Subjective Cognitive Decline Plus and Longitudinal Assessment and Risk for Cognitive Impairment.

Importance: Subjective cognitive decline (SCD) is recognized to be in the Alzheimer disease (AD) cognitive continuum. The SCD Initiative International Working Group recently proposed SCD-plus (SCD+) features that increase risk for future objective cognitive decline but that have not been assessed in a large community-based setting.

Objective: To assess SCD risk for mild cognitive impairment (MCI), AD, and all-cause dementia, using SCD+ criteria among cognitively normal adults.

Healing the silence.

This essay won the American Association for the Surgery of Trauma Diversity, Equity, and Inclusion essay contest for 2024. I am submitting this as requested by Dr Elliott Haut and Kaitlyn Sanders.

Current Implementation Outcomes of Digital Surgical Simulation in Low- and Middle-Income Countries: Scoping Review.

Background: Digital surgical simulation and telecommunication provides an attractive option for improving surgical skills, widening access to training, and improving patient outcomes; however, it is unclear whether sufficient simulations and telecommunications are accessible, effective, or feasible in low- and middle-income countries (LMICs).

Objective: This study aims to determine which types of surgical simulation tools have been most widely used in LMICs, how surgical simulation technology is being implemented, and what the outcomes of these efforts have been. We also offer recommendations for the future development of digital surgical simulation implementation in LMICs.

Dramatic motor recovery following recanalization in bilateral pontine infarct with restricted diffusion.

On findings of restricted diffusion in a bilateral pontine infarct, imaging solely may not predict a poor clinical outcome as a full motor recovery is possible. Hence, recanalization of an acutely occluded basilar artery should be carefully considered on a case by case basis.

Marginal kidney transplantation: the road less traveled.

Purpose Of Review: Kidney transplantation indisputably confers a significant survival advantage and a better quality of life compared with dialysis, however, because of the increasing demand for kidney transplantation many patients continue to wait prolonged periods for kidney transplantation. The first step to alleviate the shortage is to reduce the discard rate by utilizing more marginal kidneys. This review studied the recent literature on marginal kidney transplantation.