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A Veteran Presenting With Fatigue and Weakness.

Fed Pract

October 2024

Veterans Affairs Boston Healthcare System, West Roxbury, Massachusetts.

: A 65-year-old male veteran presented to the Veterans Affairs Boston Healthcare System (VABHS) emergency department with progressive fatigue, dyspnea on exertion, lightheadedness, and falls over the last month. New bilateral lower extremity numbness up to his knees developed in the week prior to admission and prompted him to seek care. Additional history included 2 episodes of transient loss of consciousness resulting in falls and a week of diarrhea, which had resolved.

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Disseminated superficial porokeratosis (DSP) is a very uncommon dermatologic condition of unknown etiology, characterized by the clonal proliferation of atypical keratinocytes associated with aberrant keratinocyte differentiation. These lead to the development of the specific cornoid lamella that separates atypical from normal keratinocytes. DSP is most frequently encountered in immunosuppressed patients.

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Addressing Public Health Risks: Strategies to Combat Infectious Diseases After the August 2024 Floods in Bangladesh.

J Prev Med Public Health

November 2024

Public Health Promotion and Development Society (PPDS), Dhaka, Bangladesh.

Article Synopsis
  • - The August 2024 floods in Bangladesh caused a major public health crisis, affecting over 5 million people and increasing the risk of waterborne and vector-borne diseases due to contaminated water and disrupted healthcare systems.
  • - Contaminated drinking water has raised threats of diseases such as cholera and malaria, while stagnant floodwaters have heightened mosquito breeding, leading to risks of dengue fever and mental health issues in affected communities.
  • - Immediate action is crucial, focusing on restoring clean water, improving disease monitoring, repairing healthcare services, and addressing mental health, alongside preparing for future disasters based on lessons learned from this event.
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Background: Alcohol-associated liver disease (ALD) is a leading indication for liver transplant (LT) in the United States. Rates of early liver transplant (ELT) with less than 6 months of sobriety have increased substantially. Patients who receive ELT commonly have alcohol-associated hepatitis (AH) and are often too ill to complete an intensive outpatient program (IOP) for alcohol use disorder (AUD) prior to LT.

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Background: There may be an interaction between viral hepatitis and psychiatric disorders during disease progression. Herein, we conducted Mendelian randomization (MR) to explore the causal associations and mediators between viral hepatitis and psychiatric disorders.

Methods: Genome-wide association studies summary data for viral hepatitis [including chronic hepatitis B (CHB) and chronic hepatitis C (CHC)] and psychiatric disorders (including depression, anxiety, schizophrenia, obsessive-compulsive disorder, bipolar disorder, and post-traumatic stress disorder) were obtained.

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