Connecticut medicine
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Connecticut medicine · Sep 2013
Documentation proficiency of patients who leave the emergency department against medical advice.
This study describes the current documentation practices of health-care providers in the emergency department (ED) during the discharge against medical advice (AMA) process. ⋯ This study revealed suboptimal documentation in AMA cases by clinicians at a single ED and confirms disparities between federal and academic quality (safety documentation requirements and actual provider documentation).
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Gunbuy-backprograms have been proposed as away to remove unwanted firearms from circulation, but remain controversial because their ability to prevent firearm injuries remains unproven. The purpose of this study is to describe the demographics of individuals participating in Connecticut's gun buy-backprogram in the context of annual gun sales and the epidemiology of firearm violence in the state. Over four years the buy-back program collected 464 firearms, including 232 handguns. ⋯ Suicide was associated with older age (mean = 51 +/- 18years) and Caucasian race (n = 539, 90%). Homicide was associated with younger age (mean = 30 +/- 12 years) and minority race (n = 425, 81%). A gun buy-back program alone is not likely to produce a measurable decrease in firearm injuries and deaths.
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Connecticut medicine · Aug 2013
ReviewTennis leg: mechanism of injury and radiographic presentation.
As summer is upon us, we thought a discussion of tennis leg would be beneficial to our fellow clinicians. Tennis leg is a relatively common clinical condition, classically manifesting as acute, sports-related pain in the mid-calf. First described in 1883, the pathogenesis has been debated--tennis leg was first attributed to rupture of the plantaris tendon, though more recent investigations have implicated rupture of the medial head of the gastrocnemius at its myotendinous junction. For simplicity, many authors use the term tennis leg to describe all such acute muscle injuries in the superficial calf.
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Connecticut medicine · Aug 2013
Physical activity is associated with positive responses during carotid sinus massage and head-up tilt-table test in patients with unexplained syncope.
Physical exercise is known to alter the physiological response to orthostatic stress. This study compared reported physical activity levels in patients with unexplained syncope who did or did not demonstrate positive responses to carotid sinus massage and head-up tilt-table testing. ⋯ Physical activity is associated with greater likelihood of positive responses during carotid sinus massage and head-up tilt-table testing.