Articles related to PUBLIC HEALTH

Genetic mutations, head trauma, and other PD causes are well known or easily identified. However, these causes and risk factors cannot account for the majority of cases. This six-atom molecule that can decaffeinate coffee, degrease metals, and dry clean clothes was identified as a possible PD contributor as early as 1969.

The CDC now calls for screening of all adults aged 18 years or older at least once during their lifetimes. And vaccination should be offered to all who have not previously been vaccinated, regardless of serologic testing results. The CDC is now also recommending screening during every pregnancy, preferably in the first trimester, regardless of a patient’s vaccination status or history of testing.

Pandemic-era telemedicine exceptions that currently allow telehealth prescription of Schedule II narcotics and stimulants without an initial in-person evaluation are to be ended on May 11.

All agree that the well-being of the patient is paramount. But how to find that in the midst of so much hostility and criticism? When the evidence base is weak or disputed, other factors must be weighed, such as how invasive is the recommended intervention.

On May 11th, the public health emergency that loosened some controls on telehealth and remote prescribing comes to an end. What will be the impact on telepsychiatry? Some of the flexibilities introduced by the Ryan Haught Act will continue, but others sunset, and practices will need to adjust.

The question of whether, when, and how children and adolescents with gender dysphoria should be treated medically or surgically is contentious. Gender dysphoria in the United States is being treated with “gender affirming care,” which may include gonadotrophin releasing hormone analogues (GnRHa) to suppress puberty, oestrogen or testosterone to promote secondary sex characteristics, and surgical removal or augmentation of breasts, genitals, or other physical features. At the same time, several European countries have issued guidelines limiting medical intervention in minors and emphasizing psychological care. There is little doubt in the medical community that children in distress require care, but there are concerns about the rapid widespread adoption of interventions and calls for rigorous scientific review from all corners.