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False Information from Patients With Dementia Threatens Safety

Growing concern about the patient safety risks posed by dementia is prompting some U.S. healthcare systems to address the issue with policies and procedures designed to avoid misinformation and other threats.

Infectious Disease Alert Updates

“A New Wave of World-wide Gastroenteritis?”; Who Wants a Stoma if You Don’t Need One?; A Side of Hep E with Your Pork Roast?

Healthcare Workers and Tuberculosis Prevention

Healthcare workers in high-burden countries in particular remain at high risk of tuberculosis.

Does Finding the Portal of Entry of Bacteria in Infective Endocarditis Matter?

A comprehensive, systematic search for the portal of bacterial entry in infective endocarditis is frequently successful and affords an opportunity to prevent recurrent episodes.

Oral Rehydration for Children with Mild Gastroenteritis

In a randomized study of children 6 to 60 months of age with acute gastroenteritis accompanied by mild vomiting and/or diarrhea with mild or no dehydration, initial oral rehydration with half-strength apple juice/preferred fluids resulted in fewer treatment failures than with electrolyte maintenance solution. In high-income countries, dilute apple juice/preferred fluids may be an acceptable alternative to commercial electrolyte maintenance solutions for childhood mild gastroenteritis with minimal dehydration.

The Seasonality of Childhood Respiratory Infections

Human metapneumovirus infection is increasingly recognized in children. Epidemiologic review suggests that it becomes common each winter after the onset of the respiratory syncytial virus “season” and then continues to cause frequent illness until the spring.

HLH Gene Mutations and Fatal Influenza

Sixteen patients with fatal influenza who underwent autopsy were studied. Thirteen patients (81%) had histopathologic evidence of hemophagocytosis. Five patients (36%) carried one of three heterozygous LYST or PRF1 mutations associated with hemophagocytic lymphohistiocytosis and macrophage activation syndrome.

Think Twice About That Fluoroquinolone Prescription

The FDA warns that serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for certain patients.

Mimics of ST Elevation Myocardial Infarction (STEMI)

Several conditions can mimic an acute infarction by producing ST segment elevation. It is important for the emergency physician to recognize these conditions to appropriately manage patients in the ED and to better distinguish acute infarction from other conditions on the ECG.

Interval Training for Cardiovascular Health: Less is More?

Sedentary men achieved similar cardiometabolic improvements after 12 weeks of either short-duration, high-intensity exercise or the standard 45 minutes of sustained moderate-intensity exercise.