Longitudinal Assessment of Post-Ureteroscopic Laser Lithotripsy Pain and Opioid Consumption using Text Messaging: Tailoring Pain Management to the Patient.

Introduction: We identified patterns of postoperative pain and opioid consumption and associated factors following ureteroscopy for kidney stones by acquiring real-time data through automated text messages.

Methods: Adult patients undergoing ureteroscopy for kidney stones were prospectively enrolled to receive postoperative pain assessments and opioid consumption inquiries through daily automated text messages. Patients were prompted for pain levels (0 to 10) twice daily and opioid consumption nightly.

Burden of influenza-associated respiratory hospitalizations in the Americas, 2010-2015.

Background: Despite having influenza vaccination policies and programs, countries in the Americas underutilize seasonal influenza vaccine, in part because of insufficient evidence about severe influenza burden. We aimed to estimate the annual burden of influenza-associated respiratory hospitalizations in the Americas.

Methods: Thirty-five countries in the Americas with national influenza surveillance were invited to provide monthly laboratory data and hospital discharges for respiratory illness (International Classification of Diseases 10th edition J codes 0-99) during 2010-2015.

Impact of continuous low-dose antibiotic prophylaxis on growth in children with vesicoureteral reflux.

Background: Continuous antibiotic prophylaxis (CAP) is a mainstay of treatment for children with vesicoureteral reflux (VUR). There has been an increasing focus on the effect of antibiotics on gut microbiota and subsequent repercussions on growth. Continuous antibiotic prophylaxis is generally considered safe; however, its impact on growth in children with VUR remains unknown.

Distal Ureteral Diameter Ratio is Predictive of Breakthrough Febrile Urinary Tract Infection.

Purpose: Distal ureteral diameter ratio is an objective measure that is prognostic of spontaneous resolution of vesicoureteral reflux. Along with likelihood of resolution, improved identification of children at risk for recurrent febrile urinary tract infections may impact management decisions. We evaluated the usefulness of ureteral diameter ratio as a predictive factor for breakthrough febrile urinary tract infections.

The use of multiple Tinel's sign in the identification of patients with peripheral neuropathy.

We have found that the presence of a Tinel's sign is often pervasive in subjects with peripheral neuropathy and/or risk factors for developing it. There is a paucity of research dealing with the usefulness of Tinel's sign as it relates to peripheral neuropathy (PN). The following investigation was carried out to determine if multiple Tinel's sign or MTS can be used to identify patients with an underlying PN or with risk factors for developing a PN.