Right Care for Children: Top Five Do's and Don'ts.

Right Care for Children: Top Five Do's and Don'ts. Am Fam Physician. 2019 Mar 15;99(6):376-382 Authors: Schefft M, Schroeder AR, Liu D, Nicklas D, Moher J, Quinonez R Abstract Underuse and overuse of medical interventions, failure to use interventions known to be effective, and provision of tests or interventions in which benefits do not exceed harms are types of low-value care. The Lown Institute's Right Care Alliance Children's Health Council identified five "do" recommendations that highlight underuse and five "don't" recommendations that highlight overuse in children's health care. The five "do" recommendations include: do provide access to long-acting reversible contraception for adolescents, do use nonpharmacologic interventions first for treatment of attention-deficit/hyperactivity disorder, do discuss quality of life for children with complex medical conditions using a shared decision-making model and access resources such as palliative care subspecialists, do promote childhood literacy development by providing free, age-appropriate books in clinical settings, and do screen for socioeconomic status of the patient and family and provide access to community health and wellness resources. The five "don't" recommendations include: don't routinely prescribe antibiotics in children two to 12 years of age with a middle ear infection, don't perform computed tomography of the head for children with minor head trauma...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research

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Authors: Elfiky TA, Patil ND, Allam Y, Ragab R Abstract Study Design: A retrospective radiographic analysis. Purpose: The aim of the current study is to assess endplate changes after the use of polyetheretherketone (PEEK) cages in posterior lumbar interbody fusion (PLIF). Overview of Literature: A few recent reports had revealed endplate abnormalities due to PEEK cages, which may lead to nonunions. Methods: A retrospective computed tomography (CT)-based analysis of the endplate cavities and fusion status following PLIFs with PEEK cages was conducted by two independent observers. The term "cavity&qu...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
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Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
ConclusionThis study revealed the current status of lung diseases potentially related to tobacco smoking in Fukuoka Prefecture. Both COPD and CPFE were highly related to tobacco smoking, whereas 30% of patients with IIPs had never smoked.
Source: Respiratory Investigation - Category: Respiratory Medicine Source Type: research
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Source: Fetal and Pediatric Pathology - Category: Pathology Tags: Fetal Pediatr Pathol Source Type: research
We present a case of a secondary injury to the femoral artery in a geriatric male patient who sustained a pertrochanteric femoral fracture. Six days after closed fracture reduction and intramedullary femoral nailing, the patient presented with persistent hematocrit level drops, femoral swelling and pain. A computed tomography angiography of the femur revealed a perforation of the profunda femoris artery through the dislocated lesser trochanter fragment, and immediate surgical revision was induced. The patient returned to his pre-injury mobilization level without any peripheral vascular or neurological deficiencies. A liter...
Source: European Journal of Orthopaedic Surgery and Traumatology - Category: Orthopaedics Source Type: research
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Source: International Journal of Oral and Maxillofacial Implants - Category: ENT & OMF Tags: Int J Oral Maxillofac Implants Source Type: research
The fate of a local company ’s treatment for attention deficit hyperactivity disorder is now in regulators’ hands. Supernus Pharmaceuticals Inc. (NASDAQ: SUPN) has submitted its application to the Food and Drug Administration to take its ADHD drug to market, the company announced Monday. If granted, that could mean gettin g the treatment to patients in the second half of 2020. Supernus has put the product candidate through a handful of phase 3 clinical trials, to study its ability to reduce ADHD…
Source: bizjournals.com Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
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Source: Johns Hopkins University and Health Systems Archive - Category: Nursing Source Type: news
UW Health, the academic medical center and health system of the University of Wisconsin-Madison, is using a new approach to computed tomography (CT) guided procedures. It is the first U.S. hospital to acquire the Imactis CT-Navigation system, which can be used during percutaneous interventional radiological procedures performed under CT such as tumor ablations, biopsies, musculoskeletal interventions, and other needle-based interventions, Imactis reported in a news release. With the Imactis CT-Navigation system, a “radiologist can select and check a needle’s planned trajectory in real ti...
Source: MDDI - Category: Medical Devices Authors: Tags: Imaging Source Type: news
Authors: Yatomi A, Mori S, Kawauchi H, Shono A, Shimoyama S, Tanaka H, Okano T, Inoue T, Jimbo N, Morinobu A, Hirata KI Abstract A 72-year-old woman was referred to our institution with decompensated congestive heart failure owing to subacute severe aortic regurgitation and mitral regurgitation. Her blood sample tested positive for myeloperoxidase anti-neutrophil cytoplasmic antibody (ANCA). Cardiac computed tomography revealed abnormal thickening and shortening of the aortic valvar leaflets as well as wall thickening of the sinuses of Valsalva. Based on the diagnosis of ANCA-associated vasculitis, predominantly in...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
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