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Noncompliance with treatment for latent tuberculosis can be monitored with the aid of a special urine test that checks for metabolites of isoniazid.
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Although the phenomenon of cutaneous melanoma (CM) arising from melanocytic nevi (MN) is known, the transformation rate of MN into CM is not. Tsao and associates set out to calculate the rate, using published data and making some assumptions to ease the calculation.
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The management of the obesity epidemic is complex, but there are some interventions that can be helpful.
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This study concludes that there may be a direct association between ischemia and the development of Alzheimers pathology (plaques and neurofibrillary tangles), or alternatively, ischemia may unmask otherwise mild cases of AD.
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Whether a bite or sting results in an anaphylactic reaction, impressive
local effects, or a life-threatening systemic reaction, the emergency
physician must be able to institute appropriate and effective
treatment. Emergency physicians also must be able to recognize clinical
envenomation patterns, since some critically ill patients may not be
able to convey the details of the attack. Since all areas of the
country are represented in the envenomation statistics, all emergency
physicians should be familiar with identification and stabilization of
envenomated patients and know what resources are available locally for
further management of these often complicated patients.
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The final version of the recently proposed changes to the Emergency Medical Treatment and Labor Act (EMTALA) takes effect on Nov. 10. To provide you with critical information on the updated regulations from the Centers for Medicare and Medicaid Services, Thomson American Health Consultants offers "New EMTALA Regulations: Are They Too Good to be True?" an audio conference on Tuesday, Oct. 21, from 2:30-3:30 p.m., EST.
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The recognition of non-accidental injury is critical for a pediatric
trauma patient. In the year 2000, almost 3 million reports of child
abuse were made to social service agencies. Forty-four percent of the
fatalities were children younger than 1 year of age. Not only are these
statistics alarming, but they point out the need for emergency
department and trauma physicians and nurses to recognize non-accidental
injury and aggressively protect the children who seek our medical
expertise and protection.
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In practice, the ability of medical staff to detect delirium may not always be straightforward. In a typical busy emergency department, constraints on time can impair the collection of salient historical points and observation of the more subtle clinical signs. Therefore, delirium often is missed, overlooked as senescence, or incorrectly diagnosed as a psychiatric disorder or dementia.