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This article reports the findings from a neuropathologic study of brain tissue and CSF from autistic patients suggesting an inflammatory-mediated component to this syndrome.
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Pregabalin appears to be a safe and effective alternative in the treatment of painful diabetic neuropathy.
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The rate of development of dementia in patients with MCI can be altered by a medical intervention, in this case by administration of an acetylcholinesterase inhibitor.
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Patients with spinal epidural abscess may be normothermic and have normal WBC counts. Urgent surgery was more likely to be offered to patients presenting with neurologic deficits than with pain alone. Patients treated without early surgery were significantly more likely to deteriorate and suffer poor outcomes.
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The authors discuss radiographic imaging, specific management of different types of commonly seen injuries, and appropriate consultation and disposition of patients who have sustained maxillofacial trauma.
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Few chief complaints cause more apprehension and dread for emergency physicians than dizziness. It is a common condition seen in the emergency department, is understood poorly, and has potentially malignant etiologies. Dizziness cannot be measured. It can mean different things to different patients and is often difficult to precisely characterize. Unfortunately, it is the ability to obtain a precise history and perform an exacting examination that allows a diagnosis to be made and appropriate treatment instituted. This article examines some of the different causes of dizziness, how they can be differentiated via history and physical examination, and their appropriate treatments and dispositions.
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Barriers to the informed consent process may exist among emergency patients, including impaired decisional capacity, impaired cognition, language barriers, illiteracy, insufficient time and communication, and numerous others. Because of the inherent vulnerability of ED patients, particular attention should be paid to addressing barriers to adequate informed consent, and steps should be taken to ensure adequate delivery of information, understanding of the proposed intervention and its risks and benefits, and voluntariness of the informed consent.
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ED nurses will face even greater responsibility for compliance under the 2006 National Patient Safety Goals just unveiled by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
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Its 3 a.m., and a well-dressed man and woman approach the triage nurse with official-looking clipboards in hand. They claim to be surveyors from the Joint Commission on Accreditation of Healthcare Organizations, and they demand to be shown your medication storage areas.