Internal Medicine
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Malassezia restricta as a Cause of Culture-Negative Infective Endocarditis
The authors of a retrospective study from France used DNA detection methods to assess the microbial etiologies of 16 cases of culture-negative infective endocarditis. They identified three cases of Malassezia restricta, a yeast considered a member of the human skin microbiota. Notably, serologic testing cross-reacted between M. restricta and Candida albicans.
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Mumps in Vaccinated Children
Recent mumps outbreaks in the United States have involved vaccinated individuals without international travel. The genotype of the mumps virus circulating in North America and Europe is different than that of the virus used to manufacture the attenuated vaccine used in the United States.
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COVID-19 Vaccination: Science, the Antidote for Misinformation
There have been several different attempts to increase COVID-19 vaccination rates, including offering monetary or other benefits for getting vaccinated. Some companies (including healthcare systems) have moved to mandating vaccination as a term of employment. Some do not think mandates are the most effective way to motivate vaccine-hesitant persons to make the choice, but instead think laying out a logical approach to vaccination that addresses the most common concerns and misinformation is the best path forward. This review addresses these concerns and misinformation.
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CMS, HHS Offer Multipronged Approach to Improving Maternal Health
Biden administration asks hospitals to review policies and procedures, calls on states to expand postpartum coverage under Medicaid and CHIP.
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Efficacy of Neuroinvasive Goal-Directed Therapy in Hypoxic Ischemic Brain Injury After Cardiac Arrest
This retrospective observational study found the suggestion of favorable neurological outcomes at six months among out-of-hospital cardiac arrest patients who received interventions to optimally manage intracranial pressure and brain tissue oxygenation compared to standard care.
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An Assessment of Hospital-Acquired Infections in Critically Ill SARS-CoV-2-Infected Patients
This retrospective analysis of prospectively collected data showed that critically ill patients with SARS-CoV-2 infection are at increased risk for hospital-acquired infections.
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Treatment and Follow-Up of Acute Pulmonary Embolism: A Multidisciplinary Team Approach
This article will review management of pulmonary embolism based on risk stratification, with an emphasis on the role of a Pulmonary Embolism Response Team as well as appropriate follow-up.
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Pilocarpine Hydrochloride Ophthalmic Solution 1.25% (Vuity)
Pilocarpine ophthalmic solution (OS) can be prescribed to treat presbyopia.
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Intensive Monitoring for Asymptomatic Atrial Fibrillation Did Not Prevent Strokes
Screening with an implantable loop recorder resulted in dramatically higher rates of atrial fibrillation detection and ensuing anticoagulation, but without a significant decrease in risk of stroke or systemic embolism by six years of follow-up.
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Importance of Age in the Application of Coronary Artery Calcium Detection
Using coronary CT strategy as a diagnostic first line in patients with symptoms suggestive of coronary artery obstruction revealed relying on the coronary calcium score alone is inadequate for younger patients with a higher frequency of non-calcified obstructions.