Connecticut medicine
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Connecticut medicine · Sep 2014
A simple scoring tool for the evaluation of patients in an emergency department chest pain unit.
There are multiple risk scores to determine the prognosis of high-risk patients presenting with acute coronary syndromes (ACS) to emergency departments (ED) and chest pain units (CPU), however, there are few options for patients without ACS (no diagnostic ST-segment deviation or positive biomarkers). ⋯ This new clinical risk score is simple to use, predicts a clinically relevant outcome to ED physicians, and the results of noninvasive testing are additive.
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Connecticut medicine · Sep 2014
Psychosurgery: past, present, and future, including prefrontal lobotomy and Connecticut's contribution.
Psychosurgery, a subspecialty of functional neurosurgery, has been used in the treatment of psychiatric illness, intractable pain, and, controversially, as ameans to control and modify violent human behavior. Prefrontal lobotomy, a procedure developed in the 20th century, arose as a result of pioneering research, includingwork done atYaleUniversity in New Haven. ⋯ New technology has provided improved accuracy with less morbidity. The progressive replacement of ablative procedures with deep-brain stimulation and restorative neurosurgery offers new perspectives in the treatment of some psychiatric conditions.