Publications by authors named "J Embil"

Background: Blastomycosis is a pulmonary disease caused by Blastomyces spp., a group of pathogenic dimorphic fungi endemic to a number of geographic regions, specifically Manitoba and northwestern Ontario, Canada. Immunosuppression is a major risk factor affecting disease susceptibility, yet host immunity is not well understood.

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Article Synopsis
  • Recent studies show nirmatrelvir-ritonavir is effective for mild to moderate COVID-19 outpatient care, but its impact on hospitalized patients remains unclear.
  • In a Canadian study during the Omicron phase, 13% of hospitalized COVID-19 patients received this treatment, mostly older adults with pre-existing conditions.
  • Results indicate low ICU admission rates and a small percentage of deaths among treated patients, highlighting the need for more research to optimize treatment guidance for hospitalized cases.
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Background: Community physicians may not encounter Charcot arthropathy frequently, and its symptoms and signs may be nonspecific. Patients often have a delay of several months before receiving a formal diagnosis and referral for specialty care. However, limited Canadian data are available.

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The optimal approaches to managing diabetic foot infections remain a challenge for clinicians. Despite an exponential rise in publications investigating different treatment strategies, the various agents studied generally produce comparable results, and high-quality data are scarce. In this systematic review, we searched the medical literature using the PubMed and Embase databases for published studies on the treatment of diabetic foot infections from 30 June 2018 to 30 June 2022.

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The International Working Group on the Diabetic Foot (IWGDF) has published evidence-based guidelines on the management and prevention of diabetes-related foot diseases since 1999. The present guideline is an update of the 2019 IWGDF guideline on the diagnosis and management of foot infections in persons with diabetes mellitus. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework was used for the development of this guideline.

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