Retinal hemorrhages due to intracranial hypertension, is it possible to differentiate them from those associated with abuse?
CONCLUSIONS: RHs were not detected in patients with isolated nontraumatic increased ICP, measured via OP and diagnosed in the ED. Therefore, if RHs are detected, investigation into the possibility of AHT is warranted.PMID:37549636 | DOI:10.1016/j.chiabu.2023.106387 (Source: Child Abuse and Neglect)
Source: Child Abuse and Neglect - August 7, 2023 Category: Child Development Authors: Ana I Curcoy Alicia Serra Marta Morales Carles Luaces Victoria Trenchs Source Type: research
Retinal hemorrhages due to intracranial hypertension, is it possible to differentiate them from those associated with abuse?
CONCLUSIONS: RHs were not detected in patients with isolated nontraumatic increased ICP, measured via OP and diagnosed in the ED. Therefore, if RHs are detected, investigation into the possibility of AHT is warranted.PMID:37549636 | DOI:10.1016/j.chiabu.2023.106387 (Source: Child Abuse and Neglect)
Source: Child Abuse and Neglect - August 7, 2023 Category: Child Development Authors: Ana I Curcoy Alicia Serra Marta Morales Carles Luaces Victoria Trenchs Source Type: research
Lumbar puncture position in infants —a systematic review and meta-analysis
Conclusion: Sitting position seems to be equally effective in terms of first attempt and overall success in lumbar puncture than standard lateral position. Elevated lateral position and prone positions had better first attempt success than standard lateral position, but these were assessed only in one study each and thus further studies in these positions are needed. Trial registration: This review was registered in PROSPERO. ID: CRD42022382953.What is Known:• Success rate in lumbar puncture has been poor and first attempt success rate has varied between 50 to 80% in literature.• Optimal lumbar puncture positions...
Source: European Journal of Pediatrics - August 4, 2023 Category: Pediatrics Source Type: research
Empathy for the Rural Hospitalist
In residency, we had derisive nicknames for the hospitals in the surrounding rural areas that would frequently send us patients. After we were notified of the transfer, we stayed on edge until the patient arrived, unclear of what was going to show up. At best they were sending us a difficult patient who was going to require a great deal of work; occasionally, as we paged through the photocopied progress notes and labs, we expressed more and more righteous indignation at the decisions that were made that I as a cocky intern never would have done. In the end, it tended to leave us feeling like we were just a dumping ground f...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Practice Management Transitions of Care Source Type: research
MAGLIO study: epideMiological Analysis on invasive meninGococcaL disease in Italy: fOcus on hospitalization from 2015 to 2019
This study analyzed hospital admissions for invasive meningococcal disease (IMD) in epidemiological and economic terms in Italy from 2015 to 2019. The volume of acute admissions for meningococcal diagnosis was analyzed in the period from 2015 to 2019. IMD admissions were identified by ICD-9-CM diagnoses. Costs were assessed using current DRG tariffs. In 2019, a total of 237 admissions for meningococcal disease were recorded in Italy. The mean age of patients was 36.1 years. Lumbar puncture was reported in only 14% of hospital discharge forms. From 2015 to 2019, there was a mean annual reduction of − 1.2% nationally f...
Source: Internal and Emergency Medicine - August 1, 2023 Category: Emergency Medicine Source Type: research
