Ethan F. Kuperman

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BACKGROUND Recent sepsis guidelines have focused on the early identification and risk stratification of patients on presentation. Obesity is associated with alterations in multiple inflammatory regulators similar to changes seen in sepsis, suggesting a potential interaction between the presence of obesity and the severity of illness in sepsis. METHODS We(More)
An outbreak of erysipeloid among the workers of a shoe factory is described. The spread of infection occurred due to contact with infected raw materials, which was confirmed by the isolation of Erysipelotrix rhusiopathiae from washings made from chrome and Russia leather supplied by different tanneries, as well as from casein glue. The raw materials could(More)
BACKGROUND Hospital off-hours care is associated with poor outcomes. Mutual conceptualization among provider groups may facilitate improvement efforts. Provider-perceived threats to quality are unreported. OBJECTIVES The objectives of this study were to identify perceived off-hours quality and safety issues, assess the most significant, and evaluate(More)
BACKGROUND Excellence in Graduate Medical Education requires the right clinical environment with an appropriate workload where residents have enough patients to gain proficiency in medicine with optimal time for reflection. The Accreditation Council for Graduate Medical Education (ACGME) has focused more on work hours rather than workload; however, high(More)
Address correspondence to: Dr. Saleh M. Elwir, Department of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033; Tel: 717-531-5160; Fax: 717-531-2034; E-mail: selwir@hmc.psu.edu Opportunistic infections occur at an increased rate in patients with inflammatory bowel disease (IBD), largely due to the use of immunosuppressants.(More)
BACKGROUND Video capsule endoscopy is in widespread use as a diagnostic modality. Although capsule endoscopy is generally considered safe, several prior reports have documented capsules' failure to progress through narrowed areas of intestine. Symptomatic retention and obstruction by capsule endoscopy have not yet been reported in the setting of radiation(More)
BACKGROUND Total knee arthroplasty is an effective treatment when nonsurgical treatments fail, but it is associated with risk of complications which may be increased in advanced age. The purpose of this study was to quantify age-related differences in perioperative morbidity and mortality after total knee arthroplasty through systematic review of existing(More)
An 87-year-old woman presented with a traumatic fracture of her right femoral neck. After admission she became tachypneic, tachycardic, and had increased oxygen requirements. Computed tomography showed no pulmonary embolism, but revealed a 17×10-cm type-IV paraesophageal hernia (Figs. 1 and 2). The hernia included the entirety of her stomach, majority of(More)
BACKGROUND Interprofessional collaboration improves the quality of care, but integration into workflow is challenging. Although a shared conceptualization regarding bedside interprofessional rounds may enhance implementation, little work has investigated providers' perceptions of this activity. OBJECTIVE To evaluate the perceptions of nurses, attending(More)