The Journal of the Oklahoma State Medical Association
-
J Okla State Med Assoc · Dec 2015
Biography Historical ArticleThe Dr. Harrison at Muskogee VAH, 1971.
-
J Okla State Med Assoc · Nov 2015
Historical ArticleA Brief History of the Tobacco Settlement in Oklahoma.
-
In conclusion, delirium is a common postoperative complication that especially impacts the elderly population. It contributes to a significant increase in morbidity, mortality, length of inpatient stay, and medical costs. ⋯ The most practical approach for physicians is continuous vigilance for the emergence of postoperative delirium. Movement toward increased use of multidisciplinary inpatient ward teams, early psychiatric consultation during postoperative delirium, larger clinical trials of prophylactic medications, and future research on delirium's pathogenesis will decrease complications of this common clinical problem.
-
J Okla State Med Assoc · Jan 2015
ReviewLung cancer screening: where have we been? Where are we going?
Recent evidence suggests that lung cancer screening with low-dose chest CT (LDCT) has a moderate net benefit on lung cancer mortality when applied to a high-risk population. This review article examines this evidence in light of the earlier failures of lung cancerscreening using chest radiography and/or sputum cytology. Harms associated with LDCT lung cancer screening include false positive results, false negative results, incidental findings, radiation exposure, and overdiagnosis. A number of issues related to implementation are unresolved.