Discover the most talked about and latest scientific content & concepts.

Concept: Miracles


Reduction in emergency department (ED) use is frequently viewed as a potential source for cost savings. One consideration has been to deny payment if the patient’s diagnosis upon ED discharge appears to reflect a “nonemergency” condition. This approach does not incorporate other clinical factors such as chief complaint that may inform necessity for ED care.

Concepts: Medical terms, Patient, Hospital, Miracles, Medical history, Chief complaint


A 65-year-old woman who had undergone colonoscopy with removal of polyps became unresponsive at the end of the procedure. The abdomen was massively distended, tympanitic, and tender to palpation. The patient underwent a decompressive laparotomy, shown in a video.

Concepts: Patient, Miracles


The surgical site infections (SSI) are rare adverse events that may have severe consequences in terms of morbidity, mortality and costs. Guidelines on the preparation of the patient can reduce the risk of SSI. Previous guidelines were published in 2004.

Concepts: Inflammation, Infectious disease, Patient, Infection, Transmission and infection of H5N1, Antiseptic, Miracles


The objective of this study is to investigate the patient factors associated with early revision within 1 year after shoulder arthroplasty, including total shoulder arthroplasty (TSA), hemiarthroplasty, and reverse TSA, and the cause of failure leading to early revision.

Concepts: Patient, Miracles, Shoulder replacement, Shoulder surgery


We describe a patient who received an unintentionally prolonged epidural infusion of phenylephrine. The patient experienced no major morbidity. However, this case highlights the continuing problem of wrong-route drug administration and the urgent need to adopt route-specific connections.

Concepts: Patient, Illness, Epidural, Miracles, Infusion pump, Epidural space


To provide a guideline for intensive care unit (ICU) early mobilization program development and implementation and to describe the patient characteristics and endpoints for those who participated in our hospital’s early mobilization program.

Concepts: Patient, Hospital, Intensive care medicine, Physician, Miracles


Maciej F. Boni and colleagues propose deploying multiple first-line combination therapies against malaria within a community to delay drug-resistance evolution.

Concepts: Pharmacology, Patient, Mass drug administration, Antibiotic resistance, Illness, Miracles, Drug tolerance, Drug resistance


The intraoperative classification of appendicitis dictates the patient’s postoperative management. Prolonged antibiotic prophylaxis is recommended for complex appendicitis (gangrenous, perforated, abscess), whereas preoperative prophylaxis suffices for simple appendicitis. Distinguishing these two conditions can be challenging. The aim of this study was to assess interobserver variability in the classification of appendicitis during laparoscopy.

Concepts: Patient, Surgery, Appendicitis, Miracles


Lack of insurance coverage has been associated with delays in seeking care, more complicated diseases at the time of diagnosis, and decreased likelihood of receiving optimal surgical care. The Patient Protection and Affordable Care Act’s (ACA) Medicaid expansion has increased coverage among millions of low-income Americans, but its effect on care for common surgical conditions remains unknown.

Concepts: Medical terms, Patient, Physician, Insurance, Economic inequality, Patient Protection and Affordable Care Act, Miracles


Encouraging prompt help-seeking for cancer symptoms can help shorten the patient interval and improve timely diagnosis. We explored factors associated with help-seeking in a primary care sample reporting ‘alarm’ symptoms.

Concepts: Medical terms, Patient, Miracles