Journal of general internal medicine
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Editorial Review
Statistically derived predictive models. Caveat emptor.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Validation of the pneumonia severity index. Importance of study-specific recalibration.
To evaluate the predictive validity and calibration of the pneumonia severity-of-illness index (PSI) in patients with community-acquired pneumonia (CAP). ⋯ We found that the PSI had good discriminatory ability. The original PSI overestimated absolute risk of death in our population. We describe a simple approach to recalibration, which corrected the overestimation in our population. Recalibration may be needed when transporting this prediction rule across populations.
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Review Comparative Study
Body piercing medical concerns with cutting-edge fashion.
To review the current information on medical complications, psychological implications, and legislative issues related to body piercing, a largely unregulated industry in the United States. ⋯ In this manuscript, we review the available body piercing literature. We conclude that body piercing is an increasingly common practice in the United States, that this practice carries substantial risk of morbidity, and that most body piercing in the United States is being performed by unlicensed, unregulated individuals. Primary care physicians are seeing growing numbers of patients with body pierces. Practitioners must be able to recognize, treat, and counsel patients on body piercing complications and be alert to associated psychological conditions in patients who undergo body piercing.
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Comparative Study
Rewards and incentives for nonsalaried clinical faculty who teach medical students.
We surveyed the clerkship administrators of pediatrics, family medicine, and internal medicine at U. S. medical schools, and of pediatrics at Canadian medical schools to determine what rewards and incentives are being offered to nonsalaried faculty for office-based teaching. ⋯ Nonmonetary rewards like educational opportunities were offered by 70% to 89%; academic appointments by 90% to 95%; special recognition events by 62% to 79%; and appreciation letters by 74% to 84% of programs. Only 3 of 338 responders offered no rewards or incentives.