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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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A difference amplifier, a crucial component in numerous electronic devices, ideally amplifies only the difference-mode signal, which is the difference between two input signals. However, in practical circuits, the output voltage depends on both the differential gain and the common-mode gain.
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The practical equivalent circuits of single-phase two-winding transformers exhibit significant deviations from their idealized versions due to the inherent properties of winding resistance and finite core permeability. These properties result in real and reactive power losses, affecting the transformer's performance. Understanding these deviations is crucial for designing more efficient transformers.
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Update in Hospital Medicine: Practical Lessons from the Literature.

Alfred Burger1, Chad Miller2, Bradley A Sharpe3

  • 1Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Alfred.burger@mountsinai.org.

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Recent hospital medicine research highlights key practice updates. Findings include new insights into pulmonary embolism, cardiac device MRI safety, antibiotic duration for pneumonia, and effective treatments for bleeding peptic ulcers.

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Area of Science:

  • Internal Medicine
  • Hospital Medicine
  • Clinical Practice Updates

Background:

  • Hospital Medicine is expanding its scope of practice.
  • This review targets busy clinicians caring for hospitalized adults.

Purpose of the Study:

  • To summarize high-impact publications relevant to hospital medicine.
  • To provide clinicians with actionable insights from recent research.

Main Methods:

  • Review of articles presented at the 2017 Society of Hospital Medicine and Society of General Internal Medicine annual meetings.
  • Selection of 9 out of 20 articles based on quality and practice-influencing potential.
  • Focus on publications from March 2016 to March 2017.

Main Results:

  • Pulmonary embolism may be a more frequent cause of syncope and COPD exacerbation.
  • Non-thoracic low-tesla MRI is safe for patients with cardiac devices implanted after 2001.
  • Inpatient blood cultures for fever have low yield; chronic opioid use post-surgery is common.
  • High-sensitivity troponin can rule out myocardial infarction; 5-day antibiotic courses for pneumonia are effective.
  • Oral proton pump inhibitors (PPI) are as effective as IV PPIs for bleeding peptic ulcers.

Conclusions:

  • Recent research offers valuable insights into common medical problems in hospitalized adults.
  • These findings have the potential to modify or confirm current clinical practices.
  • Key updates span diagnostics, treatment protocols, and patient communication.