BACKGROUND: Feedback on patient outcomes is invaluable to the practice of emergency medicine but examples of effective forms of feedback have not been well characterized in the literature. We describe one system of em...BACKGROUND: Feedback on patient outcomes is invaluable to the practice of emergency medicine but examples of effective forms of feedback have not been well characterized in the literature. We describe one system of emergency department(ED) outcome feedback called the return visit report(RVR) and present the results of a survey assessing physicians' perceptions of this novel form of feedback. METHODS: An Opinio web-based survey was conducted in 81 emergency physicians(EPs) at three EDs.RESULTS: Of the 81 physicians surveyed, 40(49%) responded. Most participants indicated that they frequently review their RVRs(83%), that RVRs are valuable to their practice of medicine(80%), and that RVRs alter their practice in future encounters(57%). Respondents reported seeking other forms of outcome feedback including speaking with other EPs(83%) and reviewing discharge summaries of admitted patients(87%). There was no correlation between demographic data and use of RVRs.CONCLUSION: EPs value RVRs as a form of feedback. RVRs could be improved by reducing the observational interval and optimizing report relevance and differential weighting.展开更多
Talar body injuries are rare, particularly in children. To our knowledge, there has not been a single case report of bilateral talus fracture in a child till date. We report two cases of fracture bilateral talus in ch...Talar body injuries are rare, particularly in children. To our knowledge, there has not been a single case report of bilateral talus fracture in a child till date. We report two cases of fracture bilateral talus in children. The first case is of a fracture separation of the distal tibial epiphysis and a fracture of the body of the talus with subluxation of ankle on right side and a fracture neck of talus on left side. The second is fracture bilateral talus with epiphyseal injury of left distal tibia. A minimal or undisplaced fracture of talus is less likely to undergo avascular necrosis than a displaced fracture but even with optimal treatment, avascular necrosis may still occur. It is of prime significance that these fractures should be diagnosed well in time to avert complications. Therefore an appropriate length of follow-up is required.展开更多
COVID-19 virus has been spreading worldwide for more than a year.At present,the situation of the new crown pneumonia epidemic remains full of tension and uncertainty.It is of concern is that the worst outbreak in the ...COVID-19 virus has been spreading worldwide for more than a year.At present,the situation of the new crown pneumonia epidemic remains full of tension and uncertainty.It is of concern is that the worst outbreak in the world is in the United States.The total number of confirmed new cases of COVID-19 and the total number of new deaths in the United States have entered their second and third cyclical peaks since the White House announced the“Open America Again”guidelines on April 16,2020,and the start of the US presidential election season in August 2020.This paper combines the generalized exponential model(EXPM)with Chebyshev polynomials to develop a special generalized growth model(GGM)to predict the total number of daily new confirmed cases and the total number of new deaths in the United States for three periods under a 14-day sensitivity regression model.In this paper,the US epidemic is divided into three periods from early January 2020 to early January 2021,and three forecasts are made for the three periods.The first two prediction periods have already occurred and the predictions match well with known results,and the third period predicts that the total number of new confirmed cases of COVID-19 and the total number of new deaths in the United States will fall to a minimum level by next July,when the supply of COVID-19 vaccine has already begun.The results suggest that the“Open America Again”policy and the events of the 2020 US presidential election season have contributed to the worsening of the COVID-19 in the United States.展开更多
文摘BACKGROUND: Feedback on patient outcomes is invaluable to the practice of emergency medicine but examples of effective forms of feedback have not been well characterized in the literature. We describe one system of emergency department(ED) outcome feedback called the return visit report(RVR) and present the results of a survey assessing physicians' perceptions of this novel form of feedback. METHODS: An Opinio web-based survey was conducted in 81 emergency physicians(EPs) at three EDs.RESULTS: Of the 81 physicians surveyed, 40(49%) responded. Most participants indicated that they frequently review their RVRs(83%), that RVRs are valuable to their practice of medicine(80%), and that RVRs alter their practice in future encounters(57%). Respondents reported seeking other forms of outcome feedback including speaking with other EPs(83%) and reviewing discharge summaries of admitted patients(87%). There was no correlation between demographic data and use of RVRs.CONCLUSION: EPs value RVRs as a form of feedback. RVRs could be improved by reducing the observational interval and optimizing report relevance and differential weighting.
文摘Talar body injuries are rare, particularly in children. To our knowledge, there has not been a single case report of bilateral talus fracture in a child till date. We report two cases of fracture bilateral talus in children. The first case is of a fracture separation of the distal tibial epiphysis and a fracture of the body of the talus with subluxation of ankle on right side and a fracture neck of talus on left side. The second is fracture bilateral talus with epiphyseal injury of left distal tibia. A minimal or undisplaced fracture of talus is less likely to undergo avascular necrosis than a displaced fracture but even with optimal treatment, avascular necrosis may still occur. It is of prime significance that these fractures should be diagnosed well in time to avert complications. Therefore an appropriate length of follow-up is required.
文摘COVID-19 virus has been spreading worldwide for more than a year.At present,the situation of the new crown pneumonia epidemic remains full of tension and uncertainty.It is of concern is that the worst outbreak in the world is in the United States.The total number of confirmed new cases of COVID-19 and the total number of new deaths in the United States have entered their second and third cyclical peaks since the White House announced the“Open America Again”guidelines on April 16,2020,and the start of the US presidential election season in August 2020.This paper combines the generalized exponential model(EXPM)with Chebyshev polynomials to develop a special generalized growth model(GGM)to predict the total number of daily new confirmed cases and the total number of new deaths in the United States for three periods under a 14-day sensitivity regression model.In this paper,the US epidemic is divided into three periods from early January 2020 to early January 2021,and three forecasts are made for the three periods.The first two prediction periods have already occurred and the predictions match well with known results,and the third period predicts that the total number of new confirmed cases of COVID-19 and the total number of new deaths in the United States will fall to a minimum level by next July,when the supply of COVID-19 vaccine has already begun.The results suggest that the“Open America Again”policy and the events of the 2020 US presidential election season have contributed to the worsening of the COVID-19 in the United States.
