Australian journal of general practice
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SARS-CoV-2 is known to cause milder disease in children when compared with adults, but the extent of this is unclear. The aim of this article is to estimate the case fatality rate (CFR) for SARS-CoV-2 infection and SARS-CoV-2 pneumonia in young children aged <5 years, and compare this with estimated CFRs for respiratory syncytial virus (RSV) and influenza. ⋯ SARS-CoV-2 infection is likely to be less lethal than RSV in children aged <5 years, but more lethal than influenza.
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Review Case Reports
Palliative sedation: A safety net for the relief of refractory and intolerable symptoms at the end of life.
Evidence exists for the use of palliative sedation for people approaching the last days of life with refractory and intolerable symptoms. It is a third-line intervention that deliberately lowers the conscious state to relieve intolerable and refractory symptoms. This level of intervention is not routinely used in primary care, and there is a lack of guidelines for palliative sedation in this context. ⋯ While palliative sedation has been regarded as 'controversial' in early palliative care literature, there has been an increased effort to formulate standardised guidelines to define and ethically justify this procedure.
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Radial-sided wrist pain is a common patient complaint that can have a dramatic effect on the patient's productivity at work, sporting or artistic pursuits and activities of daily living. ⋯ The correct diagnosis of this debilitating tendon condition and the seeking of early treatment yields excellent outcomes for patients. While there are numerous possible aetiologies, the pathophysiology is defined as a stenosing condition of the first dorsal compartment. Assessment elicits pain over the radial styloid that is caused by the restricted glide of the tendons. Ultrasonography has been shown to be useful in diagnosis and treatment planning, especially if an intercompartmental septum is present. Treatment involves corticosteroid injections and orthoses prescriptions. These should not be used in isolation; many other therapy techniques have been shown to be effective in the management of De Quervain's tenosynovitis.