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The first part of this series dealt with guidelines for the care of ischemic stroke. This issue applies the same principles of evidence-based medicine to hemorrhagic stroke and traumatic brain injury. Hemorrhagic stroke is less common than ischemic stroke, but can be more devastating.
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This retrospective study of all non-psychiatric patients admitted to an academic medical center found that although those placed in contact isolation from the time of admission had no increased risk for delirium, patients moved into isolation after admission were twice as likely to develop delirium during the hospital stay.
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These studies support inclusion of beef in heart-healthy diets.
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A new topical preparation for the treatment of head lice has been approved by the FDA. Ivermectin is a macrocyclic lactone antibiotic that has been used orally both on and off label for head lice since 2001. This new formulation is a topical lotion (oral invermectin is not approved in the United States). It is manufactured by DPT Laboratories and is distributed by Sanofi Pasteur, Inc., as Sklice.
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Individuals who experienced increases in blood pressure in middle age have an associated higher remaining lifetime risk for cardiovascular disease (CVD), especially if untreated. Decreases in an elevated blood pressure in middle age will result in a significant lowering of the remaining lifetime risk for CVD.
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In its most recent guidance regarding colon cancer screening (CCS), the American Cancer Society iterated a new position on choice of tests, basically stating that "the best test is the test you can get done."
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Elderly nursing home patients who were sent to an emergency department for evaluation were 2-4 times more likely than patients who remained at the nursing home to develop an acute respiratory or gastrointestinal infection within the next week.
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Prostate cancer is the most commonly diagnosed non-dermatologic cancer and the second leading cause of cancer-related death in U.S. men.1 Its etiology and predisposing factors are inadequately characterized, but probably include some combination of older age, north American and northern European residence (perhaps a diet-related issue), African American race, and genetic similarities within families.
