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Protecting Patients from Elder Abuse Scams
https://www.aafp.org/afp/2019/1001/p438.html
American Family Physician;

Sep 30th, 2019 - Living on my own continues to be very important to me, even though I'm getting older and am sometimes forgetful. I manage pretty well with the help of my son, who visits me weekly, and my family doctor, who I see monthly for my hypertension, stomach reflux problems, prediabetes, and high cholesterol. I try to manage my forgetfulness with the help of a pill box so that I remember to take my medi...

Essential tremor - Genetics Home Reference - NIH
https://ghr.nlm.nih.gov/condition/essential-tremor

Jul 15th, 2019 - Essential tremor is a movement disorder that causes involuntary, rhythmic shaking (tremor), especially in the hands. It is distinguished from tremor that results from other disorders or known causes, such as Parkinson disease or head trauma. Essential tremor usually occurs alone, without other neurological signs or symptoms. However, some experts think that essential tremor can include addition...

ACOG: Sexual Assault
https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Sexual-Assault

Mar 31st, 2019 - Sexual violence continues to be a major public health problem affecting millions of adults and children in the United States. Medical consequences of sexual assault include sexually transmitted infections; mental health conditions, including posttraumatic stress disorder; and risk of unintended pregnancy in reproductive-aged survivors of sexual assault. Obstetrician–gynecologists and other wom...

National Child Abuse Prevention Month 2019
https://www.childwelfare.gov/topics/preventing/preventionmonth/

Mar 31st, 2019 - The Children's Bureau, within the U.S. Department of Health and Human Services, funds the National Child Abuse Prevention Month initiative each April on the Child Welfare Information Gateway website.

Sexual Assault Awareness Month - I Ask
https://www.nsvrc.org/saam

Mar 31st, 2019 - Sexual Assault Awareness Month is a campaign to raise public awareness about sexual violence and educate communities on how to prevent it. The campaign theme, I Ask, champions the message that asking for consent is a healthy, normal, and necessary part of everyday interactions.

Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012703.pub2/full
Ordonez, M. et. al.

Feb 5th, 2019 - Ureteroscopy combined with laser stone fragmentation and basketing is a common approach for managing renal and ureteral stones. This procedure is associated with some degree of ureteral trauma. Ureteral trauma may lead to swelling, ureteral obstruction, and flank pain and may require subsequent interventions such as hospital admission or secondary ureteral stent placement. To prevent such issue...

Risk of Posttraumatic Stress Disorder and Major Depression in Civilian Patients After Mild Traumatic Brain Injury
https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2722564
Stein, M. et. al.

Jan 29th, 2019 - Question Who is at greatest risk for developing mental health problems such as posttraumatic stress disorder (PTSD) or major depression after sustaining a mild traumatic brain injury (mTBI)? Findings In this cohort study of 1155 patients with mTBI and 230 patients with orthopedic injuries not involving the head, patients with mTBI were more likely to report PTSD and/or major depressive sympto...

See, and then stop, elderly abuse
https://acphospitalist.org/archives/2019/01/see-and-then-stop-elderly-abuse.htm

Dec 31st, 2018 - Elder abuse is a crime, of course, but it often presents as a medical condition.

7 ways to prevent injuries while trimming pubic hair
https://www.aad.org/public/skin-hair-nails/hair-care/trimming-pubic-hair

Dec 30th, 2018 - Have you ever injured yourself while trimming your pubic hair? You’re not alone. A study found that 1 in 4 people have injured themselves while grooming their privates. In this study, the most common injuries were deep cuts, burns, and rashes.

The Swedish shaken baby syndrome report and review: what does the latest knowledge tell us?
https://onlinelibrary.wiley.com/doi/full/10.1111/apa.14643
Acta Paediatrica; Cohen, M.

Dec 11th, 2018 - It is almost fifty years since Norman Guthkelch first introduced the hypothesis that the whiplash injury produced through shaking a baby causes subdural haematoma (SDH), retinal haemorrhages (RH) and encephalopathy, referred to as ‘the triad’ 1. The topic has never ceased generating heated controversy and acrimonious debates. At the core of the dispute is not whether shaking can cause devastat...

Colloids versus crystalloids for fluid resuscitation in critically ill people
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000567.pub7/full
The Cochrane Database of Systematic Reviews; Lewis, S. et. al.

Aug 2nd, 2018 - Critically ill people may lose fluid because of serious conditions, infections (e.g. sepsis), trauma, or burns, and need additional fluids urgently to prevent dehydration or kidney failure. Colloid or crystalloid solutions may be used for this purpose. Crystalloids have small molecules, are cheap, easy to use, and provide immediate fluid resuscitation, but may increase oedema. Colloids have lar...

Elder abuse - WHO
https://www.who.int/news-room/fact-sheets/detail/elder-abuse

Jun 7th, 2018 - Elder abuse is a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person. This type of violence constitutes a violation of human rights and includes physical, sexual, psychological, and emotional abuse; financial and material abuse; abandonment; neglect; and serious loss of ...

Lightning Injuries
https://www.merckmanuals.com/professional/injuries-poisoning/electrical-and-lightning-injuries/lightning-injuries

Mar 31st, 2018 - Lightning injuries include cardiac arrest, loss of consciousness, and temporary or permanent neurologic deficits; serious burns and internal tissue injury are rare. Diagnosis is clinical; evaluation requires ECG and cardiac monitoring. Treatment is supportive.

Binge Drinking: Predictors, Patterns, and Consequences
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104965/
Alcohol Research; White, A. et. al.

Jan 1st, 2018 - he National Institute on Alcohol Abuse and Alcoholism defines binge drinking as a pattern of consumption that causes blood alcohol concentration to rise to .08%—the legal limit for adults ages 21 or older operating a motor vehicle—or more. This level typically occurs after a woman consumes four drinks or a man consumes five drinks—in about 2 hours. Research suggests that three out of four adole...

Management of Posttraumatic Stress Disorder and Acute Stress Reaction 2017
https://www.healthquality.va.gov/guidelines/MH/ptsd/VADoDPTSDCPGFinal012418.pdf

May 31st, 2017 - The guideline describes the critical decision points in the Management of Posttraumatic Stress Disorder and Acute Stress Reaction and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients...

Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461597/
Neural Regeneration Research; Andrews, C. et. al.

Apr 30th, 2017 - Injuries from lightning and electrical injuries involve multiple systems of the body, however neurological symptoms are very widely reported. A disabling neuropsychological syndrome is also noted. This paper presents a comprehensive review of neurological and neuropsychological symptoms. Partial theories of causation for these injuries have been advanced, however, there is no convincing explana...

Elder Abuse
https://www.nia.nih.gov/health/elder-abuse

Dec 28th, 2016 - Abuse can happen to anyone—no matter the person's age, sex, race, religion, or ethnic or cultural background. Each year, hundreds of thousands of adults over the age of 60 are abused, neglected, or financially exploited. This is called elder abuse.

Responding to intimate partner violence and sexual violence against women
https://apps.who.int/iris/bitstream/handle/10665/85240/9789241548595_eng.pdf;jsessionid=0A65B5BA6C736E1A0E96A1D54BF970FA?sequence=1

Oct 31st, 2013 - Women who have been subjected to violence often seek health care, including for their injuries, even if they do not disclose the associated abuse or violence. A health-care provider is likely to be the first professional contact for survivors of intimate partner violence or sexual assault. Statistics show that abused women use health-care services more than non-abused women do. They als...

Elder Abuse and Women's Health
https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Elder-Abuse-and-Womens-Health

Jun 30th, 2013 - Elder abuse, a violation of human rights, is defined as a single or repeated act, or lack of appropriate actions, which causes harm, risk of harm, or distress to an individual 60 years or older. As many as 1 in 10 older adults have been victims of elder abuse. Most cases of abuse occur in women. The U.S. Census predicts that by 2030, the segment of the population that is older than 65 years wil...

Guidelines for the pharmacological treatment of anxiety disorders, obsessive – compulsive disorder and posttraumatic stress disorder in primary care
https://www.wfsbp.org/fileadmin/user_upload/Treatment_Guidelines/Bandelow_et_al_01.pdf

Jan 4th, 2012 - Objective. Anxiety disorders are frequently under-diagnosed conditions in primary care, although they can be managed effectively by general practitioners. Methods. This paper is a short and practical summary of the World Federation of Biological Psychiatry (WFSBP) guidelines for the pharmacological treatment of anxiety disorders, obsessive compulsive disorder (OCD) and posttraumatic stress diso...

Guidelines for Addressing Intimate Partner Violence Reproductive and Sexual Coercion
https://www.acog.org/-/media/Departments/Violence-Against-Women/Guidelines-for-Addressing-Intimate-Partner-Violence.pdf

Dec 31st, 2010 - Futures Without Vioence (Futures), formerly the Family Violence Prevention Fund, is a leading advocate for addressing intimate partner violence (IPV)—also referred to as domestic violence in the health care setting. Futures produces numerous data-informed publications, programs, and resources to promote routine assessment and effective responses by health care providers.

Food of the Gods: Cure for Humanity? A Cultural History of the Medicinal and Ritual Use of Chocolate
https://academic.oup.com/jn/article/130/8/2057S/4686320?searchresult=1
Dillinger, T. et. al.

Jul 31st, 2000 - The medicinal use of cacao, or chocolate, both as a primary remedy and as a vehicle to deliver other medicines, originated in the New World and diffused to Europe in the mid 1500s. These practices originated among the Olmec, Maya and Mexica (Aztec). The word cacao is derived from Olmec and the subsequent Mayan languages (kakaw); the chocolate-related term cacahuatl is Nahuatl (Aztec language), ...

New Zealand Burn Surgeons Taken to Limits of Expertise - Specialist
https://www.medscape.com/viewarticle/922478

Dec 11th, 2019 - LONDON (Reuters) - Surgical teams treating dozens of casualties suffering horrific burns after a deadly volcano eruption in New Zealand will be tested to the limits of their expertise, a London-based specialist said on Wednesday. Jorge Villapalos, consultant in plastic surgery and burns at the Chelsea and Westminster Hospital, said his colleagues in New Zealand were world leaders in their field...

Age, gender, and race influence treatment decisions for calcaneus fracture
https://www.mdedge.com/surgery/article/213959/orthopedics/age-gender-and-race-influence-treatment-decisions-calcaneus?channel=27970
Steve Cimino

Dec 10th, 2019 - A variety of socio-demographic variables – including residing in a lower-income zip code and lacking private insurance – can influence treatment decisions for orthopedic trauma patients, according to a new study on the management of calcaneus fractures. “While our study demonstrated socio-demographic disparities regarding utilization of open reduction and internal fixation of calcaneus fracture.

High Rates of PTSD Plague Psychiatric Hospital Staff
https://www.medscape.com/viewarticle/922396

Dec 9th, 2019 - Staff at psychiatric hospitals are frequently exposed to violence and physical threats that often lead to symptoms of posttraumatic stress disorder (PTSD), new research shows. In a cross-sectional survey of clinical staff working in adult psychiatric units, 16% met or exceeded the cut off score on a self-report measure of PTSD symptoms. The level of trauma and impairment among mental health car...

Forced Drug Abuse a Hidden but 'Disturbingly Common' Part of Domestic Violence
https://www.medscape.com/viewarticle/922309

Dec 8th, 2019 - SAN DIEGO ― Substance use coercion, or forced drug use, by an intimate partner has largely gone undetected by addiction psychiatrists, but a recent survey shows the practice is "disturbingly common." Results of a survey conducted by the National Domestic Violence Hotline that included more than 3000 callers revealed that 43% of respondents had experienced some type of substance use coercion by ...

Researchers mine free-text diary entries for seizure cluster insights
https://www.mdedge.com/internalmedicine/article/213803/epilepsy-seizures/researchers-mine-free-text-diary-entries-seizure?channel=53
Jake Remaly

Dec 8th, 2019 - BALTIMORE – Free-text diary entries by patients with epilepsy are a “largely untapped” source of information about the frequency and treatment of seizure clusters, researchers said at the annual meeting of the American Epilepsy Society. In addition, patients may describe other clinically relevant concerns such as tiredness, depression, head injury, or seizures while driving, researchers said.

Grey's Anatomy Episode on Sexual Assault Raised Viewer Awareness
https://www.medscape.com/viewarticle/921987

Dec 2nd, 2019 - (Reuters Health) - An episode of the long-running television show Grey's Anatomy increased public awareness about sexual assault and how to get help, a study suggests. On March 28, 2019, the medical drama series aired an episode called Silent All These Years, on the topic of consent and sexual assault. At the end of the episode, series star Ellen Pompeo appealed to viewers to ask for help if th...

Cranial CT Not Indicated for Most Children With Minor Head Trauma
https://www.medscape.com/viewarticle/921856

Nov 27th, 2019 - NEW YORK (Reuters Health) - Most children presenting to the emergency department (ED) with minor blunt head trauma will not require cranial CT scanning, according to a new review. Among such children, "serious injuries requiring neurosurgery are uncommon," Dr. Lise E. Nigrovic of Boston Children's Hospital and Dr. Nathan Kuppermann of the University of California, Davis, told Reuters Health in ...

Facebook Removes 3.2 Billion Fake Accounts, Millions of Child Abuse Posts
https://www.medscape.com/viewarticle/921255

Nov 13th, 2019 - (Reuters) - Facebook Inc removed 3.2 billion fake accounts between April and September this year, along with millions of posts depicting child abuse and suicide, according to its latest content moderation report released on Wednesday. That more than doubles the number of fake accounts taken down during the same period last year, when 1.55 billion accounts were removed, according to the report. ...

Veterans at higher risk of sleep behavior disorders
https://www.mdedge.com/familymedicine/article/212136/sleep-medicine/veterans-higher-risk-sleep-behavior-disorders?channel=39313
MDedge Psychiatry; Bianca Nogrady

Nov 12th, 2019 - Veterans may be at higher risk of idiopathic rapid eye movement sleep behavior disorders, particularly if they have traumatic brain injury (TBI) or posttraumatic stress disorder (PTSD) according to a paper published in Sleep. ©marcociannarel/Thinkstock In a prospective, cross-sectional study, researchers recruited 394 veterans – 94% of whom were male – who underwent in-lab video-polysomnography.

Five-Minute Injection May Offer an Effective Option for PTSD
https://www.medscape.com/viewarticle/920970

Nov 6th, 2019 - A quick injection that blocks the stellate ganglion relieves symptoms of posttraumatic stress disorder (PTSD) and may represent a new and urgently needed treatment option. Results of a randomized, sham-controlled trial in active-duty military members showed that stellate ganglion block (SGB) relieved distress, anxiety, and depression in this cohort. Interestingly, those with the most severe PTS...

Increasing Emergency Dept. Admissions in US for Child Sexual Abuse
https://www.medscape.com/viewarticle/920824

Nov 5th, 2019 - (Reuters Health) - The rate at which children are being admitted to U.S. emergency departments for sexual abuse almost doubled between 2010 and 2016, a new study finds. Nationwide emergency department data show that admissions of youngsters under age 18 to EDs for sexual abuse rose from just under six per 100,000 children to nearly 12 per 100,000, researchers reported Monday in JAMA Pediatrics....

Seborrhea Herpeticum: Cutaneous Herpes Simplex Virus Infection Within Infantile Seborrheic Dermatitis
https://www.mdedge.com/dermatology/article/211565/pediatrics/seborrhea-herpeticum-cutaneous-herpes-simplex-virus-infection?channel=45
Laryn Steadman, MD, Katherine Hrynewycz, MD et. al.

Nov 5th, 2019 - Classically, eczema herpeticum is associated with atopic dermatitis (AD), but it also has been previously reported in the setting of pemphigus vulgaris, Darier disease, ichthyosis vulgaris, burns, psoriasis, and irritant contact dermatitis. 1,2 Descriptions of cutaneous herpes simplex virus (HSV) in the setting of seborrheic dermatitis are lacking.

Atraumatic splenic rupture in acute myeloid leukemia
https://www.mdedge.com/ccjm/article/211092/hematology/atraumatic-splenic-rupture-acute-myeloid-leukemia?channel=230
Karthik Gnanapandithan, MD, MS

Nov 1st, 2019 - A 50-year-old man with acute myeloid leukemia (AML) with a complex karyotype was admitted to the hospital with several days of dull, left-sided abdominal pain. His most recent bone marrow biopsy showed 30% blasts, and immunophenotyping was suggestive of persistent AML (CD13+, CD34+, CD117+, CD33+, CD7+, MPO–).

Are Child Abuse Pediatricians Getting It Wrong?
https://www.medpagetoday.com/pediatrics/domesticviolence/83024

Oct 30th, 2019 - In the decade since "child abuse pediatrician" became a board-certified subspecialty, the field has seen its share of controversy. Justina Pelletier was taken from her parents and institutionalized in 2013 after a child abuse pediatrician at Boston Children's Hospital didn't believe the original diagnosis of mitochondrial disease -- only to be returned to her parents after 16 months in state cu...

Medical Cannabis for Mental Disorders 'Hard to Justify'
https://www.medscape.com/viewarticle/920483

Oct 27th, 2019 - There's little evidence to support the use of cannabinoids to treat psychiatric disorders such as depression, anxiety, posttraumatic stress disorder (PTSD), and psychosis, results of a new systematic review and meta-analysis suggest. "Patients who are interested in using cannabinoids for mental disorders should understand that there's limited evidence for it, and if they do choose this interven...

Stress Disorders Linked to Life-threatening Infections
https://www.medscape.com/viewarticle/920340

Oct 22nd, 2019 - Posttraumatic stress disorder (PTSD) or other stress-related conditions are associated with a significantly increased risk of life-threatening infection, including sepsis, endocarditis and meningitis, new research suggests. The link was more pronounced in those diagnosed with a stress-related disorder at a younger age, and those with psychiatric comorbidities. Dr Huan Song The findings of this ...

Diagnosis Is an Open Book
https://www.mdedge.com/clinicianreviews/article/210642/emergency-medicine/diagnosis-open-book?channel=127
Nandan R. Hichkad, PA-C, MMSc

Oct 22nd, 2019 - ANSWER There is evidence of significant widening of the pubic symphysis. This injury results in a disruption of the normal pelvic ring.

Drug Delivers 'Remarkable' Reduction in Head Injury Deaths
https://www.medscape.com/viewarticle/919952

Oct 15th, 2019 - Tranexamic acid (TXA) (multiple brands), an antifibrinolytic used to treat or prevent excessive blood loss, significantly reduces mortality from traumatic brain injury (TBI), results of a large, multicenter, randomized control trial show. Investigators found that administering TXA within 3 hours of head trauma was associated with a 20% reduction in deaths among those with mild to moderate TBI, ...

Retraining Working Memory to Reduce PTSD Symptoms
https://www.mdedge.com/fedprac/article/210078/ptsd/retraining-working-memory-reduce-ptsd-symptoms?channel=94
Jan Dyer

Oct 14th, 2019 - Working memory (WM)—the function that allows us to temporarily store information and use it for cognitive tasks like learning, reasoning, and comprehension—is thought to play an important role in managing anxiety and intrusive symptoms of posttraumatic stress disorder (PTSD). Researchers have found inefficient filtering of threatening material from WM and increased storage of task-irrelevant th.

Forgetting the Stuff That Dreams Are Made On
https://www.mdedge.com/fedprac/article/209845/neurology/forgetting-stuff-dreams-are-made?channel=94
Jan Dyer

Oct 12th, 2019 - Why do we forget some dreams and remember others? Researchers in a study funded by the National Institute of Neurological Disorders and Stroke say our dream memory may be controlled by a group of neurons commonly associated with appetite. Their findings could shed light on a wide range of memory-related conditions, including posttraumatic stress disorder (PTSD) and Alzheimer disease.

Skill Checkup: Complex Lip Laceration
https://www.medscape.com/viewarticle/919291

Oct 10th, 2019 - Lip lacerations are commonly seen in emergency departments and are among the most common oral-maxillofacial injuries. Careful repair is necessary to minimize infection while ensuring the best cosmetic results and patient satisfaction. The approach in repair depends largely on location and type of injury. Indications Unlike the cosmetically important external facial lacerations that are almost a...

Validation of the Timberlawn Couple and Family Evaluation Scales–Self-Report in Veterans with PTSD
https://www.mdedge.com/fedprac/article/209882/mental-health/validation-timberlawn-couple-and-family-evaluation-scales-self?channel=283
Ryan Holliday, PhD, Nicholas Holder, PhD et. al.

Oct 10th, 2019 - Although about 8. 3% of the general adult civilian population will be diagnosed with posttraumatic stress disorder (PTSD) in their lifetime, rates of PTSD are even higher in the veteran population.

'Chemical Burns' Seen as Possible Cause of Vaping Lung Damage
https://www.medscape.com/viewarticle/919361

Oct 2nd, 2019 - Lung injuries from vaping probably result from direct toxicity or tissue damage caused by noxious chemical fumes, rather than from an accumulation of lipids in the lungs, pathology data suggest. "We were not surprised by what we found, regarding toxicity," Brandon T. Larsen, MD, PhD, a surgical pathologist at the Mayo Clinic, Scottsdale, Arizona, and a national expert in lung pathology, said in...

NIOSH Releases Virtual Toolkit for Emergency Responders
https://www.mdedge.com/fedprac/article/209288/health-policy/niosh-releases-virtual-toolkit-emergency-responders?channel=94
Jan Dyer

Oct 2nd, 2019 - When first responders arrive at a scene where illicit drugs may be present, they could be at risk of dangerous exposure. They might inhale drugs; they can have contact through mucous membranes or through needlesticks.

Philip Morris and Altria Ditch Merger Talks as Juul Faces Crisis
https://www.medscape.com/viewarticle/918960

Sep 25th, 2019 - (Reuters) - Tobacco giants Philip Morris International and Altria Group have scrapped merger talks as Altria-backed e-cigarette maker Juul Labs sank deeper into crisis and said it would suspend advertising in the United States. The abandonment of the talks, announced on Wednesday, comes at a time when e-cigarettes and vaping are facing intense regulatory and health scrutiny. Juul, in which Altr...

Juul Labs suspends advertising in U.S., replaces CEO
https://www.reuters.com/article/us-juul-ceo/juul-labs-suspends-advertising-in-u-s-replaces-ceo-idUSKBN1WA1EC

Sep 25th, 2019 - FILE PHOTO: A sign advertising Juul brand vaping products is seen outside a shop in Manhattan in New York City, New York, U.S., February 6, 2019. REUTERS/Mike Segar - (Reuters) - Juul Labs said on Wednesday it would suspend all broadcast, print and digital product advertising in the United States, and replaced Chief Executive Officer Kevin Burns with Altria Group Inc (MO.N) executive K.C. Crost...

Morning Break: 9th Vaping Death; CBD Guidelines for Arthritis; Big Wasabi Mistake
https://www.medpagetoday.com/primarycare/smoking/82367

Sep 25th, 2019 - Note that some links may require subscriptions. Another person has died from "vaping illness," Kansas Gov. Laura Kelly announced -- bringing the national total to nine. In Massachusetts, Gov. Charlie Baker imposed a 4-month ban on sales of all vaping products. (Boston Globe) And Juul Labs announced a shakeup: the e-cigarette leader said it's suspending all advertising and lobbying activities, a...

Doctor to Face Trial Over Alleged Hospital Sex Offences
https://www.medscape.com/viewarticle/917538

Sep 22nd, 2019 - A doctor is to face trial over alleged sex offences carried out in two hospitals in Buckinghamshire. Thirty-nine-year-old Salman Qureshi from Aylesbury is charged with two counts each of sexual assault of a female, and assault of a female over 13 by penetration. Thames Valley Police said the charges were in connection with incidents at Stoke Mandeville Hospital in Aylesbury, and Wycombe General...