{"title":"Graduates of the University of Miami School of Medicine: the first 5000.","authors":"J M Canterbury","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"594-6"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Academic medicine: the only constant is change.","authors":"J G Clarkson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"572-3"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in the curriculum and primary care education at the UMSM.","authors":"M T O'Connell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"585-9"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
When patients present with classic features, the diagnosis of appendicitis is generally straightforward. However, a large number of patients present with atypical features. Physicians must understand the limitations of the clinical examination and many other diagnostic adjuncts currently available. They also need to be aware of high-risk populations. Importantly, physicians must not be reluctant to consult surgical specialists in borderline cases. Only by consulting in such cases will physicians be able to decrease misdiagnosis, improve patient outcome, and avoid liability.
{"title":"Diagnosis of acute appendicitis: increasing accuracy, improving outcome, and decreasing liability.","authors":"K Sallin, S G Rothrock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When patients present with classic features, the diagnosis of appendicitis is generally straightforward. However, a large number of patients present with atypical features. Physicians must understand the limitations of the clinical examination and many other diagnostic adjuncts currently available. They also need to be aware of high-risk populations. Importantly, physicians must not be reluctant to consult surgical specialists in borderline cases. Only by consulting in such cases will physicians be able to decrease misdiagnosis, improve patient outcome, and avoid liability.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"543-8"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Florida medical education, research at risk, report says.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"589, 598"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergency medicine: the newest specialty in the house of medicine.","authors":"J L Falk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"534-5, 537"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergency department 2000 ... and beyond.","authors":"T B Bullard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"561-3"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electronic health data and the challenges of medical confidentiality.","authors":"K W Goodman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 8","pages":"494-7"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20330346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mechanical ventilators have supported patients with respiratory failure from the era of the polio epidemics to the present. While ventilators can clearly be life saving, many patients receiving this intervention do not survive. In such patients, this treatment is not life saving, but death delaying. Other patients treated with mechanical ventilation may survive, but do not improve to the point where they can become independent of the ventilator. This paper is a review of the prognosis and cost of respiratory failure, ethical issues in removing patients from the ventilator and methods of discontinuing respiratory support.
{"title":"Disconnecting the ventilator: life saving or death delaying?","authors":"G R Singer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mechanical ventilators have supported patients with respiratory failure from the era of the polio epidemics to the present. While ventilators can clearly be life saving, many patients receiving this intervention do not survive. In such patients, this treatment is not life saving, but death delaying. Other patients treated with mechanical ventilation may survive, but do not improve to the point where they can become independent of the ventilator. This paper is a review of the prognosis and cost of respiratory failure, ethical issues in removing patients from the ventilator and methods of discontinuing respiratory support.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 8","pages":"498-501"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20330347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Back to the future: revisiting the 40-63-1988 syndrome.","authors":"H J Roberts","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 8","pages":"482, 485"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20330343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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