Trends in obesity prevalence and cardiometabolic risk factor control in US adults with diabetes, 1999-2020.

Objective: Trends in obesity prevalence and trends in control of cardiometabolic risk factors among National Health and Nutrition Examination Survey participants with diabetes from 1999 through 2020 were analyzed.

Methods: Adults who were 20 years or older and who reported having received a diagnosis of diabetes from a physician were included.

Results: The prevalence of overall obesity, obesity class II, and obesity class III increased from 46.

Isolated hematuria and sterile pyuria may indicate systemic lupus erythematosus activity.

Objective: To identify patients presenting with isolated hematuria and/or pyuria in the absence of other systemic lupus erythematosus (SLE) disease activity, describe their demographics, and determine whether they present with evidence of SLE flare in a period adjacent to the presentation.

Methods: We studied patients followed at the University of Toronto Lupus Clinic between 1970 and 2012. An episode of isolated hematuria (> 5 red blood cells per high power field) and/or pyuria (> 5 white blood cells per high power field) was defined as 2 consecutive visits with these findings in the absence of other concurrent SLE manifestations such as proteinuria, casts, or azotemia.

Psychosis with Huntington's disease: role of antipsychotic medications.

This is a case of a 60-year-old man who presented with a 6-month history of increasing agitation and emotional volatility. His family brought him to the emergency room as they were concerned about his threatening and aggressive behaviour. The patient was initially incoherent and uncooperative.

Acute psychosis with attention-deficit/hyperactivity disorder and oppositional-defiant disorder comorbidities.

This is a case of an 18-year-old boy who presented with his mother in the emergency room with a 1-week history of paranoia and bizarre behaviour. His comorbidities included attention-deficit/hyperactivity disorder, oppositional-defiant disorder and mild intellectual delay. At the emergency room he was incoherent, agitated and uncooperative.

School refusal in adolescent young man: could this be an idiopathic amotivational syndrome?

This is the case of a 17-year-old male student who presented to an outpatient clinic with a 3-year episode of increasing anxiety and amotivation related to attending school. Initially affecting only his school work and attendance, the amotivation grew to affect his activities of daily living such as personal hygiene maintenance. There were no discernible psychosocial stressors.