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Health Well

Interim Estimates of 2017–18 Seasonal Influenza Vaccine Effectiveness — United States, February 2018

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Prevalence of Obesity Among Youths by Household Income and Education Level of Head of Household — United States 2011–2014

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Health-Risk Behaviors and Chronic Conditions Among Adults with Inflammatory Bowel Disease — United States, 2015 and 2016

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Reasons for Electronic Cigarette Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2016

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Trisomy 18: palliative surgical intervention

Trisomy 18 has a poor prognosis,1 2 however, some of the anomalies seen may be amenable to surgery in the neonatal period, therefore providing intensive care including surgery must be carefully considered. We undertook a retrospective review of surgical i ...

Invasive bacterial infections in young afebrile infants with a history of fever

Objective To determine the prevalence of invasive bacterial infections (IBI, pathogenic bacteria in blood or cerebrospinal fluid) in infants less than 90 days old with fever without a source related to the presence or absence of fever on arrival to the eme ...

Inflammatory morphea presenting as a hemifacial acquired port-wine stain

An otherwise healthy 7-year-old girl presented with non-tender, erythematous patches on the left side of her face. The lesions started under the left eye and involved more of the left side of the face with a well demarcated red line on the forehead, nose ...

Cannabis as an anticonvulsant

There are records of the cannabis plant being used for medicinal purposes in ancient times, and in the 19th century it was used as an effective anti-epileptic drug (AED) in children. However, because of its abuse potential, most countries imposed laws res ...

Highlights from the literature

Physical activity is good for brains... We all recommend physical activity (PA) to school-age children because it’s good for their physical health, but could it also benefit their academic performance? Yes, according to a systematic review and meta-analysi ...

Long-term prognosis after childhood kidney disease

Self-limiting kidney conditions are common in children, and we expect most of those with pyelonephritis, glomerulonephritis and other glomerular diseases to make a full recovery. However, a very long-term cohort study from Israel suggests that we should n ...

E-cigarette liquid ingestion: a fast growing accidental issue in children

Electronic nicotine delivery systems (ENDS), commonly known as e-cigarettes, are products that vaporise nicotine-containing liquid.1 The emergence of e-cigarettes as an alternative to smoking tobacco products has raised many issues regarding their safe us ...

NICE recommends kidney cancer drug “likely to be less effective” than current treatments after price deal

The National Institute for Health and Care Excellence (NICE) has recommended tivozanib as an option for treating adults with previously untreated advanced renal cell carcinoma, after the manufacturer... ...

NICE recommends kidney cancer drug “likely to be less effective” than current treatments after price deal

The National Institute for Health and Care Excellence (NICE) has recommended tivozanib as an option for treating adults with previously untreated advanced renal cell carcinoma, after the manufacturer... ...

A Report of a Case Involving Body Lateropulsion with Numbness of the Ipsilesional Fingers Caused by a Small Infarction in the Dorsal Part of the Middle Medulla

Based on the complexity of functional anatomy, a small infarction in the medulla can produce various types of clinical symptoms or signs depending on the location of this infarction. We describe the case of a 46-year-old man who presented with sudden onset ...

A Case of Vulvar Schwannoma Mimicking Epidermoid Cyst

Schwannoma is a generally benign tumor of the peripheral nerve sheath arising from Schwann cells. Most schwannomas are found on the head and neck. Here, we describe a rare case of benign vulvar schwannoma located at the labium majus which was similar to an ...

Severe Adverse Reaction to Vemurafenib in a Pregnant Woman with Metastatic Melanoma

Targeted therapies have drastically changed the management of metastatic melanoma and have shown encouraging results on tumour progression but are also known for their high rates of adverse reactions. In general, targeted therapies are contraindicated duri ...

Implementation of Digital Awareness Strategies to Engage Patients and Providers in a Lung Cancer Screening Program: Retrospective Study

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Intensity-Modulated Radiotherapy Triggers Onset of Bullous Pemphigoid in a Patient with Advanced Melanoma Treated with Nivolumab

Since the efficacy of ipilimumab on nivolumab-resistant advanced melanoma is extremely low, additional supportive therapy for anti-PD-1 antibody therapy-resistant advanced melanoma is needed. Although several supportive therapies that enhance the antitumor ...

Multiloculated Cavitary Primary Pulmonary Hodgkin Lymphoma: Case Series

Primary pulmonary Hodgkin lymphoma (PPHL) is very rare and typically involves the superior portion of the lung. Pulmonary involvement is observed in 15–40% of Hodgkin lymphoma patients. Three such patients who presented with an unusual form of PPHL in radi ...

Burning issues for 2018: long term funding of the NHS

I qualified in 1962 and retired in 2002. I spent considerable time in management, and I now teach medical students. I have experienced many attempts to “improve” the system. ...

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