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Patient Basics: Swimmer’s Ear (Otitis Externa)

...ph nodes near the ear In rare cases, a culture of the drainage is necessary. For a culture, a sample of the draining fluid is treated in a laboratory to see what bacteria or fungi grow. Your doctor also may examine the eardrum to look for signs of middle ear infection. Expected Duration With treatment, symptoms usually improve within 1 to 3 days and go away completely in 7 to 10 days. The problem can return, especially if you don’t take steps to p...

2 Minute Medicine Rewind December 7, 2020

...in London, Ontario with a self-reported pain score of at least 40 mm on a 100 mm visual analogue scale (mean pain score was 60±18 mm for HBB, and 62±17 mm for acetaminophen). The primary outcome was pain score 80 minutes after administering the analgesic, to reflect the drugs’ peak action. Overall, the results showed no difference in pain score: For HBB, the mean score was 29±26 mm, while for acetaminophen, it was 30±29 mm. The adjusted difference...

Patient Basics: Earache

...ticularly if the infant drinks from a bottle while lying on his or her back. For this reason, it is better to hold the baby at least semi-erect during feeding. Children are more prone to earaches if they: Have had ear infections before their first birthday Are frequently exposed to cigarette smoke Have a family history of ear infections Stay in day care Were born premature or at low birth weight Are male (boys have more middle ear infections than...

2 Minute Medicine Rewind October 12, 2020

...h 36 deaths in the intervention and 45 deaths in the placebo (hazard ratio 0.81, 95% CI 0.59 to 1.11, p = 0.18). With regards to safety, there was no difference in arterial thrombotic complications and myocardial infarction, although 8 adverse events occurred in the treatment group, compared to 21 in the placebo group. In some cases, 30-day mortality was lowered in the treatment compared to the placebo, such as when 2 g of additional tranexamic ac...

2 Minute Medicine Rewind July 27, 2020

...over the years, increasing six-fold in the United States between 1975 and 2001. Currently, Barrett’s Esophagus (BE) is the sole known lesion to be a precursor for EAC, and factors such as for obesity, use of tobacco, and gastroesophageal reflux disease (GERD) have been identified as associated risk factors. Currently however, the association between tonsillectomy and development of EAC is not well characterized, despite these procedures being rela...

2 Minute Medicine Rewind June 28, 2021

...ndividuals qualified for shielding, 2.9% received a diagnosis of COVID-19, 0.2% entered critical care, and 0.7% died. When compared to the no risk category, the severe COVID-19 rate ratio was 3.21 (95% CI 3.01-3.41, p < 0.001) for moderate risk and 6.3 (95% CI 5.8-6.8, p < 0.001) for very high risk (shielding eligible) patients. Within the shielding category, solid organ transplant patients were at the great risk, with a rate ratio of 13.4 (95% CI...

Patient Basics: Hearing Loss in Adults

...ative effects of aging on the ears. Hearing loss usually begins after age 60. Both ears are affected. It is typically harder to hear high-pitched tones (women’s voices, violins) than low-pitched ones (men’s voices, bass guitar). Hearing loss usually occurs gradually over a period of years. The person may not realize that he or she has difficulty hearing. Other causes — There are more than 100 different causes of hearing loss in adults. The most co...

2 Minute Medicine Rewind May 31, 2021

...as COVID-19 period. In total, 36,691 emergency room visits were included, 40.2% of which were for appendicitis. The results showed that there was a decrease in all visits at the start of the pandemic, but 5 weeks in, the visits for cholecystitis were returning to normal. The incident rate ratio (IRR) ranged from 0.60-0.76 for the first 3 weeks. For ectopic pregnancy, visits were below the historical volume for 3 weeks during the COVID-19 period, w...

2 Minute Medicine Rewind August 24, 2020

...n children of parents with high income and high educational attainment (HR 0.85, 95% Ci 0.81-0.89; HR 0.72, 95% CI 0.69-0.75 respectively). In terms of air pollution, exposure to particulate matter less than 2.5 um in a diameter was the only factor to be positively associated with asthma and persistent wheezing across all models. For every increase in pollutant concentration by 5 ug/m 3 , the HR was 1.05 (95% CI, 1.03-1.07). Study findings reinfor...

2 Minute Medicine Rewind May 3, 2021

...samples (95% CI 14-34%). Compared to the adult samples, the p-values were 0.003 and < 0.001 respectively for the 11-17 and under 10 age groups, and no significant difference was found between the pediatric age groups (p = 0.5). 48% of children under 10 had asymptomatic infections, compared to 24% of the 11-17 group and 7% of adults. Additionally, the cycle threshold for RT-PCR was lowest in adults (18.7, IQR 17.9-30.4) compared to 22.2 in the 11-...

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