Background
To evaluate the duration of protection against reinfection conferred by a previous SARS-CoV-2 infection in children and adolescents.
Methods
We applied two complementary approaches: a matched test-negative, case-control design and a retrospective cohort design. 458,...
Library & Search Results
Dynamics of Naturally-Acquired Immunity Against SARS-CoV-2 in Children and Adolescents
Parkinson disease primer, part 2: management of motor and nonmotor symptoms
Objective To provide family physicians with an approach to the management of
motor and nonmotor symptoms of Parkinson disease (PD).
Sources of information Published guidelines on the management of PD were
reviewed. Database searches were conducted to retrieve relevant research...
Vitamin D and Risk for Type 2 Diabetes in People With Prediabetes : A Systematic Review and Meta-analysis of Individual Participant Data From 3 Randomized Clinical Trials
Background: The role of vitamin D in people who are at risk for type 2 diabetes remains unclear.
Purpose: To evaluate whether administration of vitamin D decreases risk for diabetes among people with prediabetes.
Data sources: PubMed, Embase, and ClinicalTrials.gov from database...
Diagnosis and management of patients with polyneuropathy
Polyneuropathy is a common neurologic condition with an overall prevalence in the general population of about 1%–3%, increasing to roughly 7% among people older than 65 years. Polyneuropathy has many causes, and can present in many different ways; thus, it requires a logical clinical approach...
Management of Menopausal Symptoms: A Review
Importance: Menopause, due to loss of ovarian follicular activity without another pathological or physiological cause, typically occurs between the ages of 45 years and 56 years. During the menopausal transition, approximately 50% to 75% of women have hot flashes, night sweats, or both (...
Diagnosis and acute management of migraine
Migraine is a leading cause of disability across all age groups.
• Routine imaging is not recommended in patients with migraine
who have no red flags, atypical symptoms or abnormal findings
on neurologic examination.
• A stratified approach for acute migraine treatment...
Topical treatments for anal fissure
Clinical question
How effective are topical treatments (calcium channel blockers [CCBs], nitrates, and vitamin E) for
chronic anal fissures in adults?
Bottom line
Healing rates with topical nitroglycerin are roughly
60% versus 40% with placebo at 8 weeks. Topical...
Normal pressure hydrocephalus treated with ventriculoperitoneal shunt
Normal pressure hydrocephalus is a form of adult hydrocephalus with ventriculomegaly in the absence of any structural blockage of the cerebrospinal fluid circulation.
Normal pressure hydrocephalus is a partially reversible cause of dementia, manifesting with a triad of cognitive...
Parkinson disease primer, part 1: diagnosis
Objective To provide family physicians an updated approach to the diagnosis of Parkinson disease (PD).
Sources of information Published guidelines on the diagnosis and management of PD were reviewed. Database searches were conducted to retrieve relevant research articles published between...
Transient ischemic attack and minor stroke: diagnosis, risk stratification and management
Patients with suspected cerebral ischemia should be urgently assessed to distinguish between transient ischemic attack (TIA), minor stroke or mimics such as migraine, seizure, vertigo or syncope.
The Canadian TIA Score can be used to determine risk for early subsequent stroke in patients...