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Behavioral Health

Associations between sleep disturbances and concussions in US high school athletes

Mallory Nelson, BS; Madison Reese, BS; Douglas Nolan, DO; Natasha Bray, DO; and Micah Hartwell, PhD
Concussions are some of the most common sports-related injuries in US high school athletes, yet concussions have a wide range of symptoms and stigma that lead to underreporting of symptoms to healthcare professionals and coaches. Previous studies have linked sleep disturbances to increased head injury risk in collegiate athletes, but less is known about this relationship in younger populations. With thousands of high school athletes sustaining concussions annually, this study aimed to explore associations between sleep quantity/quality and concussion history in high school athletes and if these vary by sex or other sociodemographic factors.
General

Efficacy of benralizumab, dupilumab, and tezepelumab in severe asthma: a meta-analysis with eosinophil-stratified subgroup analysis

Ahmed Gamal, MD; and Robert Hostoffer, DO
Severe asthma affects 3–10 % of all asthma patients but accounts for disproportionately high morbidity and mortality. These patients tend to experience more frequent hospitalization compared to mild-to-moderate controlled asthmatics or the general population. Despite optimized inhaler therapy, many patients experience persistent symptoms and impaired lung function. Biologics targeting type-2 inflammation, including benralizumab, dupilumab, and tezepelumab, have emerged as add-on treatments that improve lung function and quality of life. The objective of this meta-analysis was to evaluate the efficacy of benralizumab, dupilumab, and tezepelumab in adults with severe asthma.
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Anterior neck induration as the initial sign of metastatic gastrointestinal adenocarcinoma

Fahad Siddiqui, DO; Jay Nguyen, DO; Victoria Dukharan, MD; and Rajiv Nathoo, MD

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Painful and exophytic tumor on the thigh

A man presented for treatment of dissecting cellulitis of the scalp and hidradenitis suppurativa (HS). He reported an “HS lesion” on his right lateral thigh that was solid, painful, and would “burst” a few times per year for the previous five years. On examination, the patient had a 3.2 × 2.5 cm shiny brown tumor with overlying central scale and mild crust. Read more