Articles Tagged With:
Psychiatric Comorbidities in Persons with Epilepsy
In this systematic review and meta-analysis, the prevalence of most psychiatric disorders was significantly higher in persons with epilepsy than in those without epilepsy. These findings show the high burden of psychiatric comorbidities in persons with epilepsy and underscore the importance of appropriately identifying and treating psychiatric comorbidities in epilepsy patients.
Patterns of Brain Atrophy in Memory Disorders
In this multicenter, memory clinic-based cohort targeting earliest at-risk states for dementia of Alzheimer’s type, limbic-predominant and hippocampus-sparing atrophy subtypes were identified. Limbic-predominant atrophy was linked to worse cognitive outcomes over time, including in individuals who were asymptomatic or only had subjective memory symptoms at the time of baseline imaging.
Examination and Imaging Correlates of Visual Symptoms in Mild TBI
This study highlights measurable visual and structural changes in patients with mild traumatic brain injury (mTBI). Findings include convergence insufficiency, reduced contrast sensitivity, and occipital cortex changes, despite normal standard imaging and visual field tests. Machine learning discerned mTBI from controls with 72% accuracy, suggesting advanced diagnostics can uncover subtle abnormalities.
Monotruncular (Monomelic) CIDP
In this study, the authors describe the clinical, electrophysiological, and radiological features of patients with multifocal chronic inflammatory demyelinating polyneuropathy (CIDP) that presented with monotruncular (monomelic) onset.
From Exhaustion to Empowerment: Combating Physician Burnout in Healthcare
Medicine always has been demanding, both emotionally and intellectually. Yet, primary care providers have found deep purpose in their work. However, the modern practice of medicine brings new challenges, such as administrative burdens, financial strain, and large patient loads, contributing to widespread burnout. This paper examines burnout in the primary care provider and its related consequences and offers practical strategies for supporting provider well-being.
Pediatric Pain Control
The fast-paced environment of the emergency department, unfamiliar faces, and noisy surroundings can create challenges when taking care of a child in pain, especially a child who has experienced a traumatic event. Management of pain in pediatric patients requires special considerations because of the unique physiological and psychological needs of children.
Infectious Disease Updates
MDRO Colonization Increases Risk of Infection; Peri-Operative Ertapenem; Whole-Genome Sequencing Shows Negligible Transmission of Clostridioides difficile in the ICU
Noninferiority of Seven vs. 14 Days of Antibiotic Therapy for Bloodstream Infections
In this multinational, noninferiority trial that included more than 3,600 hospitalized patients with bloodstream infections from various pathogens and infectious syndromes, seven days of antibiotic therapy was noninferior to 14 days with respect to death from any cause by 90 days. Patients were excluded if they had severe immunosuppression or foci requiring prolonged treatment, or if their blood cultures yielded Staphylococcus aureus or possible contaminants. Various secondary outcomes were similar between the two groups.
Parvovirus and Increasing Danger in Pregnancy and Sickle Cell Disease
The incidence of human parvovirus B19 infection is increasing in the United States, putting vulnerable groups at risk of serious complications.
Oseltamivir for Adults Hospitalized with Influenza: Earlier Is Better
A multicenter observational study on adults hospitalized with influenza found that initiation of oseltamivir on the day of admission reduced the risk of disease progression, including pulmonary and extra-pulmonary organ failure and death.