This study aims to determine the necessary preventive measures from the perspective of primary care by examining the demographic characteristics and initial diagnoses of patients who were evaluated by an ophthalmologist following an emergency consultation request. Individuals over the age of 18 who had complete data and were referred for ophthalmic consultation from the emergency department within in 2022 were included in the study. The study retrospectively reviewed the patients' age, gender, diagnoses, status of ophthalmic consultation, whether a forensic report was prepared, and the outcomes of follow-up, hospitalization, or discharge. When examining the diagnoses of patients who were referred for ophthalmic consultation, the majority (60.1%) had eye or periocular trauma, followed by conjunctival diseases (19.8%). Many patients who present to the emergency department with eye complaints have conditions that could be diagnosed in primary care and treated or referred to an eye specialist to prevent further progression. Family physicians serve as the first point of contact for individuals seeking assistance with health issues, highlighting their critical role in protecting eye health. Family physicians should also educate individuals on occupational health and safety, including the prevention and monitoring of occupational accidents and diseases, which make up a significant portion of eye injuries.
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http://dx.doi.org/10.1097/MD.0000000000041696 | DOI Listing |
JMIR Med Inform
March 2025
Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo, Chiba, 260-8677, Japan, 81 432262372.
This study demonstrated that while GPT-4 Turbo had superior specificity when compared to GPT-3.5 Turbo (0.98 vs 0.
View Article and Find Full Text PDFPediatr Infect Dis J
March 2025
Divisions of Pediatric Emergency Medicine and Pediatric Infectious Diseases, Baylor College of Medicine, Houston, Texas.
Background: Infection is a leading cause of death after pediatric heart transplants (PHTs). Understanding of common pathogens is needed to guide testing strategies and empiric antibiotic use.
Methods: We conducted a 3-center retrospective study of PHT recipients ≤18 years old presenting to cardiology clinics or emergency departments (EDs) from 2010 to 2018 for evaluation of suspected infections within 2 years of transplant.
Pediatr Infect Dis J
March 2025
From the Department of Emergency and Transport Medicine, National Center for Child Health and Development, Tokyo, Japan.
Febrile infants 8-60 days of age underwent multiplex polymerase chain reaction (mPCR) testing in the emergency department. The virus-positive rate was 61.3%, with serious bacterial infections (SBIs) at 12.
View Article and Find Full Text PDFPLoS One
March 2025
Department of Infectious Diseases, CHU Nantes, Nantes, France.
Aim(s): To investigate the impact of the absence of specific advice for oral fluid intake, compared to supplementation water intake on the occurrence of post-dural puncture headache.
Design: A prospective, open-label, non-inferiority, multicenter trial including hospitalized patients requiring a diagnostic lumbar puncture in seven hospitals in France.
Methods: Patients were randomly allocated (1:1) either to receive no specific advice on oral fluid intake (FREE-FLUID), or to be encouraged to drink 2 liters of water (CONTROL) within the 2 hours after lumbar puncture.
Am J Public Health
April 2025
Shoshana V. Aronowitz is with the Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA. Megan K. Reed is with the Department of Emergency Medicine and the Center for Connected Care at Sidney Kimmel Medical College, and the College of Population Health, Thomas Jefferson University, Philadelphia.
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