Clinical
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Hypothermia after Acute Traumatic Brain Injury Revisited
Hypothermia therapy is effective after severe traumatic brain injury for patients ages 50 years and younger. However, mortality was increased in patients treated with hypothermia who had diffuse injury with swelling on CT.
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Is Early MRI Warranted for Back Pain in the Elderly?
In an analysis of a large dataset from several large integrated health care systems of patients older than 65 years of age with new-onset low back pain, early spine imaging did not alter management or outcomes, but added considerable cost to their care.
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Does Traumatic Brain Injury Cause Sleep Disruption?
In a well-designed animal model of traumatic brain injury, a sleep disorder was induced that resembles, in many ways, what is observed in spontaneous human narcolepsy.
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Relationship Between Brain MRI Biomarkers and Cognition
In a prospective, longitudinal, cohort study of an asymptomatic, multi-ethnic Dallas community, brain MRI biomarkers measuring volume were associated with cognitive functions, as measured by the Montreal Cognitive Assessment.
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Neurologic Disease and Criminal Behavior – A Medicolegal Conundrum
Patients with frontotemporal dementia, primary progressive aphasia, and Huntington’s disease exhibited antisocial and/or criminal behavior.
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Urinary Tract Infection
MONOGRAPH: More than 8 million medical visits per year are for the chief complaint of UTI and the diagnosis accounts for 100,000 admissions annually.
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Infectious Disease Alert Updates
Legionella Revisited; Treatment of Latent Tuberculosis; Transmission of Clostridium difficile from Asymptomatic Carriers
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Caring for Unaccompanied Central American Immigrant Children
Physicians can improve the health of unaccompanied Central American immigrant children by ensuring appropriate vaccination, by identifying culturally and linguistically appropriate community resources, and by becoming involved in patient advocacy.
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Pneumonia in U.S. Children Requiring Hospitalization
Two thousand six hundred thirty-eight children with a clinical diagnosis of community-acquired pneumonia (CAP) were enrolled in a prospective surveillance study. Eighty-nine percent had radiographic evidence of pneumonia. The median age of children hospitalized was 2 years, with the highest rates seen in children younger than 2 years. Respiratory viruses were the most commonly detected pathogens.
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Typhoid Vaccination
Vaccination against typhoid continues to be important for many travelers to at-risk countries in Asia, Africa, and Latin America.