A clinical decision-support tool designed to identify hospitalized patients who need thromboembolism prophylaxis and embedded in a hospital's electronic health record led to significantly more appropriate prophylaxis, compared with usual care, and significantly cut the 30-day rate of thromboembolism in a randomized, multicenter trial with more than 10,000 patients.

In overweight adults with no history of diabetes, a low-fat, plant-based vegan diet can reduce visceral fat and significantly improve both pancreatic beta-cell function and insulin resistance, potentially decreasing the risk of type 2 diabetes, according to researchers. The 16-week randomized controlled trial in 73 adults showed that participants who ate a diet of vegetables, grains, legumes, and fruits significantly improved their overall metabolic condition.

@chapal Physicians should urge young patients to maintain normal weight because obesity promotes or accelerates cancer. The literature suggests that obesity-associated cancers in younger patients may be more aggressive and present at more advanced stages, requiring more intensive therapy

@chapal There are a ton of [centrifuge] devices on the market and a lot of differences in the methodology in optimizing the platelet concentration. In addition, there are numerous proprietary collection tubes using different types of anticoagulants and different separator gels that also play a role in the goal of optimizing a platelet-rich and readily activated product.

@chandrima The visual prognosis depends on several factors, as outlined below, and may result in a mild-to-severe decrease in best-corrected visual acuity. Virulence of the organism responsible for the keratitis. Extent and location of the corneal ulcer. Resulting vascularization and/or collagen deposition

@samik Of the 58% of mothers who reported that their child uses a pacifier, 72% reported hand washing the pacifier to clean it, 41% reported sterilizing it, and 12% reported popping it in their mouth to clean it. Mothers could select more than one method of cleaning they used, but 74% reported only one method.

@chapal William Schaffner, MD, an infectious disease expert at Vanderbilt University School of Medicine in Nashville, Tennessee, told Medscape Medical News science has not been able to determine why some people have been able to be stay COVID-free when the virus was raging and exposure was ubiquitous. He said it's important to remember that though some people think they have never had COVID, they may have been asymptomatic or attributed mild symptoms to something else.

@manami Treatment of amebiasis includes pharmacologic therapy, surgical intervention, and preventive measures, as appropriate. Most individuals with amebiasis may be treated on an outpatient basis. Several clinical scenarios may favor inpatient care, as follows:
Severe colitis and hypovolemia requiring intravenous (IV) volume replacement

Liver abscess that is of uncertain etiology or is not responding to empiric therapy

Fulminant colitis requiring surgical evaluation

Peritonitis and suspected amebic liver abscess rupture

Intestinal amebiasis may be mistakenly treated as if it were inflammatory bowel disease (IBD). Accordingly, in all patients with suspected IBD, lower gastrointestinal (GI) endoscopy should be performed before treatment with steroids is initiated.
The following consultations may be helpful:
Infectious disease specialist

General surgeon

GI specialist

@sudeshna Often women assumed more of the childcare and home-schooling responsibilities in their households. As [a] result, we know that more women dropped out of the workforce. Also, past studies indicate that women are more likely to report feelings of burnout than men. The volume of bureaucratic tasks is the main driver of neurologist burnout, similar to that for physicians overall. Lack of control or autonomy, lack of respect from colleagues and more time devoted to electronic health records (EHRs) were also selected as major factors in this year’s report.

@chapal The first line of treatment for cracked heels is using a heel balm. These balms contain ingredients to moisturize, soften, and exfoliate dead skin. Look out for the following ingredients:
urea (Flexitol Heel Balm)
salicylic acid (Kerasal)
alpha-hydroxy acids (Amlactin)
saccharide isomerate
Some heel balms may cause minor stinging or irritation. This is normal. Consult your doctor if the balm continues to bother you or causes severe reactions. Severe cases of cracked heels may require a prescription-strength balm or steroid cream to help reduce inflammation and relieve itching.