Extended-Interval Gentamicin Dosing for Pulmonic Tularemia by Tyson Dietrich, Katelynn Garcia, Joe Strain, John Ashurst

“…Patients can present with cutaneous, pulmonary, cardiac, mucous membrane, or gastrointestinal involvement. A clinician should have a heightened suspicion in endemic areas or when outbreaks appear. …”
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Investigating Falls Risk Awareness in Hospitals Using the Self‐Awareness of Falls Risk Measure (SAFRM): Empirical Research Quantitative by Elissa Dabkowski, Simon J. Cooper, Jhodie Duncan, Karen Missen

“…The SAFRM facilitates a person‐centred approach to falls prevention by providing opportunities for the clinician to collaborate with the patient and tailor fall prevention strategies. …”
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Mixed-methods evaluation of a behavioural intervention package to identify and amend incorrect penicillin allergy records in UK general practice by Sarah Tonkin-Crine, Robert West, Sinisa Savic, Jonathan Sandoe, Ly-Mee Yu, Sue Pavitt, Ushma Galal, Christopher C Butler, Marta Wanat, Bethany Shinkins, Mina Davoudianfar, Emily Bongard, Sue H Pavitt, Philip Howard, Catherine Porter, Mandy East, Marta Santillo, Louise Savic, Joanne Fielding, Jenny Boards, Catherine E Porter, Jonathan AT Sandoe

“…This study aimed to investigate patients’ and clinicians’ views of penicillin allergy testing (PAT).Design We conducted a mixed-methods process evaluation embedded within the ALABAMA trial, which included a clinician survey, a patient survey (at baseline and follow-up) and semistructured interviews with patients and clinicians.Settings The study was conducted in primary care, as part of the feasibility stage of the ALABAMA trial.Participants Patients and primary care clinicians.Results Clinicians (N=53; 52.2%) were positive about PAT and its potential value but did not have previous experience of referring patients for a PAT and were unsure whether patients would take penicillin after a negative allergy test. …”
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Immune-Mediated Necrotizing Myopathy Manifesting after Five Years of Statin Therapy by Nathan G. DeRon, Francis Fischer, Dylan Lopez, Elizabeth C. Brewer

“…Clinicians should also be aware that statin-induced myopathy can occur at any time during statin therapy. …”
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Pulmonary Alveolar Proteinosis in Setting of Inhaled Toxin Exposure and Chronic Substance Abuse by Meirui Li, Salem Alowami, Miranda Schell, Clive Davis, Asghar Naqvi

“…Although the rarity and vague clinical presentation of PAP can pose diagnostic challenges, clinician awareness of PAP risk factors may facilitate the diagnostic process and lead to more prompt treatment.…”
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Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning by Lachara V. Livingston, Elimarys Perez-Colon

“…For this reason, the clinician must be sure to perform a detailed history and careful examination. …”
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Acute Progressive Visual Loss in a Case of Acute Myeloid Leukemia: Challenges in the Utility of Molecular Tests in Early Diagnose of Cytomegalovirus Retinitis by Ali Amanati, Nader Shakibazad, Bahman Pourabbas, Mohammad Hossein Nowroozzadeh, Soheila Zareifar, Omid Reza Zekavat

“…Viral infections, especially cytomegalovirus infection, may present with vague clinical pictures during any time of chemotherapy, which may not be easily distinguishable from bacterial or fungal retinitis and also chemotherapy-induced retinopathies. Clinician should consider CMV retinitis in seropositive patients especially those without detectable viremia.…”
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Hepatic epithelioid hemangioendothelioma with TFE3 rearrangement: a case report and literature review by Ke Meng, Xingrong Yang, Sitong Guo, Juan Tao

“…EHE is easy to be mistaken for a metastatic tumor by radiologists and clinicians. Correct diagnosis and therapy are important owing to the variable clinical course and special treatment. …”
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Agenesis of Submandibular Glands: A Report of Two Cases with Review of Literature by Medine Kara, Oğuz Güçlü, Fevzi Sefa Dereköy, Mustafa Resorlu, Gürhan Adam

“…It is important for the clinician to know that this very rare abnormality may exist. …”
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Facial Swelling as a Primary Manifestation of Multiple Myeloma by Anju E. Thomas, Seema Kurup, Renju Jose, Cristalle Soman

“…Facial swellings are commonly encountered in the dental office, the cause of which could range from a congenital etiology to an acquired one or it may even be a manifestation of an underlying systemic disease. The clinician must have a thorough knowledge of the various clinical and imaging manifestations and the sites of occurrence of the various conditions to arrive at the appropriate diagnosis. …”
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Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases by Emmanouil D. Psathas, Stella Lioudaki, Mikes Doulaptsis, Petros Charalampoudis, Chris Klonaris, Chris Verikokos

“…We report the surgical treatment of two patients presented in the emergency department with ACF due to ruptured AAA, each with different clinical presentation, emphasizing the high index of suspicion needed by the clinician to early diagnose and treat this often lethal condition. …”
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Antiseizure medications and their differing effects on cardiovascular risk by Aleena Abbasi, Bassil Abbasi, Scott Mintzer, Carla LoPinto-Khoury

“…Finally, effects of antiseizure medications on cardiac rhythm and possibly autonomic control are discussed with respect to their clinical relevance to the practicing clinician.…”
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Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review by Riccardo Aiuto, Gianluca Fumei, Erica Lipani, Daniele Garcovich, Mario Dioguardi, Dino Re

“…Even in the era of dental implants, trying to save a compromised tooth is imperative for any clinician. This report presents a case of an upper central incisor with a class II Heithersay EICR in which treatment was performed using a multidisciplinary approach and the defect was restored with resin composite. …”
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Bedside Assessment of Tissue Oxygen Saturation Monitoring in Critically Ill Adults: An Integrative Review of the Literature by Carol Diane Epstein, Karen Toby Haghenbeck

“…Tissue oxygen saturation (StO2) monitoring is a noninvasive technology with the purpose of alerting the clinician of peripheral hypoperfusion and the onset of tissue hypoxia. …”
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Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England by Darsuh Attar-Zadeh, Harriet Lewis, Martina Orlovic

“…**Discussion:** Significant funds are needed to successfully manage targeted inhaler transitions, together with counselling and follow-up appointment with an appropriately skilled clinician to assess the patient’s inhaler technique and ensure disease control. …”
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Murine Typhus: An Important Consideration for the Nonspecific Febrile Illness by Gurjot Basra, Megan A. Berman, Lucas S. Blanton

“…Exposure to reservoir hosts and the flea vector place humans at risk for this disease. Clinician recognition of this entity is required for diagnosis and effective therapy.…”
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Nail Biting as a Cause of Appendicitis by Michael Pagacz, Philip Bao, Juan Carlos Alvarez Moreno, Lydia Howard

“…Regardless of etiology, an appendectomy often ends up the primary treatment, but unusual and rare causes are worth noting if only for the clinician to be aware of when evaluating the next patient with abdominal pain and considering treatment options or future prevention. …”
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An Adaptive Source-Channel Coding with Feedback for Progressive Transmission of Medical Images by Jen-Lung Lo, Saeid Sanei, Kianoush Nazarpour

“…The overall transmitted data can be controlled by the user (clinician). In the case of medical data transmission, it is vital to keep the distortion level under control as in most of the cases certain clinically important regions have to be transmitted without any visible error. …”
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A Cognitive-Behavioral Model of Apathy in Parkinson’s Disease by Olivia Plant, Annika Kienast, Daniel S. Drew, Elitsa D. Slavkova, Kinan Muhammed, Helen Kennerley, Masud Husain

“…Here, we introduce a novel cognitive-behavioral framework that can inform a clinician’s conceptualization and treatment of apathy, using cognitive-behavioral therapy (CBT) techniques. …”
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Root Canal Morphology of Mandibular First Permanent Molars in an Indian Population by Hemant Ramesh Chourasia, Ganesh K. Meshram, Manjusha Warhadpande, Darshan Dakshindas

“…The most common canal configurations of mesial and distal roots were Vertucci type IV (54%) and type I (65.3%), respectively. Clinician should be aware of the complex root canal morphology of mandibular first molars among the Indian population before and during the root canal treatment.…”
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