Borrelia Miyamotoi: An Emerging Tick-Borne Pathogen

B. miyamotoi was detected in Ixodes scapularis ticks in Connecticut in 2001 [2], but the first human case in the United States was not reported until 2013 [3]. Unlike with Lyme disease, patients in the United States with B. miyamotoi infections typically do not have skin lesions and instead present with a non-specific febrile illness, potentially associated with leukopenia, thrombocytopenia and elevated liver function tests [4]. Highly immunocompromised patients may develop chronic meningitis [3].
Source: The American Journal of Medicine - Category: General Medicine Authors: Source Type: research

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This study seeks to quantify BPCI initiative outcomes for THA and to determine the optimal party (for example, hospital versus physician group practice [PGP]) to manage the program. QUESTIONS/PURPOSES: (1) Is BPCI associated with lower 90-day payments, readmissions, or mortality for elective THA? (2) Is there a difference in 90-day payments, readmissions, or mortality between episodes initiated by PGPs and episodes initiated by hospitals for elective THA? (3) Is BPCI associated with reduced total Elixhauser comorbidity index or age for elective THA? METHODS: We performed a retrospective analysis on the CMS Limite...
Source: Clinical Orthopaedics and Related Research - Category: Orthopaedics Authors: Tags: Clin Orthop Relat Res Source Type: research
Conclusions: Robotic repair of VVF with sigmoid epiploica interposition is efficient and well tolerated. Use of this technique may increase the number of patients eligible for tissue interposition. PMID: 30662253 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
This study can’t contribute to the debate over whether liberals or conservatives are more likely to commit such errors, the researchers write, because the stimuli weren’t constructed to be equally polarising to the two “sides” (though some prior research suggest both tribes are equally vulnerable). It also doesn’t tell us what can be done about this sort of ill-formed reasoning. Though on that front, at least, Gampa, Wojcik, and their colleagues do have some ideas: “A takeaway from this research… may be that reasoners should strive to be epistemologically humble. If logical reason...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Cognition Political Thought Source Type: blogs
Authors: Inanc Y, Mete A, Giray S, Inanc Y Abstract INTRODUCTION: Despite the use of embolic protective devices in the majority of cases applied with carotid stenting to prevent embolic neurological complications related to the carotid stenting procedure, this procedure is applied to some cases without protection. The aim of this study was to present the clinical outcomes of carotid artery stent application without a cerebral embolism protective device. MATERIAL AND METHOD: A retrospective examination was made of a total of 171 patients applied with a stent between 2014 and 2017. The patients included in the st...
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
The Latino population is currently the largest minority group in the United States and is expected to double by the year 2050. The goal of palliative care is to alleviate physical, psychological, and spiritual pain and suffering. Health systems have an ethical responsibility to provide this service; however, Latinos face significant health disparities and are less likely to receive palliative care in comparison to non-Latino whites. A narrative literature review was conducted to identify unique characteristics, other than language, that contribute to this inequality.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Patients with advanced cardiac disease (CD), and their caregivers, may benefit from early palliative care (PC) services. There is limited information on the number and nature of U.S. cardiac PC programs.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Nearly 30 percent of infant deaths in the United States result from congenital anomalies. Treatment options now exist for conditions that were once considered lethal. Parents may face challenging decisions regarding anticipated newborn care, which impact themselves and their families perinatal palliative care (PPC) supports families navigating these decisions through a family-centered, shared decision-making model of care. PPC occurs concomitantly with expectant obstetrical care, providing intensive psychosocial support during and after pregnancy, including at end-of-life.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
In the United States, there has been an increase in opioid misuse leading to increased monitoring. Although many guidelines exclude treatment of palliative patients, it remains important to evaluate all patients receiving opioids for substance misuse to ensure safety.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
While the demand for palliative care is rapidly expanding in the United States, there is a critical shortage of palliative care specialty providers, and that shortage is compounded annually. Contributing to the urgency of this shortage is the increasing focus on end of life care, as 25% of the health care dollar in the US is spent in the last six months of life. Due to limited fellowship training programs, there is a need for widespread training of primary and specialty providers in the principles of palliative care.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Approximately 11 million undocumented immigrants (UI), accounting for 14.6% of the uninsured population living in the United States are not eligible for insurance under the Affordable Care Act, limiting options for palliative and end-of-life (EOL) care. Though the Universal Declaration of Human Rights includes the right to dignity-conserving care for all, access to quality EOL care eludes UI, with limited access to charity hospice care. UI experience many challenges when seeking healthcare including language/cultural barriers, limited social support, financial stressors, lack of access to care and insurance, discrimination...
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
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