“Sick or not sick?” This is the question that preoccupied me throughout my emergency medicine subinternships as a fourth-year medical student. Simple in concept, yet vexing interpretation, save for extremes at each end of spectrum. On away rotation, I am easing into rhythm an evening shift and browsing board new patient. One pops up whose triage vitals are all highlighted red: febrile, tachypne...

short story is a specific form of narration which can play the role of society corrector in critical societies. sādeq hedāyat and tāmer both show different aspects of their social problems. they magnify issues such as illogical family atmospheres, patriarchy, weak human relationships and consequences of modernity and modernism without having the basis of their acceptance in society and insecure...

OBJECTIVE To study levels of sick leave and disability pension before and after TNF-antagonist therapy in AS patients. METHODS Using the population-based South Swedish Arthritis Treatment Group register, we identified 139 AS patients (aged 18-58 years, 78% men), who between January 2002 and December 2008 started their first treatment with adalimumab, etanercept or infliximab. We linked data t...

OBJECTIVE To assess renal involvement in sick neonates referred to Neonatal Intensive Care Unit (NICU) using standard renal parameters and urinary beta 2 microglobulin (B2M) excretion. DESIGN Descriptive study. SETTING Level II NICU and Nephrology Division of Pediatric Tertiary hospital. SUBJECTS Forty six term sick neonates transferred for neonatal care and forty healthy term neonates wh...

OBJECTIVES A comparison of appraisals made by general practitioners (GPs) in France and occupational physicians (OPs) and insurance physicians (IPs) in the Netherlands with those made by Scandinavian GPs on work capacity in patients with severe subjective health complaints (SHCs). SETTING GPs in France and OPs/IPs in the Netherlands gathered to watch nine authentic video recordings from a Nor...

Emergency physicians commonly evaluate children with fever and worry about how to best detect “occult” or “early” presentations of serious bacterial infections such as meningitis or sepsis. Laboratory testing is at times used to supplement clinical examination and physician judgment; however, the merits of such screening have long been debated and substantial practice variation remains. In this...