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BACKGROUND Attending rounds have transitioned away from the patient's bedside toward the hallway and conference rooms. This transition has brought into question how to best teach on medicine services. PURPOSE The purpose is to describe learner experiences and attitudes regarding bedside attending rounds at an academic medical institution. METHOD(More)
The lung has an array of immunological defenses to protect itself against potentially invasive microorganisms, which include the immunoglobulin-rich alveolar lining fluid, alveolar macrophages, T lymphocytes, and polymorphonuclear neutrophils. Immunosenescence is a major predisposing factor to the increased incidence, morbidity, and mortality of pneumonia(More)
To investigate the relative effects of aging and severity of illness on thyroid function as well as the prevalence of thyroid dysfunction in the elderly, we performed thyroid function testing on 190 hospitalized patients 60 years of age or older. Abnormalities of thyroid test results were frequent, and only 27% of patients had normal values for all thyroid(More)
BACKGROUND AND AIMS Cholecystokinin-cholescintigraphy (CCK-CS) provides a physiologic, noninvasive, and quantitative method for assessing gallbladder contraction and calculation of a gallbladder ejection fraction (GBEF). At present, it is used most commonly to identify patients with suspected functional gallbladder disorder. However, the methodology of CCK(More)
BACKGROUND As many as one third of elderly hospitalized patients become delirious, and most do not fully recover. Delirium may impart a higher mortality rate and may be a marker for future cognitive decline. OBJECTIVE To review the clinical features, etiology, diagnosis, and management of delirium in elderly hospitalized patients. SUMMARY Delirium can(More)
OBJECTIVE To study patient attitudes toward medical students in a faculty academic general internal medicine practice. DESIGN Survey. SETTING An academic general internal medicine ambulatory practice site at a university hospital. PATIENTS Random selection of 199 patients attending the practice; 194 patients completed the survey. MAIN RESULTS(More)