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Published in J Pain. 2014 Sep 16. pii: S1526-5900(14)00911-0 Authors: Cajanus K et al Abstract Most clinically used opioids are mu-opioid receptor agonists. Therefore, genetic variation of the OPRM1 gene that encodes the mu-opioid receptor is of great interest for understanding pain management. A polymorphism 118A greater than G (rs1799971) within the OPRM1 gene results […]
Read MorePublished in Langenbecks Arch Surg. 2014 Sep Authors: Heinrich S et al PURPOSE: Perioperative regional anesthesia with consecutive reduction of intra- and postoperative systemic opioid requirements in order to improve oncological result after cancer surgery has only been addressed by a few reports. This hypothesis has never been proved in esophageal cancer with a long-term […]
Read MoreAuthors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’ recommendation for a transfusion hemoglobin target of 7 to 9 […]
Read MoreThe answer: Gossip! Just because there is nothing you can do to completely eliminate it from your workplace doesn’t mean you shouldn’t do a thing about it. On the contrary, managers can and should take steps to eliminate harmful rumors and gossip from circulating in the workplace. Why? At best, it saps morale. At worst, […]
Read MoreHow are you affecting the culture of consistency within your organization? Much has been written about trust and leadership. Leaders can’t expect to have followers if they themselves are not trustworthy. Leaders know this. And they know that they want trustworthy employees. Who wouldn’t want trustworthy employees? And yet, leaders typically fail to be trustworthy […]
Read MoreWeather factors such as temperature, relative humidity, air pressure, and precipitation did not increase the risk for a low back pain episode, and higher wind and wind gust speed had a minimal effect, according to an Australian case-crossover study published in Arthritis Care & Research. “Many patients believe that weather impacts their pain symptoms,” lead […]
Read MoreProvider progress in transitioning to ICD-10 has been hampered by the most recent delay–enforced via the passage of the Protecting Access to Medicare Act last spring–according to survey results released this week by the Workgroup for Electronic Data Interchange (WEDI). For the survey, conducted in August, WEDI received more than 500 responses, including 324 from […]
Read MoreAlthough bundled payments are an increasingly common way for insurers to pay for care–and can improve quality and lower costs–some industry experts worry that they could have more negative consequences than benefits. One concern is that since bundled payments focus so singularly on costs, they could discourage experimentation of new drugs, devices and procedures, according […]
Read MoreAt least 15 states are considering a revised draft of the Interstate Medical Licensure Compact, which has the support of the AMA. An effort to provide physicians a streamlined path to obtaining medical licensure in multiple states appears to be gaining traction. “There’s momentum,” Humayun Chaudhry, DO, president and CEO of the Federation of State […]
Read MoreDocumentation quiz for managers It’s important to know the kind of language managers should—and should not—use in documentation. Test your knowledge by answering “True” or “False” to the following statements: _____ 1. An employee is caught stealing company equipment. It’s best to list the termination reason as “gross misconduct” since “stealing” could be defamatory. _____ […]
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