2024
Quantitative Evaluation of Large Language Models to Streamline Radiology Report Impressions: A Multimodal Retrospective Analysis.
Doshi R, Amin K, Khosla P, Bajaj S, Chheang S, Forman H. Quantitative Evaluation of Large Language Models to Streamline Radiology Report Impressions: A Multimodal Retrospective Analysis. Radiology 2024, 310: e231593. PMID: 38530171, DOI: 10.1148/radiol.231593.Peer-Reviewed Original ResearchConceptsLanguage modelReport impressionsRadiology reportsRetrospective comparative analysisWilcoxon signed-rank testReading grade levelMedical Information Mart for Intensive Care (MIMIC)-IV databaseElectronic health recordsNonparametric Wilcoxon signed-rank testSigned-rank testRetrospective analysisPrimary outcomeComplex medical terminologyImaging modalitiesHealth recordsPatientsRadiologyAnatomical regionsReadabilityIncrease accessModalitiesQuantitative evaluationReadability indicesReadability scoresReportsUS FDA breakthrough therapy designation and consumer drug advertising: a recipe for confusion
Patel N, Mohammad A, Ross J, Ramachandran R. US FDA breakthrough therapy designation and consumer drug advertising: a recipe for confusion. The BMJ 2024, 384: e076138. PMID: 38383007, DOI: 10.1136/bmj-2023-076138.Peer-Reviewed Original Research
2020
Safety of Gabapentin Prescribed for Any Indication in a Large Clinical Cohort of 571,718 US Veterans with and without Alcohol Use Disorder
Rentsch CT, Morford KL, Fiellin DA, Bryant KJ, Justice AC, Tate JP. Safety of Gabapentin Prescribed for Any Indication in a Large Clinical Cohort of 571,718 US Veterans with and without Alcohol Use Disorder. Alcohol Clinical And Experimental Research 2020, 44: 1807-1815. PMID: 32628784, PMCID: PMC7540277, DOI: 10.1111/acer.14408.Peer-Reviewed Original ResearchConceptsAlcohol use disorderMental statusRelative riskGabapentin exposureUse disordersICD-9 diagnostic codesAdverse neurologic effectsPotential medication interactionsAltered mental statusIncidence of fallsClear dose-response relationshipLarge clinical cohortDose-response relationshipRace/ethnicityUnexposed patientsHepatitis CAdverse eventsMedication interactionsExcess riskNeurologic effectsUS veteransDiagnostic codesIncidence rateClinical cohortHigh riskThe CSF Diversion via Lumbar Drainage to Treat Dialysis Disequilibrium Syndrome in the Critically Ill Neurological Patient
Hong CS, Wang K, Falcone GJ. The CSF Diversion via Lumbar Drainage to Treat Dialysis Disequilibrium Syndrome in the Critically Ill Neurological Patient. Neurocritical Care 2020, 33: 312-316. PMID: 32378129, PMCID: PMC7223300, DOI: 10.1007/s12028-020-00972-w.Peer-Reviewed Original ResearchMeSH KeywordsAngiography, Digital SubtractionBasal Ganglia HemorrhageBrain EdemaCerebral VentriculitisConfusionCritical IllnessDrainageElectroencephalographyHeadacheHumansHydrocephalusHypotensionIntracranial HypertensionKidney Failure, ChronicLumbosacral RegionMagnetic Resonance ImagingMaleMiddle AgedRenal DialysisSpinal PunctureVasoconstrictor AgentsVentriculostomyA Confusing Picture: Refractory Encephalopathy Complicating Nonalcoholic Steatohepatitis
Kravetz JD, Varma P, Hosseini R, Thomas A, Eder MD. A Confusing Picture: Refractory Encephalopathy Complicating Nonalcoholic Steatohepatitis. The American Journal Of Medicine 2020, 133: e546-e548. PMID: 32087105, DOI: 10.1016/j.amjmed.2020.01.026.Peer-Reviewed Case Reports and Technical NotesAgedBrainConfusionDyskinesiasEsophageal and Gastric VaricesGastrointestinal AgentsHepatic EncephalopathyHumansHyperammonemiaHyperbilirubinemiaHypertension, PortalLactuloseLiver CirrhosisMagnetic Resonance ImagingMaleNon-alcoholic Fatty Liver DiseaseRenal VeinsRifaximinSplenic VeinThrombocytopeniaTomography, X-Ray ComputedTremorVascular Diseases
2017
Relationship of time to presentation after onset of upper GI bleeding with patient characteristics and outcomes: a prospective study
Laine L, Laursen SB, Dalton HR, Ngu JH, Schultz M, Stanley AJ. Relationship of time to presentation after onset of upper GI bleeding with patient characteristics and outcomes: a prospective study. Gastrointestinal Endoscopy 2017, 86: 1028-1037. PMID: 28396275, DOI: 10.1016/j.gie.2017.03.1549.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlood TransfusionConfusionDuodenal DiseasesEsophageal DiseasesFemaleGlasgow Coma ScaleHematemesisHemoglobinsHemostasis, EndoscopicHumansLength of StayLethargyMaleMelenaMiddle AgedPatient Acceptance of Health CarePrognosisProspective StudiesSerum AlbuminStomach DiseasesStuporTime-to-TreatmentConceptsUpper GI bleedingPatient characteristicsHemoglobin levelsDecreased hemoglobin levelLikelihood of transfusionLower hemoglobin levelsSignificant independent factorsGI bleedingHospital daysConsecutive patientsUpper GIHemostatic interventionPoor outcomeProspective studyEmergency departmentRelationship of timeMental statusIndependent factorsPatientsMulti-national studyLogistic regressionMelenaOutcomesTransfusionHospitalCase 7-2017
Fogerty RL, Greenwald JL, McDermott S, Lin AE, Stone JR. Case 7-2017. New England Journal Of Medicine 2017, 376: 972-980. PMID: 28273029, DOI: 10.1056/nejmcpc1613462.Peer-Reviewed Original Research
2015
Symptom trends in the last year of life from 1998 to 2010: a cohort study.
Singer A, Meeker D, Teno J, Lynn J, Lunney J, Lorenz K. Symptom trends in the last year of life from 1998 to 2010: a cohort study. Annals Of Internal Medicine 2015, 162: 175-83. PMID: 25643305, PMCID: PMC4346253, DOI: 10.7326/m13-1609.Peer-Reviewed Original ResearchConceptsProxy reportsPain intensitySymptom prevalenceLife careProxy-reported painChronic lung diseaseCongestive heart failureManagement of painPrevalence of depressionEnd of lifeCohort studySevere painHeart failureLung diseaseObservational studyTroubling symptomsSudden deathIndividual symptomsAlarming symptomsPainFamily respondentsHRS participantsSymptom trendsPrevalenceRepresentative longitudinal surveyThe student's dilemma, liver edition: Incorporating the sonographer's language into clinical anatomy education
Hall MK, Mirjalili SA, Moore CL, Rizzolo LJ. The student's dilemma, liver edition: Incorporating the sonographer's language into clinical anatomy education. Anatomical Sciences Education 2015, 8: 283-288. PMID: 25573229, DOI: 10.1002/ase.1518.Peer-Reviewed Original ResearchConceptsMain portal fissurePortal fissureCystic pedicleDifficult laparoscopic cholecystectomyMiddle hepatic veinRight hepatic arteryRight upper quadrantImportant clinical roleHepatic arteryLaparoscopic cholecystectomyCystic ductUpper quadrantBiliary systemHepatic veinCadaveric liversExtrahepatic structuresAnatomic variationsClinical roleBlood vesselsLobar fissuresDifferent clinical disciplinesPedicleClinical disciplinesFuture studiesFissures
2013
Case 18-2013 — A 32-Year-Old Woman with Recurrent Episodes of Altered Consciousness
Cabot R, Harris N, Rosenberg E, Shepard J, Cort A, Ebeling S, McDonald E, Cole A, Eskandar E, Mela T, Noebels J, Gonzalez R, McGuone D. Case 18-2013 — A 32-Year-Old Woman with Recurrent Episodes of Altered Consciousness. New England Journal Of Medicine 2013, 368: 2304-2312. PMID: 23758236, DOI: 10.1056/nejmcpc1215969.Peer-Reviewed Original Research
2008
Delirium assessment in the intensive care unit: patient population matters
Pisani MA. Delirium assessment in the intensive care unit: patient population matters. Critical Care 2008, 12: 131. PMID: 18423059, PMCID: PMC2447584, DOI: 10.1186/cc6847.Peer-Reviewed Original Research
2007
Recurrent spells and bilateral internal carotid artery stenosis in a diabetic male: A test of patien‐ce(‐ts)
Chowdhary V, Kallmes DF, Fulgham J, Meyer F, Matteson EL. Recurrent spells and bilateral internal carotid artery stenosis in a diabetic male: A test of patien‐ce(‐ts). Arthritis & Rheumatism 2007, 57: 1098-1101. PMID: 17665478, DOI: 10.1002/art.22905.Peer-Reviewed Original Research
2005
Detection of Delirium in the Intensive Care Unit: Comparison of Confusion Assessment Method for the Intensive Care Unit with Confusion Assessment Method Ratings
McNicoll L, Pisani MA, Ely EW, Gifford D, Inouye SK. Detection of Delirium in the Intensive Care Unit: Comparison of Confusion Assessment Method for the Intensive Care Unit with Confusion Assessment Method Ratings. Journal Of The American Geriatrics Society 2005, 53: 495-500. PMID: 15743296, DOI: 10.1111/j.1532-5415.2005.53171.x.Peer-Reviewed Original ResearchConceptsConfusion Assessment MethodIntensive care unitCAM-ICUICU patientsCare unitMini-Mental State ExaminationCAM-ICU methodFalse-negative ratingsOlder ICU patientsRate of deliriumDetection of deliriumUniversity Teaching HospitalCAM methodsDetailed cognitive testingLevel of consciousnessMedical ICUTeaching hospitalInterrater reliability testingState ExaminationPatientsDeliriumCAM criteriaMore deficitsCognitive testingICU
2004
Acute Mental Status Change due to Acute Confusional Migraine
Bechtel K. Acute Mental Status Change due to Acute Confusional Migraine. Pediatric Emergency Care 2004, 20: 238-241. PMID: 15057179, DOI: 10.1097/01.pec.0000121244.99242.67.Peer-Reviewed Original Research
2003
An Empirical Study of Different Diagnostic Criteria for Delirium Among Elderly Medical Inpatients
Cole MG, Dendukuri N, McCusker J, Han L. An Empirical Study of Different Diagnostic Criteria for Delirium Among Elderly Medical Inpatients. Journal Of Neuropsychiatry 2003, 15: 200-207. PMID: 12724462, DOI: 10.1176/jnp.15.2.200.Peer-Reviewed Original ResearchAgedAged, 80 and overConfusionDeliriumDementiaDiagnosis, DifferentialDiagnostic and Statistical Manual of Mental DisordersEmpirical ResearchFemaleGeriatric AssessmentHumansInpatientsInternational Classification of DiseasesMaleProspective StudiesPsychiatric Status Rating ScalesRandomized Controlled Trials as TopicReproducibility of ResultsSensitivity and Specificity
2002
Emesis, Confusion, and Visual Loss in an Adolescent
Chen L, Vaezy A, Seashore MR, Baum CR. Emesis, Confusion, and Visual Loss in an Adolescent. Pediatric Case Reviews 2002, 2: 240-247. PMID: 12865672, DOI: 10.1097/00132584-200210000-00006.Peer-Reviewed Original Research
1996
Case 36-1996 — A 37-Year-Old Man with AIDS, Neurologic Deterioration, and Multiple Hemorrhagic Cerebral Lesions
Cabot R, Scully R, Mark E, McNeely W, Ebeling S, Lipton S, Ma M. Case 36-1996 — A 37-Year-Old Man with AIDS, Neurologic Deterioration, and Multiple Hemorrhagic Cerebral Lesions. New England Journal Of Medicine 1996, 335: 1587-1595. PMID: 8900094, DOI: 10.1056/nejm199611213352109.Peer-Reviewed Original Research
1976
Acute confusional states with right middle cerebral artery infarctions.
Mesulam M, Waxman S, Geschwind N, Sabin T. Acute confusional states with right middle cerebral artery infarctions. Journal Of Neurology Neurosurgery & Psychiatry 1976, 39: 84. PMID: 1255216, PMCID: PMC492219, DOI: 10.1136/jnnp.39.1.84.Peer-Reviewed Original ResearchConceptsAcute confusional stateConfusional stateRight middle cerebral artery infarctionRight middle cerebral arteryMiddle cerebral artery infarctionCerebral artery infarctionMiddle cerebral arteryArtery infarctionCerebral arteryCortical connectionsAssociation cortexMonkey brainHomologous areasInfarctionMain deficitsDeficitsPatientsArteryLesionsCortexBrain
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