Articles Tagged With:
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COVID-19 Vaccination in Patients with Autoimmune Neuromuscular Diseases
In a population-based, self-reporting survey of patients with immune-mediated myopathy and myasthenia gravis, the frequency of both mild and severe acute adverse events appeared to be no more frequent than in the general population. COVID-19 vaccinations are safe for this population of patients.
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Magnetic Resonance Imaging Evaluation of Perivascular Space Abnormalities in Neuromyelitis Optica
Perivascular space (PVS) abnormalities were demonstrated in two cohorts of patients with neuromyelitis optica spectrum disorder (NMOSD) as compared to healthy controls. Magnetic resonance imaging provided visualization of PVS enlargement, and quantification of reduced flow in NMOSD patients, both of which were found to be associated with disease outcomes.
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Improvement of Memory with Transcranial Electrical Brain Stimulation in Patients with Alzheimer’s Disease
The authors showed that gamma frequency transcranial alternating current stimulation targeting the precuneus in patients with Alzheimer’s disease improved measures of immediate and delayed verbal memory as well as associative memory for faces. Additionally, neurophysiological measurements of cholinergic transmission improved. Apolipoprotein E genotype and baseline cognitive performance were correlated with treatment response. Memory improvement was correlated both with increases in gamma frequency power in posterior cortical regions and spatial overlap between the modeled electric field distribution and the precuneus target site.
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A Guide to Change: Modifying Unhealthy Behaviors in Patients
Motivational interviewing is an evidence-based, empathic approach to the patient interview incorporating techniques that encourage patients to self-reflect and voice reasons for change, while recognizing underlying ambivalence. This article presents approaches recommended for use in a primary care office when the clinical interview indicates a need for behavioral change.
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Updates on Syncope
Syncope is a common ED chief complaint that often results in over-ordering of tests and unnecessary admission to the hospital, with significant economic impact. The main focus of the emergency medicine physician is to risk stratify the patient based on the history and physical exam.
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Nurses at Rural Facilities Explain Barriers to End-of-Life Care
Family members often disagree with one another and misunderstand the meaning of “lifesaving measures.”
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Fear of a Polio Outbreak Brewing in New York
The Centers for Disease Control and Prevention is investigating a case of paralytic polio in an unvaccinated, immune-competent young patient who presented to an emergency room in Rockland County, NY, with lower limb weakness and fever.
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Mortality Projections Spur CDC Booster Approval
Clinicians and public health epidemiologists are loath to make bold moves with a dearth of data, but one dire projection recently swayed clearly uncomfortable members of the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.
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CDC Struggles to Regain Public Health Footing
Once widely considered the greatest public health institution in the world, the Centers for Disease Control and Prevention has admitted it mishandled the COVID-19 pandemic response and has begun an ambitious rebuild.
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Lessons Learned, Initiatives to Support
Conceding that the pandemic has undone much of the nation’s progress on preventing the rise of antimicrobial resistance, especially in hospitals, the Centers for Disease Control and Prevention urged support and funding for key initiatives.