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Unless a dramatic demographic shift occurs, approximately one in four of us will reside in a long-term care facility (LTCF) during our lifetime. Among LTCF residents, 30-50% of antibiotic utilization is for urinary tract infections (UTIs), resulting in substantial expense, adverse drug reactions, and ever-growing populations of resistant bacteria.
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Foreign body ingestion is a common problem, especially in children younger than 3 years of age. Fortunately, most cases have uneventful outcomes, but the potential for a devastating complication exists. Button batteries are particularly dangerous, and timely and appropriate management is critical. This article comprehensively reviews pediatric foreign body ingestions.
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While the incidence decreased in all racial and ethnic groups, in Asians it decreased by only 0.6%. while in non-Hispanic whites it decreased by 6.2%.
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In this issue: Aspirin and cancer prevention; rivaroxaban for pulmonary embolism; new rhinosinusitis practice guidelines; and FDA actions.
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A retrospective review of pediatric cases of dengue fever was undertaken at a single health center in the Bronx area of New York. Over a 3 ½ year period, eight children with dengue infection were identified.
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In response to concerns that too much, and possibly unnecessary, surgery is undertaken in developing countries, especially in the elderly, these authors remind us that the vast majority of people around the globe requiring surgery don't get it.
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Case Summary: A 27-year-old physical education teacher presented with two separate episodes of ill-defined dizziness and mild confusion over a period of one week.
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Classically, pneumonia is defined as an infection of the lung parenchyma. However, worldwide, a variety of definitions exist, including fever, hypoxia, a constellation of other clinical symptoms, and radiologic findings. In pediatric and adolescent populations, early diagnosis will assist emergency department (ED) physicians with correctly managing and subsequently avoiding potential morbidity and mortality of this common infectious disease.
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Treatment for headache, including the migraine headache, has significantly changed in the past decade. Causes for headaches, specifically of the migraine type, are still the subject of much debate. Headaches are currently divided simply as primary and secondary. Primary headaches are described as being "idiopathic," or not due to an actual disease process or external stimulus. Secondary headaches are classified as being due to an underlying disease/illness, such as sinusitis, or due to an external stressor, for example, trauma resulting in a closed head injury.