Articles Tagged With:
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Legal Exposure for EDs if On-Call Consultant Refuses to See Patient
There are multiple tactics to secure a consult, even if a specialist is busy. However, if a bad outcome occurs because there was no consult, clinicians should not play the blame game.
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Subcutaneous IVIG for Treatment of Myasthenia Gravis
A Phase II trial comparing subcutaneous (SC) administration of pooled immunoglobulin to intravenous (IV) administration of immunoglobulin in 23 patients with seropositive myasthenia gravis demonstrated a stable course after transition from IV to SC.
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Inclusion Body Myositis: Variability and Clinical Subsets
Inclusion body myositis (IBM) is a progressive myopathy characterized by prominent finger flexor and quadriceps involvement. Black patients with IBM have more prominent proximal weakness, in addition to finger flexion and quadriceps weakness. Female patients have less prominent finger flexion and quadriceps weakness and slower progression, whereas younger patients had a greater delay in diagnosis. There are variability and distinct clinical subsets among IBM patients, which can have implications in terms of timely diagnosis and possibly response to treatments.
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The Neural Pathways of Pain Treatment Response in Small-Fiber Neuropathy
Pain in peripheral neuropathy, referred to as neuropathic pain, is thought to result from overexpression of pain receptors, regeneration of hypersensitive nerve sprouts, and denervation hypersensitivity of neurons in the sensory ganglia. Additionally, activation of the pain pathways appears to induce secondary structural and functional changes in the brain that contribute to pain perception, persistence, and response.
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Focused Ultrasound Ablation of the Subthalamic Nucleus for Parkinson’s Disease Tremor
This paper demonstrated the long-term efficacy and safety of unilateral magnetic resonance imaging-guided high-frequency ultrasound subthalamotomy for Parkinson’s disease patients with motor fluctuations and dyskinesia three years after the procedure.
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Role of the Hypothalamus in Migraine and Cluster Headaches
The hypothalamus plays a regulatory role in both migraine and cluster headaches. However, the two headache types have distinctive clinical features, characteristic areas of resting state functional connectivity on magnetic resonance imaging, and different genetic chronobiological associations.
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CDC: Be Wary of Travelers from African Outbreaks
Marburg virus has caused outbreaks in two African nations, and infection preventionists should be aware of travel history for incoming patients with hemorrhagic fever symptoms, the Centers for Disease Control and Prevention warned.
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Aftermath: COVID Catastrophe in LTC Spurs Calls for Change
As of March 26, 2023, there were 165,347 nursing home resident deaths and 3,067 staff deaths caused by SARS-CoV-2 reported by the Centers for Medicare and Medicaid Services.
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SHEA, APIC Update CLABSI Guidelines
Chlorhexidine-containing dressings are now considered an “essential practice” for the prevention of central line-associated bloodstream infections in patients older than age 2 months, according to a consensus paper by five medical societies and associations.
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CLABSI Collaboration Cuts Infection Rates 70%
Infection preventionists and colleagues from quality and education spearheaded a hospital-wide team and engaged all staff to dramatically reduce central line-associated bloodstream infections by 70%.