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Alzheimers Dement
December 2024
Sheba Medical Center, Joseph Sagol Neuroscience Center, Ramat Gan, Israel.
Background: Cognitive problems are thought to increase vulnerability to geriatric traumatic brain injury (TBI) due to increased fall risk, but little is known about prevalence of cognitive impairment and Alzheimer's disease and related dementias (ADRD) among elders who receive treatment for a TBI.
Method: Enrollees 65 and older in the nationally representative Health and Retirement Study (HRS) who consented to link survey data to Medicare claims and without a TBI prior to enrollment were studied. We used claims 2000-2018 to obtain incident TBI diagnoses, defined using inpatient and outpatient International Classification of Disease (ICD) 9 and 10 codes received the same day as an emergency room (ER) visit code and a computed tomography (CT) scan code.
Artificial Intelligence-Powered Training Database for Clinical Thinking: App Development Study.
JMIR Form Res
January 2025
Centre for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.
Background: With the development of artificial intelligence (AI), medicine has entered the era of intelligent medicine, and various aspects, such as medical education and talent cultivation, are also being redefined. The cultivation of clinical thinking abilities poses a formidable challenge even for seasoned clinical educators, as offline training modalities often fall short in bridging the divide between current practice and the desired ideal. Consequently, there arises an imperative need for the expeditious development of a web-based database, tailored to empower physicians in their quest to learn and hone their clinical reasoning skills.
View Article and Find Full Text PDFChallenges of Treating a C2 Odontoid Fracture in an Elderly Patient With Multiple Comorbidities: A Case Report.
Cureus
December 2024
Department of Osteopathic Manipulative Medicine, Liberty University College of Osteopathic Medicine, Lynchburg, USA.
An 88-year-old male with a history of cervical spondylosis (status post laminectomy of C2-C3 and laminoplasty of C4-C5), chronic congestive heart failure (CHF), pulmonary embolism, and lumbar spinal stenosis presented to an outpatient sports medicine clinic with neck pain following a fall five days prior due to loss of balance. He reported pain on the left side worsened by movement and accompanied by neck "clicking." A physical exam showed severe limitation in cervical spine extension limited by pain and loss of lordotic curve and a neurologic exam demonstrated weakness in the left leg secondary to a previous back surgery.
View Article and Find Full Text PDFThe association of hypokalemia with meropenem administration: A case report and literature review.
J Res Med Sci
November 2024
Department of Geriatric Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK.
We report the case of a 72-year-old woman who was admitted following a fall and sustained a right neck of femur fracture. Prior to this admission, she was undergoing chemotherapy for lung cancer. Upon this admission, it was noted that she had developed neutropenic sepsis.
View Article and Find Full Text PDFFrontiers in Pulmonary Hypertension: A Comprehensive Insight of Etiological Advances.
Curr Rev Clin Exp Pharmacol
December 2024
School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, Punjab, India.
Pulmonary hypertension (PH) is a severe, progressive disorder characterized by elevated pulmonary arterial pressure, leading to right ventricular failure and increased mortality. Despite advancements in management, the median survival for PH patients remains 5-7 years, with an inhospital mortality rate of approximately 6%. The core pathological feature of PH is pulmonary vascular remodeling (PVR), a multifactorial process involving endothelial dysfunction, inflammation, and aberrant immune responses.
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