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Possible Bupivacaine Induced Hepatitis Following Wide Awake, Local Anesthesia, No Tourniquet Carpal Tunnel Surgery: A Case Report.
J Hand Surg Glob Online
November 2024
Department of Orthopaedic Surgery, University of Massachusetts Chan Medical School, Worcester, MA.
In this case report, we present a novel occurrence of acute hepatitis 2 weeks after local bupivacaine injection for wide awake, local anesthesia, no tourniquet carpal tunnel release. Laboratory and biopsy analysis confirmed cholestatic, drug-induced hepatitis that was successfully managed with conservative treatment. With a paucity of potential bupivacaine-induced hepatitis cases reported within the literature, the importance of broad differential diagnosis, meticulous medication reconciliation, and consideration of this rare complication should not be understated by the astute hand surgeon.
View Article and Find Full Text PDFArticle Synopsis
- The World Health Assembly set six global nutrition targets (GNTs) in 2012 to improve maternal and child health, but there has been no comprehensive report detailing progress from 2012 to 2021.
- A study evaluated the prevalence and impact of these nutrition targets across 204 countries using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 and projected future trends up to 2050.
- By 2021, only a few countries met some GNTs; most showed increased child overweight and notable decreases in female anaemia, highlighting a connection between societal development status and nutritional challenges.
Weathering the storm: Extreme weather events and their association with PED and PRRS occurrence.
Vet Microbiol
November 2024
Department of Veterinary Population Medicine, University of Minnesota, Saint Paul, MN 55108, USA.
Porcine epidemic diarrhea (PED) and Porcine reproductive and respiratory syndrome (PRRS) are viral diseases that continue to challenge the US swine industry. Despite many known risk factors, unusual circumstances associated with their occurrence continues to be poorly explained. We investigated if extreme weather events (flood, heavy rain, high wind and tornadoes, measured at a county-level) are associated with the occurrence of both diseases up to ten weeks after the occurrence of the weather event using a case control study and logistic regression modeling to control for covariates.
View Article and Find Full Text PDFLevees for a hundred-year flood: impact of a syndrome-based antimicrobial stewardship intervention for coronavirus disease 2019 on antimicrobial use and resistance.
Antimicrob Steward Healthc Epidemiol
September 2024
University of Illinois at Chicago, Chicago, IL, USA.
Coronavirus disease 2019 can be indistinguishable from lower respiratory tract infections (LRTIs) caused by other viral and bacterial agents. This likely contributed to antimicrobial use (AU) and antimicrobial resistance (AMR) during the pandemic. Our antimicrobial stewardship program targeted the selection and duration of therapy for LRTIs and led to a reduction in AU and AMR.
View Article and Find Full Text PDFSyndromic Surveillance in Public Health Emergencies: A Systematic Analysis of Cases Related to Exposure to 2023 Floodwaters in Romagna, Italy.
Healthcare (Basel)
September 2024
Unit of Hygiene, Public Health, and Medical Statistics, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.
Background: In May 2023, Romagna, Italy, faced a devastating flood resulting in 16 fatalities, forced displacement of 26,000 citizens, and significant economic losses. Due to potential water contamination, implementing public health strategies became imperative for the Local Health Authority to mitigate the health consequences, analyze the flood's impact on the local population's health, and detect early anomalies requiring timely public health interventions.
Methods: Between June and July 2023, general practitioners who were part of the RespiVirNet surveillance network completed weekly structured forms.
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