Black patients ’ Lyme disease often diagnosed late, possibly due to missed signs
FINDINGSA UCLA study suggests that many physicians may not have the knowledge or training to properly recognize how Lyme disease appears on the skin of Black patients. The disease, caused by the tick-borne Borrelia bacterium, generally begins with a bull ’s-eye–shaped rash on the skin, along with fever, headache, chills and muscle pain; if not diagnosed promptly and treated with antibiotics, it can lead to more severe and long-lasting symptoms.UCLA ’s Dr. Dan Ly found that approximately 1 in 3 Black patients who were newly diagnosed with Lyme disease already had related neurological complications such as meningitis, neuropathy and cranial neuritis — an indication that the disease may not have been properly diagnosed in its earlier stages. Less than 1 in 10 newly diagnosed white patients had these complications.BACKGROUNDMedical textbooks and other physician-training materials tend to underrepresent Black patients, Ly said, which could account for delays in diagnoses of certain diseases and conditions, like Lyme disease — delays that can lead to serious health complications. About 300,000 cases of Lyme disease are diagnosed in the U.S. each year, according to the U.S. Centers for Disease Control and Prevention.METHODLy analyzed 2015 –16 data from a nationwide sample of Medicare beneficiaries. The sample comprised approximately 6,200 white patients (mean age 72.4) and 167 Black patients (mean age 66.1), all of whom had been newly diagnosed wi...
I'm an M2 and I've heard from some anesthesia pain mgmt friends that they do micro discectomies and some other simple spine procedures like spinal cord stimulators. Are these the same type of procedures that neurosurgeons and orthopedic spine surgeons perform?
Abstract: I.V. catheter placement is one of the most common causes of procedural pain in children. Interventions to address this pain are readily available but inconsistently used in practice. The focus of this article is to identify and encourage best practice for pain mitigation in peripheral I.V. catheter placement in children.
Hello everyone, I've been hearing a lot of contradictory advice in regards to writing about a low MCAT score/section for secondary applications and was wondering what your thoughts were? Personally, for me, I did pretty well for every section except for CARS, where I experienced a severe headache that impacted my vision at the time. I read past threads on this site where at all costs you should not bring about a negative unless they specifically ask you about it. I totally understand that... Read more
Discussion Anorexia nervosa is an eating disorder with an intense fear of being overweight (i.e. distorted body image), and self-starvation and excessive weight loss. It is more common in women (1.2%) than men (0.2%) but can be seen in both genders. Risk factors include high-intelligence, perfectionism/inflexibility, anxiety, activities where thinner body types are expected (e.g. dancer, diver, gymnast, long-distance runner, volleyball player, etc.) Other eating disorders include bulimia nervosa (i.e. cycles of binge eating and then purging), binge eating disorder (i.e. purging), orthorexia (i.e. obsessions with healthful ...
AbstractLittle is known about the measurement properties of numeric rating scales (NRS) for pain in AD. We evaluated a novel NRS for skin-pain and existing NRS for average overall-pain in adults with AD. Self-administered questionnaires and skin-examination were performed in 463 AD patients (age 18 –97 years) in a dermatology practice setting. Numeric rating scales skin-pain and average overall-pain had moderate correlations with each other, and multiple clinician-reported and patient-reported AD severity outcomes (Spearman correlations,P
ConclusionsResults suggest that, despite not targeting sleep directly, the mind –body activity program holds promise for sustainably improving sleep quality among patients with chronic pain. Targeting mindfulness and relaxation may facilitate these improvements.
ConclusionsThis study shows the effectiveness of a blended Internet-based MBI in increasing HRQoL and optimism in patients with IBD. It also highlights the use of MBIs to treat psychological impairment in IBD.Trial Registration.NCT 02,963,246, 15/11/2016.
Not really my realm, but you all watching this? What are your impressions? I very much remember the pervasiveness of drug reps in children's hospitals in the early 2000s (I still have my green Ceftriaxone pen) and very much remember MS Contin, but again, I don't do adult so my experience and recall is limited...
HEADACHES are triggered by lifestyle or environmental factors but there are other surprising factors causing the pain.
Conclusions: In children, NB more frequently presented as meningitis, and in adults in the form of Bannwarth’s syndrome. CSF pleocytosis in children with NB was higher than in adults, while the protein concentration in children was lower. Outcomes in children and adults were favorable and did not differ after standard NB treatment.