An opinion by the Texas attorney general will keep the Texas Optometry Board (TOB) from exerting influence over the practice of medicine - to a certain point.Unfortunately, risk-based testing introduces physician bias into decisionmaking, and can disproportionately target low-income, minority, and immigrant women. Simultaneously, physicians can overlook screening patients who are white and higher income, placing their infants at risk for drug withdrawal and birth defects. Universal screening has been touted by many physicians and providers because it eliminates risk for discriminatory practices, provides a basis for early detection and education of pregnant women, and directs physicians to provide resources for pregnant women to quit drug use during pregnancy.On March 18, as the COVID 19 crisis accelerated, we converted overnight to "seeing" our patients by video. Our journey into telemedicine was abrupt, and there was a steep learning curve.Obesity causes or contributes to a range of fatal and debilitating health conditions. On top of this, obesity has emerged as one of the largest contributing factors in severe illness and death among those who contract COVID-19, according to several studies.The need for improved training on hemorrhage control in emergencies has been building for decades. Physicians say it's just as important to reach out to the community to promote hemorrhage control in the same way CPR and other life-saving methods are promoted.Any physician can look out over the COVID-19 landscape and see important areas of health care tied to their specialty that are being downplayed or ignored as resources pour into fighting the pandemic and scared patients chose not to come to their doctors' offices.
  There is limited long-term epidemiological data focused on concussions in the United States.
 
  The National Electronic Injury Surveillance System was queried from 1997 to 2019 for concussion diagnoses. National incidence rates, stratified by age and sex, were estimated. Injury mechanisms were ranked.
 
  From 1997 to 2019, there was a 3-fold increase in the diagnosis of concussion from 82,103 (95% CI 77,650-86,555) in 1997 to 261,722 (95% CI 212,156-311,288) in 2019 (p<0.001). Fall-related head-injury mechanisms were most common in very young (<5 year old) and older (>65 year old) patients. Sports-related injuries were most common in those age 5-24 years old.
 
  It remains unclear if the observed two-decade rise in reported concussions represents a true increase in incidence or is indicative of improvements in early detection, diagnosis, and treatment during this time period. Common injury mechanisms described highlight the need for improved age-specific safety recommendations.
 It remains unclear if the observed two-decade rise in reported concussions represents a true increase in incidence or is indicative of improvements in early detection, diagnosis, and treatment during this time period. Common injury mechanisms described highlight the need for improved age-specific safety recommendations.
  Female fitness competitions are increasing in popularity. Athletes are participating in weight-cutting protocols to help reduce body fat percentage to improve muscle definition and physique.
 
  The goal of the study was to investigate weight-cutting practices and determine if these practices were associated with increased injury rates. A survey was distributed at a New England fitness competition.
 
  Thirty-five female fitness competitors participated in the survey at a single competition. The calculated injury rate for female fitness competitors is 0.18 injuries per 1000 hours of training. Age over 35 (p=0.014) and a history of or current eating disorder (p=0.005) were significant risk factors for sustaining an injury. Menstrual cycle abnormalities were present in 11 of 35 individuals (31.4%).
 
  Female fitness competitor injury rates are low; however, injuries were more common in athletes over age 35 and those with either a history of or a current eating disorder.
 Female fitness competitor injury rates are low; however, injuries were more common in athletes over age 35 and those with either a history of or a current eating disorder.This is a case of a 33-year-old male with acute myocardial infarction from complete thrombotic occlusion of the distal left anterior descending and 1st obtuse marginal artery secondary to polyarteritis nodosa. This case highlights the treatment course and need for continued awareness of vasculitis as a cause for myocardial infarction.Thyroid hormones affect every organ system in the body including renal development and physiology, and electrolyte and water homeostasis. These effects happen as a consequence of the combination of direct effects of thyroid hormones on renal tubules and hemodynamic effects of thyroid hormones. As a consequence, both hypothyroidism and hyperthyroidism significantly affect renal function. This case describes a patient with hypothyroidism-related acute kidney injury without rhabdomyolysis, and no additional precipitating factor. While there are many case reports describing hypothyroidism-related rhabdomyolysis leading to acute kidney injury, there are only a handful of case reports on hypothyroidism-related acute kidney injury without rhabdomyolysis.
  Injury rates in runners are as high as 80%.  https://www.selleckchem.com/products/levofloxacin-hydrochloride.html  Here, we focus on the concept of foundational health including sleep, recovery, nutrition, stress and physical health and how it can reduce injuries.
 
  The literature was reviewed to find papers linking running injuries and athletic performance to the foundational health topics discussed.
 
  There are many factors that can improve athletic performance and reduce injuries in runners other than the often-discussed topics training philosophies, footwear, and running form. This paper shows how a multidisciplinary approach including education on sleep, rest, stress, nutrition, strength, and mobility all can improve performance and reduce injuries.
 
  The care and management of an injured runner is multifactorial and the treatment should be as well. By optimizing foundational health, the sports medicine professional will not only reduce injury risk, but also improve performance and overall health.
 The care and management of an injured runner is multifactorial and the treatment should be as well.