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Surgical or medical treatment of obesity-associated type 2 diabetes-an increasing clinical conundrum.
World J Diabetes
October 2024
Adelaide Medical School and Centre of Research Excellence in Translating Nutritional Science to Good Health, University of Adelaide; and Endocrine and Metabolic Unit, Royal Adelaide Hospital, Adelaide 5000, South Australia, Australia.
In this editorial, we comment on the article by He , specifically in relation to the efficacy of bariatric surgery glucagon-like peptide-1 receptor agonist (GLP-1RA) therapy in the management of type 2 diabetes (T2D) associated with obesity. Bariatric surgery has now also been shown to be safe and effective in pre-teens and teenagers with obesity and T2D, but information on newer GLP-1RAs in these groups is predictably limited. In older individuals (age > 65 years), both bariatric surgery and GLP-1RA therapy improve cardiovascular outcomes.
View Article and Find Full Text PDFCase Report: Radiopharmaceutical extravasation, radiation paranoia, and chilling effect.
Front Nucl Med
February 2024
Department of Molecular Imaging, Carilion Clinic, Roanoke, VA, United States.
The Society of Nuclear Medicine and Molecular Imaging (SNMMI) has publicly commented that they do not support the reporting of large extravasations to patients or regulatory bodies. The comment cites recently published articles suggesting that extravasations are infrequent and not severe. The comment stresses the importance of ensuring patients are not apprehensive or resistant to nuclear medicine procedures because of "radiation paranoia" and a "chilling effect" that can result from misinformation.
View Article and Find Full Text PDF[How can we prevent teenage smoking ?].
Rev Med Liege
June 2024
Unité de Recherche Clinique, Centre Hospitalier Henri Laborit, Université de Poitiers, France.
Smoking rates in Europe are falling steadily among teenagers. The main reasons why young people start smoking are highlighted. Preventing young people from starting to smoke is based on a combination of three approaches: firstly, interventions in schools, incorporating educational programs from an early age; secondly, comprehensive tobacco control measures, such as bans on sales to minors and higher taxes on tobacco products; -thirdly, targeted communication campaigns.
View Article and Find Full Text PDFAnti-inflammatories as adjunct treatment for cellulitis: a systematic review and meta-analysis.
CJEM
July 2024
Department of Emergency Medicine, Clinical Epidemiology Unit F660b, University of Ottawa, Ottawa, ON, Canada.
Objectives: Existing guideline recommendations suggest considering corticosteroids for adjunct treatment of cellulitis, but this is based on a single trial with low certainty of evidence. The objective was to determine if anti-inflammatory medication (non-steroidal anti-inflammatory drugs [NSAIDs], corticosteroids) as adjunct cellulitis treatment improves clinical response and cure.
Methods: Systematic review and meta-analysis including randomized controlled trials of patients with cellulitis treated with antibiotics irrespective of age, gender, severity and setting, and an intervention of anti-inflammatories (NSAIDs or corticosteroids) vs.
Managing STEMIs without a Catheterization Lab: A Simulated Scenario to Improve Emergency Clinician Recognition and Execution of Thrombolysis in the Setting of Rural STEMI Management.
J Educ Teach Emerg Med
April 2024
West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV.
Audience: The targeted audience for this simulation is Emergency Medicine (EM) residents. Medical students, advanced practice providers, and staff physicians could all also find educational merit in this scenario.
Background: Cardiovascular disease is the leading cause of death in the United States according to the CDC.
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