U.S. medical students' attitudes about patients' access to care

OBJECTIVE: Accessing adequate medical services remains a major struggle for many Americans, but U.S. medical students' beliefs regarding access to care have not been thoroughly examined. METHODS: All medical students in the Class of 2003 at 16 U.S. schools were eligible to complete three questionnaires during their medical training: during freshman orientation, orientation to wards, and their senior year (n=2316, response rate=80.3%). Students responded to three questions about health care provision. RESULTS: Overall, 35% of students strongly agreed that "physicians have a responsibility to take care of patients regardless of their ability to pay;" only 5% disagreed. Only 8% disagreed that "access to basic health care is a fundamental human right." We found the same significant associations with opinions on access as we did with "responsibility to treat," although the associations tended to be stronger for access. Only 10% of students agreed that "Managed care, as it is now delivered, is a good way to deliver health care to the U.S. population." CONCLUSION: Most U.S. medical students support universal access to medical care, though variations in this support, its decline with additional years of medical education, and concerns about managed care are noteworthy, and have policy implications for America's health and health care workforce.     

Serum Interleukin-6 Levels in Children with Febrile Seizures

Objectives

To compare levels of Interleukin-6 (IL-6) in children with febrile seizures and febrile controls.

Methods

Study conducted in a tertiary-care hospital in Northern India from November 2013 to April 2015, enrolling 160 children (80 each with febrile seizures and febrile controls), aged 6–60 months. Serum IL-6 estimated by ELISA method. Iron study done as per standard technique. All the cases of febrile seizure were followed up at 1 week, 3 months and 6 months for recurrence of seizures.

Results

The mean serum IL-6 levels in children with febrile seizures was 62.0 (63.9) pg/mL and febrile controls was 86.9 (70.6) pg/mL (P=0.025).

Conclusion

Serum IL-6 levels were significantly lower in children with febrile seizures as compared to febrile controls.

     

Survival trends in patients with tracheal carcinoma from 1973 to 2011

Purpose

The prognosis for primary tracheal cancer is dismal. We investigated whether there has been improvement in survival in tracheal cancer patients and how treatment modality affected overall and cancer-specific survival.

Benzothiazoles: From recent advances in green synthesis to anti-cancer potential

According to World Health Organization Cancer is the second leading cause of death worldwide which accounted for an estimated 10.0 million deaths in 2020. Globally, the cancer burden is continuously growing, and it exerts tremendous physical, emotional, and financial strain on individuals, families, communities, and health systems. Looking at the stakes, researchers are vigorously trying to develop new anticancer agents. Recently, benzothiazole is emerging as one of the most active and interesting ingredients in the treatment against carcinoma cells but the problem lies with the complex multi-step processes implemented in pharmaceutical industries to synthesize target molecules as they produce a tremendous amount of waste. To prevail over the concerns of environmental agencies now focus has been shifted towards the synthesis of drugs using green reaction conditions. This work covers the recent advances in the green synthesis of benzothiazole scaffold along with its anticancer potential.     

Genitourinary paraganglioma: Demographic,pathologic, and clinical characteristics in the surveillance,epidemiology, and end results database (2000–2012)

Background

Extra-adrenal paragangliomas (PGLs) are infrequent, benign, and neuroendocrine tumors arising from chromaffin cells of the autonomic nervous system. Most PGLs are sporadic, but up to 32% are associated with inherited syndromes such as neurofibromatosis type 1, von Hippel-Lindau disease, and familial PGL. Although most PGLs develop above the umbilicus, they have been reported in the genitourinary (GU) tract. Owing to the paucity of literature on the rates of GU PGL, the objective of our study is to describe the demographic, pathologic, and clinical characteristics of GU PGL, and compare them to non-GU sites of PGL using the surveillance, epidemiology, and end results (SEER) database.