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  • Ambulatory Glucose Monitoring a Risk for Bloodborne Pathogens

    A report of acute hepatitis B virus infection in a skilled nursing facility diabetes patient in North Carolina prompted an investigation for potential exposures and assessment of infection prevention practices in the facility.

  • Fleas, Typhus, and Texas

    Cases of flea-borne typhus are dramatically increasing in Texas.

  • Detection of Atrial Fibrillation in Cryptogenic Stroke

    The ANTARCTICA study is a pooled meta-analysis from multiple prospective studies of patients with ischemic stroke of varying etiologies, where loop monitoring was performed for atrial fibrillation detection. The groups were divided into cryptogenic stroke/transient ischemic attack or non-cryptogenic stroke/non-stroke. Both groups demonstrated an unadjusted rate of atrial fibrillation of about 30%.

  • Spironolactone for the Treatment of Acne Vulgaris

    In this meta-analysis of 563 patients from five randomized controlled trials, objective assessment of acne improvement was higher in the spironolactone group compared to the placebo group (odds ratio, 6.59; 95% confidence interval, 3.50-12.43).

  • Early vs. Late Catheter Ablation for Atrial Fibrillation in Older Patients

    An observational study from China in older patients with persistent atrial fibrillation (AF) has shown that an earlier diagnosis to catheter ablation time of ≤ 12 months compared to > 12 months is associated with lower rates of AF recurrence and adverse cardiovascular outcomes.

  • Obtaining Pediatric Vascular Access

    Vascular access is a cornerstone of effective pediatric emergency care and essential for resuscitation of critically ill or injured children. This review provides a comprehensive overview of pediatric vascular access strategies in the emergency department, emphasizing evidence-based methods and practical techniques to improve success rates and minimize complications.

  • SWOT Analysis of Artificial Intelligence in Medicine

    Artificial intelligence (AI) is rapidly transforming clinical workflows, especially by reducing documentation time and after-hours work, and improving work-life balance, with studies showing substantial drops in burnout within weeks of implementation. As AI systems continue to demonstrate strong medical knowledge and performance, they offer clinicians a powerful way to elevate accuracy, streamline tasks, and improve patient understanding without replacing clinical judgment.

  • Delivering Bad News in the Emergency Department

    Clear, timely communication during critical events can significantly reduce long-term psychological distress in families, underscoring that how providers communicate in the emergency department can be as impactful as the medical care delivered.

  • Patient Photos in Marketing Materials Pose HIPAA Risks

    The Office of Civil Rights (OCR) recently announced a settlement with five healthcare providers in a case that illustrates the dangers of using patient photos in marketing materials. HIPAA violations are possible even when the patient photos seem innocuous and do not reveal medical information.

  • Virginia Appeals Court Vacates $2.5 Million Verdict Over Omitted Jury Instruction

    A Virginia appellate court has overturned a $2.5 million medical malpractice verdict after finding that the trial judge erred by refusing to instruct the jury on the doctrine of superseding cause. The opinion underscores how critical jury instructions are in shaping negligence cases and highlights the continuing importance of foreseeability in determining legal causation.