2012
Validation of a Triage Algorithm for Psychiatric Screening (TAPS) for Patients With Psychiatric Chief Complaints, Andrew C. Miller DO; Steven P. Frei MD; Valerie A. Rupp RN, BSN; Brian S. Joho MSN, RN; Kerry M. Miller RN; and William Bond MD, MS (Article)
Implications of 25% to 50% coronary stenosis with cardiac computed tomographic angiography in ED patients., Chadwick D Miller, Harold I Litt, Kim Askew, Daniel Entrikin, J Jeffrey Carr, Anna Marie Chang, Jane Kilkenny, Benjamin Weisenthal, and Judd E Hollander (Article)
Administered paricalcitol dose and survival in hemodialysis patients: a marginal structural model analysis., Jessica E Miller, Miklos Z Molnar, Csaba P Kovesdy, Joshua J Zaritsky, Elani Streja, Isidro Salusky, Onyebuchi A Arah, and Kamyar Kalantar-Zadeh (Article)
High Frequency Ventilation-What is the Best Choice?, Kenneth Miller MEd, RRT-NPS (Article)
High Frequency Ventilation-What is the Best Choice?, Kenneth Miller MEd, RRT-NPS (Article)
Puzzles in practice. Idiopathic orbital inflammatory syndrome (IOIS)., Yehia Y. Mishriki MD (Article)
Puzzles in Practice. Cement Pulmonary Embolism, Yehia Y. Mishriki MD and Brigid Hallinan DO (Article)
Puzzles in Practice: Libman– Sacks Endocarditis, Yehia Y. Mishriki MD; Erica Peart DO; and James Ross MD, FACP (Article)
Antithrombotic therapy in neonates and children: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines., Paul Monagle, Anthony K C Chan, Neil A Goldenberg, Rebecca N Ichord, Janna M Journeycake, Ulrike Nowak-Göttl, and Sara K Vesely (Article)
Angiogenic biomarkers for prediction of maternal and neonatal complications in suspected preeclampsia., Andreea G Moore, Heather Young, Jennifer M Keller, Linda R Ojo, Jing Yan, Tiffany A Moore Simas, and Sharon E. Maynard MD (Article)
Dissociation chemistry of hydrogen-deficient radical peptide anions., Benjamin Moore, Qingyu Sun, Julie C Hsu, Albert H Lee, Gene C Yoo, Tony Ly, and Ryan R Julian (Article)
Impact of Age and Anticoagulation: Need for Neurosurgical Intervention in Trauma Patients with Mild Traumatic Brain Injury, Margaret M. Moore; Michael D. Pasquale MD, FACS; and Michael M. Badellino MD (Article)
Chronic Sorrow in Heart Failure, Rhonda W. Moore CRNP (Article)
Salvage peripheral extracorporeal membrane oxygenation using Cobe Revolution(®) centrifugal pump as a bridge to decision for acute refractory cardiogenic shock., Robert J Moraca, Kelly M Wanamaker, Stephen H Bailey, Walter E McGregor, Srinivas Murali, Raymond Benza, George Sokos, and George J Magovern (Article)
The effect of body mass index on the outcomes of first assisted reproductive technology cycles., Vasiliki A Moragianni, Stephanie-Marie L Jones MD, and David A Ryley (Article)
Cognitive function following treadmill exercise in thermal protective clothing., Julia Morley, Gillian A. Beauchamp MD, Joe Suyama, Francis X Guyette, Steven E Reis, Clifton W Callaway, and David Hostler (Article)
Simultaneous peripheral facial palsies (SPFP) and bilateral foot drops after initiation of eribulin in a patient with triple-negative breast cancer., Tara Morrison MD, R F. Swaby, P D. Ryan, and P Ambady (Article)
Integrating Palliative Care in the Surgical and Trauma Intensive Care Unit: A Report From the Improving Palliative Care in the Intensive Care Unit (IPAL-ICU) Project Advisory Board and the Center to Advance Palliative Care, Anne C. Mosenthal MD, FACS; David E. Weissman MD, FACP; Curtis J. Randall MD, MPH; Ross M. Hays MD; Dana R. Lustbader MD, FCCM, FCCP; Colleen Mulkerin MSW, LCSW; Kathleen A. Puntillo DNSc, RN, FAAN; Daniel Ray MD; Rick Bassett MSN, RN, APRN, ACNS-BC, CRRN; Renee D. Boss MD; Karen J. Brasel MD, MPH, FACS; Margaret L. Campbell PhD, RN, FAAN; and Judith E. Nelson MD, JD (Article)
Whole fentanyl patch ingestion: a multi-center case series., Rita Mrvos, Alexander C Feuchter, Kenneth D. Katz MD, Lynn F Duback-Morris, Daniel E Brooks, and Edward P Krenzelok (Article)
Operating room fatigue: is your twentieth surgical knot as strong as your first?, Tyler M Muffly, Luis M Espaillat-Rijo, Alexandra M Edwards, and Amanda Horton (Article)
Rheumatic Heart Disease and Risk of Incident Heart Failure Among Community-Dwelling Older Adults: A Prospective Cohort Study, Marjan Mujib MD, MPH; Ravi V. Desai MD; Mustafa I. Ahmed MD; Jason L. Guichard MD, PhD; Margaret A. Feller MPH; O. James Ekundayo MD, DrPH; Prakash Deedwania MD; Mahboob Ali; Inmaculada B. Aban PhD; Thomas E. Love PhD; Michel White MD; Wilbert S. Aronow MD; Shahbudin H. Rahimtoola; Robert O. Bonow MD; and Ali Ahmed MD, MPH (Article)
Does Severity of OSA Predict CPAP Compliance?, Ganesan Murali MD (Article)
A 55-Year-Old Woman With Cough and a Lung Nodule on Chest Radiograph, Ganesan Murali MD and Kenneth Cavorsi MD (Article)
Klebsiella pneumoniae and type 3 fimbriae: nosocomial infection, regulation and biofilm formation., Caitlin N. Murphy PhD and Steven Clegg (Article)
Evidence-based Practices for Thromboembolism Prevention: Summary of the ASPS Venous Thromboembolism Task Force Report, Robert X. Murphy JR, MD, MS; Amy Alderman MD; Karol A. Gutowski MD; Carolyn Kerrigan MD; Karie Rosolowski MPH; Loren Schechter MD; Delaine Schmitz RN, MSHL; and Edwin Wilkins MD (Article)
Chronic streptococcal and non-streptococcal pharyngitis., R C Murray and Sri Kiran Chennupati MD (Article)
New insights into the fundamental role of topological constraints as a determinant of two-way junction conformation., Anthony M Mustoe, Maximillian H Bailor, Robert Teixeira MD, Charles L Brooks, and Hashim M Al-Hashimi (Article)
DOES AGE IMPACT NEUROLOGIC OUTCOME IN CARDIAC ARREST SURVIVORS UNDERGOING THERAPEUTIC HYPOTHERMIA?, Sanjeev U. Nair MD (Article)
DOES LEFT VENTRICULAR SYSTOLIC FUNCTION ON ADMISSION IMPACT NEUROLOGIC OUTCOME IN CARDIAC ARREST SURVIVORS UNDERGOING THERAPEUTIC HYPOTHERMIA?, Sanjeev U. Nair MD (Article)
The clinical value of single photon emission computed tomography myocardial perfusion imaging in cardiac risk stratification of very elderly patients (≥80 years) with suspected coronary artery disease., Sanjeev U Nair, Alan W Ahlberg, Shishir Mathur, Deborah M Katten, Donna M Polk, and Gary V Heller (Article)
Thrombocytosis and Coronary Occlusion, Amit N. Nanavati MD; Nainesh C. Patel MD; and James A. Burke MD, PhD (Article)
Ventricular Tachycardia in "End Stage" Hypertrophic Cardiomyopathy: A Role of Dronedarone, Sudip Nanda MD, FACP and Matthew W. Martinez (Article)
Using Text Messages to Improve Adherence, David T. Nash MD, Julia P. Bolick MS, Laxmana M. Godishala MD, Lori Neri MSN, and Wayne S. Warren MD (Article)
Presentation, complications, and natural history of penetrating atherosclerotic ulcer disease., Derek P Nathan, William Boonn, Eric Lai, Grace J Wang, Nimesh Desai, Edward Y Woo, Ronald M Fairman, and Benjamin M Jackson MD (Article)
Stent grafting for aneurysmal degeneration of chronic descending thoracic aortic dissections., Derek P Nathan, Edward Y Woo, Ronald M Fairman, Grace J Wang, Alberto Pochettino, Nimesh D Desai, Joseph E. Bavaria MD, and Benjamin M Jackson MD (Article)
Primary adenocarcinoma of the eyelid with signet ring cell and histiocytoid features., Michael R Nazareth, Paul Bogner, Natalie Mansour MD, Preethi R Raghu, Tamer N Mansour, and Nathalie C Zeitouni (Article)
CONTRACTILITY IN THE LEFT ANTERIOR DESCENDING ARTERY TERRITORY, AS MEASURED WITH SPECKLE TRACKING ECHO, HAS BETTER CORRELATION WITH FUNCTIONAL STATUS THAN DOES EF OR CONTRACTILITY IN THE OTHER CORONARY TERRITORIES, Talha Nazir MD (Article)
Vertical reduction mammaplasty utilizing the superomedial pedicle: is it really for everyone?, Keith C Neaman, Shannon D Armstrong, Shawn J. Mendonca MD, Marguerite A Aitken, Douglas L VanderWoude, John D Renucci, and David R Alfonso (Article)
Association Between Tumor Molecular Subtype and Disease Presentation in Patients With Early-stage Breast Cancer, H Jaideep Neboori MD (Article)
Low p53 binding protein 1 (53BP1) expression is associated with increased local recurrence in breast cancer patients treated with breast-conserving surgery and radiotherapy., H Jaideep Neboori MD, Bruce G Haffty, Hao Wu, Qifeng Yang, Amal Aly, Sharad Goyal, Devora Schiff, Meena S Moran, Ryan Golhar, Chunxia Chen, Dirk Moore, and Shridar Ganesan (Article)
Low p53 binding protein 1 (53BP1) expression is associated with increased local recurrence in breast cancer patients treated with breast-conserving surgery and radiotherapy., H Jaideep Neboori MD, Bruce G Haffty, Hao Wu, Qifeng Yang, Amal Aly, Sharad Goyal, Devora Schiff, Meena S Moran, Ryan Golhar, Chunxia Chen, Dirk Moore, and Shridar Ganesan (Article)
A novel antireflux procedure: gastroplasty with restricted antrum to control emesis (GRACE)., Lucas P Neff, Robert D Becher, Aaron U. Blackham MD, Natalie A Banks, Erin L Mitchell, and John K Petty (Article)
Multi-institutional experience of ductal carcinoma in situ in black vs white patients treated with breast-conserving surgery and whole breast radiation therapy., Carl Nelson, Harrison Bai, H Jaideep Neboori MD, Cristiane Takita, Sabin Motwani, Jean L Wright, Georges Hobeika, Bruce G Haffty, Tiffanie Jones, Sharad Goyal, and Meena S Moran (Article)
Dual-opioid therapy: changing the paradigm. Introduction., Bruce Nicholson MD (Article)
Dual-opioid therapy: changing the paradigm. Panel discussion., Bruce Nicholson MD (Article)
Outcomes of patients with prior coronary artery bypass grafting and acute coronary syndromes: analysis from the ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trial., Eugenia Nikolsky, Brent T McLaurin, David A. Cox MD, Steven V Manoukian, Ke Xu, Roxana Mehran, and Gregg W Stone (Article)
Unilateral telangiectasia macularis eruptiva perstans with a clear demarcation at the midline of the trunk., Shinji Noda; Jason B. Lee, MD; Kehua Li; and Laurel Schwartz (Article)
Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO 2): a randomised trial., Raul G Nogueira, Helmi L Lutsep, Rishi Gupta, Tudor G Jovin, Gregory W Albers, Gary A Walker, David S Liebeskind, Wade S Smith, TREVO 2 Trialists, Blaise W. Baxter MD, and Robert Rosenwasser (Article)
Twitter use during emergency medicine conferences., Jason T Nomura, Nicholas Genes, Hannah R Bollinger, Melissa Bollinger, and James F Reed (Article)
TELEICU VENTILATOR ROUNDS ARE ASSOCIATED WITH DURABLE AND IMPROVED ADHERENCE TO LOW TIDAL VOLUME STRATEGY AND DECREASED ICU MORTALITY, Francis Ntimba (Article)
Fibrosis and IOP Differences of Two Suprachoroidal Shunts, Julius Oatts (Article)
Fusional amplitudes in age-related distance esotropia, Julius T Oatts (Article)
Rare Coexistence of Sarcoidosis and Lung Adenocarcinoma, Pius Ochieng MD (Article)
Plasmacytoid dendritic cells exacerbate liver ischemia-reperfusion injury (I/R), Lee Ocuin MD (Article)
Nilotinib protects the murine liver from ischemia/reperfusion injury., Lee Ocuin MD, Shan Zeng, Michael J Cavnar, Eric C Sorenson, Zubin M Bamboat, Jonathan B Greer, Teresa S Kim, Rachel Popow, and Ronald P DeMatteo (Article)
A sustainable family medicine academic workforce: a study of Pennsylvania residency faculty., David T. O'Gurek MD, Perry A Pugno, and Molly Talley (Article)
A Prospective Evaluation of Association Between Acrochordons and Colonic Adenomas 1990, B O'Hare, Anastasia Shnitser MD, J Korenblit, and A Siddiqui (Article)
Freestyle propeller flaps to reconstruct defects of the posterior trunk: a simple approach to a difficult problem., Tae Suk Oh, Geoffrey G. Hallock MD, and Joon Pio Hong (Article)
Factors Influencing Postoperative Adverse Events After Hartmann's Reversal, D Okolica; Muath Bishawi; Joshua R. Karas; James F. Reed III PhD; Farheen Hussain MS; and Roberto Bergamaschi MD, PhD (Article)
Clinical outcomes of reirradiation of brain metastases from small cell lung cancer with Cyberknife stereotactic radiosurgery., Adam C Olson, Rodney E Wegner, Jean Claude M Rwigema, Dwight E Heron, Steven A Burton, and Arlan H Mintz (Article)
Quality assurance analysis of a large multicenter practice: does increased complexity of intensity-modulated radiotherapy lead to increased error frequency?, Adam C Olson, Rodney E Wegner, Carol Scicutella, Dwight E Heron, Joel S Greenberger, M Saiful Huq, Gregory Bednarz, and John C Flickinger (Article)
Cold urticaria, immunodeficiency, and autoimmunity related to PLCG2 deletions., Michael J Ombrello, Elaine F Remmers, Guangping Sun, Alexandra F Freeman, Shrimati Datta, Parizad Torabi-Parizi, Naeha Subramanian, Tom D Bunney, Rhona W Baxendale, Marta S Martins, Neil Romberg, Hirsh Komarow, Ivona Aksentijevich, Hun Sik Kim, Jason Ho, Glenn Cruse, Mi-Yeon Jung, Alasdair M Gilfillan, Dean D Metcalfe, Celeste Nelson, Michelle O'Brien, Laura Wisch, Kelly Stone, Daniel C Douek, Chhavi Gandhi, Alan A Wanderer, Hane Lee, Stanley F Nelson, Kevin V Shianna, Elizabeth T Cirulli, David B Goldstein, Eric O Long, Susan Moir, Eric Meffre, Steven M Holland, Daniel L Kastner, Matilda Katan, Hal M Hoffman, and Joshua D Milner (Article)
Dale & Frances Hughes Cancer Center, Pocono Medical Center East Stroudsburg, Pennsylvania: New Facility Designed to Be Patient and Environmentally Friendly, Oncology Issues (Article)
Tight glycemic control reduces infection and improves neurological outcome in critically ill neurosurgical and neurological patients., Yinn Cher Ooi, T Forcht Dagi, Mitchell Maltenfort, Fred Rincon, Matthew Vibbert, Pascal Jabbour, L Fernando Gonzalez, Robert Rosenwasser, and Jack Jallo (Article)
Anterior cervical interbody constructs: effect of a repetitive compressive force on the endplate., Nathaniel R Ordway, Byeong Cheol Rim, Rong Tan, Rebecca Hickman, and Amir H Fayyazi (Article)
Francis Sibson (1814-1876): the unsung hero of modern surgery and anesthesia., Stephen Osiro, Erin Scholten MD, Joanna Grater, and Marios Loukas (Article)
Conversion to ICD-10: Implications for Anesthesiologists and Their Practices, Juhan Paiste MD, MBA; Loretta Kowalick RN; Maria D. Thomas CRNA; and Ivan Perry DO (Article)
Abstract P181: Cardiac Structure is Associated with Obesity and Blood Pressure But Not Inflammation, Robert A. Palermo DO (Article)
Lisfranc arthrodesis., Panagiotis Panagakos, Krupa Patel, and Crystal N Gonzalez (Article)
Correlation Between Pulmonary Artery Diameter And Mean Pulmonary Artery Pressure In IPF Patients, Nicholas Panetta, Irene Swift, Brian Civic MD, Sean Duffy, Nina George, Rubina Khair, and Gerard J. Criner (Article)
Performance of the Canadian CT Head Rule and the New Orleans Criteria for predicting any traumatic intracranial injury on computed tomography in a United States Level I trauma center., Linda Papa, Ian G Stiell, Catherine M Clement, Artur Pawlowicz, Andrew Wolfram, Carolina Braga, Sameer Draviam, and George A Wells (Article)
Estimated effective dose of CT-guided percutaneous cryoablation of liver tumors., Byung Kwan Park, Paul R Morrison, Servet Tatli MD, Usha Govindarajulu, Kemal Tuncali, Phil Judy, Paul B Shyn, and Stuart G Silverman (Article)
An in vivo kinematic comparison of dynamic lumbar stabilization to lumbar discectomy and posterior lumbar fusion using radiostereometric analysis., Soo-An Park, Amir H Fayyazi, Kenneth S Yonemura, Bruce E Fredrickson, and Nathaniel R Ordway (Article)
Cardiorenal end points in a trial of aliskiren for type 2 diabetes., Hans-Henrik Parving; Barry M Brenner; John J V McMurray; Dick de Zeeuw; Steven M Haffner; Scott D Solomon; Nish Chaturvedi; Frederik Persson; Akshay S Desai; Maria Nicolaides; Alexia Richard; Zhihua Xiang; Patrick Brunel; Marc A Pfeffer; ALTITUDE Investigators; and Nelson Kopyt DO, FASN, FACP (Article)
Assessment of two immunodepletion methods: off-target effects and variations in immunodepletion efficiency may confound plasma proteomics., Bhavinkumar B Patel, Carlos A Barrero, Alan Braverman, Phillip D. Kim MD, Kelly A Jones, Dian Er Chen, Russell P Bowler, Salim Merali, Steven G Kelsen, and Anthony T Yeung (Article)
Comparison of whole versus partial vertebral body stereotactic body radiation therapy for spinal metastases., Veeral B Patel, Rodney E Wegner, Dwight E Heron, John C Flickinger, Peter Gerszten, and Steve A Burton (Article)
Meta-analysis of effect of dipeptidyl peptidase-4 inhibitors on cardiovascular risk in type 2 diabetes mellitus., Harshal R Patil, Firas J Al Badarin, Hamza A Al Shami, Salman K Bhatti, Carl J Lavie, David S H Bell, and James H O'Keefe (Article)
Pharmacokinetic evaluation of axitinib., Brian J. Patson MD, Roger B Cohen, and Anthony J Olszanski (Article)
Immunotherapy of cancer: reprogramming tumor-immune crosstalk., Kyle K Payne, Amir Toor MD, Xiang-Yang Wang, and Masoud H Manjili (Article)
Twiddler's syndrome in a patient with epilepsy treated with deep brain stimulation., David L Penn, Chengyuan Wu MD, Christopher Skidmore, Michael R Sperling, and Ashwini D Sharan (Article)
Anterograde revision of cervical spinal cord stimulator paddle electrode: a case report., David L Penn, Benjamin M Zussman, Chengyuan Wu MD, and Ashwini D Sharan (Article)
Prevalence of neuropsychiatric symptoms in CIND and its subtypes: the Cache County Study., Matthew E Peters MD, Paul B Rosenberg, Martin Steinberg, JoAnn T Tschanz, Maria C Norton, Kathleen A Welsh-Bohmer, Kathleen M Hayden, John C S Breitner, and Constantine G Lyketsos (Article)
Beyond the DSM: the perspectives of psychiatry approach to patients., Matthew E Peters MD, Jacob Taylor, Constantine G Lyketsos, and Margaret S Chisolm (Article)
Medicine in the Americas, Kristine A. Petre MLS, CM, AHIP (Article)
Fostering Self-Care Adherence: When Heart Failure and Depression Intersect, Donna F. Petruccelli CRNP; Donna Doe BSN, RN; and Melisa L. Kubic BSN, RN (Article)
Diabetic Amyotrophy Presenting as a Foot Drop (P03.201), E Piccione, Amtul Farheen MD, and B Katirji (Article)
Abstract 3820: Penumbra Imaging Collaborative Study (PICS): Utilization of Imaging for Patient Selection and Its Impact on Outcomes Following Penumbra System® Treatment, PICS Investigators and Darryn I. Shaff MD (Article)
Decision making in massive rotator cuff tears., Stephan G Pill, Jason C Phillips MD, Michael J Kissenberth, and Richard J Hawkins (Article)
Tip60 HAT activity mediates APP induced lethality and apoptotic cell death in the CNS of a Drosophila Alzheimer's disease model., Sheila K Pirooznia, Jessica Sarthi, Ashley A Johnson, Meridith S Toth, Kellie Chiu, Sravanthi Koduri MD, and Felice Elefant (Article)
Anti-thymocyte globulin for conditioning in matched unrelated donor hematopoietic cell transplantation provides comparable outcomes to matched related donor recipients., D A Portier, R T Sabo, C H Roberts, D S Fletcher, J Meier, W B Clark, M C Neale, M H Manjili, J M McCarty, H M Chung, and Amir Toor MD (Article)
National Transplantation Pregnancy Registry (NTPR): does preeclampsia threaten post pregnancy graft function in kidney transplant recipients?, S Potti, J Baxter, V Berghella, L A. Coscia, L Chia, C Doria, S Constantinescu, Michael J. Moritz MD, and V Armenti (Article)
Semi-automated mitral valve morphometry and computational stress analysis using 3D ultrasound., Alison M Pouch, Chun Xu, Paul A Yushkevich, Arminder S Jassar, Mathieu Vergnat, Joseph H Gorman, Robert C Gorman, Chandra M Sehgal, and Benjamin M Jackson MD (Article)
Development of a semi-automated method for mitral valve modeling with medial axis representation using 3D ultrasound., Alison M Pouch, Paul A Yushkevich, Benjamin M Jackson MD, Arminder S Jassar, Mathieu Vergnat, Joseph H Gorman, Robert C Gorman, and Chandra M Sehgal (Article)
A pilot study assessing adherence to auto-bilevel following a poor initial encounter with CPAP., Eric D Powell, Peter C Gay, Joseph M Ojile, Mikhail Litinski MD, and Atul Malhotra (Article)
Effect of obstructive sleep apnea on mitral valve tenting., Gregg S Pressman, Vincent M Figueredo, Abel Romero-Corral, Ganesan Murali MD, and Morris N Kotler (Article)
SIRT1 is required for AMPK activation and the beneficial effects of resveratrol on mitochondrial function., Nathan L Price; Ana P Gomes; Alvin J Y Ling; Filipe V Duarte; Alejandro Martin-Montalvo; Brian J North; Beamon Agarwal MD, PhD; Lan Ye; Giorgio Ramadori; Joao S Teodoro; Basil P Hubbard; Ana T Varela; James G Davis; Behzad Varamini; Angela Hafner; Ruin Moaddel; Anabela P Rolo; Roberto Coppari; Carlos M Palmeira; Rafael de Cabo; Joseph A Baur; and David A Sinclair (Article)
Molecular Subtype Predicts Outcome in Nearly All Subsets of Women With Early-stage Invasive Breast Cancer Defined by Traditional Clinical and Pathological Prognostic Factors, Robert G. Prosnitz MD, MPH (Article)
Abstract No. 419: Internal iliac artery patency and type II endoleak development following endovascular repair of abdominal aortic aneurysms: a case-control study, David Pryluck MD (Article)
Internal iliac artery patency and type II endoleak development following endovascular repair of abdominal aortic aneurysms: a case-control study, David Pryluck MD (Article)
HYDROCEPHALUS ENCOUNTERED IN THE ED: TICKING TIME BOMB OR SMOLDERING FUSE?, Thomas Ptak MD (Article)