The Journal of the Arkansas Medical Society
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Mesial temporal lobe epilepsy (MTLE) describes recurrent seizure activity originating from the depths of the temporal lobe. MTLE patients who fail two trials of medication now require testing for surgical candidacy at an epilepsy center. ⋯ Moreover, for select patients unable to tolerate open surgery, novel techniques are emerging for selective ablation of the mesial temporal structures, including stereotactic radiosurgery (SRS). We present here a review of SRS as a potential therapy for MTLE, when open surgery is not an option.
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Many Americans have replaced home-cooked meals with fast food and restaurants meals. This contributes to increased incidences of overweight and obesity. Implementing policies that require restaurants to disclose nutrition information has the potential to improve nutrition knowledge and food behaviors. The purpose of this paper was to examine the potential health benefits of nutrient menu labeling in restaurants, the progress of this legislation and to provide results regarding the implementation of these policies. ⋯ Mandating nutrient menu disclosure has the potential to influence a large number of people; this legislation has the opportunity to impact Americans who dine at a fast food or chain restaurant. Given the growing obesity epidemic, continued research is necessary to gauge the effectiveness of this new law and its effects on the health status of the American people.
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Sports concussions are common among children and adolescents, and recent evidence suggests that concussions are more serious injuries than previously thought. Young athletes appear to recover from concussion more slowly than older athletes. ⋯ These newer data on concussions have raised our appreciation of this injury and have informed the development of more conservative treatment guidelines for the child and adolescent athlete. The purpose of this JAMS article is to review the new evidence and the most recent management guidelines regarding sports concussion in the young athlete.