Background: Primary Metastatic penile cancer (PMPC) is a rare condition, accounts for less than 1 percent of all men cancers in the United States. This review aims to investigate the clinical characteristics, treatment, and outcomes of Advanced-stage PMPC. Methods: PubMed, Medline, Scopus, and ScienceDirect databases were reviewed for the published case reports on “primary penile [...]

Background: Olfactory neuroblastoma (ONB), first described in 1924 by Berger et al., is a rare neoplasm that represents nearly 3% of malignant sinonasal neoplasms. It arises from the olfactory epithelium and tends to invaders local structures and metastasizes to various body organs. Given its diverse ad controversial management strategies, this review investigates the clinical and [...]

Background: It is well established that there is a persistent gender gap in promotion in academic medicine despite an equal number of male and female medical students for the past 20 years. Possible mediators of this gender gap include differences between men and women in years on faculty, measures of productivity such as number of [...]

Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for delirium are broadly classified into predisposing and precipitating factors. Combinations of these risk factors precipitate delirium and hence a prediction [...]

Background: Acute pancreatitis is among the most common and costly reasons for hospitalization in the United States. While bowel rest, pain control, and intravenous fluids are the cornerstone of treatment, recent evidence suggests that early rather than delayed feeding may be beneficial. Guidelines, however, continue to recommend waiting for clinical improvement before feeding. We thus [...]

Background: Health research is rapidly evolving to include patient stakeholders (patients, families and caregivers) as active members of research teams. The proliferation of published frameworks describing the conceptual foundations underlying this engagement, and strategies detailing best practice activities to support this process has led to a diffusion of information. Therefore, the aims of this study [...]

Background: Clinicians rely on physiologic monitor alarms to notify them of their patients’ changing vital signs. Currently, alarms occur very frequently and usually do not warrant clinical intervention. High alarm burden can lead to alarm fatigue, often observed as a slower response or unintentional ignoring of clinically important alarms. For this reason, alarm fatigue has [...]

Background: Attention to the quality of glycemic management during the hospital stay, including care transitions, has grown with increasing evidence linking inpatient and post-discharge glycemic control to clinical outcomes, widespread use of glucometric benchmarking, and impending pay-for-performance measures. Clinical inertia (nonadherence to guidelines) and therapeutic inertia (failure to adjust medications as indicated) or CTI among [...]

Background: Diagnostic error is commonly defined as a missed or delayed diagnosis and has been described as among the most important patient safety hazards. Diagnostic errors also account for the largest category of medical malpractice high severity claims and total payouts. Despite a large literature on the incidence of inpatient adverse events, no systematic review [...]

Background: Point-of-care ultrasound (POCUS) is a diagnostic tool that is being increasingly utilized within the hospitalist sector of internal medicine; however, there is currently no summative source of information for POCUS in perioperative medical management. To address this gap in knowledge, we conducted a systematic review of studies assessing the impact of POCUS on clinical [...]