We consider a patient admission problem to a hospital with multiple resource constraints (e.g. OR and beds) and a stochastic evolution of patient care requirements across multiple resources. There is a small but significant proportion of emergency patients who arrive randomly and have to be accepted at the hospital. However, the hospital needs to decide whether to accept, postpone or even rejec...

background : methadone is considered as a good choice for maintenance treatment program (mmtp) in opioid addicted individuals. qt interval prolongation was reported previously in methadone chronic usersespecially in high dose prescription. qt-interval prolongation predisposes patients to lethal dysrhythmia. this is a report of corrected qt(qtc) prolongation due to acute methadone poisoning. to ...

Introduction. Undergraduate medical students at Shiraz University of Medical Sciences spend most of their internal medicine rotations in inpatient wards and their teaching is inpatient oriented. The purpose of this study was to investigate whether the patients admitted to general internal medicine wards have enough diversity to fulfill the educational needs of undergraduate medical students. ...

Background: Cardiac toxicity is one of the life-threatening effects of severe organophosphate (OP) poisoning. We presented a patient with severe OP poisoning, in cardiovascular shock poorly responsive to conventional treatments, who could be resuscitated successfully with intravenous lipid emulsion (ILE) therapy. Case report: A 26-year-old female was admitted to our emergency department who had...

INTRODUCTION Diverticulitis is a common diagnosis in the emergency department (ED). Outpatient management of diverticulitis is safe in selected patients, yet the rates of admission and surgical procedures following ED visits for diverticulitis are unknown, as are the predictive patient characteristics. Our goal is to describe trends in admission and surgical procedures following ED visits for d...

Comparison was made between patients admitted from a nursing home and all other patients admitted to a geriatric medical unit in 1990 and 1993. The number of nursing home patient admissions rose from 26 in 1990 to 106 in 1993. Nursing home patients were frailer both physically and mentally with a dementia rate of 78% (in those who survived, 1993) and a mortality rate of 19.8% (1993), compared w...