What's New | Decker

Cultural sensitivity and openness is more important than cultural ‘competence’ when treating migrants from diverse backgrounds
Guidelines are available for effective and appropriate use of qualified medical interpreters
Mental health screening is not only to assess effects of prior trauma but to determine challenges in acculturation
There is increasing recognition of the need for preventive counseling and chronic care in migrant women

Cultural sensitivity and openness is more important than cultural ‘competence’ when treating migrants from diverse backgrounds
Guidelines are available for effective and appropriate use of qualified medical interpreters
Mental health screening is not only to assess effects of prior trauma but to determine challenges in acculturation
There is increasing recognition of the need for preventive counseling and chronic care in migrant women

Arthroscopy technique continues to advance, remaining the ideal method for TFCC tear diagnosis and treatment.
Novel SL ligament repair techniques are being developed (i.e., using FCR, palmaris tendons) with promising results.
Data on conservative versus surgical care for fracture-dislocation of the CMCJ is mixed, requiring further study

Currently, there is a belief that the incidence of SS is congruent with the increasing number of serotoninergic agents prescribed and nutraceutical agents, such as St. John’s wort. In 2002, the Toxic Exposure Surveillance System reported 26,633 incidences of exposure to selective serotonin reuptake inhibitors (SSRIs) that caused significant adverse events in 7,349 patients, with a total of 93 deaths within the year.
The Hunter Serotonin Toxicity Criteria are simpler, more sensitive, and more specific compared with Sternbach’s criteria. The Hunter criteria require a patient to have taken a serotoninergic agent and to meet one of the following conditions: spontaneous clonus; inducible clonus with agitation or diaphoresis; ocular clonus with agitation or diaphoresis; tremor with hyperreflexia; hypertonia with temperature above 38ºC (100.4°F) with ocular clonus or inducible clonus.
In the setting of severe hyperthermia (temperature greater than 41°C [105.8°F]), immediate sedation with neuromuscular paralysis and intubation should occur to eliminate excessive muscle activity and thus prevent further complications. Nondepolarizing agents (e.g., vecuronium or atracurium) should be used for paralysis prior to intubation.

Hydrochlorothiazide is not beneficial in treating ICU-acquired hypernatremia
Hypernatremia after hypertonic saline irrigation is rare, but might cause severe complications
Hypercalcemia induces targeted autophagic degradation of aquaporin-2 at the onset of nephrogenic diabetes insipidus
Hypernatremia identified as new predictor of worse clinical outcomes after percutaneous endoscopic gastrostomy placement

Identification of major anxiety disorders observed in adults according to the DSM-5
Description of physiologic, cognitive, and behavioral components of anxiety and their relevance to diagnosis and treatment
Review of cognitive-behavioral treatments and their efficacy for anxiety disorders in adults
Review of pharmacologic treatments and their efficacy for anxiety disorders in adults

Hydrochlorothiazide is not beneficial in treating ICU-acquired hypernatremia
Hypernatremia after hypertonic saline irrigation is rare, but might cause severe complications
Hypercalcemia induces targeted autophagic degradation of aquaporin-2 at the onset of nephrogenic diabetes insipidus
Hypernatremia identified as new predictor of worse clinical outcomes after percutaneous endoscopic gastrostomy placement

Patients with borderline resectable pancreatic adenocarcinoma who are able to undergo successful resection may have survival comparable to patients with resectable disease.
For patients with locally advanced pancreatic adenocarcinoma, neoadjuvant FOLFIRINOX may allow up to 61% of patients to undergo successful resection.
For patients with resectable pancreatic adenocarcinoma and a positive intraoperative frozen section, additional resection to achieve a negative neck margin after a positive frozen section may not be associated with improved overall survival.

Women's Health