding when the endometrial thickness on transvaginal ultrasound is four millimeters or less because the reported risk of endometrial cancer is very low. A case of  adenocarcinoma arising in a three millimeter thick endometrium is presented. Occasionally, clinical judgment and suspicion are important in caring for the patient despite recommended guidelines and protocols.</p>'),(4596,1892,'_article_description','field_544114c4e5209'),(4597,1892,'article_pdf','1868'),(4598,1892,'_article_pdf','field_54411501e520a'),(4599,1893,'_edit_lock','1415893904:12'),(4600,1893,'_edit_last','12'),(4601,1893,'article_title',' Case Report: Fetal Heart Rate Misrepresented by Maternal Heart Rate – A Case of Signal Ambiguity '),(4602,1893,'_article_title','field_54410d9ae5200'),(4603,1893,'article_author','Ikechukwu Emereuwaonu, MD'),(4604,1893,'_article_author','field_544112e3e5201'),(4605,1893,'article_publication','American Journal of Clinical Medicine®'),(4606,1893,'_article_publication','field_5441130be5202'),(4607,1893,'article_date_published_text','Winter'),(4608,1893,'_article_date_published_text','field_54411429e5204'),(4609,1893,'article_published_date','20120316'),(4610,1893,'_article_published_date','field_544113dfe5203'),(4611,1893,'article_volume_number','9'),(4612,1893,'_article_volume_number','field_5441144fe5205'),(4613,1893,'article_number_in_volume','1'),(4614,1893,'_article_number_in_volume','field_54411483e5206'),(4615,1893,'article_starting_page','52'),(4616,1893,'_article_starting_page','field_54411492e5207'),(4617,1893,'article_ending_page','57'),(4618,1893,'_article_ending_page','field_544114b0e5208'),(4619,1893,'article_description','<p style=\"text-align: justify;\">Interpretation of Electronic Fetal Heart Rate (EFHR) patterns, as the major component of the non stress test (NST) and contraction stress test(CST), is a required skill for prenatal and delivery care. However, there are situations where the fetal heart rate tracing may be misleading.1 Because the decision to perform emergency cesarean section frequently hinges on (EFHR) monitoring, it is important to recognize situations where EFHR monitoring could be misleading.</p>'),(4620,1893,'_article_description','field_544114c4e5209'),(4621,1893,'article_pdf','1871'),(4622,1893,'_article_pdf','field_54411501e520a'),(4623,1894,'_edit_lock','1415894436:12'),(4624,1894,'_edit_last','12'),(4625,1894,'article_title','Orthopedic Issues in Family & Emergency Medicine – Managing Common Fractures: The Heel'),(4626,1894,'_article_title','field_54410d9ae5200'),(4627,1894,'article_author','Michael Jerkins, Medical Student, Ravi Kumar Singh, MD'),(4628,1894,'_article_author','field_544112e3e5201'),(4629,1894,'article_publication','American Journal of Clinical Medicine®'),(4630,1894,'_article_publication','field_5441130be5202'),(4631,1894,'article_date_published_text','Winter'),(4632,1894,'_article_date_published_text','field_54411429e5204'),(4633,1894,'article_published_date','20120316'),(4634,1894,'_article_published_date','field_544113dfe5203'),(4635,1894,'article_volume_number','9'),(4636,1894,'_article_volume_number','field_5441144fe5205'),(4637,1894,'article_number_in_volume','1'),(4638,1894,'_article_number_in_volume','field_54411483e5206'),(4639,1894,'article_starting_page','58'),(4640,1894,'_article_starting_page','field_54411492e5207'),(4641,1894,'article_ending_page','60'),(4642,1894,'_article_ending_page','field_544114b0e5208'),(4643,1894,'article_description','<p style=\"text-align: justify;\">Physicians need skills in the diagnosis and management of commonly occurring injuries. In many places, subspecialist help is not available or affordable.1 These basic skills reflect the reality of community medical practice for a variety of specialties staffing rural emergency rooms, primary care offices, and mission  hospitals. For younger physicians, most academic medical centers teach a curriculum of “Refer to Ortho.” Hatch et al. have described the epidemiology of common fractures in the community.</p>'),(4644,1894,'_article_description','field_544114c4e5209'),(4645,1894,'article_pdf','1876'),(4646,1894,'_article_pdf','field_54411501e520a'),(4647,1895,'_edit_lock','1415901614:12'),(4648,1895,'_edit_last','12'),(4649,1895,'article_title','Case Report: Unusual Presentation of Aggressive Neuroendocrine Tumor'),(4650,1895,'_article_title','field_54410d9ae5200'),(4651,1895,'article_author','Brian W. Harris, PhD, MD, FAAR,  Jordan Gularek, DO'),(4652,1895,'_article_author','field_544112e3e5201'),(4653,1895,'article_publication','American Journal of Clinical Medicine®'),(4654,1895,'_article_publication','field_5441130be5202'),(4655,1895,'article_date_published_text','Winter'),(4656,1895,'_article_date_published_text','field_54411429e5204'),(4657,1895,'article_published_date','20120316'),(4658,1895,'_article_published_date','field_544113dfe5203'),(4659,1895,'article_volume_number','9'),(4660,1895,'_article_volume_number','field_5441144fe5205'),(4661,1895,'article_number_in_volume','1'),(4662,1895,'_article_number_in_volume','field_54411483e5206'),(4663,1895,'article_starting_page','61'),(4664,1895,'_article_starting_page','field_54411492e5207'),(4665,1895,'article_ending_page','63'),(4666,1895,'_article_ending_page','field_544114b0e5208'),(4667,1895,'article_description','<p style=\"text-align: justify;\">Neuroendocrine tumors (NETs) are rare neoplasms that occur in 1 out of 100,000 people in the United States and can occur in any body tissue, although most commonly located in the lung and small intestine. They arise from various neuroendocrine cells and, while many are benign, malignant cases are reported. While NETs are known to excessively produce hormones, 50% of NETs are non-functional in nature and clinically silent.1,2 This feature can allow the tumor to grow to massive sizes or metastasize to other organs, making early recognition and treatment difficult and dramatically changing prognosis. It is reported that 40-93% of gastrointestinal NETs metastasize to the liver.1 The following report is a rare case of a massive metastatic liver neuroendocrine tumor found incidentally in a 47-year-old gentleman who presented to the emergency department complaining of seizures. The pathophysiology, etiology, and treatment options for metastatic liver tumor from NETs will be discussed.</p>'),(4668,1895,'_article_description','field_544114c4e5209'),(4669,1895,'article_pdf','1880'),(4670,1895,'_article_pdf','field_54411501e520a'),(4671,1896,'_edit_lock','1415912350:12'),(4672,1896,'_edit_last','12'),(4673,1896,'article_title','Why Train Physicians in Disaster Medicine? Management of 1,000 Injuries Following an F5 Tornado in Tuscaloosa, Alabama'),(4674,1896,'_article_title','field_54410d9ae5200'),(4675,1896,'article_author','Daniel M. Avery, Jr., MD, FAASS'),(4676,1896,'_article_author','field_544112e3e5201'),(4677,1896,'article_publication','American Journal of Clinical Medicine®'),(4678,1896,'_article_publication','field_5441130be5202'),(4679,1896,'article_date_published_text','Fall'),(4680,1896,'_article_date_published_text','field_54411429e5204'),(4681,1896,'article_published_date','20111205'),(4682,1896,'_article_published_date','field_544113dfe5203'),(4683,1896,'article_volume_number','8'),(4684,1896,'_article_volume_number','field_5441144fe5205'),(4685,1896,'article_number_in_volume','3'),(4686,1896,'_article_number_in_volume','field_54411483e5206'),(4687,1896,'article_starting_page','124'),(4688,1896,'_article_starting_page','field_54411492e5207'),(4689,1896,'article_ending_page','125'),(4690,1896,'_article_ending_page','field_544114b0e5208'),(4691,1896,'article_description','<p style=\"text-align: justify;\">On April 27, 2011, the City of Tuscaloosa, Alabama, suffered the worst natural disaster in its history. A mile-wide F5 tornado with 200 mile an hour winds damaged or completely destroyed a significant portion of Tuscaloosa. There were 43 casualties and more than 1,000 injuries. Hospitals prepare for disasters of all types but often not the large number of injuries sustained in this disaster. Well-developed disaster plans can be adapted to much larger numbers of injuries. A previously well-thought disaster plan, although not rehearsed for a thousand patients, was able to be expanded to that number and implemented quickly. At the time of the tornado, no one had any idea of the number of injuries or casualties. The hospital received only a single complaint during this disaster.</p>'),(4692,1896,'_article_description','field_544114c4e5209'),(4693,1896,'article_pdf','784'),(4694,1896,'_article_pdf','field_54411501e520a'),(4695,1897,'_edit_lock','1415912382:12'),(4696,1897,'_edit_last','12'),(4697,1897,'article_title','Disaster Preparedness for the Medical Professional at Home and in the Workplace'),(4698,1897,'_article_title','field_54410d9ae5200'),(4699,1897,'article_author','Geoffrey Simmons, MD'),(4700,1897,'_article_author','field_544112e3e5201'),(4701,1897,'article_publication','American Journal of Clinical Medicine®'),(4702,1897,'_article_publication','field_5441130be5202'),(4703,1897,'article_date_published_text','Fall'),(4704,1897,'_article_date_published_text','field_54411429e5204'),(4705,1897,'article_published_date','20111205'),(4706,1897,'_article_published_date','field_544113dfe5203'),(4707,1897,'article_volume_number','8'),(4708,1897,'_article_volume_number','field_5441144fe5205'),(4709,1897,'article_number_in_volume','3'),(4710,1897,'_article_number_in_volume','field_54411483e5206'),(4711,1897,'article_starting_page','126'),(4712,1897,'_article_starting_page','field_54411492e5207'),(4713,1897,'article_ending_page','128'),(4714,1897,'_article_ending_page','field_544114b0e5208'),(4715,1897,'article_description','<p style=\"text-align: justify;\">Most MDs were trained, in some capacity, to handle victims of disasters. Some are drilled on a regular basis, but very few physicians are truly prepared for a major disaster that directly impacts them and/or their family while at home, in school, in their car, or in a clinic setting (at work). The lack of data in the literature very loudly supports this notion. There appears to be an unstated mindset among some physicians that their hospital will remain an oasis amidst the turmoil, and that they, as  physicians, will also be able to reach the hospital to help. Or, that they already know enough about preparedness. These ideas  are dead wrong. Just take my Community Emergency Response Team class. There are over 400,000 citizens (overwhelmingly non-medical) who are trained, serving over 3,000  communities. They are our community’s boots on the ground.</p>'),(4716,1897,'_article_description','field_544114c4e5209'),(4717,1897,'article_pdf','785'),(4718,1897,'_article_pdf','field_54411501e520a'),(4912,1910,'_edit_lock','1417640276:12'),(4720,1899,'_edit_lock','1415912420:12'),(4721,1899,'_edit_last','12'),(4722,1899,'article_title','Damage Control Resuscitation: The Case for Early Use of Blood Products & Hypertonic Saline in Exsanguinating Trauma VIctims'),(4723,1899,'_article_title','field_54410d9ae5200'),(4724,1899,'article_author','Graeme A. Browne, CAPT MC (FS) USN'),(4725,1899,'_article_author','field_544112e3e5201'),(4726,1899,'article_publication','American Journal of Clinical Medicine®'),(4727,1899,'_article_publication','field_5441130be5202'),(4728,1899,'article_date_published_text','Fall'),(4729,1899,'_article_date_published_text','field_54411429e5204'),(4730,1899,'article_published_date','20111205'),(4731,1899,'_article_published_date','field_544113dfe5203'),(4732,1899,'article_volume_number','8'),(4733,1899,'_article_volume_number','field_5441144fe5205'),(4734,1899,'article_number_in_volume','3'),(4735,1899,'_article_number_in_volume','field_54411483e5206'),(4736,1899,'article_starting_page','129'),(4737,1899,'_article_starting_page','field_54411492e5207'),(4738,1899,'article_ending_page','133'),(4739,1899,'_article_ending_page','field_544114b0e5208'),(4740,1899,'article_description','<p style=\"text-align: justify;\">Resuscitation of massively traumatized patients is physiologically complex, time-dependent, and a significant resource management matter often associated with poor survival rates. Retrospective medical evidence accumulated from combat trauma admissions to the Joint Theater Trauma Registry (JTTR) 2003-2007 supports swift replacement blood products when total blood volume losses of 30-40% or greater has occurred. Replacement plasma, packed red blood cells, and platelets in a ratio of 1:1:1 significantly reduces trauma-related coagulopathy. Clinical management specifically avoiding acidosis and hypothermia, in conjunction with administration of specific blood products, or fresh whole blood, will blunt the emergence of  the ‘lethal triad.’ Limited Level 1Trauma Center prospective evidence based on massive blood transfusion of penetrating torso\r\ninjuries supports the JTTR data.</p>'),(4741,1899,'_article_description','field_544114c4e5209'),(4742,1899,'article_pdf','786'),(4743,1899,'_article_pdf','field_54411501e520a'),(4744,1900,'_edit_lock','1415912460:12'),(4745,1900,'_edit_last','12'),(4746,1900,'article_title','Bombings and Blast Injuries: A Primer for Physicians'),(4747,1900,'_article_title','field_54410d9ae5200'),(4748,1900,'article_author','David M. Lemonick, MD, FAAEP, FACEP'),(4749,1900,'_article_author','field_544112e3e5201'),(4750,1900,'article_publication','American Journal of Clinical Medicine®'),(4751,1900,'_article_publication','field_5441130be5202'),(4752,1900,'article_date_published_text','Fall'),(4753,1900,'_article_date_published_text','field_54411429e5204'),(4754,1900,'article_published_date','20111205'),(4755,1900,'_article_published_date','field_544113dfe5203'),(4756,1900,'article_volume_number','8'),(4757,1900,'_article_volume_number','field_5441144fe5205'),(4758,1900,'article_number_in_volume','3'),(4759,1900,'_article_number_in_volume','field_54411483e5206'),(4760,1900,'article_starting_page','134'),(4761,1900,'_article_starting_page','field_54411492e5207'),(4762,1900,'article_ending_page','140'),(4763,1900,'_article_ending_page','field_544114b0e5208'),(4764,1900,'article_description','<p style=\"text-align: justify;\">Conventional weapons and explosives continue to be the most commonly employed instruments of destruction by terrorists worldwide. Such attacks are occurring with increasing frequency and ferocity. The effects of bombings and blast injuries are both physically and psychologically devastating. Explosions combine four mechanisms of injury. In addition to these causes of injury and death, crush injury, entrapment, and compartment syndrome magnify the devastation of blast trauma. By recognizing the unique features of blast injuries and by\r\nprioritizing mass casualties to provide maximal benefit for the greatest number of patients, the physician will be better equipped to triage and stabilize these victims.</p>'),(4765,1900,'_article_description','field_544114c4e5209'),(4766,1900,'article_pdf','787'),(4767,1900,'_article_pdf','field_54411501e520a'),(4768,1901,'_edit_lock','1415912488:12'),(4769,1901,'_edit_last','12'),(4770,1901,'article_title','Disaster Medicine: Every Physician’s Second Specialty Twenty-First Century Fears'),(4771,1901,'_article_title','field_54410d9ae5200'),(4772,1901,'article_author','Heidi Cordi, MD, MPH, MS, EMTP, FACEP, Debra Cascardo, MA, MPA, CFP'),(4773,1901,'_article_author','field_544112e3e5201'),(4774,1901,'article_publication','American Journal of Clinical Medicine®'),(4775,1901,'_article_publication','field_5441130be5202'),(4776,1901,'article_date_published_text','Fall'),(4777,1901,'_article_date_published_text','field_54411429e5204'),(4778,1901,'article_published_date','20111205'),(4779,1901,'_article_published_date','field_544113dfe5203'),(4780,1901,'article_volume_number','8'),(4781,1901,'_article_volume_number','field_5441144fe5205'),(4782,1901,'article_number_in_volume','3'),(4783,1901,'_article_number_in_volume','field_54411483e5206'),(4784,1901,'article_starting_page','141'),(4785,1901,'_article_starting_page','field_54411492e5207'),(4786,1901,'article_ending_page','143'),(4787,1901,'_article_ending_page','field_544114b0e5208'),(4788,1901,'article_description','<p style=\"text-align: justify;\">All one needs to do is turn on the TV news – or log on to the internet – to see how overwhelming the range and ferociousness of disasters taking place around the world can be. The  recent earthquake from Washington, DC, to New York City, as well as the devastation of Hurricane Irene serves as a reminder that potential disasters can strike anywhere, anytime, even in the most of unexpected places. FEMA’s “A Time to Remember, A Time to Prepare” Campaign, running this September during the tenth anniversary of 9/11, and Disaster Preparedness Month should motivate all physicians to action.</p>'),(4789,1901,'_article_description','field_544114c4e5209'),(4790,1901,'article_pdf','788'),(4791,1901,'_article_pdf','field_54411501e520a'),(4792,1902,'_edit_lock','1415915362:12'),(4793,1902,'_edit_last','12'),(4794,1902,'article_title','Epidemics After Natural Disasters'),(4795,1902,'_article_title','field_54410d9ae5200'),(4796,1902,'article_author','David M. Lemonick, MD, FAAEP, FACEP'),(4797,1902,'_article_author','field_544112e3e5201'),(4798,1902,'article_publication','American Journal of Clinical Medicine®'),(4799,1902,'_article_publication','field_5441130be5202'),(4800,1902,'article_date_published_text','Fall'),(4801,1902,'_article_date_published_text','field_54411429e5204'),(4802,1902,'article_published_date','20111205'),(4803,1902,'_article_published_date','field_544113dfe5203'),(4804,1902,'article_volume_number','8'),(4805,1902,'_article_volume_number','field_5441144fe5205'),(4806,1902,'article_number_in_volume','3'),(4807,1902,'_article_number_in_volume','field_54411483e5206'),(4808,1902,'article_starting_page','144'),(4809,1902,'_article_starting_page','field_54411492e5207'),(4810,1902,'article_ending_page','152'),(4811,1902,'_article_ending_page','field_544114b0e5208'),(4812,1902,'article_description','<p style=\"text-align: justify;\">Epidemics of infectious disease are rare following natural disasters, especially in developed countries. Observations from previous natural disasters suggest that skin, diarrheal, and respiratory infections are the most common infectious diseases in survivors. The etiologies of disease outbreaks are usually predictable, reflecting infectious diseases endemic in the affected area before the disaster. Injury and soft tissue infections are expected during the first few days after a disaster. In contrast, airborne, water-borne, and food-borne diseases are anticipated for up to one month after a disaster. A feared consequence of natural disasters is the potential exposure to dead bodies, both human and animal. No evidence exists that exposure to bodies after a disaster leads to infectious disease epidemics. To be discussed are specific epidemics that have followed earthquakes, floods, tornadoes, tsunamis, volcanic eruptions, landslides, and drought. Preventative public health and safety measures aimed at attenuation of such epidemics will be reviewed.</p>'),(4813,1902,'_article_description','field_544114c4e5209'),(4814,1902,'article_pdf','789'),(4815,1902,'_article_pdf','field_54411501e520a'),(4816,1903,'_edit_lock','1415912502:12'),(4817,1903,'_edit_last','12'),(4818,1903,'article_title','U.S. Air Force Aeromedical Evacuation: A Critical Disaster Response Resource'),(4819,1903,'_article_title','field_54410d9ae5200'),(4820,1903,'article_author','Bruce R. Guerdan, MD, MPH'),(4821,1903,'_article_author','field_544112e3e5201'),(4822,1903,'article_publication','American Journal of Clinical Medicine®'),(4823,1903,'_article_publication','field_5441130be5202'),(4824,1903,'article_date_published_text','Fall'),(4825,1903,'_article_date_published_text','field_54411429e5204'),(4826,1903,'article_published_date','20111205'),(4827,1903,'_article_published_date','field_544113dfe5203'),(4828,1903,'article_volume_number','8'),(4829,1903,'_article_volume_number','field_5441144fe5205'),(4830,1903,'article_number_in_volume','3'),(4831,1903,'_article_number_in_volume','field_54411483e5206'),(4832,1903,'article_starting_page','153'),(4833,1903,'_article_starting_page','field_54411492e5207'),(4834,1903,'article_ending_page','156'),(4835,1903,'_article_ending_page','field_544114b0e5208'),(4836,1903,'article_description','<p style=\"text-align: justify;\">The use of United States Air Force (USAF) aircraft and personnel to move wartime casualties is well established. This asset is also an integral part of the National Disaster Medical System (NDMS). The Aeromedical Evacuation (A/E) system, a part of Air Mobility Command, is a highly disciplined function capable of transporting thousands of civilian casualties at all levels of criticality. At the time of a large local or regional disaster, civilian medical treatment facilities, if still functional,  would be overwhelmed. A core function of the NDMS would be the relocation of civilians currently hospitalized or in need of hospitalization to facilities outside the disaster area. This would be primarily accomplished by the USAF A/E system.</p>'),(4837,1903,'_article_description','field_544114c4e5209'),(4838,1903,'article_pdf','790'),(4839,1903,'_article_pdf','field_54411501e520a'),(4840,1904,'_edit_lock','1415912548:12'),(4841,1904,'_edit_last','12'),(4842,1904,'article_title','Medical Ethics Without the Rhetoric - Case 10 Timmy the Torch'),(4843,1904,'_article_title','field_54410d9ae5200'),(4844,1904,'article_author','Mark Pastin, PhD'),(4845,1904,'_article_author','field_544112e3e5201'),(4846,1904,'article_publication','American Journal of Clinical Medicine®'),(4847,1904,'_article_publication','field_5441130be5202'),(4848,1904,'article_date_published_text','Fall'),(4849,1904,'_article_date_published_text','field_54411429e5204'),(4850,1904,'article_published_date','20111205'),(4851,1904,'_article_published_date','field_544113dfe5203'),(4852,1904,'article_volume_number','8'),(4853,1904,'_article_volume_number','field_5441144fe5205'),(4854,1904,'article_number_in_volume','3'),(4855,1904,'_article_number_in_volume','field_54411483e5206'),(4856,1904,'article_starting_page','158'),(4857,1904,'_article_starting_page','field_54411492e5207'),(4858,1904,'article_ending_page','159'),(4859,1904,'_article_ending_page','field_544114b0e5208'),(4860,1904,'article_description','<p style=\"text-align: justify;\">The parents of a teenager, Timmy, with behavior problems request an in-patient psychiatric admission for their son. Timmy has taken to lighting living things on fire, starting with centipedes and  spiders and progressing to his pet hamster. The parents are  frightened that he will light the house on fire or torch someone’s pet dog or cat, as he has threatened. Their family physician concludes that Timmy’s behavior, though problematic, may not warrant in-patient treatment. It is a behavior associated with teens trying to get the attention of their parents and usually doesn’t  escalate. When he informs the family of this, the mother breaks down sobbing, saying she can’t take it anymore. The father says  that if they don’t get a break from Timmy, it will jeopardize their marriage. The physician wonders if admitting the son to the psych unit for a few days might be justified based on the total set of circumstances. Would you admit Timmy the Torch?</p>'),(4861,1904,'_article_description','field_544114c4e5209'),(4862,1904,'article_pdf','791'),(4863,1904,'_article_pdf','field_54411501e520a'),(4864,1905,'_edit_lock','1415912572:12'),(4865,1905,'_edit_last','12'),(4866,1905,'article_title','A Systematic Approach for the Assessment & Diagnosis of Abdominal Pain in the Premenopausal Female'),(4867,1905,'_article_title','field_54410d9ae5200'),(4868,1905,'article_author','Cornell Calinescu, MD, Ilissa Jackson, PA-C, Mark Mauriello, MD, Ilya Chern, MD, E. Robert Schwarz, MD'),(4869,1905,'_article_author','field_544112e3e5201'),(4870,1905,'article_publication','American Journal of Clinical Medicine®'),(4871,1905,'_article_publication','field_5441130be5202'),(4872,1905,'article_date_published_text','Fall'),(4873,1905,'_article_date_published_text','field_54411429e5204'),(4874,1905,'article_published_date','20111205'),(4875,1905,'_article_published_date','field_544113dfe5203'),(4876,1905,'article_volume_number','8'),(4877,1905,'_article_volume_number','field_5441144fe5205'),(4878,1905,'article_number_in_volume','3'),(4879,1905,'_article_number_in_volume','field_54411483e5206'),(4880,1905,'article_starting_page','160'),(4881,1905,'_article_starting_page','field_54411492e5207'),(4882,1905,'article_ending_page','163'),(4883,1905,'_article_ending_page','field_544114b0e5208'),(4884,1905,'article_description','<p style=\"text-align: justify;\">The complaint of abdominal pain in a premenopausal female is a challenging task for any medical provider faced with making an accurate diagnosis. The pathophysiology of women has to be considered when a female patient is presenting with a complaint of abdominal pain. Sometimes the diagnosis is easy to make, other times it can be elusive. The variance of a patient’s initial clinical presentation providers should trust their medical knowledge, their medical work up, and their instincts when making the final diagnosis. As always, the most life-threatening causes of the patient’s pain should be ruled out. Our article will provide medical providers a systematic approach for the assessment and diagnosis of abdominal pain in the premenopausal female.</p>'),(4885,1905,'_article_description','field_544114c4e5209'),(4886,1905,'article_pdf','792'),(4887,1905,'_article_pdf','field_54411501e520a'),(4888,1906,'_edit_lock','1415912264:12'),(4889,1906,'_edit_last','12'),(4890,1906,'article_title','Binocular Double Vision – A Review'),(4891,1906,'_article_title','field_54410d9ae5200'),(4892,1906,'article_author','Nancy Lutwak, MD'),(4893,1906,'_article_author','field_544112e3e5201'),(4894,1906,'article_publication','American Journal of Clinical Medicine®'),(4895,1906,'_article_publication','field_5441130be5202'),(4896,1906,'article_date_published_text','Fall'),(4897,1906,'_article_date_published_text','field_54411429e5204'),(4898,1906,'article_published_date','20111205'),(4899,1906,'_article_published_date','field_544113dfe5203'),(4900,1906,'article_volume_number','8'),(4901,1906,'_article_volume_number','field_5441144fe5205'),(4902,1906,'article_number_in_volume','3'),(4903,1906,'_article_number_in_volume','field_54411483e5206'),(4904,1906,'article_starting_page','166'),(4905,1906,'_article_starting_page','field_54411492e5207'),(4906,1906,'article_ending_page','169'),(4907,1906,'_article_ending_page','field_544114b0e5208'),(4908,1906,'article_description','A 62-year-old male with history of hypertension presented to our emergency department with new onset diplopia. He denied recent trauma. The patient had binocular double vision with abducens nerve palsy. There were no other complaints. We review the  relevant anatomy, multiple etiologies, necessary diagnostic  testing, and treatment of diplopia. Careful physical examination and detail to the patient’s past history is essential for making an accurate diagnosis. Since sudden onset of this entity may represent a serious condition requiring urgent attention, emergency physicians should be familiar with this dysfunction. Most importantly, visual disturbances may be the initial manifestation\r\nof occult disease - tumors, multiple sclerosis, vascular disease, myasthenia gravis, or Miller-Fisher syndrome.'),(4909,1906,'_article_description','field_544114c4e5209'),(4910,1906,'article_pdf','793'),(4911,1906,'_article_pdf','field_54411501e520a'),(4913,1910,'_edit_last','12'),(4914,1910,'article_title','Re-Radiation & Casodex in Locally Advanced Radiation Recurrent: Locally Progressing Prostate Cancer'),(4915,1910,'_article_title','field_54410d9ae5200'),(4916,1910,'article_author','Gary Shultz, DO, FAAR'),(4917,1910,'_article_author','field_544112e3e5201'),(4918,1910,'article_publication','American Journal of Clinical Medicine®'),(4919,1910,'_article_publication','field_5441130be5202'),(4920,1910,'article_date_published_text','Fall'),(4921,1910,'_article_date_published_text','field_54411429e5204'),(4922,1910,'article_published_date','20111205'),(4923,1910,'_article_published_date','field_544113dfe5203'),(4924,1910,'article_volume_number','8'),(4925,1910,'_article_volume_number','field_5441144fe5205'),(4926,1910,'article_number_in_volume','3'),(4927,1910,'_article_number_in_volume','field_54411483e5206'),(4928,1910,'article_starting_page','170'),(4929,1910,'_article_starting_page','field_54411492e5207'),(4930,1910,'article_ending_page','171'),(4931,1910,'_article_ending_page','field_544114b0e5208'),(4932,1910,'article_description','This report is to present the results of re-radiation and Casodex 150mg/day in patients with locally advanced, previously radiated prostate cancer. These 45 patients with locally advanced progressing prostate cancer were treated with further radiation to total prescription dose of 3120 cGy and Casodex 50mg T.I.D. These patients have shown alternative therapeutic treatment resulting in significant improvement in quality of life. Further clinical studies are warranted.'),(4933,1910,'_article_description','field_544114c4e5209'),(4934,1910,'article_pdf','794'),(4935,1910,'_article_pdf','field_54411501e520a'),(4936,1911,'_edit_lock','1417797911:12'),(4937,1911,'_edit_last','12'),(4938,1911,'article_title','Orthopedic Issues in Family & Emergency Medicine - Clavicle Fractures 101'),(4939,1911,'_article_title','field_54410d9ae5200'),(4940,1911,'article_author','Ben Jones, MS2,  Roberto R. Gonzalez, MD'),(4941,1911,'_article_author','field_544112e3e5201'),(4942,1911,'article_publication','American Journal of Clinical Medicine®'),(4943,1911,'_article_publication','field_5441130be5202'),(4944,1911,'article_date_published_text','Fall'),(4945,1911,'_article_date_published_text','field_54411429e5204'),(4946,1911,'article_published_date','20111205'),(4947,1911,'_article_published_date','field_544113dfe5203'),(4948,1911,'article_volume_number','8'),(4949,1911,'_article_volume_number','field_5441144fe5205'),(4950,1911,'article_number_in_volume','3'),(4951,1911,'_article_number_in_volume','field_54411483e5206'),(4952,1911,'article_starting_page','172'),(4953,1911,'_article_starting_page','field_54411492e5207'),(4954,1911,'article_ending_page','176'),(4955,1911,'_article_ending_page','field_544114b0e5208'),(4956,1911,'article_description','Physicians need skills in the diagnosis and management of commonly occurring injuries. In many places, subspecialist help is not available or affordable.  These basic skills reflect the reality of community medical practice for a variety of specialties staffing rural emergency rooms, primary care offices, and mission hospitals. For younger physicians, most academic medical centers teach a curriculum of “Refer to Ortho.” Hatch et al have described the epidemiology of common fractures in the community.'),(4957,1911,'_article_description','field_544114c4e5209'),(4958,1911,'article_pdf','795'),(4959,1911,'_article_pdf','field_54411501e520a'),(4960,1912,'_edit_lock','1417803787:12'),(4961,1912,'_edit_last','12'),(4962,1913,'_wp_attached_file','Case-Report-A-Rare-Case-of-Pneumocystis-Pneumonia.pdf'),(4963,1912,'article_title','Case Report A Rare Case of Pneumocystis Pneumonia'),(4964,1912,'_article_title','field_54410d9ae5200'),(4965,1912,'article_author','Swati Sharma, MD, Reginald Wills, MD'),(4966,1912,'_article_author','field_544112e3e5201'),(4967,1912,'article_publication','American Journal of Clinical Medicine®'),(4968,1912,'_article_publication','field_5441130be5202'),(4969,1912,'article_date_published_text','Spring'),(4970,1912,'_article_date_published_text','field_54411429e5204'),(4971,1912,'article_published_date','20110908'),(4972,1912,'_article_published_date','field_544113dfe5203'),(4973,1912,'article_volume_number','8'),(4974,1912,'_article_volume_number','field_5441144fe5205'),(4975,1912,'article_number_in_volume','2'),(4976,1912,'_article_number_in_volume','field_54411483e5206'),(4977,1912,'article_starting_page','94'),(4978,1912,'_article_starting_page','field_54411492e5207'),(4979,1912,'article_ending_page','97'),(4980,1912,'_article_ending_page','field_544114b0e5208'),(4981,1912,'article_description','<p style=\"text-align: justify;\">Pneumocystis jirovecii pneumonia (commonly called Pneumocystis pneumonia or PCP) is an opportunistic infection that occurs in immunocompromised individuals. Although Human Immunodeficiency Virus (HIV) infected patients with a low CD4 (cluster of differentiation 4) count are at highest risk of PCP, it is a significant cause of pneumonia in other immunodeficient patients. Non-HIV patients at risk are those with cancer, particularly hematologic malignancies, patients receiving glucocorticoids,  chemotherapeutic agents and other immunosuppressive medications, hematopoietic stem cell and solid organ transplant recipients, patients with primary immunodeficiencies, and severe malnutrition. Only a few cases have been reported in patients without any known immunodeficiency. We report the unusual case of pneumocystis pneumonia in a previously healthy non-HIV patient who was not on any\r\nimmunosuppressant.</p>'),(4982,1912,'_article_description','field_544114c4e5209'),(4983,1912,'article_pdf','1913'),(4984,1912,'_article_pdf','field_54411501e520a'),(4985,1914,'_wp_attached_file','Case-Report-Mild-Traumatic-Brain-Injury-in-High-School-Athlete-ndash-Novel-Method-of-Evaluating-Clinical-Progress.pdf'),(4986,1915,'_wp_attached_file','Performance-Based-Learning-Competency-Based-Testing-Rural-Family-and-Emergency-Medicine-Hand-Fractures-Case-1.pdf'),(4987,1916,'_wp_attached_file','Case-Report-Headache-and-Spontaneous-Internal-Carotid-Artery-Dissection.pdf'),(4988,1917,'_wp_attached_file','Sounding-Board-A-Tsunami-and-a-Meltdown-Closer-to-Home.pdf'),(4989,1918,'_wp_attached_file','Sounding-Board-Emergency-Medicine-Workforce-Issues-Synopsis-and-Discussion-of-Presentation-by-Dr.-Carlos-Camargo.pdf'),(4990,1919,'_wp_attached_file','Sounding-Board-The-American-Academy-of-Family-Physicians-Establishes-a-Forum-for-Family-Physicians-in-Emergency-Medicine.pdf'),(4991,1920,'_wp_attached_file','Emergency-Medicine-Fellowship-Trained-Family-Physicians-Outcomes-2000-2008.pdf'),(4992,1921,'_wp_attached_file','Starting-an-Emergency-Medicine-Fellowship-Program-The-First-Two-Years.pdf'),(4993,1922,'_wp_attached_file','Emergency-Medicine-Fellowship-Strengthens-Family-Medicine-Training-Programs.pdf'),(4994,1923,'_wp_attached_file','One-Year-Fellowships-Leading-to-Board-Certification-in-Emergency-Medicine.pdf'),(4995,1924,'_wp_attached_file','System-Analysis-Comparing-Physiologic-Endpoints-of-Standard-AHA-and-Compression-Only.pdf'),(4996,1925,'_wp_attached_file','Case-Report-A-Rare-Case-of-Pneumocystis-Pneumonia1.pdf'),(4997,1926,'_wp_attached_file','Medical-Ethics-Who-Is-On-First.pdf'),(4998,1927,'_edit_lock','1418048666:12'),(4999,1927,'_edit_last','12'),(5000,1927,'article_title','Case Report Headache and Spontaneous Internal Carotid Artery Dissection'),(5001,1927,'_article_title','field_54410d9ae5200'),(5002,1927,'article_author','Liying Chen, MD, PhD,  Jean-Robert Desrouleaux, MD'),(5003,1927,'_article_author','field_544112e3e5201'),(5004,1927,'article_publication','American Journal of Clinical Medicine®'),(5005,1927,'_article_publication','field_5441130be5202'),(5006,1927,'article_date_published_text','Spring'),(5007,1927,'_article_date_published_text','field_54411429e5204'),(5008,1927,'article_published_date','20110908'),(5009,1927,'_article_published_date','field_544113dfe5203'),(5010,1927,'article_volume_number','8'),(5011,1927,'_article_volume_number','field_5441144fe5205'),(5012,1927,'article_number_in_volume','2'),(5013,1927,'_article_number_in_volume','field_54411483e5206'),(5014,1927,'article_starting_page','106'),(5015,1927,'_article_starting_page','field_54411492e5207'),(5016,1927,'article_ending_page','108'),(5017,1927,'_article_ending_page','field_544114b0e5208'),(5018,1927,'article_description','<p style=\"text-align: justify;\">Dissection of the extracranial carotid arteries is increasingly recognized and is a common cause of stroke in young patients. In the absence of a traumatic trigger, spontaneous internal carotid artery dissection (CAD) may be related to various well defined pathological processes.1 It is likely to be multifactorial, including environmental exposures, infections, and nonspecific inflammation of the arterial wall.1 A wide spectrum of sports and different physical activities has been reported to precede spontaneous CAD.6,7 However, most frequently, the etiology remains undefined as in the present case.</p>'),(5019,1927,'_article_description','field_544114c4e5209'),(5020,1927,'article_pdf','1916'),(5021,1927,'_article_pdf','field_54411501e520a'),(5022,1928,'_edit_lock','1418049366:12'),(5023,1928,'_edit_last','12'),(5024,1928,'article_title','Emergency Medicine Fellowship Strengthens Family Medicine Training Programs'),(5025,1928,'_article_title','field_54410d9ae5200'),(5026,1928,'article_author','Gregg Mitchell, MD'),(5027,1928,'_article_author','field_544112e3e5201'),(5028,1928,'article_publication','American Journal of Clinical Medicine®'),(5029,1928,'_article_publication','field_5441130be5202'),(5030,1928,'article_date_published_text','Spring'),(5031,1928,'_article_date_published_text','field_54411429e5204'),(5032,1928,'article_published_date','20110908'),(5033,1928,'_article_published_date','field_544113dfe5203'),(5034,1928,'article_volume_number','8'),(5035,1928,'_article_volume_number','field_5441144fe5205'),(5036,1928,'article_number_in_volume','2'),(5037,1928,'_article_number_in_volume','field_54411483e5206'),(5038,1928,'article_starting_page','80'),(5039,1928,'_article_starting_page','field_54411492e5207'),(5040,1928,'article_ending_page','81'),(5041,1928,'_article_ending_page','field_544114b0e5208'),(5042,1928,'article_description','<p style=\"text-align: justify;\">Family Medicine residency training was established in 1975 as the rural residency program in the state of Tennessee. One purpose was to provide physicians who settled away from the major metropolitan centers. At that time family physicians were commonly assumed to be able to provide hospital and emergency care. State funding was provided with the assumption that private family practice offices would, in conjunction with hospital privileges, provide emergency care. But gradually family medicine changed, and ownership of emergency care frequently was done by contract to the hospital.</p>'),(5043,1928,'_article_description','field_544114c4e5209'),(5044,1928,'article_pdf','1922'),(5045,1928,'_article_pdf','field_54411501e520a'),(5046,1929,'_edit_lock','1418049790:12'),(5047,1929,'_edit_last','12'),(5048,1929,'article_title','Emergency Medicine Fellowship Trained Family Physicians Outcomes 2000-2008'),(5049,1929,'_article_title','field_54410d9ae5200'),(5050,1929,'article_author','Amy J. Keenum, PharmD, DO, Geetha Reddy, MD, Luke Rawlings, MD, MPH, Jocelyn Wilson, MPH, Lorraine Wallace, PhD'),(5051,1929,'_article_author','field_544112e3e5201'),(5052,1929,'article_publication','American Journal of Clinical Medicine®'),(5053,1929,'_article_publication','field_5441130be5202'),(5054,1929,'article_date_published_text','Spring'),(5055,1929,'_article_date_published_text','field_54411429e5204'),(5056,1929,'article_published_date','20110908'),(5057,1929,'_article_published_date','field_544113dfe5203'),(5058,1929,'article_volume_number','8'),(5059,1929,'_article_volume_number','field_5441144fe5205'),(5060,1929,'article_number_in_volume','2'),(5061,1929,'_article_number_in_volume','field_54411483e5206'),(5062,1929,'article_starting_page','84'),(5063,1929,'_article_starting_page','field_54411492e5207'),(5064,1929,'article_ending_page','84'),(5065,1929,'_article_ending_page','field_544114b0e5208'),(5066,1929,'article_description','<p style=\"text-align: justify;\">Few emergency medicine residency trained physicians practice in rural areas upon graduation. Family physicians are known to practice in rural locations at a higher rate. The distribution of emergency medicine fellowship trained family physicians from 2000-2008 of one program was examined. The continuing medical education (CME) pursued by these individuals is presently unknown and was explored.</p>'),(5067,1929,'_article_description','field_544114c4e5209'),(5068,1929,'article_pdf','1920'),(5069,1929,'_article_pdf','field_54411501e520a'),(5070,1930,'_edit_lock','1418055329:12'),(5071,1930,'_edit_last','12'),(5072,1930,'article_title','Medical Ethics Without the Rhetoric - Case Nine Who’s On First'),(5073,1930,'_article_title','field_54410d9ae5200'),(5074,1930,'article_author','Mark Pastin, PhD'),(5075,1930,'_article_author','field_544112e3e5201'),(5076,1930,'article_publication','American Journal of Clinical Medicine®'),(5077,1930,'_article_publication','field_5441130be5202'),(5078,1930,'article_date_published_text','Spring'),(5079,1930,'_article_date_published_text','field_54411429e5204'),(5080,1930,'article_published_date','20110908'),(5081,1930,'_article_published_date','field_544113dfe5203'),(5082,1930,'article_volume_number','8'),(5083,1930,'_article_volume_number','field_5441144fe5205'),(5084,1930,'article_number_in_volume','2'),(5085,1930,'_article_number_in_volume','field_54411483e5206'),(5086,1930,'article_starting_page','90'),(5087,1930,'_article_starting_page','field_54411492e5207'),(5088,1930,'article_ending_page','91'),(5089,1930,'_article_ending_page','field_544114b0e5208'),(5090,1930,'article_description','<p style=\"text-align: justify;\">You are called to the emergency room of a nearby community hospital in response to a horrible accident. The drunk driver of an 18-wheeler crashed head-on into a full school bus carrying parents to a sports event. There are dozens of patients in need of care when you arrive and are the first physician on the scene.</p>'),(5091,1930,'_article_description','field_544114c4e5209'),(5092,1930,'article_pdf','1926'),(5093,1930,'_article_pdf','field_54411501e520a'),(5094,1931,'_edit_lock','1418055524:12'),(5095,1931,'_edit_last','12'),(5096,1931,'article_title','One-Year Fellowships Leading to Board Certification in Emergency Medicine'),(5097,1931,'_article_title','field_54410d9ae5200'),(5098,1931,'article_author','Loren Crown, MD, FACEP'),(5099,1931,'_article_author','field_544112e3e5201'),(5100,1931,'article_publication','American Journal of Clinical Medicine®'),(5101,1931,'_article_publication','field_5441130be5202'),(5102,1931,'article_date_published_text','Spring'),(5103,1931,'_article_date_published_text','field_54411429e5204'),(5104,1931,'article_published_date','20110908'),(5105,1931,'_article_published_date','field_544113dfe5203'),(5106,1931,'article_volume_number','8'),(5107,1931,'_article_volume_number','field_5441144fe5205'),(5108,1931,'article_number_in_volume','2'),(5109,1931,'_article_number_in_volume','field_54411483e5206'),(5110,1931,'article_starting_page','78'),(5111,1931,'_article_starting_page','field_54411492e5207'),(5112,1931,'article_ending_page','79'),(5113,1931,'_article_ending_page','field_544114b0e5208'),(5114,1931,'article_description','<p style=\"text-align: justify;\">For many years the American Board of Physician Specialists has certified graduate training programs (GTPs) in emergency medicine (EM). While programs self-described as \"fellowships in emergency medicine” have appeared sporadically since the late 1980s, only a handful have met the rigorous criteria set forth by the American Board of Physician Specialties (ABPS). This body has created a standard for training in emergency medicine that, when followed, allows a successful candidate to complete a 12- to 24-month track of supervised exposure to emergency medicine that can lead to board certification (see www.abpsus.org for Board of Certification criteria).</p>'),(5115,1931,'_article_description','field_544114c4e5209'),(5116,1931,'article_pdf','1923'),(5117,1931,'_article_pdf','field_54411501e520a'),(5118,1932,'_edit_lock','1418056297:12'),(5119,1932,'_edit_last','12'),(5120,1932,'article_title','Performance-Based Learning & Competency-Based Testing Rural Family and Emergency Medicine Hand Fractures Case #1'),(5121,1932,'_article_title','field_54410d9ae5200'),(5122,1932,'article_author','Jeremy Draper, MD,  Justin Arnold, MD'),(5123,1932,'_article_author','field_544112e3e5201'),(5124,1932,'article_publication','American Journal of Clinical Medicine®'),(5125,1932,'_article_publication','field_5441130be5202'),(5126,1932,'article_date_published_text','Spring'),(5127,1932,'_article_date_published_text','field_54411429e5204'),(5128,1932,'article_published_date','20110908'),(5129,1932,'_article_published_date','field_544113dfe5203'),(5130,1932,'article_volume_number','8'),(5131,1932,'_article_volume_number','field_5441144fe5205'),(5132,1932,'article_number_in_volume','2'),(5133,1932,'_article_number_in_volume','field_54411483e5206'),(5134,1932,'article_starting_page','109'),(5135,1932,'_article_starting_page','field_54411492e5207'),(5136,1932,'article_ending_page','111'),(5137,1932,'_article_ending_page','field_544114b0e5208'),(5138,1932,'article_description','<p style=\"text-align: justify;\">Physicians need to refresh their skills in commonly occurring injuries. In many places, subspecialist help is not available or affordable. These basic skills reflect the reality of community medical practice for a variety of specialties staffing rural emergency rooms, primary care offices, and mission hospitals. For younger physicians, academic medicine teaches a curriculum of “Refer to Ortho.” Many fractures can be managed conservatively while maintaining quality in the community. The trick is to know which ones require surgery.</p>'),(5139,1932,'_article_description','field_544114c4e5209'),(5140,1932,'article_pdf','1915'),(5141,1932,'_article_pdf','field_54411501e520a'),(5142,1933,'_edit_lock','1440527370:12'),(5143,1933,'_edit_last','12'),(5144,1933,'article_title','Sounding Board A Tsunami and a Meltdown Closer to Home'),(5145,1933,'_article_title','field_54410d9ae5200'),(5146,1933,'article_author','David Lemonick, MD'),(5147,1933,'_article_author','field_544112e3e5201'),(5148,1933,'article_publication','American Journal of Clinical Medicine®'),(5149,1933,'_article_publication','field_5441130be5202'),(5150,1933,'article_date_published_text','Spring'),(5151,1933,'_article_date_published_text','field_54411429e5204'),(5152,1933,'article_published_date','20110908'),(5153,1933,'_article_published_date','field_544113dfe5203'),(5154,1933,'article_volume_number','8'),(5155,1933,'_article_volume_number','field_5441144fe5205'),(5156,1933,'article_number_in_volume','2'),(5157,1933,'_article_number_in_volume','field_54411483e5206'),(5158,1933,'article_starting_page','102'),(5159,1933,'_article_starting_page','field_54411492e5207'),(5160,1933,'article_ending_page','105'),(5161,1933,'_article_ending_page','field_544114b0e5208'),(5162,1933,'article_description','<p style=\"text-align: justify;\">Has anyone visited the emergency department recently? I know I’m preaching to the choir here, but it seems to me that increasingly the emergency department (ED) is the “canary in the coalmine” of America’s health care. And because I’ve made my living in EDs during the past 25 years in a number of states, in a variety of hospitals, and in different types of jobs, I’ve had the privilege and misfortune of seeing some of the best, and the worst, of health care, human nature, and, I fear, our nation’s future. Full disclosure: some of my observations may be pessimistic.</p>'),(5163,1933,'_article_description','field_544114c4e5209'),(5164,1933,'article_pdf','1917'),(5165,1933,'_article_pdf','field_54411501e520a'),(5166,1934,'_edit_lock','1418059515:12'),(5167,1934,'_edit_last','12'),(5168,1934,'article_title','Sounding Board Emergency Medicine Workforce Issues Synopsis and Discussion of Presentation by Dr. Carlos Camargo'),(5169,1934,'_article_title','field_54410d9ae5200'),(5170,1934,'article_author','Ellyn Meshel, MD, FAEP, Kenneth M. Flowe, MD, FAAEP, MBA'),(5171,1934,'_article_author','field_544112e3e5201'),(5172,1934,'article_publication','American Journal of Clinical Medicine®'),(5173,1934,'_article_publication','field_5441130be5202'),(5174,1934,'article_date_published_text','Spring'),(5175,1934,'_article_date_published_text','field_54411429e5204'),(5176,1934,'article_published_date','20110908'),(5177,1934,'_article_published_date','field_544113dfe5203'),(5178,1934,'article_volume_number','8'),(5179,1934,'_article_volume_number','field_5441144fe5205'),(5180,1934,'article_number_in_volume','2'),(5181,1934,'_article_number_in_volume','field_54411483e5206'),(5182,1934,'article_starting_page','98'),(5183,1934,'_article_starting_page','field_54411492e5207'),(5184,1934,'article_ending_page','101'),(5185,1934,'_article_ending_page','field_544114b0e5208'),(5186,1934,'article_description','<p style=\"text-align: justify;\">We had the pleasure of attending the lecture by Carlos Camargo, MD, DrPH, on emergency medicine workforce issues on June 25, 2011, at the AAPS Annual Meeting. Dr. Camargo, an academic emergency physician from Massachusetts General Hospital and Harvard Medical School, delivered this data-rich presentation. He has published multiple studies related to the emergency medicine workforce shortage within his research focus\r\nof public health.</p>'),(5187,1934,'_article_description','field_544114c4e5209'),(5188,1934,'article_pdf','1918'),(5189,1934,'_article_pdf','field_54411501e520a'),(5190,1935,'_edit_lock','1418060012:12'),(5191,1935,'_edit_last','12'),(5192,1935,'article_title','Sounding Board The American Academy of Family Physicians Establishes a Forum for Family Physicians in Emergency Medicine'),(5193,1935,'_article_title','field_54410d9ae5200'),(5194,1935,'article_author','Danny Greig, MD, FAAFP, Anthony Gerard, MD, FACEP, Kim Bullock, MD'),(5195,1935,'_article_author','field_544112e3e5201'),(5196,1935,'article_publication','American Journal of Clinical Medicine®'),(5197,1935,'_article_publication','field_5441130be5202'),(5198,1935,'article_date_published_text','Spring'),(5199,1935,'_article_date_published_text','field_54411429e5204'),(5200,1935,'article_published_date','20110908'),(5201,1935,'_article_published_date','field_544113dfe5203'),(5202,1935,'article_volume_number','8'),(5203,1935,'_article_volume_number','field_5441144fe5205'),(5204,1935,'article_number_in_volume','2'),(5205,1935,'_article_number_in_volume','field_54411483e5206'),(5206,1935,'article_starting_page','92'),(5207,1935,'_article_starting_page','field_54411492e5207'),(5208,1935,'article_ending_page','93'),(5209,1935,'_article_ending_page','field_544114b0e5208'),(5210,1935,'article_description','<p style=\"text-align: justify;\">Family Physicians remain critical to the system of emergency care in this country. This conclusion is supported by the Institute of Medicine report on the state of emergency care in the United States. The data collected by Dr. Camargo further support this. In most rural or suburban emergency departments in this country, patients will find Family Physicians doing what they have always done, stepping up to meet the needs of their communities in whatever capacity is necessary. Most of us have dedicated large portions of our careers to providing high quality and readily accessible emergency care to our communities.  Many of us have undergone the rigorous process of achieving additional certification through the BCEM. Many of us remain active members of ACEP, but we have seen the support once afforded us by organized emergency medicine erode rapidly over the last two decades.</p>'),(5211,1935,'_article_description','field_544114c4e5209'),(5212,1935,'article_pdf','1919'),(5213,1935,'_article_pdf','field_54411501e520a'),(5214,1936,'_edit_lock','1418075379:12'),(5215,1936,'_edit_last','12'),(5216,1936,'article_title','Starting an Emergency Medicine Fellowship Program The First Two Years'),(5217,1936,'_article_title','field_54410d9ae5200'),(5218,1936,'article_author','Thomas M. Carr, Jr., MD, FACP, FACEP'),(5219,1936,'_article_author','field_544112e3e5201'),(5220,1936,'article_publication','American Journal of Clinical Medicine®'),(5221,1936,'_article_publication','field_5441130be5202'),(5222,1936,'article_date_published_text','Spring'),(5223,1936,'_article_date_published_text','field_54411429e5204'),(5224,1936,'article_published_date','20110908'),(5225,1936,'_article_published_date','field_544113dfe5203'),(5226,1936,'article_volume_number','8'),(5227,1936,'_article_volume_number','field_5441144fe5205'),(5228,1936,'article_number_in_volume','2'),(5229,1936,'_article_number_in_volume','field_54411483e5206'),(5230,1936,'article_starting_page','82'),(5231,1936,'_article_starting_page','field_54411492e5207'),(5232,1936,'article_ending_page','83'),(5233,1936,'_article_ending_page','field_544114b0e5208'),(5234,1936,'article_description','<p style=\"text-align: justify;\">In 2009 several members of the medical staff of the Emergency Departments (ED) of the adult hospitals in the Methodist Le Bonheur Healthcare System in Memphis, Tennessee, started a non-residency Emergency Medicine (EM) training program to be housed at Methodist Hospital North (MHN) in Memphis.</p>'),(5235,1936,'_article_description','field_544114c4e5209'),(5236,1936,'article_pdf','1921'),(5237,1936,'_article_pdf','field_54411501e520a'),(5433,2008,'article_starting_page','38'),(5432,2008,'_article_number_in_volume','field_54411483e5206'),(5431,2008,'article_number_in_volume','1'),(5430,2008,'_article_volume_number','field_5441144fe5205'),(5429,2008,'article_volume_number','8'),(5428,2008,'_article_published_date','field_544113dfe5203'),(5427,2008,'article_published_date','20110223'),(5426,2008,'_article_date_published_text','field_54411429e5204'),(5425,2008,'article_date_published_text','Winter'),(5424,2008,'_article_publication','field_5441130be5202'),(5423,2008,'article_publication','American Journal of Clinical Medicine®'),(5422,2008,'_article_author','field_544112e3e5201'),(5421,2008,'article_author','Mark Pastin, PhD'),(5413,1996,'_wp_attachment_metadata','a:5:{s:5:\"width\";i:140;s:6:\"height\";i:99;s:4:\"file\";s:12:\"sunset-2.gif\";s:5:\"sizes\";a:0:{}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;}}'),(5575,2036,'_edit_last','15'),(5563,2016,'_edit_lock','1423156515:12'),(5416,1996,'_edit_lock','1422898171:12'),(5417,2008,'_edit_lock','1423064841:12'),(5418,2008,'_edit_last','12'),(5419,2008,'article_title','Medical Ethics Without the Rhetoric: Case Eight, Never Too Old For Love'),(5420,2008,'_article_title','field_54410d9ae5200'),(5412,1996,'_wp_attached_file','sunset-2.gif'),(5410,1985,'_edit_last','15'),(5409,1985,'_edit_lock','1423579936:15'),(5262,1941,'_edit_lock','1419953800:12'),(5263,1941,'_edit_last','12'),(5264,1941,'article_title','System Analysis Comparing Physiologic Endpoints of Standard AHA and Compression-Only'),(5265,1941,'_article_title','field_54410d9ae5200'),(5266,1941,'article_author','James C. Kolb, MD, Thomas G. Coleman, PhD, Richard L. Summers, MD'),(5267,1941,'_article_author','field_544112e3e5201'),(5268,1941,'article_publication','American Journal of Clinical Medicine®'),(5269,1941,'_article_publication','field_5441130be5202'),(5270,1941,'article_date_published_text','Spring'),(5271,1941,'_article_date_published_text','field_54411429e5204'),(5272,1941,'article_published_date','20110408'),(5273,1941,'_article_published_date','field_544113dfe5203'),(5274,1941,'article_volume_number','8'),(5275,1941,'_article_volume_number','field_5441144fe5205'),(5276,1941,'article_number_in_volume','2'),(5277,1941,'_article_number_in_volume','field_54411483e5206'),(5278,1941,'article_starting_page','72'),(5279,1941,'_article_starting_page','field_54411492e5207'),(5280,1941,'article_ending_page','76'),(5281,1941,'_article_ending_page','field_544114b0e5208'),(5282,1941,'article_description','Several recent studies suggest that compression only CPR (CCPR) has similar or superior outcomes to the standard AHA guidelines CPR (S-CPR). However, it has been difficult to rigorously study the key metabolic and hemodynamic endpoints in the acute clinical environment. A systems analysis approach employing a mathematical model of human physiology (Guyton/Coleman/Summers model) was used to compare the expected physiologic perturbations of S-CPR and C-CPR strategies.'),(5283,1941,'_article_description','field_544114c4e5209'),(5284,1941,'article_pdf','1924'),(5285,1941,'_article_pdf','field_54411501e520a'),(5434,2008,'_article_starting_page','field_54411492e5207'),(5288,1942,'_edit_lock','1419954375:12'),(5289,1942,'_edit_last','12'),(5290,1942,'article_title','Case Report Mild Traumatic Brain Injury in High School Athlete – Novel Method of Evaluating Clinical Progress'),(5291,1942,'_article_title','field_54410d9ae5200'),(5292,1942,'article_author','James G. Laurenzano, MD'),(5293,1942,'_article_author','field_544112e3e5201'),(5294,1942,'article_publication','American Journal of Clinical Medicine®'),(5295,1942,'_article_publication','field_5441130be5202'),(5296,1942,'article_date_published_text','Spring'),(5297,1942,'_article_date_published_text','field_54411429e5204'),(5298,1942,'article_published_date','20110408'),(5299,1942,'_article_published_date','field_544113dfe5203'),(5300,1942,'article_volume_number','8'),(5301,1942,'_article_volume_number','field_5441144fe5205'),(5302,1942,'article_number_in_volume','2'),(5303,1942,'_article_number_in_volume','field_54411483e5206'),(5304,1942,'article_starting_page','112'),(5305,1942,'_article_starting_page','field_54411492e5207'),(5306,1942,'article_ending_page','113'),(5307,1942,'_article_ending_page','field_544114b0e5208'),(5308,1942,'article_description','The patient was a local high school male soccer player who was seen by me at a local urgent care center shortly after he was injured. This teenage male was accompanied by his mother. He had been struck in the head after colliding with another player while competing in a high school soccer game. There was no loss of consciousness surrounding the impact. The patient had a complaint of a headache on his initial presentation. There was no nausea, vomiting, or unusual behavior.'),(5309,1942,'_article_description','field_544114c4e5209'),(5310,1942,'article_pdf','1914'),(5311,1942,'_article_pdf','field_54411501e520a'),(5312,1943,'_edit_lock','1419970847:12'),(5313,1943,'_edit_last','12'),(5314,1944,'_wp_attached_file','Cystic-Teratoma-of-the-Liver.pdf'),(5315,1945,'_wp_attached_file','Invasive-Squamous-Cell-Carcinoma-of-the-Cervix.pdf'),(5316,1946,'_wp_attached_file','M-e-d-i-c-a-l-Ethics-Never-too-Old-for-Love.pdf'),(5317,1947,'_wp_attached_file','Malignant-and-Benign-Eyelid-Lesions.pdf'),(5318,1948,'_wp_attached_file','Managing-Hepatitis-C.pdf'),(5319,1949,'_wp_attached_file','Myocardial-Infarction-STE-MI-Therapy.pdf'),(5320,1950,'_wp_attached_file','Pelvic-Examination-Accuracy.pdf'),(5321,1951,'_wp_attached_file','Review-of-Medical-and-Surgical.pdf'),(5322,1952,'_wp_attached_file','sounding-board-Foreign-Medical-Work.pdf'),(5323,1953,'_wp_attached_file','Transfuse-or-Not-to-Transfuse.pdf'),(5324,1943,'article_title','Review of Medical and Surgical Management of Postpartum Hemorrhage'),(5325,1943,'_article_title','field_54410d9ae5200'),(5326,1943,'article_author','Daniel M. Avery, Jr., MD, FAASS'),(5327,1943,'_article_author','field_544112e3e5201'),(5328,1943,'article_publication','American Journal of Clinical Medicine®'),(5329,1943,'_article_publication','field_5441130be5202'),(5330,1943,'article_date_published_text','Winter'),(5331,1943,'_article_date_published_text','field_54411429e5204'),(5332,1943,'article_published_date','20110323'),(5333,1943,'_article_published_date','field_544113dfe5203'),(5334,1943,'article_volume_number','8'),(5335,1943,'_article_volume_number','field_5441144fe5205'),(5336,1943,'article_number_in_volume','1'),(5337,1943,'_article_number_in_volume','field_54411483e5206'),(5338,1943,'article_starting_page','6'),(5339,1943,'_article_starting_page','field_54411492e5207'),(5340,1943,'article_ending_page','10'),(5341,1943,'_article_ending_page','field_544114b0e5208'),(5342,1943,'article_description','There are two great fears for those who attend childbirth; these have not changed over centuries. The first is massive postpartum hemorrhage and the other is a shoulder dystocia. Postpartum hemorrhage is a significant cause of maternal morbidity and mortality worldwide among both developed and developing countries. This problem daily faces the 35,000 obstetrician/gynecologists and 17,000 family physicians who deliver about a million babies yearly in this country.'),(5343,1943,'_article_description','field_544114c4e5209'),(5344,1943,'article_pdf','1962'),(5345,1943,'_article_pdf','field_54411501e520a'),(5346,1954,'_edit_lock','1419971009:12'),(5347,1954,'_edit_last','12'),(5348,1954,'article_title','Transfuse or Not to Transfuse: For Post-op Anemia'),(5349,1954,'_article_title','field_54410d9ae5200'),(5350,1954,'article_author','Jasmine Chao, DO, MS, FAAFP'),(5351,1954,'_article_author','field_544112e3e5201'),(5352,1954,'article_publication','American Journal of Clinical Medicine®'),(5353,1954,'_article_publication','field_5441130be5202'),(5354,1954,'article_date_published_text','Winter'),(5355,1954,'_article_date_published_text','field_54411429e5204'),(5356,1954,'article_published_date','20110323'),(5357,1954,'_article_published_date','field_544113dfe5203'),(5358,1954,'article_volume_number','8'),(5359,1954,'_article_volume_number','field_5441144fe5205'),(5360,1954,'article_number_in_volume','1'),(5361,1954,'_article_number_in_volume','field_54411483e5206'),(5362,1954,'article_starting_page','11'),(5363,1954,'_article_starting_page','field_54411492e5207'),(5364,1954,'article_ending_page','14'),(5365,1954,'_article_ending_page','field_544114b0e5208'),(5366,1954,'article_description','<p style=\"text-align: justify;\">An estimated five million patients receive blood transfusion per year, and blood transfusion is the most commonly employed procedure code used among inpatient stay. About 60-70% of blood transfusions take place in surgical settings.1\r\nAlthough these statistics are impressive, the presence of postanemia presents a challenge for both medical and surgical specialties. In my practice, I have always tried to follow what is considered the best practice with our current understanding of the most recent research. It would be beneficial for both specialties to discuss their different points of views and expectations on this subject to achieve better patient outcome. In order to arrive at a consensus between medical and surgical\r\nspecialties, I would like to review a few key publications, including the old practice guideline published by the American Society of Anesthesiologists in 2006 and the Canadian TRICC study published in 1999 in the NEJM, and compare these with the results from the much anticipated FOCUS study, which started in 2006, for hip fracture patients with cardiovascular disease or cardiovascular risk factors. These reviews compare different approaches in treating post-op surgical patients, such as a liberal red blood cell (RBC) transfusion strategy and aggressively treat moderate anemia, and their clinical outcomes.</p>'),(5367,1954,'_article_description','field_544114c4e5209'),(5368,1954,'article_pdf','1964'),(5369,1954,'_article_pdf','field_54411501e520a'),(5370,1955,'_wp_attached_file','Cystic-Teratoma-of-the-Liver1.pdf'),(5371,1956,'_wp_attached_file','Invasive-Squamous-Cell-Carcinoma-of-the-Cervix1.pdf'),(5372,1957,'_wp_attached_file','M-e-d-i-c-a-l-Ethics-Never-too-Old-for-Love1.pdf'),(5373,1958,'_wp_attached_file','Malignant-and-Benign-Eyelid-Lesions1.pdf'),(5374,1959,'_wp_attached_file','Managing-Hepatitis-C1.pdf'),(5375,1960,'_wp_attached_file','Myocardial-Infarction-STE-MI-Therapy1.pdf'),(5376,1961,'_wp_attached_file','Pelvic-Examination-Accuracy1.pdf'),(5377,1962,'_wp_attached_file','Review-of-Medical-and-Surgical1.pdf'),(5378,1963,'_wp_attached_file','sounding-board-Foreign-Medical-Work1.pdf'),(5379,1964,'_wp_attached_file','Transfuse-or-Not-to-Transfuse1.pdf'),(5380,1966,'_edit_lock','1419977577:12'),(5381,1966,'_edit_last','12'),(5382,1966,'article_title','A Critical Appraisal of the Evolution of ST Elevation Myocardial Infarction (STEMI) Therapy and the Evidence Behind the Current Treatment Guidelines'),(5383,1966,'_article_title','field_54410d9ae5200'),(5384,1966,'article_author','Leslie Mukau, MD, FAAEP, FACEP'),(5385,1966,'_article_author','field_544112e3e5201'),(5386,1966,'article_publication','American Journal of Clinical Medicine®'),(5387,1966,'_article_publication','field_5441130be5202'),(5388,1966,'article_date_published_text','Winter'),(5389,1966,'_article_date_published_text','field_54411429e5204'),(5390,1966,'article_published_date','20110323'),(5391,1966,'_article_published_date','field_544113dfe5203'),(5392,1966,'article_volume_number','8'),(5393,1966,'_article_volume_number','field_5441144fe5205'),(5394,1966,'article_number_in_volume','1'),(5395,1966,'_article_number_in_volume','field_54411483e5206'),(5396,1966,'article_starting_page','15'),(5397,1966,'_article_starting_page','field_54411492e5207'),(5398,1966,'article_ending_page','36'),(5399,1966,'_article_ending_page','field_544114b0e5208'),(5400,1966,'article_description','<p style=\"text-align: justify;\">In the United States cardiovascular disease is the leading cause of and is responsible for 26% of deaths each year. Half of the deaths due to heart disease in 2006 were women. In 2009, the Center for Disease Control (CDC) estimated that 785,000 Americans had a new myocardial infarction and about 470,000 had a recurrent attack. Nearly 400,000 Americans will die of CHD in 2010. The cost of heart disease in terms of health care services, medications, and lost productivity for 2010 has been estimated at $316.4 billion. The current therapeutic guidelines for the treatment of ST elevation myocardial infarction are reviewed from a historical perspective, and the scientific evidence behind such guidelines is systematically analyzed.</p>'),(5401,1966,'_article_description','field_544114c4e5209'),(5402,1966,'article_pdf','1949'),(5403,1966,'_article_pdf','field_54411501e520a'),(5404,1972,'_wp_attached_file','2015-UPDATED-AAPS-Management_Org-Chart.pdf'),(5405,1975,'_wp_attached_file','2015-NIF-WEBSITE-Contributers-List-1.20.14.pdf'),(5406,152,'_edit_lock','1422027024:12'),(5407,1978,'_wp_attached_file','Author-Responsibility-Form-1.15.pdf'),(5408,1978,'_edit_lock','1422027196:12'),(5435,2008,'article_ending_page','39'),(5436,2008,'_article_ending_page','field_544114b0e5208'),(5437,2008,'article_description','<p style=\"text-align: justify;\">The patient is an eighty-two year old male who is in excellent physical condition – except for his need for a kidney. Otherwise, he has the physical condition of a sixty-year-old. His wife who, in fact, is a sixty-year-old wants to donate a kidney to her husband. The medical professionals involved in the case believe that the organ could be successfully harvested and that the transplant might well extend the life of the husband. The wife is in good enough health to qualify as a donor in medical terms, but her age would generally disqualify her. The issues of the wife’s age qualification aside, the medical professionals involved have qualms about transplanting an organ for an eighty-twoyear-old person, even if the person is otherwise healthy. There is no question of who is going to pay as the couple is wealthy and will cover all costs. Some of the involved medical professionals even feel that there is something to be learned from performing a transplant in such an unusual case. Putting aside legal and regulatory concerns, is it ethically permissible to perform the transplant?</p>'),(5438,2008,'_article_description','field_544114c4e5209'),(5439,2008,'article_pdf','1957'),(5440,2008,'_article_pdf','field_54411501e520a'),(5441,2009,'_edit_lock','1423065360:12'),(5442,2009,'_edit_last','12'),(5443,2009,'article_title','Malignant and Benign Eyelid Lesions in San Francisco: Study of a Diverse Urban Population'),(5444,2009,'_article_title','field_54410d9ae5200'),(5445,2009,'article_author','Sean Paul, MD, Dat T. Vo, BS, Rona Z. Silkiss, MD, FACS'),(5446,2009,'_article_author','field_544112e3e5201'),(5447,2009,'article_publication','American Journal of Clinical Medicine®'),(5448,2009,'_article_publication','field_5441130be5202'),(5449,2009,'article_date_published_text','Winter'),(5450,2009,'_article_date_published_text','field_54411429e5204'),(5451,2009,'article_published_date','20110323'),(5452,2009,'_article_published_date','field_544113dfe5203'),(5453,2009,'article_volume_number','8'),(5454,2009,'_article_volume_number','field_5441144fe5205'),(5455,2009,'article_number_in_volume','1'),(5456,2009,'_article_number_in_volume','field_54411483e5206'),(5457,2009,'article_starting_page','40'),(5458,2009,'_article_starting_page','field_54411492e5207'),(5459,2009,'article_ending_page','45'),(5460,2009,'_article_ending_page','field_544114b0e5208'),(5461,2009,'article_description','<p style=\"text-align: justify;\">Eyelid lesions are common concerns amongst patients. Internists, family practitioners, dermatologists, and ophthalmologists are often requested to determine if a lesion is benign or malignant. Histopathological diagnosis and clinical correlation have been studied in published case reviews. Studies overseas have also examined the incidence in specific populations.1-3,6,7 Benign tumors greatly outnumber malignant tumors.1-5 Basal cell carcinoma has been shown to have the highest incidence among malignancies. 8 Lin et al. described a significantly higher incidence of sebaceous gland cell carcinoma in Taiwan. In this case series review, the authors examined the incidence and histopathology of eyelid tumors in an American urban medical center with a diverse patient population. Eyelid tumor pathology data were gathered from the California Pacific Medical Center in San Francisco, California, from 2004 to 2007. The authors had full access to all data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. While previous studies regarding eyelid tumors have relied on national tumor registries in various countries and regions within the United States, this study focused solely on eyelid tumors at a specific hospital in an urban setting with a known diverse population.</p>'),(5467,2010,'article_title','Invasive Squamous Cell Carcinoma of the Cervix Following HPV Immunization in a Nineteen-Year-Old Woman'),(5462,2009,'_article_description','field_544114c4e5209'),(5463,2009,'article_pdf','1947'),(5464,2009,'_article_pdf','field_54411501e520a'),(5465,2010,'_edit_lock','1423066196:12'),(5466,2010,'_edit_last','12'),(5468,2010,'_article_title','field_54410d9ae5200'),(5469,2010,'article_author','Daniel M. Avery, Jr., MD, FAASS, Dwight Hooper, MD, MBA'),(5470,2010,'_article_author','field_544112e3e5201'),(5471,2010,'article_publication','American Journal of Clinical Medicine®'),(5472,2010,'_article_publication','field_5441130be5202'),(5473,2010,'article_date_published_text','Winter'),(5474,2010,'_article_date_published_text','field_54411429e5204'),(5475,2010,'article_published_date','20110323'),(5476,2010,'_article_published_date','field_544113dfe5203'),(5477,2010,'article_volume_number','8'),(5478,2010,'_article_volume_number','field_5441144fe5205'),(5479,2010,'article_number_in_volume','1'),(5480,2010,'_article_number_in_volume','field_54411483e5206'),(5481,2010,'article_starting_page','47'),(5482,2010,'_article_starting_page','field_54411492e5207'),(5483,2010,'article_ending_page','48'),(5484,2010,'_article_ending_page','field_544114b0e5208'),(5485,2010,'article_description','<p style=\"text-align: justify;\">The incidence of cervical cancer is very low in the United States. The American College of Obstetricians and Gynecologists’ (ACOG) recommendations suggest cervical cancer screening (Pap tests) beginning at age 21 regardless of when sexual activity may have begun. However, there are a few young women who will develop cervical cancer. This paper presents a case of invasive cervical cancer in a 19-year-old female who had previously received the HPV vaccine series.</p>'),(5486,2010,'_article_description','field_544114c4e5209'),(5487,2010,'article_pdf','1945'),(5488,2010,'_article_pdf','field_54411501e520a'),(5489,2011,'_edit_lock','1423071254:12'),(5490,2011,'_edit_last','12'),(5491,2011,'article_title','Impact of a Multi-Modality Intervention on Physician Knowledge and Practice in Managing Hepatitis C'),(5492,2011,'_article_title','field_54410d9ae5200'),(5493,2011,'article_author','M. Rebecca Daniel, MD, FACP, Bonita Singal, MD, PhD, Varsha Moudgal, MD, Thomas M. Shehab, MD, FACP, FACG'),(5494,2011,'_article_author','field_544112e3e5201'),(5495,2011,'article_publication','American Journal of Clinical Medicine®'),(5496,2011,'_article_publication','field_5441130be5202'),(5497,2011,'article_date_published_text','Winter'),(5498,2011,'_article_date_published_text','field_54411429e5204'),(5499,2011,'article_published_date','20110323'),(5500,2011,'_article_published_date','field_544113dfe5203'),(5501,2011,'article_volume_number','8'),(5502,2011,'_article_volume_number','field_5441144fe5205'),(5503,2011,'article_number_in_volume','1'),(5504,2011,'_article_number_in_volume','field_54411483e5206'),(5505,2011,'article_starting_page','49'),(5506,2011,'_article_starting_page','field_54411492e5207'),(5507,2011,'article_ending_page','56'),(5508,2011,'_article_ending_page','field_544114b0e5208'),(5509,2011,'article_description','<p style=\"text-align: justify;\">The majority of patients with chronic hepatitis C virus (HCV) infection remain undiagnosed. Studies have shown that primary care providers (PCPs) lack knowledge about HCV and do not comply with current practice guidelines for identifying and screening individuals at risk.</p>'),(5510,2011,'_article_description','field_544114c4e5209'),(5511,2011,'article_pdf','1959'),(5512,2011,'_article_pdf','field_54411501e520a'),(5513,2012,'_edit_lock','1423071505:12'),(5514,2012,'_edit_last','12'),(5515,2012,'article_title','Primary Mature Cystic Teratoma of the Liver: Report of a Rare Case'),(5516,2012,'_article_title','field_54410d9ae5200'),(5517,2012,'article_author','Brian Harris, PhD, MD, FAAR,  Nicole De Simone, DO, MPH'),(5518,2012,'_article_author','field_544112e3e5201'),(5519,2012,'article_publication','American Journal of Clinical Medicine®'),(5520,2012,'_article_publication','field_5441130be5202'),(5521,2012,'article_date_published_text','Winter'),(5522,2012,'_article_date_published_text','field_54411429e5204'),(5523,2012,'article_published_date','20110323'),(5524,2012,'_article_published_date','field_544113dfe5203'),(5525,2012,'article_volume_number','8'),(5526,2012,'_article_volume_number','field_5441144fe5205'),(5527,2012,'article_number_in_volume','1'),(5528,2012,'_article_number_in_volume','field_54411483e5206'),(5529,2012,'article_starting_page','57'),(5530,2012,'_article_starting_page','field_54411492e5207'),(5531,2012,'article_ending_page','59'),(5532,2012,'_article_ending_page','field_544114b0e5208'),(5533,2012,'article_description','<p style=\"text-align: justify;\">Teratomas are nonseminomatous germ cell tumors that arise from abnormal development of pluripotent and embryonal germ cells.1 They usually occur in male and female gonads and are rarely reported in extragonadal sites.2 Most findings are incidental, with imaging characteristics well described in radiological literature. To our knowledge, there have been only a few well documented cases of primary teratomas reported in the liver. Of the 26 reported, only six have occurred in adults. The majority of these cases were in female children below the age of three, mostly arising in the right lobe of the liver.1,3,4 We report a rare case of a mature cystic teratoma in the right lobe of the liver found incidentally in a 57-year-old female while undergoing CT scan of the abdomen and pelvis for abdominal pain related to a rectus hematoma. The diagnosis, pathogenesis, and the potential of malignant degeneration are discussed.</p>'),(5534,2012,'_article_description','field_544114c4e5209'),(5535,2012,'article_pdf','1944'),(5536,2012,'_article_pdf','field_54411501e520a'),(5537,2013,'_edit_lock','1423603304:12'),(5538,2013,'_edit_last','12'),(5539,2013,'article_title','Sounding Board: NOT Flat Stanley’s Big Vacation Dr. Ed Thornton on Foreign Medical Work'),(5540,2013,'_article_title','field_54410d9ae5200'),(5541,2013,'article_author','Martin E. Thornton, DO'),(5542,2013,'_article_author','field_544112e3e5201'),(5543,2013,'article_publication','American Journal of Clinical Medicine®'),(5544,2013,'_article_publication','field_5441130be5202'),(5545,2013,'article_date_published_text','Winter'),(5546,2013,'_article_date_published_text','field_54411429e5204'),(5547,2013,'article_published_date','20110323'),(5548,2013,'_article_published_date','field_544113dfe5203'),(5549,2013,'article_volume_number','8'),(5550,2013,'_article_volume_number','field_5441144fe5205'),(5551,2013,'article_number_in_volume','1'),(5552,2013,'_article_number_in_volume','field_54411483e5206'),(5553,2013,'article_starting_page','62'),(5554,2013,'_article_starting_page','field_54411492e5207'),(5555,2013,'article_ending_page','64'),(5556,2013,'_article_ending_page','field_544114b0e5208'),(5557,2013,'article_description','<p style=\"text-align: justify;\">OK, Flat Stanley was just to get your attention for the real story. Six months ago I was working my usual day in/day out life and a phone call changed my plans for a while. The Tanzanian government had worked to start a clinic in Kigombe, Tanzania. If you Google Earth Kigombe, you will see that it is conveniently in the northern part of Tanzania next to the city of Tanga and close to the border of Kenya. If that doesn\'t work, you can put one leg on Mombasa, Kenya, and play twister to get the other leg on Dar es Salaam, Tanzania. Then, put your hand right in between your legs, and there in the middle is Tanga. It is a coastal area where many islands (the most famous of which is Zanzibar) are located and the people basically fish for a living. They encounter many difficult diseases that love the eastern coast of Africa, such as malaria, typhoid, dengue, Loa Loa, Wucheria Bancroft, HIV/AIDS, and so on. There are more than half a million people in the Kigombe region alone, and they are affectionately referred to as the “Fisherfolks.” After five years trying and failing to establish a hospital in this area, the government of Tanzania decided to ask for international help.</p>'),(5558,2013,'_article_description','field_544114c4e5209'),(5559,2013,'article_pdf','1963'),(5560,2013,'_article_pdf','field_54411501e520a'),(5583,2059,'_wp_attached_file','ChangingTrends.jpg'),(5562,2016,'_wp_attached_file','2015-Annual-Meeting-Brochure-Registration-Form1.pdf'),(5582,2051,'_edit_lock','1424790823:12'),(5569,2024,'_wp_attached_file','DOF20141.pdf'),(5570,2024,'_edit_lock','1424192860:12'),(5571,2024,'_edit_last','12'),(5584,2059,'_wp_attachment_metadata','a:5:{s:5:\"width\";i:140;s:6:\"height\";i:99;s:4:\"file\";s:18:\"ChangingTrends.jpg\";s:5:\"sizes\";a:0:{}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:1;}}'),(5585,2059,'_edit_lock','1426083707:12'),(5586,2063,'_edit_lock','1426517554:15'),(5587,2063,'_edit_last','15'),(5589,2074,'_wp_attached_file','2015-Annual-Meeting-Registration-Form-3.30.15.pdf'),(5590,2080,'_wp_attached_file','2015-Annual-Meeting-Registration-Form-4.3.15.pdf'),(5591,2080,'_edit_lock','1428074531:12'),(5592,2086,'_menu_item_type','custom'),(5593,2086,'_menu_item_menu_item_parent','222'),(5594,2086,'_menu_item_object_id','2086'),(5595,2086,'_menu_item_object','custom'),(5596,2086,'_menu_item_target',''),(5597,2086,'_menu_item_classes','a:1:{i:0;s:0:\"\";}'),(5598,2086,'_menu_item_xfn',''),(5599,2086,'_menu_item_url','http://www.aapsus.org/graduate-fellowship'),(5601,2087,'_menu_item_type','custom'),(5602,2087,'_menu_item_menu_item_parent','196'),(5603,2087,'_menu_item_object_id','2087'),(5604,2087,'_menu_item_object','custom'),(5605,2087,'_menu_item_target',''),(5606,2087,'_menu_item_classes','a:1:{i:0;s:0:\"\";}'),(5607,2087,'_menu_item_xfn',''),(5608,2087,'_menu_item_url','http://www.aapsus.org/graduate-fellowship'),(5610,2088,'_menu_item_type','custom'),(5611,2088,'_menu_item_menu_item_parent','344'),(5612,2088,'_menu_item_object_id','2088'),(5613,2088,'_menu_item_object','custom'),(5614,2088,'_menu_item_target',''),(5615,2088,'_menu_item_classes','a:1:{i:0;s:0:\"\";}'),(5616,2088,'_menu_item_xfn',''),(5617,2088,'_menu_item_url','http://www.aapsus.org/hospital-medicine-fellowship'),(5619,2090,'_wp_attached_file','Adopting-the-Water-Method.pdf'),(5620,2091,'_wp_attached_file','Comparative-Effectiveness-of-Water-vs.-Air-Methods.pdf'),(5621,2092,'_wp_attached_file','Cost-Benefit-Analysis-and-Cost-Estimating.pdf'),(5622,2093,'_wp_attached_file','Effect-of-Music-on-Patients-Undergoing-Colonoscopy.pdf'),(5623,2094,'_wp_attached_file','Extended-Flexible-Sigmoidoscopy.pdf'),(5624,2095,'_wp_attached_file','Hidden-Cost-of-Sedation-for-Screening.pdf'),(5625,2096,'_wp_attached_file','Hypnosis-to-Manage-Anxiety-and-Pain-Associated.pdf'),(5626,2097,'_wp_attached_file','Medical-Ethics-Without-the-Rhetoric-Case-Seven-Civil-but-Disobedient.pdf'),(5627,2098,'_wp_attached_file','Minimizing-the-Burden-of-Colorectal-Cancer.pdf'),(5628,2099,'_wp_attached_file','More-Polyps-Are-Seen-on-Screening-Colonoscopy.pdf'),(5629,2100,'_wp_attached_file','On-Demand-Sedation-in-Community-Practice.pdf'),(5630,2101,'_wp_attached_file','Patient-Time-Burden-and-Sedation-Related.pdf'),(5631,2102,'_wp_attached_file','Scheduled-Unsedated-Colonoscopy-Provides.pdf'),(5632,2103,'_wp_attached_file','Water-Navigation-Colonoscopy.pdf'),(5633,2104,'_wp_attached_file','Back-and-Neck-Pain-in-Gynecologists.pdf'),(5634,2105,'_wp_attached_file','Clinical-Trials-Fuel-the-Promise-of-Plant-Derived-Vaccines.pdf'),(5635,2106,'_wp_attached_file','Ethical-Legal-and-Professional-Challenges.pdf'),(5636,2107,'_wp_attached_file','Evaluation-of-Syncope-in-the-Emergency-Department.pdf'),(5637,2108,'_wp_attached_file','Food-Handler-with-Cough.pdf'),(5638,2109,'_wp_attached_file','Medical-Ethics-Life-After-Life.pdf'),(5639,2110,'_wp_attached_file','Sounding-Board-Why-Are-Very-Few-Autopsies-Performed-Today.pdf'),(5640,2111,'_wp_attached_file','Tender-Abdominal-Mass-from-Colic-Artery.pdf'),(5641,2112,'_wp_attached_file','What-Happens-When-a-PhysicianIs-Suspected-of-Abusing-Drigs-or-Alcohol.pdf'),(5642,2113,'_edit_lock','1429114775:12'),(5643,2113,'_edit_last','12'),(5644,2113,'article_title','Patient Time Burden and Sedation-Related Complications in Screening and Surveillance Colonoscopy'),(5645,2113,'_article_title','field_54410d9ae5200'),(5646,2113,'article_author','Wm. MacMillan Rodney, MD, Ricardo G Hahn, MD'),(5647,2113,'_article_author','field_544112e3e5201'),(5648,2113,'article_publication','American Journal of Clinical Medicine®'),(5649,2113,'_article_publication','field_5441130be5202'),(5650,2113,'article_date_published_text','Special Issue'),(5651,2113,'_article_date_published_text','field_54411429e5204'),(5652,2113,'article_published_date','20101027'),(5653,2113,'_article_published_date','field_544113dfe5203'),(5654,2113,'article_volume_number','7'),(5655,2113,'_article_volume_number','field_5441144fe5205'),(5656,2113,'article_number_in_volume','3'),(5657,2113,'_article_number_in_volume','field_54411483e5206'),(5658,2113,'article_starting_page','105'),(5659,2113,'_article_starting_page','field_54411492e5207'),(5660,2113,'article_ending_page','108'),(5661,2113,'_article_ending_page','field_544114b0e5208'),(5662,2113,'article_description','<p style=\"text-align: justify;\">As family physicians, we are honored by the invitation to collaborate in the discussion to decrease death rates from colorectal cancer via earlier detection and treatment. Studies presented here share the common thread of increased access and improved compliance through a new colonoscopy technique, which is less painful and can be provided at a lower cost. This technique should allow decreased dependence on highly regulated and costly hospital-based services, which frequently generate charges of more than $3,000 per colonoscopy. In other words, more services might be provided to more people at a lower cost. Although screening of asymptomatic patients is one issue, our early studies described the reality of communities where symptomatic patients could not or would not comply with recommendations for colonoscopy/flexible sigmoidoscopy.</p>'),(5663,2113,'_article_description','field_544114c4e5209'),(5664,2113,'article_pdf','2094'),(5665,2113,'_article_pdf','field_54411501e520a'),(5666,2114,'_edit_lock','1429114464:12'),(5667,2114,'_edit_last','12'),(5668,2115,'_edit_lock','1429036931:15'),(5669,2115,'_edit_last','15'),(5670,2115,'_wp_page_template','membership-page.php'),(7467,2267,'_wp_attached_file','2015-Annual-Meeting-Registration-Form-5.27.15.pdf'),(5673,2121,'_edit_lock','1429114511:12'),(5674,2121,'_edit_last','12'),(5675,2121,'article_title','Extended Flexible Sigmoidoscopy vs. Colonoscopy: A Family Medicine Perspective'),(5676,2121,'_article_title','field_54410d9ae5200'),(5677,2121,'article_author','Wm. MacMillan Rodney, MD, Ricardo G Hahn, MD'),(5678,2121,'_article_author','field_544112e3e5201'),(5679,2121,'article_publication','American Journal of Clinical Medicine®'),(5680,2121,'_article_publication','field_5441130be5202'),(5681,2121,'article_date_published_text','Special Issue'),(5682,2121,'_article_date_published_text','field_54411429e5204'),(5683,2121,'article_published_date','20101027'),(5684,2121,'_article_published_date','field_544113dfe5203'),(5685,2121,'article_volume_number','7'),(5686,2121,'_article_volume_number','field_5441144fe5205'),(5687,2121,'article_number_in_volume','3'),(5688,2121,'_article_number_in_volume','field_54411483e5206'),(5689,2121,'article_starting_page','105'),(5690,2121,'_article_starting_page','field_54411492e5207'),(5691,2121,'article_ending_page','108'),(5692,2121,'_article_ending_page','field_544114b0e5208'),(5693,2121,'article_description','<p style=\"text-align: justify;\">As family physicians, we are honored by the invitation to collaborate in the discussion to decrease death rates from  colorectal cancer via earlier detection and treatment. Studies presented here share the common thread of increased access and improved compliance through a new colonoscopy technique, which is less painful and can be provided at a lower cost. This technique should allow decreased dependence on highly regulated and costly hospital-based services, which frequently generate charges of more than $3,000 per colonoscopy. In other words, more services might be provided to more people at a lower cost. Although screening of asymptomatic patients is one issue, our early studies described the reality of communities where symptomatic patients could not or would not comply with recommendations for colonoscopy/flexible  sigmoidoscopy.</p>'),(5694,2121,'_article_description','field_544114c4e5209'),(5695,2121,'article_pdf','2094'),(5696,2121,'_article_pdf','field_54411501e520a'),(5697,2114,'article_title','Comparative Effectiveness of Water vs. Air Methods in Minimal Sedation Colonoscopy Performed by Supervised Trainees in the US - Randomized Controlled Trial'),(5698,2114,'_article_title','field_54410d9ae5200'),(5699,2114,'article_author','Kanat Ransibrahmanakul, MD, Joseph W. Leung, MD, FRCP, FACG, FACP, FASGE, Surinder K. Mann, MD, FACG Rodelei Siao-Salera, BSN, CGRN Brian S. Lim, MD Chhaya Hasyagar, MD, Danny Yen, MD, Igor Nastaskin, MD, Felix W. Leung, MD, FACG'),(5700,2114,'_article_author','field_544112e3e5201'),(5701,2114,'article_publication','American Journal of Clinical Medicine®'),(5702,2114,'_article_publication','field_5441130be5202'),(5703,2114,'article_date_published_text','Special Issue'),(5704,2114,'_article_date_published_text','field_54411429e5204'),(5705,2114,'article_published_date','20101027'),(5706,2114,'_article_published_date','field_544113dfe5203'),(5707,2114,'article_volume_number','7'),(5708,2114,'_article_volume_number','field_5441144fe5205'),(5709,2114,'article_number_in_volume','3'),(5710,2114,'_article_number_in_volume','field_54411483e5206'),(5711,2114,'article_starting_page','113'),(5712,2114,'_article_starting_page','field_54411492e5207'),(5713,2114,'article_ending_page','118'),(5714,2114,'_article_ending_page','field_544114b0e5208'),(5715,2114,'article_description','<p style=\"text-align: justify;\">Concern over the complexity of the water method of colonoscopy insertion has dampened enthusiasm for its adoption. To compare the water method vs. air method in the hands of supervised trainees, a randomized, controlled trial was performed. Screening and surveillance colonoscopy patients consented to randomization. They all received minimal sedation for premedication. Colonoscopy was performed by supervised trainees. The primary outcome was pain during colonoscopy. During insertion the following parameters were significantly lower with the water method: pain scores and total doses or increments (fentanyl and midazolam) of medications. The above were accomplished without compromising unassisted or total cecal intubation rates, patient satisfaction scores at discharge and at 24 hours, patient willingness to repeat colonoscopy, or yield of adenomas. Predominance of male veterans was the main limitation. Supervised trainees replicated the superior performance of the water method reported for the attending staff confirming the water method is not difficult to learn.</p>'),(5716,2114,'_article_description','field_544114c4e5209'),(5717,2114,'article_pdf','2091'),(5718,2114,'_article_pdf','field_54411501e520a'),(5719,2122,'_edit_lock','1429114977:12'),(5720,2122,'_edit_last','12'),(5721,2122,'article_title','Hidden Cost of Sedation for Screening and Surveillance by Optical Colonoscopy'),(5722,2122,'_article_title','field_54410d9ae5200'),(5723,2122,'article_author','Cynthia W. Ko, MD, MS'),(5724,2122,'_article_author','field_544112e3e5201'),(5725,2122,'article_publication','American Journal of Clinical Medicine®'),(5726,2122,'_article_publication','field_5441130be5202'),(5727,2122,'article_date_published_text','Special Issue'),(5728,2122,'_article_date_published_text','field_54411429e5204'),(5729,2122,'article_published_date','20101027'),(5730,2122,'_article_published_date','field_544113dfe5203'),(5731,2122,'article_volume_number','7'),(5732,2122,'_article_volume_number','field_5441144fe5205'),(5733,2122,'article_number_in_volume','3'),(5734,2122,'_article_number_in_volume','field_54411483e5206'),(5735,2122,'article_starting_page','119'),(5736,2122,'_article_starting_page','field_54411492e5207'),(5737,2122,'article_ending_page','120'),(5738,2122,'_article_ending_page','field_544114b0e5208'),(5739,2122,'article_description','<p style=\"text-align: justify;\">The majority of colonoscopies for performed under sedation. Patient recovery time and activity restrictions have social and economic costs. A shortage of facilities, trained personnel, and equipment limits physicians’ ability to perform colonoscopy. In one study, patients spent a median of 37.2 hours from bowel preparation until resumption of routine activities. If there were no sedation used, patients could save as much as 18 hours. In one study, examining non-adherence to screening colonoscopy, 14% of patients reported transportation difficulties as a significant barrier. Further research might describe the effect of sedation-free colonoscopy on access, economic costs, and social costs as they relate to patients and their caregivers.</p>'),(5740,2122,'_article_description','field_544114c4e5209'),(5741,2122,'article_pdf','2095'),(5742,2122,'_article_pdf','field_54411501e520a'),(5743,2123,'_edit_lock','1429116468:12'),(5744,2123,'_edit_last','12'),(5745,2123,'article_title','More Polyps Are Seen on Screening Colonoscopy With Water Infusion in Lieu of Air Insufflation (Water Method) Compared With Usual Air Insufflation'),(5746,2123,'_article_title','field_54410d9ae5200'),(5747,2123,'article_author','Joseph W. Leung, MD, FRCP, FACG, FACP, FASGE, Surinder K. Mann, MD, FACP, FACG, AGAF, Lynne Do, MD, Rodelei Siao-Salera, BSN, CGRN, Felix W. Leung, MD, FACG'),(5748,2123,'_article_author','field_544112e3e5201'),(5749,2123,'article_publication','American Journal of Clinical Medicine®'),(5750,2123,'_article_publication','field_5441130be5202'),(5751,2123,'article_date_published_text','Special Issue'),(5752,2123,'_article_date_published_text','field_54411429e5204'),(5753,2123,'article_published_date','20101027'),(5754,2123,'_article_published_date','field_544113dfe5203'),(5755,2123,'article_volume_number','7'),(5756,2123,'_article_volume_number','field_5441144fe5205'),(5757,2123,'article_number_in_volume','3'),(5758,2123,'_article_number_in_volume','field_54411483e5206'),(5759,2123,'article_starting_page','121'),(5760,2123,'_article_starting_page','field_54411492e5207'),(5761,2123,'article_ending_page','123'),(5762,2123,'_article_ending_page','field_544114b0e5208'),(5763,2123,'article_description','<p style=\"text-align: justify;\">This paper is a retrospective, uni-institutional analysis that compares the polyp detection rate of water infusion versus conventional air insufflation colonoscopy. The queried database consisted of two groups based on the method of endoscopy used. There were 683 patients in the air group (1/2000-6/2006) and 495 in the water group (6/2006-6/2009). There were significantly more patients with at least one polyp in the water group compared to the air group. Similarly, there were more &gt;9mm polyps. Overall adenoma detection rate was significantly higher in the water group. Water colonoscopy improves bowel preparation, which may contribute to higher polyp/adenoma detection.</p>'),(5764,2123,'_article_description','field_544114c4e5209'),(5765,2123,'article_pdf','2099'),(5766,2123,'_article_pdf','field_54411501e520a'),(5767,2124,'_edit_lock','1429116698:12'),(5768,2124,'_edit_last','12'),(5769,2124,'article_title','Minimizing the Burden of Colorectal Cancer Screening – An Approach in Rural Areas'),(5770,2124,'_article_title','field_54410d9ae5200'),(5771,2124,'article_author','Robert J. Newman, MD'),(5772,2124,'_article_author','field_544112e3e5201'),(5773,2124,'article_publication','American Journal of Clinical Medicine®'),(5774,2124,'_article_publication','field_5441130be5202'),(5775,2124,'article_date_published_text','Special Issue'),(5776,2124,'_article_date_published_text','field_54411429e5204'),(5777,2124,'article_published_date','20101027'),(5778,2124,'_article_published_date','field_544113dfe5203'),(5779,2124,'article_volume_number','7'),(5780,2124,'_article_volume_number','field_5441144fe5205'),(5781,2124,'article_number_in_volume','3'),(5782,2124,'_article_number_in_volume','field_54411483e5206'),(5783,2124,'article_starting_page','124'),(5784,2124,'_article_starting_page','field_54411492e5207'),(5785,2124,'article_ending_page','126'),(5786,2124,'_article_ending_page','field_544114b0e5208'),(5787,2124,'article_description','<p style=\"text-align: justify;\">There are many barriers to screening colonoscopy including cost and access to the procedure in rural and underserved areas.</p>'),(5788,2124,'_article_description','field_544114c4e5209'),(5789,2124,'article_pdf','2098'),(5790,2124,'_article_pdf','field_54411501e520a'),(5791,2125,'_edit_lock','1429120826:12'),(5792,2125,'_edit_last','12'),(5793,2125,'article_title','Hypnosis to Manage Anxiety and Pain Associated with Colonoscopy'),(5794,2125,'_article_title','field_54410d9ae5200'),(5795,2125,'article_author','Gary Elkins, PhD'),(5796,2125,'_article_author','field_544112e3e5201'),(5797,2125,'article_publication','American Journal of Clinical Medicine®'),(5798,2125,'_article_publication','field_5441130be5202'),(5799,2125,'article_date_published_text','Special Issue'),(5800,2125,'_article_date_published_text','field_54411429e5204'),(5801,2125,'article_published_date','20101027'),(5802,2125,'_article_published_date','field_544113dfe5203'),(5803,2125,'article_volume_number','7'),(5804,2125,'_article_volume_number','field_5441144fe5205'),(5805,2125,'article_number_in_volume','3'),(5806,2125,'_article_number_in_volume','field_54411483e5206'),(5807,2125,'article_starting_page','127'),(5808,2125,'_article_starting_page','field_54411492e5207'),(5809,2125,'article_ending_page','129'),(5810,2125,'_article_ending_page','field_544114b0e5208'),(5811,2125,'article_description','<p style=\"text-align: justify;\">Hypnosis is a mind-body intervention that has been used to manage pain and anxiety with reduced sedation during medical procedures. In a clinical study six patients received a hypnotic induction and instruction in self-hypnosis on the day of their colonoscopy. Patients’ levels of anxiety, pain, and satisfaction were obtained using Visual Analogue Scales (VAS). Results revealed most of the patients experienced very minimal anxiety and pain during colonoscopy, and satisfaction with hypnosis was very positive. The techniques of self-hypnosis for relaxation can be easily learned by patients and has the potential to decrease the requirement for sedation during colonoscopy.</p>'),(5812,2125,'_article_description','field_544114c4e5209'),(5813,2125,'article_pdf','2096'),(5814,2125,'_article_pdf','field_54411501e520a'),(5815,2126,'_edit_lock','1429130172:12'),(5816,2126,'_edit_last','12'),(5817,2126,'article_title','Scheduled, Unsedated Colonoscopy Provides Access to Colonoscopy in a VA Setting With Unexpected, Unplanned Discoveries'),(5841,2127,'article_title','On Demand Sedation in Community Practice'),(5818,2126,'_article_title','field_54410d9ae5200'),(5819,2126,'article_author','Felix W. Leung, MD, FAC G'),(5839,2127,'_edit_lock','1429198348:12'),(5840,2127,'_edit_last','12'),(5820,2126,'_article_author','field_544112e3e5201'),(5821,2126,'article_publication','American Journal of Clinical Medicine®'),(5822,2126,'_article_publication','field_5441130be5202'),(5823,2126,'article_date_published_text','Special Issue'),(5824,2126,'_article_date_published_text','field_54411429e5204'),(5825,2126,'article_published_date','20101027'),(5826,2126,'_article_published_date','field_544113dfe5203'),(5827,2126,'article_volume_number','7'),(5828,2126,'_article_volume_number','field_5441144fe5205'),(5829,2126,'article_number_in_volume','3'),(5830,2126,'_article_number_in_volume','field_54411483e5206'),(5831,2126,'article_starting_page','130'),(5832,2126,'_article_starting_page','field_54411492e5207'),(5833,2126,'article_ending_page','133'),(5834,2126,'_article_ending_page','field_544114b0e5208'),(5835,2126,'article_description','<p style=\"text-align: justify;\">When a nursing shortage necessitated discontinuation of our conscious sedation program for colonoscopy,  scheduled, unsedated colonoscopy was offered to restore local access to colonoscopy. The option was accepted by one-third of the patients after the pros and cons of unsedated and sedated colonoscopy were explained. Interest in communication with the colonoscopist and lack of an escort were the most frequently cited reason for acceptance of the unsedated option. Initial cecal intubation rate was &lt;80%, limited by discomfort. A searching of the literature for methods to minimize discomfort led to the discovery of several water-related techniques. Based on these techniques, a water infusion in lieu of air insufflation (water method) for aiding colonoscope insertion was developed. In  a consecutive group non-randomized observational study, the er method significant improved cecal intubation rate to 97</p>'),(5836,2126,'_article_description','field_544114c4e5209'),(5837,2126,'article_pdf','2102'),(5838,2126,'_article_pdf','field_54411501e520a'),(5842,2127,'_article_title','field_54410d9ae5200'),(5843,2127,'article_author','John L. Petrini, MD, FASGE'),(5844,2127,'_article_author','field_544112e3e5201'),(5845,2127,'article_publication','American Journal of Clinical Medicine®'),(5846,2127,'_article_publication','field_5441130be5202'),(5847,2127,'article_date_published_text','Special Issue'),(5848,2127,'_article_date_published_text','field_54411429e5204'),(5849,2127,'article_published_date','20101027'),(5850,2127,'_article_published_date','field_544113dfe5203'),(5851,2127,'article_volume_number','7'),(5852,2127,'_article_volume_number','field_5441144fe5205'),(5853,2127,'article_number_in_volume','3'),(5854,2127,'_article_number_in_volume','field_54411483e5206'),(5855,2127,'article_starting_page','134'),(5856,2127,'_article_starting_page','field_54411492e5207'),(5857,2127,'article_ending_page','136'),(5858,2127,'_article_ending_page','field_544114b0e5208'),(5859,2127,'article_description','<p style=\"text-align: justify;\">Sedation-free colonoscopy in the US is feasibility. We conducted a prospective IRB-approved trial in patients willing to begin without sedation. Two thousand ninety-one consecutive patients were eligible. Our data reveal that sedation on demand colonoscopy was successful in 99.2% of all patients; 99.3%, 99.4% and 99.1% of those medicated at start of colonoscopy; unsedated throughout; and medicated during colonoscopy, respectively. There was a reduction in complications, 0.43% vs. 6.67%, unsedated versus sedated. Ninety-seven point five percent of unsedated patients were willing to repeat without sedation. The adenoma detection rate was 32% in men and 22% in women. Thus, unsedated colonoscopy is possible in a large percentage of patients, particularly if the patient had previous colostomy or left hemicolectomy. Patients who present for their procedure without a driver and patients in whom the completeness of the bowel preparation was uncertain are good candidates to start unsedated as are patients who have had previous unsedated examination.</p>'),(5860,2127,'_article_description','field_544114c4e5209'),(5861,2127,'article_pdf','2100'),(5862,2127,'_article_pdf','field_54411501e520a'),(5863,2128,'_edit_lock','1429198963:12'),(5864,2128,'_edit_last','12'),(5865,2128,'article_title','Adopting the Water Method: Lessons, Tips, and Pitfalls Learned'),(5866,2128,'_article_title','field_54410d9ae5200'),(5867,2128,'article_author','Francisco C. Ramirez, MD, Felix W. Leung, MD, FACG'),(5868,2128,'_article_author','field_544112e3e5201'),(5869,2128,'article_publication','American Journal of Clinical Medicine®'),(5870,2128,'_article_publication','field_5441130be5202'),(5871,2128,'article_date_published_text','Special Issue'),(5872,2128,'_article_date_published_text','field_54411429e5204'),(5873,2128,'article_published_date','20101027'),(5874,2128,'_article_published_date','field_544113dfe5203'),(5875,2128,'article_volume_number','7'),(5876,2128,'_article_volume_number','field_5441144fe5205'),(5877,2128,'article_number_in_volume','3'),(5878,2128,'_article_number_in_volume','field_54411483e5206'),(5879,2128,'article_starting_page','137'),(5880,2128,'_article_starting_page','field_54411492e5207'),(5881,2128,'article_ending_page','139'),(5882,2128,'_article_ending_page','field_544114b0e5208'),(5883,2128,'article_description','<p style=\"text-align: justify;\">After studying the literature, an experienced traditional colonoscopist achieved proficiency using the water method and documented his progress with two groups: the first 20 patients and a subsequent group of the next 25 patients. Cecal intubation rates and procedure-related outcomes were compared with a retrospective, control group consisting of 100 consecutive patients who had undergone traditional colonoscopy. Cecal intubation for the first 20 patients averaged almost 10 minutes. The average time for the next 25 patients was 7.8 minutes. The air insufflation group required an average of 5.8 minutes for cecal intubation. In the second, fewer patients required change in their position (8% vs. 30%) and external pressure (12% vs. 30%) as an aid to insertion. In sedated patients examined by an experienced traditional colonoscopist, the water method can be learned quickly.</p>'),(5884,2128,'_article_description','field_544114c4e5209'),(5885,2128,'article_pdf','2090'),(5886,2128,'_article_pdf','field_54411501e520a'),(5887,2129,'_edit_lock','1429199360:12'),(5888,2129,'_edit_last','12'),(5889,2129,'article_title','Medical Ethics Without the Rhetoric: Case Seven, Civil but Disobedient'),(5890,2129,'_article_title','field_54410d9ae5200'),(5891,2129,'article_author','Mark Pastin, PhD'),(5892,2129,'_article_author','field_544112e3e5201'),(5893,2129,'article_publication','American Journal of Clinical Medicine®'),(5894,2129,'_article_publication','field_5441130be5202'),(5895,2129,'article_date_published_text','Special Issue'),(5896,2129,'_article_date_published_text','field_54411429e5204'),(5897,2129,'article_published_date','20101027'),(5898,2129,'_article_published_date','field_544113dfe5203'),(5899,2129,'article_volume_number','7'),(5900,2129,'_article_volume_number','field_5441144fe5205'),(5901,2129,'article_number_in_volume','3'),(5902,2129,'_article_number_in_volume','field_54411483e5206'),(5903,2129,'article_starting_page','140'),(5904,2129,'_article_starting_page','field_54411492e5207'),(5905,2129,'article_ending_page','141'),(5906,2129,'_article_ending_page','field_544114b0e5208'),(5907,2129,'article_description','<p style=\"text-align: justify;\">A fourteen-year-old girl was a victim of a disfiguring fire when she was in kindergarten. Since that time, the girl has been through dozens of surgeries intended to address her disfigurements – and there has been progress. Her physician is now recommending another surgery, but the girl makes it clear to her parents and to the physician that she does not want the surgery. She says she is tired of living in the hospital, experiencing pain, and can live without the promised potential benefit of the surgery.</p>'),(5908,2129,'_article_description','field_544114c4e5209'),(5909,2129,'article_pdf','2097'),(5910,2129,'_article_pdf','field_54411501e520a'),(5911,2130,'_edit_lock','1429199824:12'),(5912,2130,'_edit_last','12'),(5913,2130,'article_title','How I Teach My Trainees “Water Navigation Colonoscopy”'),(5914,2130,'_article_title','field_54410d9ae5200'),(5915,2130,'article_author','Takeshi Mizukami, MD, PhD, Toshifumi Hibi, MD, PhD'),(5916,2130,'_article_author','field_544112e3e5201'),(5917,2130,'article_publication','American Journal of Clinical Medicine®'),(5918,2130,'_article_publication','field_5441130be5202'),(5919,2130,'article_date_published_text','Special Issue'),(5920,2130,'_article_date_published_text','field_54411429e5204'),(5921,2130,'article_published_date','20101027'),(5922,2130,'_article_published_date','field_544113dfe5203'),(5923,2130,'article_volume_number','7'),(5924,2130,'_article_volume_number','field_5441144fe5205'),(5925,2130,'article_number_in_volume','3'),(5926,2130,'_article_number_in_volume','field_54411483e5206'),(5927,2130,'article_starting_page','144'),(5928,2130,'_article_starting_page','field_54411492e5207'),(5929,2130,'article_ending_page','146'),(5930,2130,'_article_ending_page','field_544114b0e5208'),(5931,2130,'article_description','<p style=\"text-align: justify;\">Colonoscopy is a difficult examination for inexperienced examiners, often due to over-insufflation of air, causing elongation of the colon and patient pain. Sedation medications relieve pain, which is a warning sign of perforation. We describe the water navigation method. With the patients in the left lateral position, air removal from recto-sigmoid allows the injected water to flow into the descending colon through the ‘collapsed’ lumen, improving the view. The “cork-screw twist” maneuver facilitates the passage of the colonoscope through the “straightened” sigmoid colon without pain. Under supervision by the author, six novices were allowed to insert the colonoscope within ten minutes by this method in one patient per week, as long as the patients did not complain of pain. The average number of attempts for the first cecal intubation within ten minutes was 3.3, and the average success rate during the first three months was 58.6%.</p>'),(5932,2130,'_article_description','field_544114c4e5209'),(5933,2130,'article_pdf','2103'),(5934,2130,'_article_pdf','field_54411501e520a'),(5935,2131,'_edit_lock','1429201073:12'),(5936,2131,'_edit_last','12'),(5937,2131,'article_title','Cost Benefit Analysis and Cost Estimating: Sedated vs. Unsedated Colonoscopy at One VAMC'),(5938,2131,'_article_title','field_54410d9ae5200'),(5939,2131,'article_author','Laura Granados-Savatgy, MPA, Douglas D. Bradham, DrPH, Liz Blohm, Rodelei Siao-Salera, BSN, CGRN, Joseph W. Leung, MD, Felix W. Leung, MD, FACG'),(5940,2131,'_article_author','field_544112e3e5201'),(5941,2131,'article_publication','American Journal of Clinical Medicine®'),(5942,2131,'_article_publication','field_5441130be5202'),(5943,2131,'article_date_published_text','Special Issue'),(5944,2131,'_article_date_published_text','field_54411429e5204'),(5945,2131,'article_published_date','20100427'),(5946,2131,'_article_published_date','field_544113dfe5203'),(5947,2131,'article_volume_number','7'),(5948,2131,'_article_volume_number','field_5441144fe5205'),(5949,2131,'article_number_in_volume','3'),(5950,2131,'_article_number_in_volume','field_54411483e5206'),(5951,2131,'article_starting_page','147'),(5952,2131,'_article_starting_page','field_54411492e5207'),(5953,2131,'article_ending_page','150'),(5954,2131,'_article_ending_page','field_544114b0e5208'),(5955,2131,'article_description','<p style=\"text-align: justify;\">A Cost Benefit Analysis of sedated vs. unsedated colonoscopy based on the VA perspective and a 24- hour time horizon is presented. Study data came from the NCHCS Sacramento VA, GI Clinic on demand sedation study, a RCT comparing air vs. water techniques. Data were also used from the VA Allocation Resource Center (ARC) Web, VA DSS Costing Data; workload data, as well as reports from the Veterans Support Service Center (VSSC) Web. VA’s direct costs are primarily personnel and medications. Since both procedures use the same space, that direct cost is ignored when examining the difference between the procedures. Fixed costs are costs that do not vary with level of output. The VA perspective obtains a difference of approximately $58 per procedure, favoring the unsedated alternative, regardless of whether the air or the water technique was used.</p>'),(5956,2131,'_article_description','field_544114c4e5209'),(5957,2131,'article_pdf','2092'),(5958,2131,'_article_pdf','field_54411501e520a'),(5959,2132,'_edit_lock','1429201970:12'),(5960,2132,'_edit_last','12'),(5961,2132,'article_title','Effect of Music on Patients Undergoing Colonoscopy'),(5962,2132,'_article_title','field_54410d9ae5200'),(5963,2132,'article_author','John B. Marshall, MD, Matthew L. Bechtold, MD'),(5964,2132,'_article_author','field_544112e3e5201'),(5965,2132,'article_publication','American Journal of Clinical Medicine®'),(5966,2132,'_article_publication','field_5441130be5202'),(5967,2132,'article_date_published_text','Special Issue'),(5968,2132,'_article_date_published_text','field_54411429e5204'),(5969,2132,'article_published_date','20101027'),(5970,2132,'_article_published_date','field_544113dfe5203'),(5971,2132,'article_volume_number','7'),(5972,2132,'_article_volume_number','field_5441144fe5205'),(5973,2132,'article_number_in_volume','3'),(5974,2132,'_article_number_in_volume','field_54411483e5206'),(5975,2132,'article_starting_page','151'),(5976,2132,'_article_starting_page','field_54411492e5207'),(5977,2132,'article_ending_page','154'),(5978,2132,'_article_ending_page','field_544114b0e5208'),(5979,2132,'article_description','<p style=\"text-align: justify;\">A survey of American College of Gastroenterology members published in 2006 showed that 98.8% of colonoscopies utilized intravenous sedation.1 Certainly, the vast majority of patients in the US want to be sedated for colonoscopy, and, in fact, many have the expectation “to be put out” or that at least they will feel no pain or discomfort during the procedure. Questionnaire studies in the US suggest that less than 5% to 20% of patients express even a willingness to consider unsedated colonoscopy. 1-4 However, it is well known that sedation accounts for a substantial proportion of the costs and complications of the procedure.</p>'),(5980,2132,'_article_description','field_544114c4e5209'),(5981,2132,'article_pdf','2093'),(5982,2132,'_article_pdf','field_54411501e520a'),(5983,2133,'_wp_attached_file','What-Happens-When-a-PhysicianIs-Suspected-of-Abusing-Drigs-or-Alcohol1.pdf'),(5984,2134,'_wp_attached_file','A-Case-of-Surfers’-Myelopathy.pdf'),(5985,2135,'_wp_attached_file','A-Family-Physician’s-Role-in-the-Prevention-Diagnosis-and-Management-of-Breast-Cancer.pdf'),(5986,2136,'_wp_attached_file','AJCMspring2010.pdf'),(5987,2137,'_wp_attached_file','Bilateral-Refractory-Chylous-Effusion-of-Non-Hodgkin-Lymphoma-Patient.pdf'),(5988,2138,'_wp_attached_file','Blood-Component-Therapy.pdf'),(5989,2139,'_wp_attached_file','Clinical-and-Diagnostic-Findings-.-.-.-Lumbar-Radiculopathy-and-Polyneuropathy.pdf'),(5990,2140,'_wp_attached_file','Dengue-Fever-Dengue-Hemorrhagic-Fever.pdf'),(5991,2141,'_wp_attached_file','Ethical-Legal-and-Professional-Challenges-Posed-By-“Controlled-Medication-Seekers”-to-Healthcare-Providers-Part-2.pdf'),(5992,2142,'_wp_attached_file','Medical-Ethics-Without-the-Rhetoric-Case-Six-Ease-My-Conscience.pdf'),(5993,2143,'_wp_attached_file','Medical-Legal-Legal-Guidelines-in-Interviewing-Medical-School-Applicants.pdf'),(5994,2144,'_wp_attached_file','Subarachnoid-Hemorrhage-State-of-the-Artery.pdf'),(5995,2133,'_edit_lock','1429202740:12'),(5996,2133,'_edit_last','12'),(6000,2147,'_edit_last','12'),(5999,2147,'_edit_lock','1429281959:12'),(6001,2147,'article_title','Dengue Fever/Dengue Hemorrhagic Fever'),(6002,2147,'_article_title','field_54410d9ae5200'),(6003,2147,'article_author','Bruce R. Guerdan, MD, MPH'),(6004,2147,'_article_author','field_544112e3e5201'),(6005,2147,'article_publication','American Journal of Clinical Medicine®'),(6006,2147,'_article_publication','field_5441130be5202'),(6007,2147,'article_date_published_text','Spring'),(6008,2147,'_article_date_published_text','field_54411429e5204'),(6009,2147,'article_published_date','20100719'),(6010,2147,'_article_published_date','field_544113dfe5203'),(6011,2147,'article_volume_number','7'),(6012,2147,'_article_volume_number','field_5441144fe5205'),(6013,2147,'article_number_in_volume','2'),(6014,2147,'_article_number_in_volume','field_54411483e5206'),(6015,2147,'article_starting_page','51'),(6016,2147,'_article_starting_page','field_54411492e5207'),(6017,2147,'article_ending_page','53'),(6018,2147,'_article_ending_page','field_544114b0e5208'),(6019,2147,'article_description','<p style=\"text-align: justify;\">In September 2009 the first documented, locally acquired cases of Dengue Fever in eighty years were diagnosed in individuals living in or visiting Key West, Florida. Dengue Fever is a mosquito-borne viral illness found throughout the tropics. There are four serotypes of the disease, which is accepted as the most common arthropod-borne disease in the world. Dengue Hemorrhagic Fever and Dengue Shock Syndrome are clinical variants of this disease, which have significant morbidity and mortality. Aedes aegypti is the mosquito species which carries the  disease. A aegypti breeds exclusively in standing fresh water and bites humans exclusively. The disease has a large percentage of clinically asymptomatic cases. When symptomatic, common symptoms are frontal headache, fever, and severe musculoskeletal pain. There are no currently approved vaccines.</p>'),(6020,2147,'_article_description','field_544114c4e5209'),(6021,2147,'article_pdf','2140'),(6022,2147,'_article_pdf','field_54411501e520a'),(6023,2148,'_edit_lock','1429282195:12'),(6024,2148,'_edit_last','12'),(6025,2148,'article_title','Successful Treatment of Bilateral Refractory Chylous Effusion of Non-Hodgkin Lymphoma Patient with Octreotide'),(6026,2148,'_article_title','field_54410d9ae5200'),(6027,2148,'article_author','Jennifer I-Hsuan Shen, MS, Ajithkumar Puthillath, MD, Lynn Steinbrenner, MD, Michele Cook, MD, Deborah Farolino, MD, FACP'),(6028,2148,'_article_author','field_544112e3e5201'),(6029,2148,'article_publication','American Journal of Clinical Medicine®'),(6030,2148,'_article_publication','field_5441130be5202'),(6031,2148,'article_date_published_text','Spring'),(6032,2148,'_article_date_published_text','field_54411429e5204'),(6033,2148,'article_published_date','20100719'),(6034,2148,'_article_published_date','field_544113dfe5203'),(6035,2148,'article_volume_number','7'),(6036,2148,'_article_volume_number','field_5441144fe5205'),(6037,2148,'article_number_in_volume','2'),(6038,2148,'_article_number_in_volume','field_54411483e5206'),(6039,2148,'article_starting_page','54'),(6040,2148,'_article_starting_page','field_54411492e5207'),(6041,2148,'article_ending_page','56'),(6042,2148,'_article_ending_page','field_544114b0e5208'),(6043,2148,'article_description','<p style=\"text-align: justify;\">Chylothorax is leakage of the thoracic duct content into the pleural cavity due to congenital defects, trauma, tumor infiltration, postoperative cardiac or esophageal procedures. Traditional approaches to chylothorax include thoracentesis and pleurodesis, which are invasive and often result in significant patient morbidity and mortality. In a patient who is a nonsurgical candidate, octreotide presents a better alternative. Octreotide, an analogue of somatostatin, was first used more than a decade ago to treat chylous effusions. Octreotide’s treatment for lymphoma-induced chylothorax has rarely been reported. Through our literature search, we found that our case is among the few bilateral lymphoma-induced chylous effusion cases treated by octreotide in the world. Our patient was treated with octreotide and combined with medium chain triglyceride (MCT) with strict low fat/low calorie diet. After ten days of treatment, there was a significant reduction of chylous effusion. Patient was subsequently discharged and recovered significantly without recurrence for the past eight months.</p>'),(6044,2148,'_article_description','field_544114c4e5209'),(6045,2148,'article_pdf','2137'),(6046,2148,'_article_pdf','field_54411501e520a'),(6047,2149,'_edit_lock','1429282593:12'),(6048,2149,'_edit_last','12'),(6049,2149,'article_title','Blood Component Therapy'),(6050,2149,'_article_title','field_54410d9ae5200'),(6051,2149,'article_author','Daniel M. Avery, Jr., MD, Kathy T. Avery, MT (AMT), RN'),(6052,2149,'_article_author','field_544112e3e5201'),(6053,2149,'article_publication','American Journal of Clinical Medicine®'),(6054,2149,'_article_publication','field_5441130be5202'),(6055,2149,'article_date_published_text','Spring'),(6056,2149,'_article_date_published_text','field_54411429e5204'),(6057,2149,'article_published_date','20100719'),(6058,2149,'_article_published_date','field_544113dfe5203'),(6059,2149,'article_volume_number','7'),(6060,2149,'_article_volume_number','field_5441144fe5205'),(6061,2149,'article_number_in_volume','2'),(6062,2149,'_article_number_in_volume','field_54411483e5206'),(6063,2149,'article_starting_page','57'),(6064,2149,'_article_starting_page','field_54411492e5207'),(6065,2149,'article_ending_page','59'),(6066,2149,'_article_ending_page','field_544114b0e5208'),(6067,2149,'article_description','<p style=\"text-align: justify;\">Blood products are living tissue and are used in patient care. Blood components include whole blood itself, packed red blood cells, fresh frozen plasma, cryoprecipitate, platelets, granulocyte components, and Rhogam. Because whole blood and blood components come from human blood, there is a risk of infectious disease transmission despite meticulous screening. Blood components may contain small amounts of immunizing substances and other components. Because of risks, the need for transfusion should be specific.</p>'),(6068,2149,'_article_description','field_544114c4e5209'),(6069,2149,'article_pdf','2138'),(6070,2149,'_article_pdf','field_54411501e520a'),(6071,2150,'_edit_lock','1429282757:12'),(6072,2150,'_edit_last','12'),(6073,2150,'article_title','Medical Ethics Without the Rhetoric: Case Six, Ease My Conscience'),(6074,2150,'_article_title','field_54410d9ae5200'),(6075,2150,'article_author','Mark Pastin, PhD'),(6076,2150,'_article_author','field_544112e3e5201'),(6077,2150,'article_publication','American Journal of Clinical Medicine®'),(6078,2150,'_article_publication','field_5441130be5202'),(6079,2150,'article_date_published_text','Spring'),(6080,2150,'_article_date_published_text','field_54411429e5204'),(6081,2150,'article_published_date','20100719'),(6082,2150,'_article_published_date','field_544113dfe5203'),(6083,2150,'article_volume_number','7'),(6084,2150,'_article_volume_number','field_5441144fe5205'),(6085,2150,'article_number_in_volume','2'),(6086,2150,'_article_number_in_volume','field_54411483e5206'),(6087,2150,'article_starting_page','60'),(6088,2150,'_article_starting_page','field_54411492e5207'),(6089,2150,'article_ending_page','61'),(6090,2150,'_article_ending_page','field_544114b0e5208'),(6091,2150,'article_description','<p style=\"text-align: justify;\">A terminal patient is in great pain but, with the concurrence of the patient\'s family, refuses, for religious reasons, to allow the plug (on further therapeutic treatment) to be pulled. However, the patient requests that everything be done to reduce the pain to the maximum possible extent.</p>'),(6092,2150,'_article_description','field_544114c4e5209'),(6093,2150,'article_pdf','2142'),(6094,2150,'_article_pdf','field_54411501e520a'),(6095,2151,'_edit_lock','1429283723:12'),(6096,2151,'_edit_last','12'),(6097,2151,'article_title','Subarachnoid Hemorrhage: State of the Art(ery)'),(6098,2151,'_article_title','field_54410d9ae5200'),(6099,2151,'article_author','David M. Lemonick, MD, FAAEP, FACEP'),(6100,2151,'_article_author','field_544112e3e5201'),(6101,2151,'article_publication','American Journal of Clinical Medicine®'),(6102,2151,'_article_publication','field_5441130be5202'),(6103,2151,'article_date_published_text','Spring'),(6104,2151,'_article_date_published_text','field_54411429e5204'),(6105,2151,'article_published_date','20100719'),(6106,2151,'_article_published_date','field_544113dfe5203'),(6107,2151,'article_volume_number','7'),(6108,2151,'_article_volume_number','field_5441144fe5205'),(6109,2151,'article_number_in_volume','2'),(6110,2151,'_article_number_in_volume','field_54411483e5206'),(6111,2151,'article_starting_page','62'),(6112,2151,'_article_starting_page','field_54411492e5207'),(6113,2151,'article_ending_page','73'),(6114,2151,'_article_ending_page','field_544114b0e5208'),(6115,2151,'article_description','<p style=\"text-align: justify;\">Headache is a common chief complaint in primary and ambulatory care settings. The etiology of headache is usually benign, its workup is often minimal and straightforward, and the clinical approach focuses primarily on symptom control. A small proportion of headaches is caused by subarachnoid hemorrhage (SAH), most of which are due to ruptured cerebral aneurysms. Such hemorrhage carries a high mortality, with significant rates of devastating disability among survivors. Misdiagnosis of SAH is frequent and results in medicolegal risk to the unwary physician. An organized, algorithmic approach emphasizes high risk historical and physical examination features that suggest SAH. Expeditious neuroimaging and lumbar puncture are employed to confirm suspected SAH. Diagnosis of SAH requires immediate stabilization, followed by neurosurgical consultation for definitive management. Transfer to high-volume neurosurgical and endovascular centers is associated with improved outcomes for SAH.</p>'),(6116,2151,'_article_description','field_544114c4e5209'),(6117,2151,'article_pdf','2144'),(6118,2151,'_article_pdf','field_54411501e520a'),(6119,2152,'_edit_lock','1429284539:12'),(6120,2152,'_edit_last','12'),(6121,2152,'article_title','A Case of Surfers’ Myelopathy'),(6122,2152,'_article_title','field_54410d9ae5200'),(6123,2152,'article_author','Melanie KTH Kelly, MD, Kai Me Wright, BA'),(6124,2152,'_article_author','field_544112e3e5201'),(6125,2152,'article_publication','American Journal of Clinical Medicine®'),(6126,2152,'_article_publication','field_5441130be5202'),(6127,2152,'article_date_published_text','Spring'),(6128,2152,'_article_date_published_text','field_54411429e5204'),(6129,2152,'article_published_date','20100719'),(6130,2152,'_article_published_date','field_544113dfe5203'),(6131,2152,'article_volume_number','7'),(6132,2152,'_article_volume_number','field_5441144fe5205'),(6133,2152,'article_number_in_volume','2'),(6134,2152,'_article_number_in_volume','field_54411483e5206'),(6135,2152,'article_starting_page','74'),(6136,2152,'_article_starting_page','field_54411492e5207'),(6137,2152,'article_ending_page','75'),(6138,2152,'_article_ending_page','field_544114b0e5208'),(6139,2152,'article_description','<p style=\"text-align: justify;\">Surfer’s Myelopathy is a rare, non-traumatic spinal cord injury that occurs with first-time surfers. This syndrome has been described in the emergency medicine literature only twice; first by Thompson et al. in 2004. This is a case of Surfer’s Myelopathy with a similar presentation as first reported by Thompson et al.</p>'),(6140,2152,'_article_description','field_544114c4e5209'),(6141,2152,'article_pdf','2134'),(6142,2152,'_article_pdf','field_54411501e520a'),(6143,2153,'_edit_lock','1429286705:12'),(6144,2153,'_edit_last','12'),(6145,2153,'article_title','A Family Physician’s Role in the Prevention, Diagnosis, and Management of Breast Cancer'),(6146,2153,'_article_title','field_54410d9ae5200'),(6147,2153,'article_author','Daniel M. Avery, Jr., MD'),(6148,2153,'_article_author','field_544112e3e5201'),(6149,2153,'article_publication','American Journal of Clinical Medicine®'),(6150,2153,'_article_publication','field_5441130be5202'),(6151,2153,'article_date_published_text','Spring'),(6152,2153,'_article_date_published_text','field_54411429e5204'),(6153,2153,'article_published_date','20100719'),(6154,2153,'_article_published_date','field_544113dfe5203'),(6155,2153,'article_volume_number','7'),(6156,2153,'_article_volume_number','field_5441144fe5205'),(6157,2153,'article_number_in_volume','2'),(6158,2153,'_article_number_in_volume','field_54411483e5206'),(6159,2153,'article_starting_page','76'),(6160,2153,'_article_starting_page','field_54411492e5207'),(6161,2153,'article_ending_page','73'),(6162,2153,'_article_ending_page','field_544114b0e5208'),(6163,2153,'article_description','<p style=\"text-align: justify;\">Family physicians have an integral role in the prevention, diagnosis, and management of breast cancer. Breast cancer is the greatest medical threat to a woman’s health. The risk of breast cancer in a woman’s lifetime is 1 in 8. Physicians must be familiar with risk factors for breast cancer, be confident in examining the breasts, evaluating breast masses, and referring for treatment. This paper summarizes a family physician’s role in patients with breast cancer.</p>'),(6164,2153,'_article_description','field_544114c4e5209'),(6165,2153,'article_pdf','2135'),(6166,2153,'_article_pdf','field_54411501e520a'),(6167,2154,'_edit_lock','1429287887:12'),(6168,2154,'_edit_last','12'),(6169,2154,'article_title','Clinical and Diagnostic Findings in Patients with Lumbar Radiculopathy and Polyneuropathy'),(6170,2154,'_article_title','field_54410d9ae5200'),(6171,2154,'article_author','Ayse Lee-Robinson, MD, Aaron Taylor Lee'),(6172,2154,'_article_author','field_544112e3e5201'),(6173,2154,'article_publication','American Journal of Clinical Medicine®'),(6174,2154,'_article_publication','field_5441130be5202'),(6175,2154,'article_date_published_text','Spring'),(6176,2154,'_article_date_published_text','field_54411429e5204'),(6177,2154,'article_published_date','20100719'),(6178,2154,'_article_published_date','field_544113dfe5203'),(6179,2154,'article_volume_number','7'),(6180,2154,'_article_volume_number','field_5441144fe5205'),(6181,2154,'article_number_in_volume','2'),(6182,2154,'_article_number_in_volume','field_54411483e5206'),(6183,2154,'article_starting_page','80'),(6184,2154,'_article_starting_page','field_54411492e5207'),(6185,2154,'article_ending_page','85'),(6186,2154,'_article_ending_page','field_544114b0e5208'),(6187,2154,'article_description','<p style=\"text-align: justify;\">When lumbar radiculopathy and polyneuropathy occur together a complex situation that is capable of causing disability occurs. Physicians need to be able to recognize when these conditions present together and know how to diagnose and treat them. If a patient with low back pain presents with bilateral neuropathic symptoms and signs in the lower extremities, imaging studies and electrodiagnostic studies are recommended to diagnose and treat the radiculopathy and polyneuropathy.</p>'),(6188,2154,'_article_description','field_544114c4e5209'),(6189,2154,'article_pdf','2139'),(6190,2154,'_article_pdf','field_54411501e520a'),(6191,2155,'_edit_lock','1429544472:12'),(6192,2155,'_edit_last','12'),(6193,2155,'article_title','Ethical, Legal, and Professional Challenges Posed By “Controlled Medication Seekers” to Healthcare Providers, Part 2'),(6194,2155,'_article_title','field_54410d9ae5200'),(6195,2155,'article_author','Ken Solis, MD, MA'),(6196,2155,'_article_author','field_544112e3e5201'),(6197,2155,'article_publication','American Journal of Clinical Medicine®'),(6198,2155,'_article_publication','field_5441130be5202'),(6199,2155,'article_date_published_text','Spring'),(6200,2155,'_article_date_published_text','field_54411429e5204'),(6201,2155,'article_published_date','20100719'),(6202,2155,'_article_published_date','field_544113dfe5203'),(6203,2155,'article_volume_number','7'),(6204,2155,'_article_volume_number','field_5441144fe5205'),(6205,2155,'article_number_in_volume','2'),(6206,2155,'_article_number_in_volume','field_54411483e5206'),(6207,2155,'article_starting_page','86'),(6208,2155,'_article_starting_page','field_54411492e5207'),(6209,2155,'article_ending_page','92'),(6210,2155,'_article_ending_page','field_544114b0e5208'),(6211,2155,'article_description','<p style=\"text-align: justify;\">Abuse and diversion of controlled prescription medications is a large and growing problem in the U.S. The first of this two part paper discussed the pragmatic, ethical, and legal issues that challenge healthcare professionals who must care for someone suspected or confirmed to be using deception to obtain controlled medications because of addiction to the medication, for resale, recreational use, or other reasons not sanctioned by the medical profession. The second part will focus on the pragmatic, legal, and especially ethical aspects of identifying and caring of patients who are suspected of controlled medication seeking behavior in the acute care setting. It is the hope of the author that this paper will be a catalyst for deeper and wider discussions and research on this difficult, multifaceted, and widespread healthcare issue.</p>'),(6212,2155,'_article_description','field_544114c4e5209'),(6213,2155,'article_pdf','2141'),(6214,2155,'_article_pdf','field_54411501e520a'),(6215,2156,'_edit_lock','1430236436:12'),(6216,2156,'_edit_last','12'),(6217,2156,'article_title','Legal Guidelines in Interviewing Medical School Applicants'),(6218,2156,'_article_title','field_54410d9ae5200'),(6219,2156,'article_author','Daniel M. Avery, Jr., MD Daniel M. Avery, III, MD Justin G. Miller'),(6220,2156,'_article_author','field_544112e3e5201'),(6221,2156,'article_publication','American Journal of Clinical Medicine®'),(6222,2156,'_article_publication','field_5441130be5202'),(6223,2156,'article_date_published_text','Spring'),(6224,2156,'_article_date_published_text','field_54411429e5204'),(6225,2156,'article_published_date','20100719'),(6226,2156,'_article_published_date','field_544113dfe5203'),(6227,2156,'article_volume_number','7'),(6228,2156,'_article_volume_number','field_5441144fe5205'),(6229,2156,'article_number_in_volume','2'),(6230,2156,'_article_number_in_volume','field_54411483e5206'),(6231,2156,'article_starting_page','94'),(6232,2156,'_article_starting_page','field_54411492e5207'),(6233,2156,'article_ending_page','95'),(6234,2156,'_article_ending_page','field_544114b0e5208'),(6235,2156,'article_description','<p style=\"text-align: justify;\">Interviewing applicants for medical school is a very  important function of the medical school education system. However, there are many questions that are not appropriate to ask applicants. While some would be useful to know, there are many one cannot ask, unless the applicant first brings them up. In 1973, very few women applied to medical school and even professional schools as a whole. The following is a true story about a friend who applied to medical school.</p>'),(6236,2156,'_article_description','field_544114c4e5209'),(6237,2156,'article_pdf','2143'),(6238,2156,'_article_pdf','field_54411501e520a'),(6239,2106,'_edit_lock','1429545753:12'),(6240,2106,'_edit_last','12'),(6241,2157,'_edit_lock','1429546933:12'),(6242,2157,'_edit_last','12'),(6243,2157,'article_title','Evaluation of Syncope in the Emergency Department'),(6244,2157,'_article_title','field_54410d9ae5200'),(6245,2157,'article_author','David M. Lemonick, MD, FAAEP, FACEP'),(6246,2157,'_article_author','field_544112e3e5201'),(6247,2157,'article_publication','American Journal of Clinical Medicine®'),(6248,2157,'_article_publication','field_5441130be5202'),(6249,2157,'article_date_published_text','Winter'),(6250,2157,'_article_date_published_text','field_54411429e5204'),(6251,2157,'article_published_date','20100318'),(6252,2157,'_article_published_date','field_544113dfe5203'),(6253,2157,'article_volume_number','7'),(6254,2157,'_article_volume_number','field_5441144fe5205'),(6255,2157,'article_number_in_volume','1'),(6256,2157,'_article_number_in_volume','field_54411483e5206'),(6257,2157,'article_starting_page','11'),(6258,2157,'_article_starting_page','field_54411492e5207'),(6259,2157,'article_ending_page',''),(6260,2157,'_article_ending_page','field_544114b0e5208'),(6261,2157,'article_description','<p style=\"text-align: justify;\">Evaluation of Syncope in the Emergency Department\r\nIntroduction Syncope is a symptom complex composed of a transient loss of consciousness associated with an inability to maintain postural tone, secondary to a brief decrease in cerebral blood flow that spontaneously and completely resolves and that requires no resuscitation.1 Accounting for 3% of emergency department (ED) visits and 1% to 6% of all hospital admissions,2 syncope presents a challenge to emergency practitioners: to differentiate those patients safe for discharge from those who require emergent evaluation and in-hospital management for potentially life-threatening etiologies. The precise cause of syncope can be identified during the initial evaluation in only 20% to 50% of patients.3 Of note, it is estimated that up to 80% of the causes of syncope that are identified during a hospital admission are determined in the emergency department.</p>'),(6262,2157,'_article_description','field_544114c4e5209'),(6263,2157,'article_pdf','2107'),(6264,2157,'_article_pdf','field_54411501e520a'),(6265,2158,'_edit_lock','1429548311:12'),(6266,2158,'_edit_last','12'),(6267,2158,'article_title','Back and Neck Pain in Gynecologists'),(6268,2158,'_article_title','field_54410d9ae5200'),(6269,2158,'article_author','Daniel M. Avery, Jr., MD, Daniel M. Avery, III, BS, Marion D. Reed, MD, Jason M. Parton, MA, MS, E. Eugene Marsh, MD'),(6270,2158,'_article_author','field_544112e3e5201'),(6271,2158,'article_publication','American Journal of Clinical Medicine®'),(6272,2158,'_article_publication','field_5441130be5202'),(6273,2158,'article_date_published_text','Winter'),(6274,2158,'_article_date_published_text','field_54411429e5204'),(6275,2158,'article_published_date','20100318'),(6276,2158,'_article_published_date','field_544113dfe5203'),(6277,2158,'article_volume_number','7'),(6278,2158,'_article_volume_number','field_5441144fe5205'),(6279,2158,'article_number_in_volume','1'),(6280,2158,'_article_number_in_volume','field_54411483e5206'),(6281,2158,'article_starting_page','5'),(6282,2158,'_article_starting_page','field_54411492e5207'),(6283,2158,'article_ending_page','10'),(6284,2158,'_article_ending_page','field_544114b0e5208'),(6285,2158,'article_description','Objective: To determine if back and/or neck pain is common in gynecologists.\r\nStudy Design: A 19-question survey was sent to 332 gynecologists listed with the state OB/GYN society. One hundred fifty-nine surveys were returned (47.9%). Descriptive statistical analyses were performed on this sample of 159 gynecologists to study the characteristics of those who experience back and/or neck pain.\r\nResults: Ninety-two of the 159 (57.8%) gynecologists reported back and/or neck pain. The percentages were similar for men (57.3%) and women (61.8%). Physicians experiencing fatigue were more likely to suffer from back and/or neck pain than those who did not. Pain increases with years in practice.\r\nConclusion: This is a small study, but it suggests that back and/or neck pain is common in gynecologists. Robotic procedures could be the ergonomic answer to the occupational hazards of back and/or neck pain in gynecologists, but this will require more study.'),(6286,2158,'_article_description','field_544114c4e5209'),(6287,2158,'article_pdf','2104'),(6288,2158,'_article_pdf','field_54411501e520a'),(6289,2159,'_edit_lock','1429549443:12'),(6290,2159,'_edit_last','12'),(6291,2159,'article_title','Medical Ethics Without the Rhetoric: Case Five, Life After Life'),(6292,2159,'_article_title','field_54410d9ae5200'),(6293,2159,'article_author','Mark Pastin, PhD'),(6294,2159,'_article_author','field_544112e3e5201'),(6295,2159,'article_publication','American Journal of Clinical Medicine®'),(6296,2159,'_article_publication','field_5441130be5202'),(6297,2159,'article_date_published_text','Winter'),(6298,2159,'_article_date_published_text','field_54411429e5204'),(6299,2159,'article_published_date','20100318'),(6300,2159,'_article_published_date','field_544113dfe5203'),(6301,2159,'article_volume_number','7'),(6302,2159,'_article_volume_number','field_5441144fe5205'),(6303,2159,'article_number_in_volume','1'),(6304,2159,'_article_number_in_volume','field_54411483e5206'),(6305,2159,'article_starting_page','11'),(6306,2159,'_article_starting_page','field_54411492e5207'),(6307,2159,'article_ending_page','11'),(6308,2159,'_article_ending_page','field_544114b0e5208'),(6309,2159,'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. Her physician advises that this is a reasonable although not certainly successful course of action. The issue? According to the hospital where she is receiving treatment,, the cost of maintaining her bodily functions would exceed $500,000. Needless to say, a dead patient has no health insurance, and the couple does not have the money. What should be done by the various parties to this case?</p>'),(6310,2159,'_article_description','field_544114c4e5209'),(6311,2159,'article_pdf','2109'),(6312,2159,'_article_pdf','field_54411501e520a'),(6313,2161,'_edit_lock','1429549798:12'),(6314,2161,'_edit_last','12'),(6315,2161,'article_title','Food Handler with Cough'),(6316,2161,'_article_title','field_54410d9ae5200'),(6317,2161,'article_author','Manoj Mazumder, MD'),(6318,2161,'_article_author','field_544112e3e5201'),(6319,2161,'article_publication','American Journal of Clinical Medicine®'),(6320,2161,'_article_publication','field_5441130be5202'),(6321,2161,'article_date_published_text','Winter'),(6322,2161,'_article_date_published_text','field_54411429e5204'),(6323,2161,'article_published_date','20100318'),(6324,2161,'_article_published_date','field_544113dfe5203'),(6325,2161,'article_volume_number','7'),(6326,2161,'_article_volume_number','field_5441144fe5205'),(6327,2161,'article_number_in_volume','1'),(6328,2161,'_article_number_in_volume','field_54411483e5206'),(6329,2161,'article_starting_page','20'),(6330,2161,'_article_starting_page','field_54411492e5207'),(6331,2161,'article_ending_page','22'),(6332,2161,'_article_ending_page','field_544114b0e5208'),(6333,2161,'article_description','<p style=\"text-align: justify;\">A 21-year-old African-American food handler from Memphis, who works in a nursing home facility, has experienced increasingly severe nausea and vomiting over the past six days. During the last day he has complained of chest pain, slight nonproductive cough, and a fever. He denies a previous history of allergy, surgery, or hospitalization. He smoked for two years but quit several years ago. He denies TB exposure, hemoptysis, headache, night sweats, and weight loss. He denies cave exploration\r\nand exotic pets.</p>'),(6334,2161,'_article_description','field_544114c4e5209'),(6335,2161,'article_pdf','2108'),(6336,2161,'_article_pdf','field_54411501e520a'),(6337,2162,'_edit_lock','1429558163:12'),(6338,2162,'_edit_last','12'),(6339,2162,'article_title','Ethical, Legal, and Professional Challenges Posed by “Controlled Medication Seekers” to Healthcare Providers - Part 1'),(6340,2162,'_article_title','field_54410d9ae5200'),(6341,2162,'article_author','Ken Solis, MD, MA'),(6342,2162,'_article_author','field_544112e3e5201'),(6343,2162,'article_publication','American Journal of Clinical Medicine®'),(6344,2162,'_article_publication','field_5441130be5202'),(6345,2162,'article_date_published_text','Winter'),(6346,2162,'_article_date_published_text','field_54411429e5204'),(6347,2162,'article_published_date','20100318'),(6348,2162,'_article_published_date','field_544113dfe5203'),(6349,2162,'article_volume_number','7'),(6350,2162,'_article_volume_number','field_5441144fe5205'),(6351,2162,'article_number_in_volume','1'),(6352,2162,'_article_number_in_volume','field_54411483e5206'),(6353,2162,'article_starting_page','25'),(6354,2162,'_article_starting_page','field_54411492e5207'),(6355,2162,'article_ending_page','29'),(6356,2162,'_article_ending_page','field_544114b0e5208'),(6357,2162,'article_description','<p style=\"text-align: justify;\">Abuse and diversion of controlled prescription medications is a large and growing problem in the U.S. In fact, individuals abusing controlled medications outnumber the abusers of cocaine, heroin, hallucinogens, and inhalants combined. The first of this two-part paper focuses on the pragmatic, ethical, and legal issues that challenge physicians and other providers who must care for someone suspected or confirmed to be using deception to obtain controlled medications for resale, personal recreational use, or other reasons not sanctioned by the medical profession. The second part will focus on a general approach that attempts to minimize potential harms while still addressing legitimate medical needs of these challenging patients. It is hoped that this paper will be a catalyst for deeper and wider discussions and research on this difficult healthcare-related issue.</p>'),(6358,2162,'_article_description','field_544114c4e5209'),(6359,2162,'article_pdf','2106'),(6360,2162,'_article_pdf','field_54411501e520a'),(6361,2163,'_edit_lock','1429558429:12'),(6362,2163,'_edit_last','12'),(6363,2163,'article_title','Clinical Trials Fuel the Promise of Plant-Derived Vaccines'),(6364,2163,'_article_title','field_54410d9ae5200'),(6365,2163,'article_author','Kathleen Hefferon, PhD'),(6366,2163,'_article_author','field_544112e3e5201'),(6367,2163,'article_publication','American Journal of Clinical Medicine®'),(6368,2163,'_article_publication','field_5441130be5202'),(6369,2163,'article_date_published_text','Winter'),(6370,2163,'_article_date_published_text','field_54411429e5204'),(6371,2163,'article_published_date','20100318'),(6372,2163,'_article_published_date','field_544113dfe5203'),(6373,2163,'article_volume_number','7'),(6374,2163,'_article_volume_number','field_5441144fe5205'),(6375,2163,'article_number_in_volume','1'),(6376,2163,'_article_number_in_volume','field_54411483e5206'),(6377,2163,'article_starting_page','30'),(6378,2163,'_article_starting_page','field_54411492e5207'),(6379,2163,'article_ending_page','37'),(6380,2163,'_article_ending_page','field_544114b0e5208'),(6381,2163,'article_description','<p style=\"text-align: justify;\">Heat-stable plant-made (edible) vaccines are inexpensive to produce, can be administered orally, and could be utilized to enhance vaccine coverage in children, particularly in developing countries. Plant-made vaccines can deliver undegraded antigens to the enteric mucosal immune system. A number of clinical trials have produced encouraging results. This review summarizes plant-derived vaccines, the mucosal immune response, and the evidence regarding their use and efficacy.</p>'),(6382,2163,'_article_description','field_544114c4e5209'),(6383,2163,'article_pdf','2105'),(6384,2163,'_article_pdf','field_54411501e520a'),(6385,2164,'_edit_lock','1430162016:12'),(6386,2164,'_edit_last','12'),(6387,2164,'article_title','Medical Legal: What Happens When A Physician Is Suspected of Abusing Drugs or Alcohol?'),(6388,2164,'_article_title','field_54410d9ae5200'),(6389,2164,'article_author','Daniel M. Avery, MD, Kathy T. Avery, RN, BA, MT (AMT)'),(6390,2164,'_article_author','field_544112e3e5201'),(6391,2164,'article_publication','American Journal of Clinical Medicine®'),(6392,2164,'_article_publication','field_5441130be5202'),(6393,2164,'article_date_published_text','Winter'),(6394,2164,'_article_date_published_text','field_54411429e5204'),(6395,2164,'article_published_date','20100318'),(6396,2164,'_article_published_date','field_544113dfe5203'),(6397,2164,'article_volume_number','7'),(6398,2164,'_article_volume_number','field_5441144fe5205'),(6399,2164,'article_number_in_volume','1'),(6400,2164,'_article_number_in_volume','field_54411483e5206'),(6401,2164,'article_starting_page','38'),(6402,2164,'_article_starting_page','field_54411492e5207'),(6403,2164,'article_ending_page','41'),(6404,2164,'_article_ending_page','field_544114b0e5208'),(6405,2164,'article_description','<p style=\"text-align: justify;\">Physicians suspected of abusing drugs or alcohol are reported by a multiplicity of mechanisms. The vast majority of  complaints today are sent to the state impaired-physician program. Physicians suspected of abusing drugs or alcohol are usually sent for a residential evaluation and assessment by a team of professionals trained in addiction. Most physicians today are treated at state medical society and licensure commission approved residential treatment facilities. There is life and the practice of medicine after successful treatment, depending on a compliance contract with the state, a treatment plan, and urine drug screens. Most hospitals today are recovery-minded. Relapse of physicians after quality treatment is rare, but, when it occurs usually results in death or prison.</p>'),(6406,2164,'_article_description','field_544114c4e5209'),(6407,2164,'article_pdf','2133'),(6408,2164,'_article_pdf','field_54411501e520a'),(6409,2166,'_edit_lock','1430161950:12'),(6410,2166,'_edit_last','12'),(6411,2166,'article_title','Tender Abdominal Mass from Colic Artery Pseudoaneurysm in a Patient with Chronic Pancreatitis'),(6412,2166,'_article_title','field_54410d9ae5200'),(6413,2166,'article_author','Deepak Sharma, MD, FACP'),(6414,2166,'_article_author','field_544112e3e5201'),(6415,2166,'article_publication','American Journal of Clinical Medicine®'),(6416,2166,'_article_publication','field_5441130be5202'),(6417,2166,'article_date_published_text','Winter'),(6418,2166,'_article_date_published_text','field_54411429e5204'),