Deprecated: Return type of DrupalCacheArray::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 362

Deprecated: Return type of DrupalCacheArray::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 369

Deprecated: Return type of DrupalCacheArray::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 381

Deprecated: Return type of DrupalCacheArray::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 388
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  • Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2244 of /home/rprlib/prod72/www/includes/database/database.inc).
  • Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home/rprlib/prod72/www/includes/database/database.inc).
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Sentinel injuries and indicators of child physical abuse

Author/s: Hannah McDowell, Suzanne Kathleen Robinson, Megan Cooney, Ashley Stewart-Tufescu, Tracie O. Afifi

Signs of physical abuse in pre-cruising infants are often overlooked
Sentinel injuries are minor, unexplained injuries in pre-cruising infants that are often the first indication of physical abuse, which may precede more serious harm. In one study, more than 25% of abused infants had had a...

Keywords/Tags:
child abuse physical abuse Signs of abuse

Type 1 Diabetes: A Review

Author/s: Laura M Jacobsen, Desmond A. Schatz

Importance Type 1 diabetes is defined by hyperglycemia due to autoimmune destruction of the insulin-producing beta cells in the pancreas, leading to insulin deficiency, and accounts for 5% to 10% of all cases of diabetes. Type 1 diabetes affects approximately 2 million people in the US and 8.4...

Keywords/Tags:
diabetes type 1 Insulin Therapy Hyperglycemia

Evidence-Based Footwear Recommendations for Older Adults: Enhancing Mobility, Comfort, and Fall Prevention

Author/s: C Ray Cheever, Hyoungjun Sim, Mohamed Y. Ahmidouch, Jaewon Moon, Anissa Powell, Rayad B. Shams, Matthew Wang, Madison Hunter, Samantha Kodikara, Lindsay A. Wilson, Michael T. Gross

Background: Older adults often struggle to find footwear suitable for their clinical needs, thus affecting mobility, safety, and quality of life. Proper footwear is important due to fall risk, balance impairments, knee osteoarthritis (OA), hallux rigidus, plantar fasciitis, diabetic neuropathy,...

Keywords/Tags:
Fall prevention older adults Orthoses Pain Shoes Foot Orthoses

AAP Releases Its Own Childhood and Adolescent Immunization Schedule

Author/s: Samantha Anderer

The AAP recommends vaccines to protect children against 18 diseases. The updated CDC schedule removed routine recommendations for hepatitis A and B, COVID-19, respiratory syncytial virus, rotavirus, influenza, and meningococcal disease, instead only recommending them for certain groups at high...

Keywords/Tags:
Immunization Schedule Respiratory Syncytial Viruses Human Papillomavirus Viruses vaccines Combined Chickenpox Vaccine Rubella Vaccine

Medications for essential tremor

Author/s: Allison Paige, Samantha S. Moe

Clinical question
How effective are β-blockers and other first-line agents for essential tremor?

Bottom line
Older, small randomized controlled trials (RCTs) show that propranolol reduces tremor severity (about 2 points more than placebo on 10- to 15-point scales) and leads to...

Keywords/Tags:
essential tremor Upper Limb Tremor propranolol Sotalol Metoprolol Primidone Topiramate atenolol

Approach to mallet finger injury: Practical guide for Canadian primary care physicians

Author/s: Vincent Dinh, Marisa Market, Kevin Cheung

Objective: To provide primary care physicians with an evidence-based approach to recognizing and managing mallet finger injuries.

Sources of information: A literature search was conducted in PubMed and Google Scholar using relevant key words and subject headings. Recommendations were...

Keywords/Tags:
Finger Injuries Mallet Finger Hand injuries Hand Deformities Splints Tendon Injuries

Medications for Opioid Use Disorder, Opioid Withdrawal, and Opioid Overdose: A Review

Author/s: Miriam T H Harris, Zoe M Weinstein, Alexander Y Walley

Importance: Opioid use disorder (OUD) involves compulsive opioid use that causes substantial distress or impairment at work, school, or home. OUD, which is the third most prevalent substance use disorder worldwide, affected an estimated 3.7% of US adults (9 367 000) in 2022 and caused 53 774...

Keywords/Tags:
Opiates Opioid Use Disorder opioid abuse opioid overdose methadone

Risk Factors for the Development of Food Allergy in Infants and Children: A Systematic Review and Meta-Analysis

Author/s: Nazmul Islam, Alexandro W L Chu, Falana Sheriff, Farid Foroutan, Gordon H Guyatt, Romina Brignardello-Petersen, Paul Oykhman, Alfonso Iorio, Ariel Izcovich, Katherine M Morrison, Yetiani Roldan Benitez

Importance: The incidence and risk (predictive) factors for early life food allergy development remain uncertain.

Objective: To estimate the incidence and quantify risk factors for food allergy development.

Data sources: MEDLINE and Embase were systematically searched to January 1...

Keywords/Tags:
Food Allergies Development antibiotics children infant Allergies Allergens Food Hypersensitivity

Management of Premenstrual Disorders

Author/s: Rebeca Ortiz Worthington, Lindsey M Eastman, Jason T Alexander

Premenstrual disorders encompass a spectrum of cyclic affective and physical symptoms that interfere with daily functioning, occurring during the luteal phase and resolving with or immediately following menstruation. Premenstrual disorders may be caused by fluctuations of estrogen in the luteal...

Keywords/Tags:
Premenstrual Dysphoric Disorder Luteal Phase menstruation Affective Symptoms

Calcium pyrophosphate deposition disease

Author/s: Timothy S.H. Kwok, Gregory Choy

Calcium pyrophosphate deposition (CPPD) disease is caused by CPP crystal accumulation in musculoskeletal tissues, leading to inflammation
Symptomatic CPPD disease (formerly known as “pseudogout”) is more common in older than younger adults and typically affects joints with previous damage...

Keywords/Tags:
pseudogout calcium pyrophosphate deposition disease

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