Patients that do not show up for scheduled clinic appointments affect the quality of healthcare provided. This study aimed to recognize the reasons behind missing scheduled appointments and understand possible solutions from the patient's perspective. We included 100 patients that attended the outpatient Medicine clinic in January 2020. Selection criteria were based on missing one or more of the scheduled clinic appointments in the last year. The participants answered a questionnaire to clarify the reasons for missing a scheduled clinic appointment and offer suggestions for a solution. The recruiter, in turn, answered several demographical questions. The study showed a statistically significant difference between the no-show rate in females at 60% compared to males at 40% =0.0023). The no show rate was not significantly affected by the day of the week, time of appointment, or the weather. Forgetting about the appointment was the most common cause (36 subjects). Work-related issues were reported in 17 participants, making it the 2 most common cause. Not notified about the appointment, Lack of transportation, childcare-related issues, along with other reasons, were less likely reported (Table 2). 11 out of 36 (30%) subjects suggested a reminder text message in their preferred language; meanwhile, 4 others suggested a weekend clinic. The patients should be aware of different appointment reminders options and have the freedom to choose a suitable reminder. Patients should be educated about the importance of calling to cancel the appointment since some of the reasons for no show are unpreventable. The patients should be aware of different appointment reminders options and have the freedom to choose a suitable reminder. Patients should be educated about the importance of calling to cancel the appointment since some of the reasons for no show are unpreventable.Inpatient early mobility initiatives are effective therapeutic interventions for improving patient outcomes and decreasing use of hospital resources among adult ICU and general medicine patients. To establish and demonstrate guidelines for early patient ambulation, we developed and implemented a novel multidisciplinary mobility bundle utilizing the JH-HLM (Johns Hopkins Highest Level of Mobility) scale for mobility classification, on a single adult general medicine unit of a community hospital. Our results show that patients admitted to the unit after implementation of the mobility bundle had improved mobility scores, reduced rates of 30-day hospital readmission, and a shortened length of hospital stay. This study emphasizes the importance of measuring mobility using a systematic method, easing workflow among unit practitioners, and allowing mobility initiatives to be jointly driven by nursing, physical therapy, and physicians.In 2012, Centers for Medicare and Medicaid Services (CMS) announced it would penalize any hospitals that had 30-day readmission rates for heart failure (HF) patients above 20%. Mather Hospital Northwell Health, a community teaching hospital, organized a proactive task force to meet these goals. We describe our hospital-wide Readmission Prevention in Heart Failure (RAP-HF) project. We focused on the following interventions early identification of patients at risk for readmission, discipline-specific mitigation planning by the interdisciplinary rounding team, enhanced medication education for heart failure patients, education of family/caregivers on medication and heart failure symptoms, facilitation in scheduling of post-discharge follow up visits and hard-wired communication between hospital and post-discharge care providers. We saw a 25.53% decrease in 30-day readmission rates. Diabetes mellitus, a looming crisis, is approaching worldwide epidemic proportions. In 2018, 34.2 million Americans, or 10.5% of the population had diabetes. Climate change, and in particular rising global temperatures, may exacerbate various health issues, including diabetes and ultimately lead to increased mortality. To identify the impact of climate change on diabetes. A systematic literature review of Pubmed (MEDLINE database of references and abstracts on life sciences and biomedical topics from the USA National Library of Medicine at the National Institutes of Health) and Scopus (Elsevier's abstract and citation database) with the following terms 'diabetes' [AND] 'climate change'. The following risk factors for diabetes due to climate change were identified and discussed extreme temperatures (heat), the risk of hospitalization, shortage of medical and food supplies and urbanization. Diabetes and climate change are interconnected. Extreme weather events and rising temperatures may increase morbidity and mortality in patients living with diabetes, especially in those with cardiovascular complications. Failure to mitigate climate change and the diabetes epidemic threatens the lives of many people in the U.S. and beyond. Diabetes and climate change are interconnected. Extreme weather events and rising temperatures may increase morbidity and mortality in patients living with diabetes, especially in those with cardiovascular complications. Failure to mitigate climate change and the diabetes epidemic threatens the lives of many people in the U.S. and beyond. Systemic inflammation elicited by a cytokine storm is considered a hallmark of coronavirus disease 2019 (COVID-19). This study aims to assess the clinical utility of the C-reactive protein (CRP) and D-Dimer levels for predicting in-hospital outcomes in COVID-19. A retrospective cohort study was performed to determine the association of CRP and D-Dimer with the need for invasive mechanical ventilation (IMV), dialysis, upgrade to an intensive care unit (ICU) and mortality. Independent t-test and multivariate logistic regression analysis were performed to calculate mean differences and adjusted odds ratios (aOR) with its 95% confidence interval (CI), respectively. A total of 176 patients with confirmed COVID-19 diagnosis were included. https://www.selleckchem.com/products/s-gsk1349572.html On presentation, the unadjusted odds for the need of IMV (OR 2.5, 95% CI 1.3-4.8, p =0.012) and upgrade to ICU (OR 3.2, 95% CI 1.6-6.5, p =0.002) were significantly higher for patients with CRP (>101 mg/dl). Similarly, the unadjusted odds of in-hospital mortality were significantly higher in patients with high CRP (>101 mg/dl) and high D-Dimer (>501ng/ml), compared to corresponding low CRP (<100 mg/dl) and low D-Dimer (<500ng/ml) groups on day-7 (OR 3.