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This tax could save your life
Around the world, obesity and diabetes are on the rise. Since 1980, rates of obesity and of diagnosed diabetes have doubled, with particularly sharp increases in low and middle-income populations. In one recent year, an estimated 1.5 million people died from diabetes, and millions more suffer from heart attack, stroke, blindness, kidney failure and lower-limb amputation.
Source: CNN.com - Health - March 10, 2017 Category: Consumer Health News Source Type: news

The Health And Beauty Benefits Of Green Vegetables
For Allure, by Ramona Emerson. The other day, my mother asked if we should have waffles for breakfast, and my response shocked even me: “What if we had a salad?” In the weeks since Allure asked me to write about leafy greens, I’ve changed. Once a kale agnostic, I’m now a Devout Kale Orthodox. The kind of person who eats spinach for breakfast and offers unsolicited advice to strangers in line at the salad bar: “You know, romaine is actually healthier than arugula.” (I know, spoiler alert. Just sit tight for a minute.) All the Good They’re Doing The more I learned about leafy greens...
Source: Healthy Living - The Huffington Post - April 10, 2017 Category: Consumer Health News Source Type: news

Early Clinical Improvement in Central Retinal Artery Occlusion is Associated with Central Retinal Artery Recanalization (P4.262)
Conclusions:In our case series, no patient without early recanalization of the CRA had ECI. Further studies are merited to determine the impact of CRA recanalization timing and, furthermore, whether fibrinolytic therapy is associated with improved CRA recanalization rates and long-term visual acuity in CRAO patients.Disclosure: Dr. Alkuwaiti has nothing to disclose. Dr. Male has nothing to disclose. Dr. Hendriksen has nothing to disclose. Dr. Engel has nothing to disclose. Dr. Reshi has nothing to disclose. Dr. Ezzeddine has received personal compensation for activities with Air Liquide as a Scientific Advisory Board membe...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Alkuwaiti, M., Male, S., Hendriksen, S., Engel, K., Reshi, R. A., Ezzeddine, M., Emiru, T., Logue, C., Streib, C. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research

Patient With Severe Moyamoya Disease Who Presents With Acute Cortical Blindness Illustrative Teaching Cases
Source: Stroke - April 24, 2017 Category: Neurology Authors: Aparna Sajja, Deki Tsering, Annie C. Mooser, Tiffani A. DeFreitas, Jessica Carpenter, Suresh N. Magge Tags: Revascularization, Intracranial Hemorrhage, Moyamoya, Transient Ischemic Attack (TIA) Illustrative Teaching Case Source Type: research

Facial Danger Zones: Techniques to Maximize Safety during Soft-Tissue Filler Injections
Summary: Given the short recovery and immediate results, facial fillers have become a popular alternative to surgical rejuvenation of the face. Reported complications arising from facial filler injections include erythema, tissue loss, blindness, stroke, and even death. In this article, the authors describe their anatomically based techniques to minimize risk and maximize safety when injecting in the facial danger zones, including the glabella/brow, temporal region, perioral region, nasolabial fold, nose, and infraorbital region. Complications generally arise secondary to vasculature injury and/or cannulation with filler. ...
Source: Plastic and Reconstructive Surgery - April 28, 2017 Category: Cosmetic Surgery Tags: Cosmetic: Special Topics Source Type: research

Little Black Boxes: Noncardiac Implantable Electronic Medical Devices and Their Anesthetic and Surgical Implications.
Abstract Implanted electronic medical devices. or stimulators such as pacemakers and nerve stimulators have grown enormously in diversity and complexity over recent decades. The function and potential interaction of these devices with the perioperative environment is of increasing concern for anesthesiologists and surgeons. Because of the innate electromagnetic environment of the hospital (operating room, gastrointestinal procedure suite, and imaging suite), implanted device malfunction, reprogramming, or destruction may occur and cause physical harm (including nerve injury, blindness, deafness, burn, stroke, para...
Source: Anesthesia and Analgesia - May 4, 2017 Category: Anesthesiology Authors: Srejic U, Larson P, Bickler PE Tags: Anesth Analg Source Type: research

Diagnostic delay for giant cell arteritis – a systematic review and meta-analysis
Giant cell arteritis (GCA), if untreated, can lead to blindness and stroke. The study ’s objectives were to (1) determine a new evidence-based benchmark of the extent of diagnostic delay for GCA and (2) examine...
Source: BMC Medicine - June 28, 2017 Category: Internal Medicine Authors: James A. Prior, Hoda Ranjbar, John Belcher, Sarah L. Mackie, Toby Helliwell, Jennifer Liddle and Christian D. Mallen Source Type: research

Using Systems Science to Inform Population Health Strategies in Local Health Departments: A Case Study in San Antonio, Texas.
CONCLUSIONS: Local health departments could benefit from the use of systems science and evidence-based decision making to estimate public health program effectiveness and costs, calculate return on investment, and develop a business case for adopting programs. PMID: 28813636 [PubMed - as supplied by publisher]
Source: Public Health Reports - August 18, 2017 Category: International Medicine & Public Health Tags: Public Health Rep Source Type: research

Surgeon ’s Guide to Facial Soft Tissue Filler Injections: Relevant Anatomy and Safety Considerations
The purpose of this study is to provide a review of the relevant facial anatomy related to soft tissue filler injections. Facial fillers are used daily in our clinical practice. Although safe and predictable, adverse events do occur. Some of these dire events include vascular complications leading to blindness, ischemia, and even stroke. Proper knowledge and understanding of the anatomic landmarks can minimize the risk of these vascular events. Additionally, early recognition and treatment are necessary in order to prevent permanent complications.
Source: Journal of Oral and Maxillofacial Surgery - August 23, 2017 Category: ENT & OMF Authors: Elie M. Ferneini, Steven Hapelas, James Watras, Antoine M. Ferneini, Drew Weyman, Jenna Fewins Source Type: research

P 164 Parietal stroke mimicking the Heidenhain variant of Creutzfeldt-Jakob Disease
The Heidenhain variant of Creutzfeldt-Jakob disease (CJD) is a rapidly progressive neurodegenerative disease with an occipito-parietal focus.It initially presents with visual disturbances such as visual agnosia or cortical blindness (Kropp et al., 1999).After presentation of early visual symptoms, rapid progression of dementia and death follows.While the Heidenhain variant matches neuropathological criteria of CJD, differential diagnosis from other neurological disorders using biomarkers from electroencephalography (EEG), magnetic resonance imaging (MRI), and cerebrospinal fluid (CSF) reveal low sensitivity and specificity...
Source: Clinical Neurophysiology - September 8, 2017 Category: Neuroscience Authors: D. Becker, D. Kramer, W. M üllges, K. Boelmans Tags: Poster Source Type: research

Surgeon's Guide to Facial Soft Tissue Filler Injections: Relevant Anatomy and Safety Considerations
The purpose of this study is to provide a review of the relevant facial anatomy related to soft tissue filler injections. Facial fillers are used daily in our clinical practice. Although their use is safe and predictable, adverse events do occur.  Some of these dire events include vascular complications leading to blindness, ischemia, and even stroke. Proper knowledge and understanding of the anatomic landmarks can minimize the risk of these vascular events. In addition, early recognition and treatment are necessary to prevent permanent com plications.
Source: Journal of Oral and Maxillofacial Surgery - August 23, 2017 Category: ENT & OMF Authors: Elie M. Ferneini, Steven Hapelas, James Watras, Antoine M. Ferneini, Drew Weyman, Jenna Fewins Tags: Craniomaxillofacial deformities/cosmetic surgery Source Type: research

Embolization for the treatment of intractable epistaxis: 12 month outcomes in a two centre case series.
CONCLUSION: Embolization for epistaxis is safe and effective. Of those who had recurrent epistaxis post embolization, most were taking P2Y12 inhibition and/or anticoagulation. We prefer bilateral distal internal maxillary artery and unilateral facial artery embolization under general anesthesia for optimal safety and efficacy. Advances in knowledge: Embolization with this technique seems to facilitate superior outcomes without complications despite the large proportion of patients taking anticoagulating or P2Y12 inhibiting agents. PMID: 28972795 [PubMed - as supplied by publisher]
Source: The British Journal of Radiology - October 3, 2017 Category: Radiology Authors: Robinson AE, McAuliffe W, Phillips TJ, Phatouros CC, Singh TP Tags: Br J Radiol Source Type: research

Nivolumab-induced posterior reversible encephalopathy syndrome
A 47-year-old woman with metastatic, poorly differentiated lung cancer with neuroendocrine features was brought to the hospital after 4 days of nausea, vomiting, disorientation, and 1 generalized tonic clonic seizure. On examination, her blood pressure was 148/95 mm Hg, heart rate 95 bpm, and temperature 36.4°C. She was encephalopathic and had cortical blindness. She had no history of seizures or visual impairment. MRI brain without contrast showed changes consistent with posterior reversible encephalopathy syndrome (PRES; figure, A). She had been on nivolumab, of which she had received 2 doses; the last dose was 24 da...
Source: Neurology Clinical Practice - October 16, 2017 Category: Neurology Authors: Hussein, H. M., Dornfeld, B., Schneider, D. J. Tags: MRI, Other cerebrovascular disease/ Stroke, All Clinical Neurology, Chemotherapy-tumor Case Source Type: research

Modelling incremental benefits on complications rates when targeting lower HbA1c levels in people with Type 2 diabetes and cardiovascular disease
ConclusionsThese simulated complication rates might help inform the degree to which complications might be reduced by targeting particular HbA1c reductions in Type 2 diabetes.This article is protected by copyright. All rights reserved.
Source: Diabetic Medicine - October 23, 2017 Category: Endocrinology Authors: S. A. Mostafa, R. L. Coleman, O. F. Agbaje, A. M. Gray, R. R. Holman, M. A. Bethel Tags: Research Article Source Type: research

Not as Simple as Canker Sores
BY ​NANA P. MATSUMOTO, & DEREK MEEKS, DO​​A 16-year-old boy presented to a rural ED with a swollen jaw, painful blisters in the mouth, and earache for the past day. One week before, he had a fever with chills, sore throat, and dry coughs. He was not taking any medications, and his immunizations were up-to-date. He had a mild learning disorder but no significant past medical or surgical history.​An apthous ulcer, the most common and one of the earliest signs of Behçet's disease.The patient's vital signs were within normal limits, and his physical examination revealed anterior cervical lymphadenopathy, sinus con...
Source: The Case Files - October 11, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: research