Time to evaluation and characteristics of patients evaluated at epilepsy centers within an integrated health care delivery system.

Objective: Rapid patient referral to epilepsy centers may facilitate subsequent disease-modifying surgical and non-surgical treatments. Delays of 15-18 years have been reported from time of epilepsy diagnosis to surgical evaluation in some settings, though patterns for timely guideline-concordant referrals within integrated care models are not well known and could inform strategies for optimizing guideline-concordant access.

Methods: We performed a retrospective cohort study of 1088 patients undergoing epilepsy center evaluation from January 1, 2008 through June 30, 2023 in a Northern California integrated healthcare delivery system (IDS) with a Level 4 Epilepsy Center.

Syphilis cases among pregnant women and newborns in the Military Health System, 2012-2022.

This report presents the rates of maternal syphilis among pregnant women and congenital syphilis among newborns in the Military Health System (MHS) beneficiary population from 2012 to 2022. Medical encounter data from military hospitals and clinics as well as civilian health care facilities were obtained from the Defense Medical Surveillance System (DMSS) to determine pregnancies, live births, and confirmed diagnoses of maternal and congenital syphilis. The rate of maternal syphilis in female MHS beneficiaries increased by 233% between 2012 (n=123, 66.

Effects of live yeast on milk yield, feed efficiency, methane emissions and fertility of high-yielding dairy cows.

Live yeast (Saccharomyces cerevisiae) products have the potential to increase milk yield of dairy cows in early lactation by improving rumen fermentation. Greater milk yields, however, are sometimes associated with poorer reproductive performance. This study aimed to assess the effect of a live yeast supplement on milk yield, methane emissions and reproduction indicators in high-yielding dairy cows.

Cold weather injuries among the active and reserve components of the U.S. Armed Forces, July 2019-June 2024.

Over the 5-year surveillance period, from July 2019 through June 2024, the crude incidence rate of any cold weather injury was 31.1 per 100,000 person-years (p-yrs) for the active component and 6.4 per 100,000 persons for the reserve component of the U.

Genitourinary cancer and family: The reverberating psychological and cardiovascular effects of a genitourinary cancer diagnosis on first-degree relatives and spouses.

Background: The psychological and cardiovascular health impacts on family members of patients who have been diagnosed with cancer have not been well characterized. The purpose of this study is to determine whether a family member's cancer diagnosis influences the risk of psychological illness and cardiovascular disease in first-degree relatives and spouses of patients affected by cancer.

Methods: This retrospective cohort analysis evaluated the risk of psychological illness and cardiovascular disease in first-degree relatives and spouses of patients diagnosed with a genitourinary cancer between 1990 and 2015 compared to relatives of those not diagnosed with a genitourinary cancer.