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Healthcare Risk Management     Full-text available via subscription   (Followers: 6)
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Healthcare Risk Management
Number of Followers: 6  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1081-6534
Published by AHC Media Homepage  [1 journal]
  • Does the Completeness of Coronary Revascularization Affect the Outcome of
           Transcatheter Aortic Valve Replacement'

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      Abstract: In this study of data from the REVASC TAVI registry, completeness of myocardial revascularization did not significantly affect the risk of all-cause mortality or the combined endpoint of death, stroke, myocardial infarction, or heart failure hospitalization at two years.
      PubDate: Fri, 20 Jan 2023 02:00:00 -080
       
  • Outcomes for Patients Undergoing Transcatheter Edge-to-Edge Repair for
           Functional Mitral Regurgitation

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      Abstract: Researchers analyzed transcutaneous mitral valve repair in patients with moderate-to-severe or worse mitral valve regurgitation caused by cardiomyopathy and heart failure despite maximally tolerated guideline-directed medical therapy. Compared to medical therapy alone, undergoing repair resulted in fewer heart failure and other cardiovascular disease hospitalizations and significantly more time free of hospitalization and death.
      PubDate: Fri, 20 Jan 2023 02:00:00 -080
       
  • Ablation vs. Drug Therapy for Atrial Fibrillation, Revisited

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      Abstract: A three-year follow-up of EARLY-AF, a study of relatively young and healthy patients with recent atrial fibrillation, showed cryoablation remains superior to drug therapy for preventing the development of persistent atrial fibrillation.
      PubDate: Fri, 20 Jan 2023 02:00:00 -080
       
  • Is Chlorthalidone Superior to Hydrochlorothiazide for Treating
           Hypertension'

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      Abstract: Randomly switching half of patients with hypertension on hydrochlorothiazide to chlorthalidone did not produce any difference in major cardiovascular outcomes.
      PubDate: Fri, 20 Jan 2023 02:00:00 -080
       
  • An Easy Measure of Potentially Harmful Salt Intake

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      Abstract: Those who rarely or never added salt to their food and strongly adhered to the Dietary Approaches to Stop Hypertension diet exhibited the lowest incidence of subsequent cardiovascular disease.
      PubDate: Fri, 20 Jan 2023 02:00:00 -080
       
  • Instituting Pediatric Readiness Standards Saves Lives

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      Abstract: Emergency departments that fully adopted national guidelines reported lower mortality rates.
      PubDate: Tue, 17 Jan 2023 02:00:00 -080
       
  • Congress Formally Ends X-Waiver Requirement

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      Abstract: Lawmakers remove this barrier to treating opioid use disorder.
      PubDate: Mon, 16 Jan 2023 02:00:00 -080
       
  • Group Publishes Guideline for Evaluating and Treating Obesity in Young
           Patients

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      Abstract: American Academy of Pediatrics offers more than a dozen evidence-based key action statements to help physicians treat children and adolescents.
      PubDate: Mon, 16 Jan 2023 02:00:00 -080
       
  • Black and Hispanic People Are Less Likely to Receive Out-of-Hospital
           Bystander CPR Regardless of Cardiac Arrest Location

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      Abstract: Based on a large U.S. registry that included information on witnessed out-of-hospital cardiac arrests, Black and Hispanic people were less likely than white people to receive bystander cardiopulmonary resuscitation, independent of the neighborhood where the cardiac arrest occurred.
      PubDate: Thu, 12 Jan 2023 11:07:00 -080
       
  • Apixaban Had Lower Risk of GI Bleed than Other Oral Anticoagulants in
           Patients with Atrial Fibrillation

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      Abstract: In this multinational, population-based cohort study among patients with atrial fibrillation, apixaban use was associated with lower risk of gastrointestinal bleeding with similar rates of ischemic stroke or systemic embolism, intracranial hemorrhage, and all-cause mortality.
      PubDate: Thu, 12 Jan 2023 11:03:00 -080
       
  • An Early Rigorous Mobilization Approach Did Not Increase Number of Days
           Out of the Hospital for Intubated Patients

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      Abstract: Among adults requiring invasive mechanical ventilation, the TEAM study reported that increased early mobilization resulted in no significant difference in the number of days that patients were alive and out of the hospital at 180 days after randomization.
      PubDate: Thu, 12 Jan 2023 10:54:00 -080
       
  • Noninvasive Ventilation Can Be Used Safely for Patients with COVID-19

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      Abstract: When appropriate precautions (adequate room ventilation, use of total face masks, dual-limb circuits, and filters) are used, environmental contamination of SARS-CoV-2 during noninvasive ventilation is low. Noninvasive ventilation does not appear to increase the risk of COVID-19 infection for healthcare workers or patients when precautions are applied.
      PubDate: Thu, 12 Jan 2023 10:40:00 -080
       
  • Physicians Can Suffer Moral Injury if Oath to Patients Is Broken

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      Abstract: Long before the pandemic, physicians were suffering from “moral injury” — a violation of one’s values, ethical code, or sworn duty — because too often they had to choose between their patients and the profits and performance measures of corporate medicine, claims the author of a new book.
      PubDate: Thu, 12 Jan 2023 02:00:00 -080
       
  • OSHA COVID-19 Draft Rule in Healthcare Expected Soon

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      Abstract: As this report was filed, OSHA had finalized the COVID-19 standard to protect healthcare workers and submitted it to the White House. On Dec. 8, 2022, OSHA sent the standard to the Office of Management and Budget, with a decision on its fate expected sometime in early 2023.
      PubDate: Thu, 12 Jan 2023 02:00:00 -080
       
  • OSHA Violence Prevention Draft Regulation Expected in 2023

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      Abstract: With the COVID-19 standard moving through the final stages toward finalization, OSHA is expected to next issue a violence prevention draft standard for healthcare in 2023.
      PubDate: Thu, 12 Jan 2023 02:00:00 -080
       
  • CDC Updates Rabies Guidance for Healthcare Workers

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      Abstract: The CDC has updated its guidelines for occupational exposure to rabies to emphasize the rare but real risk to healthcare workers.
      PubDate: Thu, 12 Jan 2023 02:00:00 -080
       
  • Healthcare Workers Weather Respiratory Onslaught

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      Abstract: In a seemingly interminable viral winter, healthcare workers are facing a rare convergence of a pandemic virus and unusually high levels of seasonal flu and respiratory syncytial virus. Some are tired and sick; others sick of being tired. As EDs stretch capacity to the limits to treat respiratory patients, others with various conditions and critical needs are backed up.
      PubDate: Thu, 12 Jan 2023 02:00:00 -080
       
  • Pregnancy in Abortion-Ban States Is Becoming More Dangerous

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      Abstract: Maternal care and delivery services already are lacking for many pregnant people in the United States, especially in states that have enacted the most restrictive abortion bans nationally. The COVID-19 pandemic and subsequent healthcare labor shortages resulted in more hospitals ending maternal care and delivery. The overturn of Roe v. Wade likely will worsen this already worrisome situation as fewer ED physicians will be trained and experienced in performing an abortion procedure — even to save a pregnant patient’s life.
      PubDate: Wed, 11 Jan 2023 12:19:00 -080
       
  • Potentially Wide-Ranging Effects of Abortion Bans on Women’s Health
           and Safety

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      Abstract: In June 2022, the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization overturned the constitutional right to abortion care. Data are not yet available on whether medical schools and residency programs in abortion-ban states will teach students about abortion or provide any opportunities for hands-on experience with abortion care. Or they could be taught abortion procedures without actual human patients. Media reports indicate that medical students are using papayas in place of a cervix to learn the procedure in some cities.
      PubDate: Wed, 11 Jan 2023 12:05:00 -080
       
  • Premenstrual Anxiety, Mood Swings Are Common Among Women Worldwide

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      Abstract: New research shows that women worldwide experience unpleasant premenstrual symtoms, including food cravings (85%) and mood swings or anxiety (64%). Other reported symptoms included fatigue, irritability, bloating, and breast tenderness.
      PubDate: Wed, 11 Jan 2023 11:54:00 -080
       
  • Telehealth for Contraception Works, Increasing Access for Patients

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      Abstract: Contraceptive care providers and staff wish to sustain telehealth long past the COVID-19 pandemic era in which telehealth was more widely used, according to a recent study of telehealth in Illinois.
      PubDate: Wed, 11 Jan 2023 11:39:00 -080
       
  • FDA’s Change to Emergency Contraception Labeling Is Good News for
           Women

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      Abstract: In a move that expands access to contraception, the FDA announced that it was changing packaging labels for Plan B, the emergency contraceptive pill that is available over the counter. The box no longer will carry the baseless claim that the pill may prevent a fertilized egg from implanting in the womb.
      PubDate: Wed, 11 Jan 2023 11:26:00 -080
       
  • Social Media Trends Are Moving Against Contraception Access

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      Abstract: Reproductive health advocates and providers should be aware of a disturbing social media trend that appears to be moving in the same direction as the early anti-Roe efforts in the 1980s. Decades of attacks on abortion changed enough people’s opinions on abortion to lay the groundwork for the Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision.
      PubDate: Wed, 11 Jan 2023 11:12:00 -080
       
  • Fully Funded Access to Contraception Can Change an Entire
           Population’s Lives

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      Abstract: The results of Colorado’s contraception expansion experiment are in, showing a dramatic improvement in women’s lives during the period in which Title X programs were fully funded through a grant. The Colorado Family Planning Initiative profoundly affected adolescent girls and young adults, resulting in a 6% to 12% increase in women obtaining their college degrees compared to earlier cohorts that did not benefit from the expanded contraception program, according to study results.
      PubDate: Wed, 11 Jan 2023 10:58:00 -080
       
  • Probiotics and Iron Intake in Pregnancy

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      Abstract: In a randomized controlled trial, a significantly smaller decrease in serum ferritin was observed in pregnant women with the intake of a Lactiplantibacillus plantarum 299v supplement containing a low dose of iron, folic acid, and ascorbic acid than in the placebo group.
      PubDate: Wed, 11 Jan 2023 10:50:00 -080
       
  • Provider Perceptions of Neonatal Survival for Fetuses Born at 22 Weeks of
           Gestation

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      Abstract: Prognostic differences exist among neonatal and obstetric care providers when neonates are delivered at 22 weeks of gestation. However, there are no statistically significant differences in the gestational age at which providers recommend active treatment or antenatal corticosteroids.
      PubDate: Wed, 11 Jan 2023 10:35:00 -080
       
  • New Treatments for Uterine Fibroids

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      Abstract: In this prospective, open-label, single-arm trial of 149 individuals with heavy menstrual bleeding and uterine leiomyomas, daily relugolix combination therapy (relugolix 40 mg, estradiol 1 mg, and norethindrone acetate 0.5 mg) resulted in a mean menstrual blood loss reduction of 90%, and 70% of the participants achieved amenorrhea by the end of the 52-week period. Similar results were found for other arms of the trial among women who crossed over from placebo and relugolix-only therapy to relugolix combination therapy.
      PubDate: Wed, 11 Jan 2023 10:18:00 -080
       
  • #IUD on TikTok: An Analysis of Intrauterine Device-Related Content on
           Social Media

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      Abstract: The top 100 videos on the social media platform TikTok were compiled and systematically analyzed for user demographics and video content. More videos had a negative tone, particularly those conveying patient experiences related to pain and informed consent.
      PubDate: Wed, 11 Jan 2023 10:10:00 -080
       
  • Clinicians Are Ethically Obligated to Consider Financial Side of Care

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      Abstract: Clinicians should include the cost of care in discussions, help patients access charity care or financial counseling, and screen patients for social determinants of health.
      PubDate: Fri, 06 Jan 2023 13:10:00 -080
       
  • Effectively Intervening with Patients Facing Housing Instability

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      Abstract: The notion that housing is healthcare stems from a growing body of research that links housing instability with higher rates of morbidity and mortality. There is a moral and humanitarian case for healthcare organizations to engage on the housing issue, but there also is a business case. But precisely how healthcare organizations should go about this work is not yet well established. Thus, IHI has partnered with Community Solutions, a nonprofit organization that is working to end homelessness, to examine how healthcare can play an effective role in addressing the problem.
      PubDate: Fri, 06 Jan 2023 13:01:00 -080
       
  • Better Care Communication Needed for Home Health

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      Abstract: Researchers wanted to know if there is an association between home health and gaps in care coordination among providers. They found patients receiving home healthcare are sicker, experienced more functional dependencies, and reported more preventable drug-drug interactions. While home health was not associated with a difference in gaps of care coordination, it was associated with twice the risk of a preventable adverse outcome.
      PubDate: Fri, 06 Jan 2023 12:48:00 -080
       
  • Integrated Care Teams Should Include Social Workers

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      Abstract: Integrated care teams sometimes lack a social worker, which can undermine the team’s work and success. It is a shortsighted tactic because social workers can help with case management and care coordination in a variety of ways, including intake assessment and behavioral interventions, according to recent research.
      PubDate: Fri, 06 Jan 2023 12:35:00 -080
       
  • Study Reveals Positive Benefits of COPD Transition Bundle

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      Abstract: A study of a care transition bundle that included a care coordinator revealed COPD patients in the bundle cohort were less likely to be readmitted to the hospital within seven days and 30 days, but 90-day readmissions were unchanged.
      PubDate: Fri, 06 Jan 2023 12:26:00 -080
       
  • Many Safety Net, Rural Hospitals Do Not Properly Address Social Needs

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      Abstract: Safety net hospitals, critical care hospitals, and rural hospitals often do less than needed to address the social determinants of health of their vulnerable populations, particularly during the COVID-19 pandemic, new research shows.
      PubDate: Fri, 06 Jan 2023 12:04:00 -080
       
  • How Case Managers Can Improve SDOH Assessments

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      Abstract: Case managers can use several different tactics to improve their assessments of social determinants of health. These may require extra time, but they can yield big rewards in terms of patients’ health and preventing readmissions.
      PubDate: Fri, 06 Jan 2023 11:53:00 -080
       
  • Case Management Leaders Advocate for Improved SDOH Assessments

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      Abstract: Improving social determinants of health assessments will help the healthcare industry evolve and improve medical care and efficiency. Case management leaders should collect data to show hospital leaders how their work with social determinants can help a health system meet its goals.
      PubDate: Fri, 06 Jan 2023 11:40:00 -080
       
  • Malpractice Lawsuits Allege Wrongful Prolongation of Life

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      Abstract: The top problems in these cases are charting and communication among caregivers.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Body Weight Decline in Cognitively Intact Older Adults May Predict Future
           Cognitive Impairment

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      Abstract: Among cognitively intact individuals, those who developed mild cognitive impairment (MCI) recorded faster body mass index (BMI) decline and significantly lower BMI seven years before MCI diagnosis.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Leverage Telemedicine to Speed Care for Lower-Acuity Patients

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      Abstract: By leveraging telemedicine technology, the ED at Stanford Hospital established a Virtual Visit Track, a solution that accelerated care for lower-acuity patients and helped staff effectively manage at least some of its pandemic-related challenges. Furthermore, it is an approach that might even be more applicable for health systems that operate multiple EDs.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Is Red Meat Really Unhealthy'

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      Abstract: A thorough review of the evidence raises questions about the health risks of eating unprocessed red meat.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • During Patient Surges, Rapid Assessment Zone Reduces Risk for EDs

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      Abstract: Using this approach, an ED reported declines in the rate of patients who leave without seeing clinicians, along with shorter median arrival-to-provider and length of stay times.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Triglyceride-Lowering Therapy and Cardiovascular Events

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      Abstract: Researchers studied pemafibrate vs. placebo in patients with type 2 diabetes, mild-to-moderate triglyceride elevations, and low levels of HDL and well-controlled LDL cholesterol. Despite a 31% reduction in triglyceride levels, there was no improvement in the risk of cardiovascular outcomes over a median follow-up of 3.4 years.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Concerned About Understaffing, ED Nurse Calls 911 for Help

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      Abstract: Although ill-advised, this extreme move underscores healthcare providers' feelings of desperation amid ongoing staffing problems.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • COVID-19: Beware Remdesivir Resistance

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      Abstract: Researchers reported two immunosuppressed renal transplant recipients with persistent SARS-CoV-2 infection in association with the new emergence of mutations in RNA-dependent RNA polymerase after remdesivir treatment.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • EMS-Driven Protocol Delivers a Low-Barrier Pathway to OUD Treatment

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      Abstract: What if pre-hospital providers were empowered to both initiate overdose patients onto medication-assisted treatment in the field and also schedule follow-up appointments for ongoing care'
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Is Screening for Atrial Fibrillation Cost Effective'

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      Abstract: Self-screening for atrial fibrillation in elderly individuals could lead to lower stroke rates, prevent bleeding-related hospitalizations, and save money.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Trauma Patients at Risk for Developing Opioid Use Disorder

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      Abstract: Better identification and referral of patients with opioid use disorder could enhance the quality and continuity of care these patients receive, while also reducing reliance on EDs and the crowding that ensues.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Fecal Microbiota, live-jslm (Rebyota)

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      Abstract: Rebyota can be prescribed to prevent recurring Clostridioides difficile infection for patients age 18 years and older who are following antibiotic treatment for recurring episodes.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Effectively Intervening with Patients Facing Housing Instability

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      Abstract: There is a moral and humanitarian case for healthcare organizations to engage on the housing issue, but there also is a business case.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Is AV Block Complete'

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      Abstract: Does the ECG in the figure represent complete AV block' If not, why not'
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • To Understand a Patient’s Housing Status, Ask the Right Questions

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      Abstract: Staff at every point of contact should be alert to relevant patient needs, including housing status, food insecurity, and ability to pay. All these go into making medicine human.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Some ED Patients Undergo Unwanted End-of-Life Care

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      Abstract: Despite uncertainty, it is possible to provide value-concordant care in the ED. Identify those patients, and initiate decisions based on goals of care, not just by a default reflexive pathway. This could help improve patients’ experiences and outcomes broadly, by targeting the right treatments to the right patients.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Multiple Legal Issues with ED End-of-Life Care

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      Abstract: An attorney argues missing the opportunity to respect autonomy in care decision-making for a patient who no longer desires curative care should be considered a poor outcome.
      PubDate: Fri, 06 Jan 2023 02:00:00 -080
       
  • Evaluation and Treatment of Acute Ischemic Stroke

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      Abstract: The primary goal of acute stroke care is to salvage as much brain tissue as possible by identifying patients likely to benefit from IV thrombolysis and/or endovascular thrombectomy and delivering treatment safely and promptly.
      PubDate: Wed, 04 Jan 2023 13:43:00 -080
       
  • Federal Council Aims to Cut U.S. Homeless Rate by 25% by 2025

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      Abstract: This is part of a long-term plan to end homelessness.
      PubDate: Fri, 23 Dec 2022 02:00:00 -080
       
  • Alzheimer’s Research Funding Receives Boost

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      Abstract: The fiscal year 2023 federal budget also includes provisions to strengthen accelerated drug approval and Alzheimer’s public health infrastructure.
      PubDate: Thu, 22 Dec 2022 02:00:00 -080
       
  • How Does Public Policy Affect Diet and Health'

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      Abstract: The World Health Organization sponsored this systemic review and meta-analysis to analyze the effect of food subsidies and taxes on population-level changes in diet and health outcomes.
      PubDate: Thu, 22 Dec 2022 02:00:00 -080
       
  • Mediterranean vs. Low-Fat Diet for Secondary Prevention

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      Abstract: A study of stable coronary heart disease patients comparing the Mediterranean diet to a low-fat diet over a seven-year follow-up showed the Mediterranean diet was superior at preventing major cardiovascular events.
      PubDate: Thu, 22 Dec 2022 02:00:00 -080
       
  • Effects of Sodium Restriction in Chronic, Stable Heart Failure Patients

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      Abstract: A study of a low-sodium diet for chronic, stable heart failure patients after one year showed no difference in hard clinical outcomes, but the degree of sodium restriction was modest.
      PubDate: Thu, 22 Dec 2022 02:00:00 -080
       
  • Do NSAIDs Cause More Chronic Pain'

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      Abstract: Acute inflammation may protect against the development of chronic pain through neutrophil activation. Using nonsteroidal anti-inflammatory drugs may blunt that response and contribute to chronic pain.
      PubDate: Thu, 22 Dec 2022 02:00:00 -080
       
  • NIH Funds Research Network on Harm Reduction

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      Abstract: Grants will support scientists studying novel tactics to prevent opioid overdose deaths.
      PubDate: Wed, 21 Dec 2022 02:00:00 -080
       
  • Spontaneous Subarachnoid Hemorrhage

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      Abstract: This article reviews the typical and atypical presentations of spontaneous subarachnoid hemorrhage and its complications. It also will discuss management of spontaneous subarachnoid hemorrhage and its complications, with a focus on treatment in the emergency setting.
      PubDate: Tue, 20 Dec 2022 06:58:00 -080
       
  • Cerebral Amyloid Angiopathy and Brain Hemorrhage

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      Abstract: When comparing the time course of hematoma expansion between deep hematomas and lobar hematomas from cerebral amyloid angiopathy (CAA) and other etiologies, lobar hematomas from CAA show greater expansion and a longer period of risk for hematoma growth compared to deep hematomas.
      PubDate: Tue, 20 Dec 2022 06:41:00 -080
       
  • Brain Iron Chelation with Deferiprone in Parkinson’s Disease

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      Abstract: In a randomized, placebo-controlled treatment trial, deferiprone administered to early, levodopa-naive Parkinson’s disease patients over 36 weeks was associated with worsening of their symptoms, in spite of imaging evidence for reduction of iron in the substantia nigra.
      PubDate: Tue, 20 Dec 2022 06:32:00 -080
       
  • Body Weight Decline in Cognitively Intact Older Adults May Predict Future
           Cognitive Impairment

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      Abstract: Among cognitively intact individuals, those who develop mild cognitive impairment (MCI) had faster body mass index (BMI) decline and significantly lower BMI seven years before MCI diagnosis. However, after MCI diagnosis, there was no difference in BMI decline between patients who developed dementia and those who did not.
      PubDate: Tue, 20 Dec 2022 06:24:00 -080
       
  • What Is Oculopharyngodistal Myopathy'

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      Abstract: Distal limb myopathies are rare disorders and are difficult to diagnose. Current muscle biopsy technology, coupled with genetic analysis, offers the best hope for an accurate diagnosis of these unusual neuromuscular disorders. Unfortunately, treatments remain elusive.
      PubDate: Tue, 20 Dec 2022 06:09:00 -080
       
  • Misdiagnosis of Autoimmune Encephalitis

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      Abstract: A recent multicenter, retrospective review of 393 adult patients given a diagnosis of autoimmune encephalitis noted that 107 patients (27%) were misdiagnosed and ultimately had other diagnoses confirmed, but after a considerable delay.
      PubDate: Tue, 20 Dec 2022 06:00:00 -080
       
  • Long-Term Statin Use Associated with Lower Stroke Risk

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      Abstract: A cohort of Danish patients who were taking the cholesterol control medication were less likely to experience an intracerebral hemorrhage.
      PubDate: Tue, 20 Dec 2022 02:00:00 -080
       
  • Patients with Solid Tumors Admitted with Septic Shock: Outcomes and
           Mortality Predictors

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      Abstract: The presence of metastatic disease, respiratory failure, elevated lactate levels, and poor prior performance scores were independent predictors of mortality in patients with solid tumors admitted with septic shock.
      PubDate: Mon, 19 Dec 2022 07:54:00 -080
       
  • Does Surviving an ECMO Stay Put Patients at Greater Risk for Mental Health
           Problems'

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      Abstract: Survivors of extracorporeal membrane oxygenation (ECMO) have a modest increase in risk of new mental health diagnoses after discharge compared with intensive care unit survivors who do not undergo ECMO.
      PubDate: Mon, 19 Dec 2022 07:54:00 -080
       
  • Does Selective Decontamination of the Digestive Tract Reduce In-Hospital
           Mortality in Critically Ill Adults'

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      Abstract: The SuDDICU randomized controlled trial of Australian patients found that selective decontamination of the digestive tract (SDD) did not significantly decrease in-hospital mortality, although the confidence interval around the effect estimate includes a clinically important benefit. In a separate systematic review and meta-analysis that included 32 randomized trials and 24,389 participants, SDD was associated with reduced hospital mortality compared with standard care.
      PubDate: Mon, 19 Dec 2022 07:54:00 -080
       
  • 2022-2023: A Severe Season for Respiratory Syncytial Virus

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      Abstract: The 2022-2023 northern hemisphere respiratory syncytial virus (RSV) season began with fury, crowding hospitals and making many young children extremely ill. Meanwhile, advancing research points to potential means of better preventing RSV infection.
      PubDate: Mon, 19 Dec 2022 07:54:00 -080
       
  • Statin Use with Daptomycin: Do We Finally Have a Definitive Answer'

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      Abstract: A meta-analysis on published literature and a disproportionality analysis using Food and Drug Administration data found that statin use was associated with the occurrence of daptomycin-induced musculoskeletal adverse events. In most cases, statin use should be discontinued while patients are on daptomycin.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       

  • Salmonella Gastroenteritis — The Risk of a Rapid,
           Accurate Diagnosis


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      Abstract: Availability of molecular testing panel results that were positive for Salmonella in children led to increased hospital admissions, increased subsequent microbiologic testing, and increased antibiotic use — all without benefit to patients.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Resistance of SARS-CoV-2 Variants to Monoclonal Antibodies

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      Abstract: Prevalent SARS-CoV-2 variants are increasingly resistant to therapeutic and prophylactic monoclonal antibodies but remain susceptible to Paxlovid, remdesivir, and molnupiravir.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • When More Is Not Better: Treatment of Prosthetic Valve Endocarditis Due to
           Staphylococci

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      Abstract: Clear evidence of benefit from adjunctive administration a β-lactam and/or a glycopeptide in the treatment of prosthetic valve endocarditis due to staphylococci is lacking. Current guidelines need to be reassessed.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Vaccination Against Mpox: Does it Work' Is it Safe'

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      Abstract: Vaccination, either subcutaneously or intradermally, with the non-replicating JYNNEOS vaccine is safe and effective.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • The Dental Procedure-Infective Endocarditis Link Controversy Continues

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      Abstract: Infective endocarditis was more common with dental surgery or tooth extractions in the preceding four weeks in high-risk patients. Researchers abrogated this risk with antibiotic prophylaxis before the procedure.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Viral Swarm: ‘Tripledemic’ Pushes Healthcare Facilities to the
           Brink

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      Abstract: Respiratory infections are causing hospitalizations and deaths nationally in an unprecedented trifecta of influenza, respiratory syncytial virus, and COVID-19.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Infectious Disease Alert Updates

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      Abstract: Loss of Monoclonal Therapy for COVID-19; Cost-Savings of Outpatient Antimicrobial Therapy
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Device Nurses Can Prevent CLABSIs

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      Abstract: A recent study estimated the average central line-associated bloodstream infection (CLABSI) costs $48,108, while increasing patient mortality by 12% to 25%. These costs and patient consequences may ensue if the central line is not routinely observed and maintained. Thus, one hospital system justified hiring two epidemiology nurses in 2018 after years of trying to claw back CLABSI rates by various interventions.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Vaccine Second Shot, Boosters Kick in Protective Effect

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      Abstract: A study of healthcare and other frontline workers with COVID-19 showed that a history of two or three messenger ribonucleic acid vaccine doses lessened the severity of illness significantly.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • EPINet: Needlesticks Spike 13% from 2020 to 2021

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      Abstract: The largest noticeable needlestick increases from 2020 to 2021 were among injections with disposable syringes, especially with insulin needles and those used for vaccinations, says Amber Mitchell, DrPH, director of the International Safety Center, noted for its longstanding EPINet surveillance system for needlesticks, sharps injuries, and mucosal blood exposures.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • Another Emerging Infection, as Cholera Makes a Call

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      Abstract: Clinicians should be prepared to identify and treat cholera in returning travelers using designated infection control measures to prevent hospital transmission, the Centers for Disease Control and Prevention reported.
      PubDate: Mon, 19 Dec 2022 02:00:00 -080
       
  • A Review of Insulin Transition

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      Abstract: Diabetes mellitus is a collection of chronic metabolic diseases that occur either as the result of insulin deficiency or insulin resistance. One of the primary goals in diabetes treatment includes lowering blood glucose levels sufficiently to prevent microvascular and macrovascular complications. The type of insulin prescribed depends on multiple factors, and insulins frequently are interchanged. Before choosing or transitioning to an appropriate insulin, consider all social determinants and individualize the treatment regimen as “one size does not fit all.”
      PubDate: Fri, 16 Dec 2022 11:59:00 -080
       
  • Several Groups ‘Deeply Concerned’ About AHRQ’s ED
           Diagnostics Report

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      Abstract: Frontline providers take issue with references cited and data interpretation, among other problems.
      PubDate: Fri, 16 Dec 2022 02:00:00 -080
       
  • SAMHSA Seeks Opioid Treatment Program Expansion

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      Abstract: Under a proposed rule change, the agency wants to tear down more barriers to addiction treatment.
      PubDate: Thu, 15 Dec 2022 02:00:00 -080
       
  • CommonSpirit Ransomware Attack Holds Lessons for Cybersecurity

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      Abstract: A ransomware attack on a large health system forced it to shut down electronic health records and cancel appointments — and there are indications it may have threatened patient safety. Hackers might have exploited weaknesses that resulted from a series of mergers and acquisitions.
      PubDate: Wed, 14 Dec 2022 09:09:00 -080
       
  • Three Steps to Better Cybersecurity

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      Abstract: Healthcare organizations that are reactive rather than proactive with cybersecurity are especially vulnerable to ransomware attacks. Staying proactive is about much more than developing and implementing an incident response to comply with HIPAA.
      PubDate: Wed, 14 Dec 2022 09:09:00 -080
       
  • Paying Ransom Is a Loser’s Game

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      Abstract: Healthcare organizations have paid ransom to regain access to their computer systems, but that is a bad move, experts say.

      PubDate: Wed, 14 Dec 2022 09:09:00 -080
       
  • Fire Safety Requires Ongoing Training, Hands-On Practice

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      Abstract: Fire safety is a major concern in healthcare facilities, but the most effective programs include constant education and training that expose staff to the conditions they might face in an emergency.
      PubDate: Wed, 14 Dec 2022 09:08:00 -080
       
  • Providing Legal Cannabis Can Bring Potential Liability

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      Abstract: Physicians who recommend medical cannabis, and their affiliated hospitals or clinics, should be aware of potential legal risks, even when state law allows medical use. Federal law prohibits physicians from prescribing cannabis, even in states that allow its use. To enable the use of cannabis for medical reasons, some states use terms such as “recommendation” or “certification” as opposed to a prescription from a physician.
      PubDate: Wed, 14 Dec 2022 09:08:00 -080
       
  • Watch for Emerging Threats and Risks in 2023

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      Abstract: Over the coming year, risk managers can benefit by watching recent trends in telehealth, labor shortages, and data breaches.
      PubDate: Wed, 14 Dec 2022 09:08:00 -080
       
  • Malpractice Outcome Hinges on ‘Reasonableness’ of Wait Time

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      Abstract: To prevail in malpractice litigation involving a leave without being seen patient, the patient must prove the ED’s failure to treat him or her within the time frame of the visit violated the standard of care. Also, the attorney must prove his or her client suffered harm as a result of that violation.
      PubDate: Wed, 14 Dec 2022 09:08:00 -080
       
  • Florida Jury Awards $68 Million to Patient in Sodium Spike Case

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      Abstract: Providers should understand a patient’s chart should be thoroughly and completely reviewed throughout treatment. In this case, it is clear on at least several occasions providers either did not notice the information in the medical record, or they did not review test results. They also failed to administer medications ordered by another practitioner.
      PubDate: Wed, 14 Dec 2022 09:08:00 -080
       
  • Appellate Court Rules Affidavit of Merit Statute Does Not Cover LPNs

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      Abstract: One obvious lesson here is in the use of appeals. The appellate division found “[t]he AOM statute was enacted in 1995 as part of a tort reform package,” but ultimately concluded the tort reform did not extend to LPNs. While the appeal affirmed the trial court’s denial of defendant’s motion to dismiss, the opposite easily could have occurred whereby a more liberal panel could have interpreted the statute to include LPNs.
      PubDate: Wed, 14 Dec 2022 09:08:00 -080
       
  • What Will Happen to the Reproductive Healthcare Workforce'

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      Abstract: Months after Roe v. Wade was overturned, reproductive healthcare providers and patients are experiencing enormous — and sometimes disastrous — changes. For instance, state abortion bans are expected to affect where OB/GYNs and other reproductive health clinicians choose to study and practice. These bans also will affect how and whether medical students and residents are fully educated in contraceptive care and counseling, abortion care, miscarriage care, ectopic pregnancy treatment, and high-risk pregnancy care.
      PubDate: Wed, 14 Dec 2022 07:35:00 -080
       
  • Reproductive Health Workforce May Look Different in 10 Years

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      Abstract: The reproductive health workforce has changed considerably in the past few years. It is possible it will continue to evolve over the next decade. COVID-19 placed an incredible strain on the workforce, and it is facing a second huge strain because of the U.S. Supreme Court’s decision to overturn Roe v. Wade.
      PubDate: Wed, 14 Dec 2022 07:35:00 -080
       
  • Too Many Physicians Lack Accurate Information About Contraception

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      Abstract: New research revealed that a significant number of physicians hold erroneous beliefs about how contraceptives work. Many believe emergency contraception causes abortions, and some doctors believe IUDs and other forms of birth control also work as abortifacients, according to a study of Wisconsin physicians’ beliefs about contraception.
      PubDate: Wed, 14 Dec 2022 07:35:00 -080
       
  • When Lawmakers Make Medical Decisions, Patients and Providers Suffer

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      Abstract: Recent suggests a future in which doctors in abortion-ban states will have to ask how much of a threat of death is needed before they can give patients the care needed to prevent their death or serious morbidity.
      PubDate: Wed, 14 Dec 2022 07:35:00 -080
       
  • Legality and Chilling Effect of Abortion Care in Dobbs Era

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      Abstract: In this Q&A about how state abortion bans are affecting women with both planned and unplanned pregnancies, Contraceptive Technology Update addresses some of the legal issues raised by state laws and bans.
      PubDate: Wed, 14 Dec 2022 07:35:00 -080
       
  • More Research Needed on Link Between Hormonal Contraceptives and Stress

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      Abstract: Reproductive health clinicians and their patients need more information about how hormonal contraceptives may affect people’s mood changes and depression, according to the authors of a recent paper.
      PubDate: Wed, 14 Dec 2022 07:35:00 -080
       
  • A Simple Intervention to Reduce Surgical Site Infections'

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      Abstract: This multicenter, cluster randomized trial in Benin, Ghana, India, Mexico, Nigeria, Rwanda, and South Africa evaluated the effect of changing sterile gloves and instruments at the time of abdominal wound closure on surgical site infection (SSI) rates among adults and children undergoing both elective and emergent surgery. The SSI rate in the intervention group among 5,789 patients was 16% compared to 18.9% in the control group of 6,768 patients (adjusted risk ratio, 0.87; 95% confidence interval, 0.79-0.95).
      PubDate: Wed, 14 Dec 2022 07:11:00 -080
       
  • Effectiveness of an Online e-Health Program in Ameliorating Postpartum
           Depression

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      Abstract: This study demonstrated that combined use of universal depression screening and MomMoodBooster2, a cognitive behavioral therapy-based e-health program, were effective tools for treating women with depression in the perinatal period.
      PubDate: Wed, 14 Dec 2022 07:11:00 -080
       
  • Ibrexafungerp for Vulvovaginal Candidiasis

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      Abstract: A randomized clinical trial compared one day of oral ibrexafungerp with placebo for female patients with vulvovaginal candidiasis (VVC). It found ibrexafungerp to be safe and effective, with mild diarrhea the most common adverse event. Ibrexafungerp differs mechanistically from azoles and appears to be a promising new treatment for VVC.
      PubDate: Wed, 14 Dec 2022 07:11:00 -080
       
  • Current and Future Options for Male Contraception

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      Abstract: Following the landmark Dobbs v. Jackson Women’s Health Organization decision that ended the constitutional right to abortion in the United States, the importance of contraception has grown. This article summarizes the existing male contraceptive options and reviews the status of future ones.
      PubDate: Wed, 14 Dec 2022 07:11:00 -080
       
  • Is Routine Stress Testing After Coronary Revascularization Necessary'

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      Abstract: A multicentered study of routine stress testing at one year post-percutaneous coronary revascularization compared to usual care in patients with at least one high-risk coronary anatomic or clinical feature failed to show improved clinical outcomes at two years follow-up.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Tricky Business: When a Surgeon Also Is a Researcher

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      Abstract: Consider this seemingly innocent, straightforward question: “Would you be interested in participating in a clinical trial'” Now consider the ethical implications if a surgeon asks his or her own patient the same question.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Tissue Donors Can Track How Researchers Use Samples

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      Abstract: Tissue donors never knew who used their samples or how. For the first time, tissue donors are using blockchain technology to track how scientists use their samples through a pilot program.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • It’s Not All About the Cough

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      Abstract: Be careful about relying on clinical queries that focus on the presence of cough for two or more weeks, which could lead to delays in the diagnosis of nearly half of pulmonary tuberculosis cases.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Teplizumab-mzwv Injection (Tzield)

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      Abstract: Teplizumab can be prescribed to delay the onset of stage 3 type 1 diabetes in adults and pediatric patients age 8 years and older with stage 2 type 1 diabetes.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Controversy Erupts Over Expansion of Medical Assistance in Dying

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      Abstract: Ethical controversy has erupted over Canada’s expansion of eligibility criteria for medical assistance in dying.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Ethical Justification for Research on Dangerous Pathogens

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      Abstract: Recent inflammatory headlines suggested researchers had created a more dangerous version of COVID. However, those researchers said the headlines were misleading. Nevertheless, it spotlighted the ethical concerns involving research on pathogens.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Working Collaboratively with Law Enforcement at Trauma Patient’s
           Bedside

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      Abstract: Trauma patients and law enforcement might arrive together, raising multiple ethical issues — and a potential conflict with clinicians. While some clinicians say law enforcement should never be present on trauma units, others think law enforcement needs unfettered access. The answer likely is somewhere in the middle.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Data Indicate Hospital Stays Are Longer, Causing Discharge Delays

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      Abstract: As patients wait longer to take the next step along their journey through the healthcare continuum, costs mount for providers.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Clinicians Are Ethically Obligated to Consider Financial Side of Care

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      Abstract: Clinicians should include the cost of care in discussions, help patients access charity care or financial counseling, and screen patients for social determinants of health.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • When Researchers Discover Incidental Findings During Clinical Trial

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      Abstract: If a study includes genomic testing, it is possible incidental findings will be discovered. As it stands, there is no clear guidance for whether researchers should tell participants about those findings.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Patients with Chronic Pain and Opioid Misuse: What Treatment Works'

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      Abstract: Among primary care patients diagnosed with comorbid chronic pain and opioid misuse, researchers found a specially designed, mindfulness-based group therapy showed superiority to generic supportive group therapy in reducing opioid use and controlling symptoms of chronic pain.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Clinicians Often Use Medical Jargon to Refer to Death

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      Abstract: During family meetings, ethicists can gently clarify language to ensure everyone understands. Even the best communicators will encounter patients and families who will not or cannot hear the words spoken to them, especially if it is bad news.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • Apixaban for Venous Thromboembolism in Patients with End-Stage Kidney
           Disease

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      Abstract: There is a lower risk of bleeding for those taking apixaban during venous thromboembolism treatment compared to warfarin in patients with end-stage kidney disease.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • What Happens if Your Study Fails to Meet Recruitment Targets'

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      Abstract: Failure to find enough clinical trial participants is more than just a logistical problem. There also are important ethical concerns. If the study remains incomplete, investigators risk violating the principle of beneficence.
      PubDate: Wed, 14 Dec 2022 02:00:00 -080
       
  • WHO Lobbies for Updated Tuberculosis Vaccines

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      Abstract: International organization says these investments could drive economic growth, improve health equity and antimicrobial stewardship, and lower mortality rates.
      PubDate: Tue, 13 Dec 2022 02:00:00 -080
       
  • Identifying and Treating Pediatric Ocular Trauma

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      Abstract: Pediatric ocular injuries are predominantly minor but may be devastating. The emergency provider must understand the anatomy and injuries that may result in significant damage and a timely critical approach to preserve the child’s vision.
      PubDate: Mon, 12 Dec 2022 02:00:00 -080
       
  • Congress Issues Special Report on COVID-19 Pandemic

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      Abstract: A select subcommittee exhaustively detailed what went wrong and offered suggestions on how to prevent future disasters.
      PubDate: Mon, 12 Dec 2022 02:00:00 -080
       
  • Management of Seizures in the Emergency Department

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      Abstract: While most seizures will be brief and self-limited, prolonged seizure activity and status epilepticus represent high morbidity and mortality presentations. This review aims to summarize the best available evidence on seizure evaluation, classification, and acute management.
      PubDate: Thu, 08 Dec 2022 09:19:00 -080
       
  • Ruxolitinib Cream (Opzelura)

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      Abstract: Ruxolitinib cream can be prescribed to treat nonsegmental (bilateral) vitiligo in adult and pediatric patients age 12 years and older.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Triglyceride-Lowering Therapy and Cardiovascular Events

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      Abstract: Researchers studied pemafibrate vs. placebo in patients with type 2 diabetes, mild-to-moderate triglyceride elevations, and low levels of HDL and well-controlled LDL cholesterol. Despite a 31% reduction in triglyceride levels, there was no improvement in the risk of cardiovascular outcomes over a median follow-up of 3.4 years.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • The Clue in Lead II

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      Abstract: How should one interpret the ECG in the figure' The figure was obtained from a 40-year-old man who was hemodynamically stable at the time this tracing was recorded. The key clue is in lead II.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Is It Better to Up-Titrate Medications Faster in Acute Heart Failure
           Patients'

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      Abstract: Early intensive up-titration of guideline-recommended therapy in patients admitted for heart failure reduced 180-day readmission and all-cause mortality at the cost of more adverse events (but not serious or fatal ones).
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Is Screening for Atrial Fibrillation Cost Effective'

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      Abstract: Self-screening for atrial fibrillation in elderly individuals could lead to lower stroke rates, prevent bleeding-related hospitalizations, and save money.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • New Therapy for Resistant Hypertension

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      Abstract: Aprocitentan demonstrated efficacy for additional therapy beyond standard multidrug treatment in resistant hypertension.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Is Long-Term Antidepressant Use Hurting Patients'

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      Abstract: Long-term antidepressant use could lead to elevated risks of coronary heart disease, along with higher cardiovascular disease mortality and all-cause mortality rates.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • The Right Dose at the Right Time: Improving Hypertension Outcomes

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      Abstract: An online study of evening vs. morning administration of patients’ usual antihypertensive medications, with a median five-year follow-up, revealed there is no difference in major cardiovascular outcomes between the two periods.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Is Illicit Substances Use Associated with Atrial Fibrillation'

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      Abstract: An observational study of a huge cohort of patients admitted to California hospitals showed patients who used cocaine, methamphetamine, opiates, and cannabis were at a higher risk of developing atrial fibrillation vs. those with similar risk factors who did not use the substances.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Periodontal Disease as an Independent Risk Factor for Cardiovascular
           Disease

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      Abstract: Researchers used data from the 2013 to 2014 period of the National Health and Nutrition Examination Survey to study possible connections between poor oral health and the likelihood of developing cardiovascular disease.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Mitral Transcatheter Edge-to-Edge Repair Gains Traction in Cardiogenic
           Shock Patients

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      Abstract: The authors of this large registry study examined transcatheter edge-to-edge repair in patients with cardiogenic shock and severe mitral regurgitation (MR). Successful repair was achievable in most patients and was associated with lower mortality rates and heart failure hospitalization at one year.
      PubDate: Thu, 08 Dec 2022 02:00:00 -080
       
  • Primary Care Is on Life Support, But Case Management Could Be Antidote

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      Abstract: Primary care is facing decline due to financial factors and clinician burnout. One solution is to assign case managers or care coordinators to primary care offices to improve communication between primary care providers, hospitals, and other healthcare entities.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Better Care Coordination Needed for Interhospital Transfers

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      Abstract: Interhospital transfers can be challenging and frustrating for nursing staff — and sometimes dangerous and tragic for patients and their families. Health systems should pay more attention to how these transfers are handled and work to improve communication between sending and receiving hospitals.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Best Practices for Maternity Case Management

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      Abstract: In many ways, case management in the maternity and labor/delivery units is unlike other areas of the hospital. Often, the mothers and babies are healthy, and simply in need of support through the process. For that reason, it may even seem that case management is unnecessary. However, it is important to maintain a strong case management department that serves in labor and delivery as well as the postpartum units.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Possible Solutions to Poor Interhospital Transfers

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      Abstract: Interhospital transfers can be frustrating to nurses and lead to worse outcomes for patients, research shows. But hospitals can take steps to improve the process and reduce risks for patients. The first step is to eliminate unnecessary transfers.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Understanding Bundled Payments

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      Abstract: Bundled payments can be confusing for case managers to navigate. The philosophy behind the bundled payment reimbursement model is that in managing the patient carefully across the continuum, transitions will be smoother and the care will improve, all while staying mindful of how the dollars are spent. It is meant to be a meeting of quality of care and cost-effectiveness.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Intensive Care Management Works with Complex Medicaid Population

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      Abstract: One way to reduce costs among a population of high-cost, high-utilization Medicaid patients is to use intensive care management. In a study of an intervention involving a nonprofit organization that provides integrated care to complex patients, investigators found a reduction of more than $1,900 in total medical expense per member per month.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • The Role of Critical Access Hospitals

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      Abstract: In rural areas, critical access hospitals provide care to patients who otherwise would have to travel much further for adequate care. Serving in a critical access hospital can be a much different experience than a larger hospital system, or even a hospital in an urban or suburban environment. Due to lack of training and support, even the case management process might not be as seamless or efficient as it is in other settings.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • ACO’s Comprehensive Patient Navigation Can Reduce Costs, Increase
           Satisfaction

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      Abstract: Surprisingly, accountable care organization enrollees who are given fewer choices but better navigation assistance in making decisions are happier with their healthcare access, researchers found.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Case Managers Can Better Educate Patients and Families About Opioid
           Addiction

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      Abstract: While the world focused on the COVID-19 pandemic, another crisis — the opioid epidemic — continued to unfold, taking hundreds of thousands of lives. Hospital discharge is an opportunity for case managers and other providers to help prevent patients from becoming victims of opioid overdoses.
      PubDate: Tue, 06 Dec 2022 11:42:00 -080
       
  • Staffing Shortages Create Moral Dilemmas, Injuries

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      Abstract: As part of the research for her dissertation, Denise Waterfield, PhD, APRN-NP, CCRN, AGACNP-BC, interviewed and observed 25 critical care nurses. Many seemed upset and frustrated during their shifts due to an overwhelming workload, and there was not much in the way of resources to provide relief.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • Emergency Nurses Overdosing on Rush of Opioid Patients

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      Abstract: Emergency nurses who participated in a study in Philadelphia expressed frustration and other negative emotions about caring for patients addicted to opioids and other drugs.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • EMS Trauma Stabilization and Transport: A Comprehensive Review

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      Abstract: It is essential that acute care providers have an awareness of the prehospital system — strengths, scope of practice, different transport modalities (strengths and limitations) — to optimize patient outcomes.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • Active Shooters Gun Down Healthcare Workers

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      Abstract: Violent attacks on healthcare workers in 2022 included a gunman who shot two physicians, a receptionist, and a visitor at Saint Francis Health System in Tulsa, OK, on June 1. In addition to the long-documented physical assaults and verbal aggression, these incidents underscore the relatively rare but real risk to healthcare workers of an active shooter in the building.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • The Joint Commission Expands Sexual Assault Definition

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      Abstract: The Joint Commission has revised its definition of a sexual abuse/assault of healthcare workers, clarifying and expanding it to include social media and related technology. The original definition was developed more than a decade ago, before the ubiquitous presence of social media and related technology.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • States: End HCW COVID-19 Vaccine Mandates

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      Abstract: Twenty-two states have joined to petition CMS to stop mandating COVID-19 vaccines for healthcare workers. In a Nov. 18, 2022, letter to HHS Secretary Xavier Becerra, West Virginia Attorney General Patrick Morrisey called for the vaccination requirement to be withdrawn.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • Two Strikes' A Black Woman’s Experience Working in Healthcare

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      Abstract: In the wake of the disparities in patient care exposed by the pandemic, healthcare continues a racial reckoning that now includes clinicians and employees. Black women in healthcare face entrenched racism daily, from the death by a thousand cuts of microaggressions to the longstanding barriers to leadership positions.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • A Sharp Learning Curve: New Nurses and Needlesticks

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      Abstract: There is some concern incoming nurse graduates whose training was compromised by the COVID-19 pandemic may be vulnerable to needlesticks in clinical settings.
      PubDate: Tue, 06 Dec 2022 02:00:00 -080
       
  • Can Artificial Intelligence Help Us to Choose the Best Anti-Seizure
           Medicine'

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      Abstract: A new deep learning artificial intelligence algorithm was able to identify the most effective initial drug to treat newly diagnosed epilepsy, compared to the physicians’ clinical judgment. The algorithm required prospective, carefully collected clinical data for its success.
      PubDate: Fri, 02 Dec 2022 09:29:00 -080
       
  • Early Respiratory Decline in Amyotrophic Lateral Sclerosis

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      Abstract: Hypercapnia, a manifestation of early respiratory dysfunction, can be challenging to detect in amyotrophic lateral sclerosis (ALS) patients. Pulmonary function tests are helpful, but their specificity in detecting hypercapnia is low and their use is limited in patients with bulbar weakness. Specific symptoms, such as dyspnea at rest, dyspnea while talking, and use of medications for sleep, can be more reliable in detecting hypercapnia among ALS patients.
      PubDate: Fri, 02 Dec 2022 09:28:00 -080
       
  • Lipid Pathway Dysfunction in Parkinson’s Disease

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      Abstract: In this large-scale study, the authors used a comprehensive untargeted lipidomic approach to determine the extent to which lipid dysregulation occurs in patients with Parkinson’s disease generally and in mutation carriers of one of the most common Parkinson’s disease risk genes, LRRK2. Further pathway analysis reveals sphingolipid metabolism, insulin signaling, and mitochondrial function as major metabolic pathways dysregulated in Parkinson’s disease.
      PubDate: Fri, 02 Dec 2022 09:28:00 -080
       
  • Atypical Presentations for Inclusion Body Myositis

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      Abstract: Inclusion body myositis, the most common acquired myopathy, often is misdiagnosed or diagnosed after a delay of many years. Atypical presentations are not unusual, and clinicians should maintain a high degree of suspicion for this disorder when patients present with slowly progressive muscle weakness in an unusual pattern.
      PubDate: Fri, 02 Dec 2022 09:28:00 -080
       
  • Influence of Vitamin Intake on the Prevalence of Migraine

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      Abstract: In a large population-based survey, 21.6% of participants reported having severe headaches or migraine. Those reporting severe headaches also reported a lower intake of thiamine and riboflavin, based on 24-hour recall of food intake. There also was an inverse relationship between thiamine intake and reports of severe headaches.
      PubDate: Fri, 02 Dec 2022 09:28:00 -080
       
  • Quality Improvement Programs Can Shrink Surgery’s Environmental
           Footprint

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      Abstract: Even simple initiatives can help departments cut waste and save money.
      PubDate: Fri, 02 Dec 2022 02:00:00 -080
       
  • Pediatric Exposures to Toxic Substances in the Home

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      Abstract: A high percentage of calls to poison centers each year are for exposures in children younger than the age of 6 years. Many of these calls are prompted by exposures to substances commonly found in the home and can lead to significant morbidity and mortality even when the result of a small, exploratory exposure. An index of suspicion and a knowledge of toxidromes is critical to make an accurate diagnosis in cases of pediatric toxic exposures. Consultation with a medical toxicologist or poison control center is recommended for all suspected toxic ingestions, both for management recommendations and for reporting purposes.
      PubDate: Thu, 01 Dec 2022 12:14:00 -080
       
  • Housing Instability Associated with Longer Hospital Stays, Higher Costs

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      Abstract: New data reveal some insight on a key social determinant of health.
      PubDate: Thu, 01 Dec 2022 02:00:00 -080
       
  • Just How Good is ‘Good’ Cholesterol'

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      Abstract: Investigators challenge high-density lipoprotein levels as the standard for predicting cardiovascular disease risk.
      PubDate: Wed, 30 Nov 2022 02:00:00 -080
       
  • Tackling Obesity with Afterschool Programs

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      Abstract: This prospective study following 75 low-income middle school students found that adding nutrition education and physical activity requirements to afterschool programming may enhance gains in some health behaviors and weight management.
      PubDate: Wed, 30 Nov 2022 02:00:00 -080
       
  • Patients with Chronic Pain and Opioid Misuse — What Treatment
           Works'

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      Abstract: A randomized, controlled trial involving 250 primary care patients diagnosed with comorbid chronic pain and opioid misuse found that a specially designed, mindfulness-based group therapy showed superiority to generic supportive group therapy in reducing opioid use and controlling symptoms of chronic pain.
      PubDate: Wed, 30 Nov 2022 02:00:00 -080
       
  • Global Health Officials Announce Updated Name for Monkeypox

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      Abstract: The traditional name will be phased out in favor of “mpox.”
      PubDate: Mon, 28 Nov 2022 02:00:00 -080
       
  • Persistent Asthma Patients Show More Plaque Buildup, Inflammation

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      Abstract: Pulmonary ailment could speed carotid artery damage, create more inflammatory biomarkers.
      PubDate: Mon, 28 Nov 2022 02:00:00 -080
       
  • Physicians Call for Better Healthcare for U.S. Prison Population

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      Abstract: Group offers almost two dozen recommendations to influence the public policy agenda.
      PubDate: Wed, 23 Nov 2022 02:00:00 -080
       
  • Acute Ataxia and Gait Disturbances in the Emergency Department

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      Abstract: Ataxia and gait disturbances can signify a variety of conditions. The differential includes benign as well as life-threatening causes. An understanding of the pathophysiology and a thorough neurological exam are critical in making these distinctions.
      PubDate: Tue, 22 Nov 2022 09:28:00 -080
       
  • Confusion Over ED Instructions Remains Unaddressed Even After Discharge

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      Abstract: There is an opportunity to make the ED a place where people feel heard and like they received what they needed, which is especially important because the ED is a crucial point of contact for some historically underserved populations.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Incidental Findings for ED Patients Are Common, Staff Do Not Always Act

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      Abstract: The search continues for an effective technique to identify and intervene on these findings in a way that works in the context of a busy ED workflow.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Unprecedented Strain on EDs Predates COVID-19 Pandemic

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      Abstract: The American College of Emergency Physicians and other groups sent a letter to the White House in which they declared the ED boarding problem a “public health emergency.” The groups asked the Biden administration “to convene a summit of stakeholders from across the healthcare system to identify immediate and long-term solutions to this urgent problem.”
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Malpractice Outcome Hinges on ‘Reasonableness’ of Wait Time

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      Abstract: To prevail in malpractice litigation involving a leave without being seen patient, the patient must prove the ED’s failure to treat him or her within the time frame of the visit violated the standard of care. Also, the attorney must prove his or her client suffered harm as a result of that violation.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Common Factors if Emergency Nurses Are Named in Malpractice Claim

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      Abstract: In an analysis of more than 4,600 claims, researchers found 18% of nursing-related malpractice claims involved ED nurses. Treatment and transport delays were top complaints, underscoring the importance of teamwork and structured communication.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Robust Data Collection, Careful Review Key to Preventing Disparities

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      Abstract: A Boston health system has launched a multimillion dollar program aimed at eliminating disparities and promoting antiracist care.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • LWBS Patients Pose Risks for EDs Under EMTALA

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      Abstract: Solid documentation is the best weapon against accusations a clinician violated the Emergency Medical Treatment and Labor Act and a patient who left the ED without being seen who files a malpractice lawsuit.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Leverage Rounding, Team-Based Interventions to Address Frontline Burnout

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      Abstract: A Texas-based health system looks at employee well-being through a quality and safety lens, directly connecting worker well-being to the organization’s efforts to improve patient safety.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Point Person Dedicated to Nurse, Support Staff Well-Being

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      Abstract: Understanding the critical importance of nurse well-being, a Washington, DC-based health system created a new position dedicated to this work.
      PubDate: Tue, 22 Nov 2022 02:00:00 -080
       
  • Multi-State Tuberculosis Outbreak Due to Transmission from an Infected
           Bone Graft Product

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      Abstract: An 80-year-old man with undiagnosed tuberculosis (TB) became a bone tissue donor after his death from a cardiac arrest. Bone graft product was given to 113 recipients in 20 states, of whom three died of TB. All living recipients were started on treatment for TB at a median of 69 days after bone product implementation.
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • Severe Monkeypox

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      Abstract: The Centers for Disease Control and Prevention has summarized 57 cases of individuals hospitalized with severe monkeypox, most of whom were immunocompromised men and a number of whom had delayed initiation of antiviral therapy.
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • Disseminated Infection Due to Neisseria gonorrhoeae

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      Abstract: Only 0.24% of patients with gonorrhea had disseminated infection, with septic arthritis occurring in approximately one-half.
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • Genital Herpes — No Longer Just HSV-2 as HSV-1 Makes its Move

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      Abstract: Viral shedding after a first episode of genital herpes simplex virus type 1, which is gradually replacing herpes simplex virus type 2 as the major cause of genital infection, occurred in 12.1% at weeks 8-12 and decreased to 7.1% at the end of one year.
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • Infectious Disease Alert Updates

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      Abstract: Animal Reservoirs for Human Infection; Novel Rat-Derived HEV Infection in Humans; Household Contamination with Monkeypox
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • 2022-2023: A Severe Season for Respiratory Syncytial Virus

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      Abstract: The 2022-2023 northern hemisphere respiratory syncytial virus (RSV) season began with fury, crowding hospitals and making many young children extremely ill. Meanwhile, advancing research points to potential means of better preventing RSV infection.
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • Limiting Testing in Febrile Young Infants with Abnormal Urinalyses

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      Abstract: According to a 26-site study, febrile infants younger than 2 months of age who have abnormal urinalyses are at very low risk of having meningitis and might not necessarily need to be subjected to lumbar puncture.
      PubDate: Mon, 21 Nov 2022 02:00:00 -080
       
  • Former NFL Running Back Awarded $28.5 Million in Medical Malpractice Case

    • Free pre-print version: Loading...

      Abstract: In this matter, the principal issue related to the physician’s failure to evaluate, diagnose, and treat the patient’s talus bone and cartilage condition. The plaintiff argued the physician delayed and/or misdiagnosed his condition and provided improper treatment, resulting in permanent damage. Unfortunately, misdiagnosis and delay in diagnosis of orthopedic conditions are common forms of medical malpractice.
      PubDate: Fri, 18 Nov 2022 08:54:00 -080
       
  • Not a Simple Conversation: Understand Depositions and How to Prepare

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      Abstract: It is likely any healthcare litigation will include depositions in which clinicians and administrators are asked questions under oath. The information provided can be critical to the outcome of the case. Depositions can be stressful and difficult for people not accustomed to them. Risk managers can help by preparing participants for this experience.
      PubDate: Fri, 18 Nov 2022 08:54:00 -080
       
  • Improve Documentation for Compliance, Med/Mal Defense

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      Abstract: Good documentation is the foundation of any solid malpractice defense and proper continuity of care argument, so risk managers constantly urge clinicians to make meticulous notes. But there are many ways in which documentation can fall short. Frequent education and adjustment to technological changes can be key to making good documentation.
      PubDate: Fri, 18 Nov 2022 08:54:00 -080
       
  • Physicians Sometimes Need Help to Improve Documentation

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      Abstract: Good charts and proper documentation take time, but technology and scribes can speed the process and improve the quality of documentation.
      PubDate: Fri, 18 Nov 2022 08:54:00 -080
       
  • Remember the Basics of Good Documentation

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      Abstract: Proper documentation requires adhering to the basic goals of fully and accurately recording the patient encounter. Depending on the circumstances, chart notes should include a brief social narrative of relevant historical data, an explanation of the reason for the encounter, subjective complaints and observations reported by the patient, objective findings on physical examination by the clinicians, a diagnosis, treatment plan, and follow-up instructions for post-discharge care.
      PubDate: Fri, 18 Nov 2022 08:54:00 -080
       
  • Reduce Workers’ Comp Liability with Lift Policies, Technology

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      Abstract: Workers’ compensation poses a significant liability risk and expense for any company — and healthcare employers face exposures unique to their industry. Technological solutions may help. Overexertion, often due to patient handling, is a common injury for healthcare employees, leading to sprains and strains of the back or shoulder.
      PubDate: Fri, 18 Nov 2022 08:54:00 -080
       
  • Gastric Bypass Malpractice Yields $14.1 Million Verdict

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      Abstract: There are two principal ramifications arising from this decision. First, in a case involving medical malpractice, a common-law cause of action, the Open Courts Provision does not supersede statutory restrictions on recovery of economic damages via Chapter 33. Second, the decision allows for settlement credits to be applied for settlement of derivative claims, even if the non-settling plaintiff does not have a cause of action for the same derivative claim.
      PubDate: Fri, 18 Nov 2022 08:53:00 -080
       
  • Big Penalties for Right to Access Initiative

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      Abstract: The Office for Civil Rights HIPAA Right of Access initiative recently led to the resolution of 11 cases at a cost of $626,000, emphasizing the risk of failing to comply with this requirement.
      PubDate: Fri, 18 Nov 2022 08:53:00 -080
       
  • Proper Disposal of PHI Required, Often Overlooked

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      Abstract: The Office for Civil Rights announced a settlement with a Massachusetts dermatology clinic regarding the improper disposal of PHI, which serves as a reminder HIPAA compliance is not only about protecting data from hackers. Covered entities also are responsible for disposing of PHI appropriately.
      PubDate: Fri, 18 Nov 2022 08:53:00 -080
       
  • Online Collaboration Platforms Create HIPAA Exposures

    • Free pre-print version: Loading...

      Abstract: Business communications are rapidly and dramatically moving from email to various collaboration platforms like Slack, Workplace by Meta, and Microsoft Teams. PHI can easily end up stored as part of collaboration data — a relatively new data set that is uniquely different from other electronic channels because of its fragmented and nuanced nature.
      PubDate: Fri, 18 Nov 2022 08:53:00 -080
       
  • Provide Frequent HIPAA Training with Real-World Scenarios

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      Abstract: Training employees in HIPAA compliance should be frequent and include realistic situations, including scenarios in which they may unknowingly facilitate a breach.

      PubDate: Fri, 18 Nov 2022 08:53:00 -080
       
  • CMS: Infection Preventionists Required in Nursing Homes

    • Free pre-print version: Loading...

      Abstract: The Centers for Medicare and Medicaid Services has finalized requirements in long-term care that call for at least a part-time infection preventionist and emphasizes Certification in Infection Prevention and Control as a key credential of expertise.
      PubDate: Fri, 18 Nov 2022 02:00:00 -080
       
  • Global Warming and Infectious Diseases

    • Free pre-print version: Loading...

      Abstract: Professor: Global warming and climate change favor the continuing rise of pandemic viruses and multidrug-resistant bacteria.
      PubDate: Fri, 18 Nov 2022 02:00:00 -080
       
  • Will There Be a Winter Surge of COVID-19'

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      Abstract: Even amid an ongoing storm of other respiratory infections, some argue that the widely predicted winter surge of COVID-19 in the United States will be blunted by vaccination, natural infection, and hybrid immunity in the population.
      PubDate: Fri, 18 Nov 2022 02:00:00 -080
       
  • Pros and Cons of ‘Proning’ COVID-19 Patients in ICU

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      Abstract: Many COVID-19 patients admitted for critical care may be periodically placed on their stomachs, a potentially life-saving course of treatment called “proning.” But proning makes intravenous lines difficult to access, drains patient oral secretions onto line sites, and increases the risk of some healthcare-associated infections.

      PubDate: Fri, 18 Nov 2022 02:00:00 -080
       
  • Addressing Racism and Microaggressions in Healthcare

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      Abstract: Black women in healthcare face entrenched racism on a daily basis, from the death by a thousand cuts of microaggressions to the longstanding barriers to leadership positions.
      PubDate: Fri, 18 Nov 2022 02:00:00 -080
       
  • CDC Dental Infections Alert

    • Free pre-print version: Loading...

      Abstract: The Centers for Disease Control and Prevention is recommending treating dental unit waterlines and monitoring water quality after multiple outbreaks of nontuberculous Mycobacteria infections in children who received pulpotomies.
      PubDate: Fri, 18 Nov 2022 02:00:00 -080
       
  • Medical Incapacity Holds Require Ethical Oversight

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      Abstract: Clinicians feel conflicted about their ethical obligations. On one hand, they know it is unsafe for a confused person to be allowed to walk out of the hospital. On the other hand, they are understandably worried about their legal risks.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Evidence of Clinical Efficacy of Bebtelovimab in COVID-19

    • Free pre-print version: Loading...

      Abstract: In a retrospective study, bebtelovimab demonstrated efficacy similar to Paxlovid in high-risk outpatients with recent onset of COVID-19 who reported mild to moderate symptoms.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Parents Struggle to Contact Ethics Consultants

    • Free pre-print version: Loading...

      Abstract: If they do not know the service even exists, how can patients or families ask for an ethics consult'
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Importance of Medication Adherence in Ischemic Heart Disease

    • Free pre-print version: Loading...

      Abstract: The results of a subanalysis of the ISCHEMIA trial indicated about one-quarter of patients in both conservative and invasive strategy groups were nonadherent to recommended medical therapy at baseline. Nonadherence was associated with worse health status in both groups at baseline and after one year.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Can Interactive Tools Make Informed Consent Patient Friendly'

    • Free pre-print version: Loading...

      Abstract: For someone weighing whether to participate in a clinical trial, receiving a 20-page consent form can act as a deterrent. IRBs should be thinking about the consequences of information overload.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Vitamin D3, Omega-3 Supplements for Older Adults to Lower Frailty Risk

    • Free pre-print version: Loading...

      Abstract: Data from a large, randomized trial that included 25,871 adults age 50 years or older indicated 2,000 daily units of vitamin D3 and 1 g daily of omega-3 fatty acid supplementation did not affect frailty.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Increasing Incidence of Stage IV Cervical Cancer

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      Abstract: The incidence of stage IV cervical cancer in the United States between 2001 and 2018 increased. Rates were highest among Black women, but the annual rate of increase was highest among white women in the South age 40-44 years.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Ethical Approaches for Accurate Patient-Reported Outcome Measures

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      Abstract: When researchers are comparing treatments in clinical trials, proxy reports might be a useful surrogate for patients whose self-report cannot be obtained or is unreliable.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Deucravacitinib Tablets (Sotyktu)

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      Abstract: Deucravacitinib can be prescribed to adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • What Happens if Post-Approval Studies Are Delayed or Do Not Show
           Benefit'

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      Abstract: Essentially, the ethical issues are how to consider the interests of patients today, who are willing to accept uncertainty in the hopes a drug works because they do not have time to wait, and the interests of patients tomorrow, who would prefer to have stronger evidence about what works and what does not.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Updated Ethics Guidance on Medical Informatics

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      Abstract: Privacy, security, informed consent, and conflict of interest are ethical issues in healthcare that also are relevant in the health informatics field. A revised code of ethics from the American Medical Informatics Association addresses these and other concerns.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Medical Crowdfunding Is Not Providing a Proper Safety Net for the Neediest
           Patients

    • Free pre-print version: Loading...

      Abstract: While safety nets are supposed to catch everyone in need equally, crowdfunding can be more effective for some people than others. People in states with more uninsured populations, worse poverty, and higher rates of medical debt are more likely to try to raise funds, but are less likely to succeed.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Disclosure Needed if Physicians Own Outpatient Facilities

    • Free pre-print version: Loading...

      Abstract: Physician ownership creates an inherent conflict of interest, known as “dual agency.” This means the physician has a personal financial stake that could conflict with the ethical obligation toward patient well-being.

      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Staffing Shortages Are Hindering Clinical Trial Completion

    • Free pre-print version: Loading...

      Abstract: Some sites are curtailing new enrollment across all studies, or at least for studies that are not as economically sustainable as others. Sites estimate the average added cost to recruit and train a new patient-facing staff member is approximately six months pay. Due to the limited availability of qualified research staff, sites are replacing research coordinators with individuals without clinical research experience.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Ethical Concerns if Researchers Examine Opioid Use During Pregnancy

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      Abstract: Researchers who are examining opioid use in pregnant patients face significant ethical complexities when designing study protocols. A group of ethicists examined these issues and concluded an embedded approach to address ethical implications of these studies is needed.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Unused Donated Organs, Transplant Inequities Lead to Calls for Systemic
           Changes

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      Abstract: There is longstanding inequity in access to transplantation, substantial nonuse of donated organs, and unexplained variability in performance across the transplant system, according to a recent report.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Ethical Use of Restraint Hinges on Decision-Making Capacity

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      Abstract: The situation becomes ethically complex if the patient’s capacity is unclear, ambiguous, or fluctuating. It is much harder to know if, when, and how to avoid inflicting harm while balancing the patient’s legal and ethical right to make their own decisions.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • Spironolactone May Help Treat Chronic Alcoholism

    • Free pre-print version: Loading...

      Abstract: Both animal and human studies suggest spironolactone might be a new agent for helping patients with alcohol use disorder cut their intake.
      PubDate: Thu, 17 Nov 2022 02:00:00 -080
       
  • The Harms of Urine Drug Screening for Isolated Marijuana Use on Labor and
           Delivery Units

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      Abstract: Isolated marijuana use, when used as an indication for urine drug screening during the labor and delivery period, poorly predicts concomitant use of other nonprescribed substances. However, use of the screening brings real risk of inequitable harm.
      PubDate: Wed, 16 Nov 2022 12:17:00 -080
       
  • Labiaplasty in the United States

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      Abstract: In this descriptive study, the rates of labiaplasty from 2016-2019 in the United States ranged from 3,046 to 4,315 per year and were highest among women aged 18 to 35 years.
      PubDate: Wed, 16 Nov 2022 12:17:00 -080
       
  • Ultrasound to Detect Endometrial Cancer and Endometrial Intraepithelial
           Neoplasia in Patients Without Abnormal Bleeding

    • Free pre-print version: Loading...

      Abstract: In women without abnormal uterine bleeding undergoing transvaginal ultrasound, endometrial intraepithelial neoplasia or endometrial cancer was associated with a thicker endometrium, heterogenous echotexture, more frequent endometrial cysts, and increased vascularity.
      PubDate: Wed, 16 Nov 2022 12:17:00 -080
       
  • Does Shoulder Simulation Training Decrease the Incidence of Brachial
           Plexus Injury'

    • Free pre-print version: Loading...

      Abstract: This study demonstrated that improved team and individual performance can result from systematic simulation-based shoulder dystocia training, which can considerably lower the incidence of permanent brachial plexus injuries.
      PubDate: Wed, 16 Nov 2022 12:17:00 -080
       
  • Aggressive Fluid Resuscitation in Acute Pancreatitis Does Not Lead to
           Improved Outcomes

    • Free pre-print version: Loading...

      Abstract: In this multicenter randomized clinical trial, an early aggressive fluid resuscitation strategy led to an increased incidence of fluid overload without reducing the risk of developing moderately severe or severe acute pancreatitis.
      PubDate: Wed, 16 Nov 2022 08:46:00 -080
       
  • Bougie Use in Airway Management in the Critically Ill

    • Free pre-print version: Loading...

      Abstract: Despite significant advances in our understanding of airway management and intubation of the critically ill, this common intensive care unit (ICU) procedure remains high-risk.
      PubDate: Wed, 16 Nov 2022 08:45:00 -080
       
  • Simplifying Anticoagulation: Apixaban for VTE in Patients with End-Stage
           Kidney Disease

    • Free pre-print version: Loading...

      Abstract: There is a lower risk of bleeding with apixaban during the treatment of venous thromboembolism compared to warfarin in patients with end-stage kidney disease.
      PubDate: Wed, 16 Nov 2022 08:45:00 -080
       
  • Are Renal Artery Denervation Efficacy Claims Too Good to Be True'

    • Free pre-print version: Loading...

      Abstract: Three-year follow-up data from the SYMPLICITY HTN-3 trial of renal denervation provide support for long-term safety of this technique and suggest blood pressure benefit.
      PubDate: Wed, 16 Nov 2022 02:00:00 -080
       
  • The Right Dose at the Right Time: Improving Hypertension Outcomes

    • Free pre-print version: Loading...

      Abstract: An online study of evening vs. morning administration of patients’ usual antihypertensive medications, with a median five-year follow-up, revealed there is no difference in major cardiovascular outcomes between the two periods.
      PubDate: Wed, 16 Nov 2022 02:00:00 -080
       
  • Another Marker of Severe Mitral Regurgitation

    • Free pre-print version: Loading...

      Abstract: A small retrospective study showed Doppler echocardiography-derived left ventricular ejection time is an independent predictor of adverse outcomes in patients with moderate or worse mitral valve regurgitation.
      PubDate: Wed, 16 Nov 2022 02:00:00 -080
       
  • Is Illicit Substance Use Associated with Atrial Fibrillation'

    • Free pre-print version: Loading...

      Abstract: An observational study of a huge cohort of patients admitted to California hospitals showed patients who used cocaine, methamphetamine, opiates, and cannabis were at a higher risk of developing atrial fibrillation vs. those with similar risk factors who did not use the substances.
      PubDate: Wed, 16 Nov 2022 02:00:00 -080
       
  • Periodontal Disease as an Independent Risk Factor for Cardiovascular
           Disease

    • Free pre-print version: Loading...

      Abstract: Researchers used data from the 2013 to 2014 period of the National Health and Nutrition Examination Survey to study possible connections between poor oral health and the likelihood of developing cardiovascular disease.
      PubDate: Wed, 16 Nov 2022 02:00:00 -080
       
  • The Great Imitator Imitates Again

    • Free pre-print version: Loading...

      Abstract: This case report serves as a reminder that even though pancolitis from secondary syphilis is rare, syphilitic proctitis is a not-uncommon manifestation of syphilis — and that syphilis can present as almost anything — even long COVID.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • Benefits, Risks of Dual Antiplatelet Therapy After Acute Ischemic Stroke
           or TIA

    • Free pre-print version: Loading...

      Abstract: It will be important to determine the actual frequency of the CYP2C19 loss-of-function gene. Clinicians should consider point-of-care testing for patients before selecting and initiating dual antiplatelet therapy.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • Measles, Mumps, and Monkeypox

    • Free pre-print version: Loading...

      Abstract: Measles and mumps are a threat to a population that is not vaccinated. Clinicians must recognize the symptoms and make an accurate and timely diagnosis to take care of the patient and minimize the impact to communities where we practice.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • Long-Term Outcomes in Intracerebral, Intraventricular Hemorrhage

    • Free pre-print version: Loading...

      Abstract: It is important to avoid giving a poor prognosis early in the clinical course, and to continue supportive care until the long-term outcome truly is understood.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • The Dental Procedure-Infective Endocarditis Link Controversy Continues

    • Free pre-print version: Loading...

      Abstract: Infective endocarditis was more common with dental surgery or tooth extractions in the preceding four weeks in high-risk patients. Researchers abrogated this risk with antibiotic prophylaxis before the procedure.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • Sodium Phenylbutyrate and Taurursodiol for Oral Suspension (Relyvrio)

    • Free pre-print version: Loading...

      Abstract: Relyvrio can be prescribed to treat amyotrophic lateral sclerosis in adults.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • A Slow But Regular Rhythm Pattern

    • Free pre-print version: Loading...

      Abstract: The tracing was obtained from an older woman with a slow pulse. How should one interpret the ECG'
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • MicroRNA Could Help Oncologists Craft Better Treatment Plans for Breast
           Cancer Patients

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      Abstract: Researchers have been searching for biomarkers that are good predictors of cancer recurrence and mortality.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • Doxycycline Plus a Beta-Lactam to Treat Inpatients with Community-Acquired
           Pneumonia

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      Abstract: In this retrospective study of an elderly male population hospitalized with community-acquired pneumonia, the combination of doxycycline with a beta-lactam was at least as effective as a respiratory fluoroquinolone or a combination of a beta-lactam with azithromycin.
      PubDate: Mon, 14 Nov 2022 02:00:00 -080
       
  • Medical Orgs Ask White House to Intervene on Boarding Problem

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      Abstract: More than 30 groups say making admitted patients wait for a room or transfer has become a national crisis.
      PubDate: Fri, 11 Nov 2022 02:00:00 -080
       
  • Managing the Difficult Airway in the Emergency Department

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      Abstract: Securing an airway is a vital skill for an emergency medicine provider. The authors will review various scoring systems for predicting difficult airways, as well as a variety of techniques for approaching the difficult airway.
      PubDate: Thu, 10 Nov 2022 12:30:00 -080
       
  • Using ‘Psychological Safety’ to Improve Education

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      Abstract: Creating psychological safety in medical education opens up learners to the experience, making it more likely they will ask questions and actively participate. A psychologically safe educational environment means learners know they will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       
  • Vaccine Second Shot, Boosters Kick in Protective Effect

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      Abstract: A study of healthcare and other frontline workers with COVID-19 showed a history of two or three mRNA vaccine doses significantly reduced the severity of illness. Workers who received two or three doses of vaccine reported less fever and chills, less need for medical care, and lower viral load than in the non-vaccinated cohort.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       
  • Ethical Approaches to Address Nursing Workloads, Staffing Shortages

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      Abstract: Ethicists can perform an invaluable role by working closely with senior management and medical staff leaders to develop collaborative initiatives to acknowledge the problem’s magnitude and engage nursing representatives in developing creative solutions.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       
  • Healthcare on 2022 Midterm Ballots

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      Abstract: Reproductive rights, healthcare business, integrative medicine top of mind for voters in several states.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       
  • Occupational Monkeypox in Healthcare Workers

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      Abstract: Although the overall risk of transmission is low, at least two healthcare workers have been occupationally infected with monkeypox virus (MPXV) in the United States. In an unusual case, two caregivers were infected by environmental fomites in the home of a patient in Brazil. Although rare, healthcare workers have been infected in previous outbreaks, and there likely are a fair number of unreported cases, given the stigma associated with MPXV.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       
  • Reassuring Monkeypox Findings from Colorado

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      Abstract: Although vigilance with infection control is critical, Colorado public health investigators concluded the risk of healthcare workers acquiring occupational monkeypox is “very low.” They meticulously identified and followed more than 300 medical staff that cared for patients who were later diagnosed with monkeypox.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       
  • Endemic Monkeypox, Fear of U.S. Animal Reservoir

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      Abstract: The United States continues to report the most cases of monkeypox of any country in world, with 27,884 cases and six deaths as of Oct. 21. However, the outbreak is receding compared to earlier spikes in cases, as that case count represents only a small increase over the 26,049 reported Sept. 30. In a disturbing scenario, the CDC raised the possibility monkeypox could establish an animal reservoir in the United States.
      PubDate: Thu, 10 Nov 2022 02:00:00 -080
       

  • Study: STI Rates Increased After Family Planning Clinics Closed in
           Iowa


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      Abstract: The results of a recent study revealed that gonorrhea case rates nearly doubled in Iowa after some publicly funded family planning health centers were closed due to state officials’ efforts to ban abortions. Rates of other STIs also increased significantly.
      PubDate: Fri, 04 Nov 2022 11:52:00 -070
       

  • Study Reveals Real-Time Data on STIs by Following Reddit Posts


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      Abstract: Recent research shows that using the social media platform Reddit can help investigators gain insights into sexual risk behaviors and symptoms of STIs in real time. Anonymous Reddit posts were leveraged by investigators to better understand people’s sexual behaviors and experiences with STIs before and during COVID-19.
      PubDate: Fri, 04 Nov 2022 11:52:00 -070
       

  • Attacks on Contraception Access Happening in Abortion-Ban States


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      Abstract: Faster than most reproductive health providers could have anticipated, some abortion-ban states, politicians, and institutions have attacked contraception access. Some predict a coordinated attack on contraception in 2023 in states that have already toyed with the idea of banning emergency contraception and IUDs.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       

  • Contraception Access Is Especially Challenging for Youth in Foster
           Care


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      Abstract: Children affected by maltreatment and involvement in the child welfare system tend to have an earlier age of first sexual intercourse, have more sexual partners, and are more likely to engage in sex work. This makes them vulnerable to unintended pregnancies and sexually transmitted infections. Plus, research shows that about half of females in the foster care system report a pregnancy by age 19 years.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       

  • Women Express Range of Feelings on Pregnancy and Contraceptives


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      Abstract: New research into pregnancy preferences and contraceptive use among women in the Southeastern United States shows that a woman’s pregnancy preferences strongly influenced the likelihood of contraceptive use. Researchers concluded that contraceptive care and counseling should be delivered in a way that respects patients’ feelings and desires regarding pregnancy. It also should take into account that many people hold a range of feelings.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       

  • Family Planning Providers Struggled with Restrictions, Funding After
           Title X Gag Rule


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      Abstract: Providers at more than 50 family planning facilities in three states reported disruptions and challenges after the 2019 Trump-era rule that changed the federal Title X program.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       

  • Contraception for Youth in Texas Is Affected by Dating Violence


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      Abstract: A study of Texas high school students’ information on sexual and other risks revealed that 11% of the adolescents surveyed reported experiencing physical or sexual dating violence. Those who reported violence were more likely to report not using contraception.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       

  • The Challenges of Reproductive Health Equity in the 2020s


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      Abstract: The reversal of Roe v. Wade and the COVID-19 pandemic — both of which have had a disproportionate impact on Black, indigenous, and people of color — have added to a reproductive health crisis in the United States. Contraceptive Technology Update asked Cherisse Scott, chief executive officer and founder of SisterReach, to discuss the challenges and possible solutions, such as a patient-led model or framework.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       

  • Providers Should Educate Patients About HPV and Oral Healthcare


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      Abstract: In decades past, cancers of the oropharynx were primarily caused by tobacco and alcohol use. But now, an estimated 70% of oropharyngeal cancers are caused by HPV infection, according to the CDC.
      PubDate: Fri, 04 Nov 2022 11:51:00 -070
       
  • CDC Tries Less Rigid Approach to Opioid Prescribing Guidelines

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      Abstract: Agency underscores voluntary nature of its recommendations, highlights new science and collaboration that went into the revisions.
      PubDate: Fri, 04 Nov 2022 02:00:00 -070
       
  • Advocates Underscore Importance of Colonoscopies

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      Abstract: Follow-up media reports about possibly incomplete research on this subject may have created confusion.
      PubDate: Tue, 01 Nov 2022 02:00:00 -070
       
  • Scientists Are Worried About Air Quality and Dementia Risk

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      Abstract: Traffic-related air pollution raises red flags for neurological health.
      PubDate: Fri, 28 Oct 2022 02:00:00 -070
       

  • Healthcare Teams Want Transparency, Recognition from Leaders During
           Crises


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      Abstract: When researchers studied how COVID-19 surges affected teamwork, they found something essential and seemingly innocuous: Frontline staff, including care coordinators, wanted face time with their leaders.
      PubDate: Thu, 27 Oct 2022 11:07:00 -070
       

  • Research Shows How Teamwork Changed During the COVID-19 Pandemic


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      Abstract: The COVID-19 crisis response relied on interprofessional teamwork. But for care coordinators and pharmacists, the team experience during the pandemic was far from optimal, according to a recent study.
      PubDate: Thu, 27 Oct 2022 11:06:00 -070
       

  • Hospital Initiative Reduces 30-Day Readmission Rate for Heart
           Failure


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      Abstract: A hospital’s heart failure pilot program showed great promise when it launched in late 2019, but is ready for a reboot in the post-pandemic era. The program led to a double-digit drop in the 30-day readmission rate for heart failure patients.
      PubDate: Thu, 27 Oct 2022 11:04:00 -070
       

  • Build a Healthy Relationship with Insurance Providers


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      Abstract: It can be a tense relationship. Healthcare systems and providers — including case managers — have admitted it sometimes feels like insurance is the enemy, and patients have been known to carry that same sentiment. How should case managers and other healthcare professionals work out a healthy connection with insurance companies, and even work to strengthen that connection to help build a more positive view of the relationship among healthcare, insurance, and the patient'
      PubDate: Thu, 27 Oct 2022 11:03:00 -070
       

  • Care Managers Help Improve Birth Outcomes with Prenatal
           Coordination


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      Abstract: Recent research shows a prenatal care initiative, called Strong Start for Mothers and Newborns, can produce positive health results. The program works with Medicaid beneficiaries in more than 30 states through maternity care homes.
      PubDate: Thu, 27 Oct 2022 11:03:00 -070
       

  • Age-Friendly Health System Initiative Improves Care Coordination


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      Abstract: A new age-friendly initiative is a model focused on providing evidence-based care coordination to older adults and their caregivers. The goal is to train clinics to provide care that addresses what matters most to patients and their families.
      PubDate: Thu, 27 Oct 2022 11:03:00 -070
       

  • Focus on Social Determinants of Health Informs Hospital Discharge
           Practices


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      Abstract: Health systems continue to address social determinants of health in their post-discharge care for patients. Case managers are on the forefront of this trend.
      PubDate: Thu, 27 Oct 2022 11:03:00 -070
       

  • Thinking Like a Payer


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      Abstract:
      Part of what makes so many case managers successful is their ability to understand countless roles within healthcare and move between them smoothly. Whether managing discharges, providing social work support, or completing utilization review, the case management experience often is varied. However, many struggle in the quest to work more seamlessly with payers.
      PubDate: Thu, 27 Oct 2022 11:02:00 -070
       
  • Avoid Disaster by Properly Preparing New Nurses

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      Abstract: Ideally, new graduates should not practice in an ED without first undergoing an intense preceptorship overseen by experienced nurses, followed by undergoing proper precept with a seasoned professional. Even if the hospital is not held specifically at fault for a failure to prepare new graduates, the lack of training can be the cause of a negligent act that leads to a lawsuit.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Operational Countermeasures Help EDs Navigate Staffing Challenges

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      Abstract: A possible solution involves moving care to the front end of the visit. Depending on the size of the department and acuity level, this might putting a physician or an advanced practice clinician out front, supported by a nurse, a tech, a phlebotomist, and a transporter. The goal of this approach is to ensure patients receive everything they would need if they were able to be in a room.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • ED Violence Pushes Out Top Employees

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      Abstract: While multiple factors can figure into an emergency provider’s decision to leave his or her profession, receiving threats or winding up as assault victims while on the job easily can be the final straw. Those who work in the ED say the violence in this setting is only growing worse.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Inexperienced Nurses Placed in Unsafe Roles Due to Staffing Shortages

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      Abstract: Because of staff shortages, inexperienced nurses are placed in roles that may be unsafe for patients — and for the nurses themselves.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Researchers: Telehealth Visits OK for High Blood Pressure Monitoring

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      Abstract: Although there was no difference in long-term outcomes, patients treated virtually were happier with their care than those who went to the clinic.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Beware Venting About Staffing Problems

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      Abstract: Emergency providers should follow proper channels for making such complaints. There may be a patient safety organization to which staff are directed to submit complaints, or the hospital could view the situation as a human resources issue.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • EMTALA Concerns if Patient Harm Is Linked to Staffing Shortage

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      Abstract: It is important for administrators to understand an individual emergency physician or facility can be held liable under EMTALA, even if no one is hurt.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • A Review of Psilocybin in Treating Depression

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      Abstract: This literature review examines the research that has gone into the use of psilocybin specifically to treat depression. An examination of the available evidence demonstrates significant promise in psilocybin’s efficacy to treat depression, although more research is needed to make the results generalizable.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Documenting Understaffing Could Sound Like Blame-Shifting to a Jury

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      Abstract: Jurors are going to expect everyone in the ED is working together for the patient’s benefit. If the emergency physician has valid safety concerns, the medical record is not the place to voice those. Patient safety committees or the peer review process are better options, and generally are not discoverable during malpractice litigation.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • The Legal Standard of Care if ED Is Understaffed

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      Abstract: Frustrated emergency physicians want to be sure the lack of nursing staff is duly noted in the mistaken belief such a note will change the legal standard of care to which they are held. However, that documentation is ammunition for plaintiff lawyers to use against the provider, and leaves the standard of care unchanged.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Not Just an ED Problem: How to Solve the Boarding Problem Caused by Staff
           Shortages

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      Abstract: It takes thought, planning, and some amount of money.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Travel Programs, Flexible Work Options Shore Up Retention, Recruitment

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      Abstract: Two nurse leaders explain how their healthcare systems incentivized nurses to take some extra shifts without placing undue burdens or giving the appearance outsiders are invading to take someone's job.
      PubDate: Wed, 26 Oct 2022 02:00:00 -070
       
  • Staffing Shortages No. 1 Challenge in Healthcare

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      Abstract: Short-staffed EDs mean patients have to wait longer for laboratory and diagnostic testing results, which could lead to delays in administering life-saving treatment.
      PubDate: Wed, 26 Oct 2022 00:00:00 -070
       

  • Hypertensive Disorders of Pregnancy: More than Hypertension and
           Proteinuria


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      Abstract: This article explains the current diagnostic criteria for hypertensive disorders of pregnancy and how they are interrelated. It also describes evidence-based interventions for emergency providers, who must know how to diagnose and treat these conditions, and when it is safe for discharge, as well as to arrange outpatient follow-up.
      PubDate: Tue, 25 Oct 2022 11:33:00 -070
       
  • Is IVIG Treatment Really Better than Natural Recovery in Patients with
           Guillain-Barré Syndrome'

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      Abstract: In this controversial report comparing patients with Guillain-Barré syndrome treated with intravenous immunoglobulin vs. no treatment, the group that appears to have fared the best were patients who had an acute demyelinating syndrome, and not an axonal variant. This was an observational study and not a randomized treatment trial.
      PubDate: Tue, 25 Oct 2022 07:52:00 -070
       

  • Intravenous Immunoglobulin in Dermatomyositis


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      Abstract: Treatment of dermatomyositis with intravenous immunoglobulin (IVIG) resulted in overall better clinical improvement after 16 weeks compared to patients treated with placebo. However, there was a significant number of thromboembolic adverse events in the treatment group. The group of patients treated was a heterogeneous group. However, IVIG now is U.S. Food and Drug Administration-approved for the treatment of dermatomyositis.
      PubDate: Tue, 25 Oct 2022 07:52:00 -070
       

  • Treatment of Progressive Multifocal Leukoencephalopathy


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      Abstract: Progressive multifocal leukoencephalopathy, a rare opportunistic viral infection that occurs in patients who have chronic immunosuppression, has defied all attempts at treatment. This observational study, which pooled patient data from multiple centers around the world, showed that there is some benefit using checkpoint inhibitors to help reconstitute the immune system of these patients. However, survival, at best, is 50% of those treated.
      PubDate: Tue, 25 Oct 2022 07:52:00 -070
       

  • Long-Term Neurological Outcomes of Patients Treated with CAR-T
           Therapy


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      Abstract: Chimeric antigen receptor (CAR)-T cell therapy is approved for the treatment of lymphoma, leukemia, and multiple myeloma, but its use is associated with early neurotoxicity in almost half of patients. Despite the incidence of neurotoxicity, long-term follow-up of patients after CAR-T infusion suggests that patients’ neurological examination, neuro-imaging studies, and cognition remain unaffected by this treatment.
      PubDate: Tue, 25 Oct 2022 07:52:00 -070
       
  • Infectious Disease Alert Updates

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      Abstract: Screening for Chagas in HIV; It’s Not All About the Cough; Linezolid and Cycloserine in CSF Adequate
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • Oseltamivir for Pediatric Inpatients with Influenza

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      Abstract: A large study of children hospitalized with influenza clearly shows that oseltamivir given at or near the time of admission is effective in reducing the duration of hospitalization, reducing the requirement for intensive care, and reducing subsequent readmissions within the week after discharge.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • Evidence of Clinical Efficacy of Bebtelovimab in COVID-19

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      Abstract: A retrospective study found that bebtelovimab has efficacy similar to that of nirmatrelvir/ritonavir (Paxlovid) in the treatment of high-risk outpatients with recent onset of COVID-19 who have mild to moderate symptoms.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • COVID-19: Beware Remdesivir Resistance

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      Abstract: Hogan and colleagues reported two immunosuppressed renal transplant recipients with persistent SARS-CoV-2 infection in association with the new emergence of mutations in ribonucleic acid (RNA)-dependent RNA polymerase after remdesivir treatment.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • Antibiotic Prophylaxis Is Not Beneficial for Patients Undergoing
           Transperineal Prostate Biopsy

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      Abstract: A randomized clinical trial found a similar rate of infection between patients given antibiotics for transperineal prostate biopsy compared to those not given antibiotics. It may be possible to omit antibiotics in certain patients undergoing transperineal prostate biopsy.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • Better Diagnostics Equals Fewer Unnecessary Antibiotic Prescriptions

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      Abstract: Researchers credit diagnostic stewardship as the top reason for an impressive reduction in needless antibiotic prescriptions.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • Outbreak of a Potentially More Lethal Ebola Virus

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      Abstract: A new outbreak of a more lethal Ebola virus is occurring in Uganda with concern about its exportation.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       
  • Can Maternal COVID-19 Vaccination Protect Newborns'

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      Abstract: In this case control study, 537 case infants younger than 6 months of age who were admitted to the hospital with COVID-19 were compared to 512 control infants who were hospitalized for other reasons; 16% of the case infants and 29% of the control infants had been born to mothers who had been fully vaccinated against COVID-19 during the pregnancy. The effectiveness of maternal vaccination against infant hospitalization for COVID-19 was 52% overall, 80% during the Delta variant period, and 38% during the Omicron variant period. Effectiveness increased when the vaccine was received after 20 weeks of pregnancy.
      PubDate: Mon, 24 Oct 2022 02:00:00 -070
       

  • Concerns and Complications of Measles and Mumps and the Increasing
           Threat of Monkeypox


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      Abstract: Measles and mumps, while clinically dissimilar, share important characteristics that are valuable to discuss in tandem. This review will seek to inform the practitioner about current outbreak concerns regarding measles and mumps, clinical manifestations and complications of each, diagnostic and treatment options, and prevention of further exposures. The emerging threat of monkeypox also is discussed.
      PubDate: Fri, 21 Oct 2022 09:10:00 -070
       

  • Track the Right Safety Indicators for Best Results


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      Abstract: Risk managers can track leading indicators to assess safety improvement efforts, but there is no uniform set of leading indicators for hospitals and health systems. Knowing which indicators to track can make your risk management program more effective.
      PubDate: Fri, 21 Oct 2022 09:00:00 -070
       

  • Video Recording Raises Risk, Requires Policy Consideration


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      Abstract: Video recording has been problematic in healthcare for decades, ever since the home video camera became common. With the proliferation of smartphones and remote video monitoring, hospitals and health systems are facing a new wave of questions and potential risks from video recording in patient care settings.
      PubDate: Fri, 21 Oct 2022 09:00:00 -070
       

  • Handwashing Compliance Often Not as Good as Leaders Hope


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      Abstract: Hand hygiene is fundamental to patient safety. But for many healthcare organizations, maintaining compliance with good handwashing practices is a challenge. Compliance seemed to improve at many facilities during the COVID-19 pandemic, but some research suggests clinicians are regressing to old habits.
      PubDate: Fri, 21 Oct 2022 09:00:00 -070
       

  • Feds Serious About Preventing Discrimination in Telehealth


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      Abstract: The HHS Office for Civil Rights and the Department of Justice are signaling they will take seriously any discrimination against protected classes in the delivery of telehealth services. Hospitals and health systems must make sure they are providing reasonable accommodations when needed.
      PubDate: Fri, 21 Oct 2022 09:00:00 -070
       

  • Nurse Practitioner Liability Increasing, Risk Managers Should
           Advise


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      Abstract: The average total incurred amount of a nurse practitioner malpractice claim has risen sharply over five years. Risk managers can use recent data to help educate nurse practitioners and reduce their risk.
      PubDate: Fri, 21 Oct 2022 08:59:00 -070
       

  • Contraceptive Injection Mix-Up Leads to Unwanted Birth, $10 Million
           Verdict


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      Abstract: There are two principal ramifications arising from this decision that relate to a healthcare provider’s failure to adhere to the accepted standard of contraceptive care. First, a patient’s reason for seeking reproductive healthcare does not limit the scope of a negligent provider’s liability as a matter of state law.
      PubDate: Fri, 21 Oct 2022 08:59:00 -070
       

  • Appeals Court Reverses Hospital’s Summary Judgment Due to Lack of
           Communication


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      Abstract: This case highlights the importance of communication. In this case, a lack of communication was the material issue that prevented the defendant from adjudicating its liability.
      PubDate: Fri, 21 Oct 2022 08:59:00 -070
       

  • Court Issues Ruling on False Claims Act


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      Abstract: Healthcare providers received some news from the United States Court of Appeals for the Eighth Circuit, with a ruling that makes proving fraud or falsity under Anti-Kickback Statute more difficult.
      PubDate: Fri, 21 Oct 2022 08:59:00 -070
       

  • Updates in Stress Ulcer Prophylaxis


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      Abstract: The development of esophageal, gastric, and duodenal erosions or ulcers may increase the morbidity and mortality of critically ill patients. Stress ulcer prophylaxis can be administered pharmacologically to prevent gastrointestinal bleeding from the ulcers.
      PubDate: Thu, 20 Oct 2022 11:12:00 -070
       

  • Intravenous Fluids in ICU Patients with Septic Shock: Is Restriction
           the Answer'


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      Abstract: In an international, randomized trial of 1,554 patients with septic shock who had already received> 1 liter of intravenous fluids, patients assigned to the restrictive-fluid group compared to the standard-fluid group did not have reduced mortality at 90 days.
      PubDate: Thu, 20 Oct 2022 11:12:00 -070
       
  • Modifiable Factors Play a Significant Role in the Performance of
           Spontaneous Awake and Breathing Trials

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      Abstract: In this secondary analysis of data from a national intensive care unit collaborative, various non-modifiable and modifiable factors were associated with performance of spontaneous awake and breathing trials.
      PubDate: Thu, 20 Oct 2022 11:12:00 -070
       
  • Shared Decision-Making Is Ethical Balancing Act for Clinicians

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      Abstract: Physicians should always inform, usually recommend, sometimes attempt to persuade — but never manipulate or coerce.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Is Routine Stress Testing After Coronary Revascularization Necessary'

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      Abstract: A multicentered study of routine stress testing at one year post-percutaneous coronary revascularization compared to usual care in patients with at least one high-risk coronary anatomic or clinical feature failed to show improved clinical outcomes at two years follow-up.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Family Members of Critically Ill Patients with SARS-CoV-2 Pneumonia Have a
           High Burden of Symptoms of PTSD

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      Abstract: This multicenter cohort study found a high incidence of post-traumatic stress disorder symptoms among family members of COVID-19 patients at three months after the index intensive care unit admission.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Decision-Making Capacity Is Concern for Older Study Participants

    • Free pre-print version: Loading...

      Abstract: It likely is an accident if investigators enroll participants lacking decision-making capacity in trials. Since capacity to consent is not a mandated area to report for most journals publishing research, it may be left out for space or other reasons. Nevertheless, some researchers are seeking to start a conversation about this.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Ejection Fraction and Outcomes in Bicuspid Aortic Valve Disease

    • Free pre-print version: Loading...

      Abstract: A study of patients with bicuspid aortic valve and moderate or more aortic valve disease revealed the cutpoint for considering aortic valve replacement should be moved from < 50% to < 60% in the guidelines.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Clinical Significance of Mitral Annular Calcification

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      Abstract: Researchers found mitral annular calcification to be uncommon, and few experienced associated moderate to severe mitral stenosis or regurgitation. However, the latter group recorded a high mortality rate over three years follow-up, which was significantly lower in those who underwent valve interventions, even when corrected for younger age, fewer comorbidities.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • ‘Informed Assent’ for CPR Is Reasonable Approach for Some
           Hospitalized Patients

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      Abstract: This concept was developed to satisfy the right of physicians to initiate DNR orders in futile situations and their duty to communicate to patients and lawful surrogates. Through informed assent, physicians state they will write a DNR order because it would be futile and harmful to the patient to attempt CPR in their current serious illness.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Importance of Medication Adherence in Ischemic Heart Disease

    • Free pre-print version: Loading...

      Abstract: The results of a subanalysis of the ISCHEMIA trial indicated about one-quarter of patients in both conservative and invasive strategy groups were nonadherent to recommended medical therapy at baseline. Nonadherence was associated with worse health status in both groups at baseline and after one year.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Antibiotic Resistance: We Were Doing Great and then COVID Happened

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      Abstract: After improvement, antimicrobial resistance in the United States significantly increased.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Adults with Developmental Disabilities at Risk for Poor End-of-Life Care

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      Abstract: Policies should specify that the wishes of these patients should be known. They should be able to access all medically appropriate care, without bias, and have the right to avoid medical interventions they wish to refuse.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Dextromethorphan/Bupropion (Auvelity)

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      Abstract: Auvelity can be prescribed to treat major depressive disorder in adults.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Researchers Are Revamping Processes to Gather Community Input

    • Free pre-print version: Loading...

      Abstract: Input from community members can help researchers make the study more effective by providing participants with regular updates on the results and proactively translating research consent forms into preferred languages. Investigators also could hire a staff representative of the community who can navigate cultural nuances and speak the preferred languages.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Ethical Approaches to Address Nursing Workloads, Staffing Shortages

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      Abstract: Ethicists can perform an invaluable role by working closely with senior management and medical staff leaders to develop collaborative initiatives to acknowledge the problem’s magnitude and engage nursing representatives in developing creative solutions.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • IRBs Tend to Err on the Side of Protection, Not Inclusion

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      Abstract: Researchers must strike a balance between protecting and including participants in their protocol design. Building in additional safeguards for those deemed vulnerable could help.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Informed Consent Requirements May Hinder Innovation in Stroke Treatments

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      Abstract: IRBs and regulatory bodies should consider the changing scope of acute stroke care, and collaborate with investigators to design studies that can ethically answer important questions and allow innovation and progress in the field.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Artificial Intelligence Soon Could Transform the Field of Clinical Ethics

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      Abstract: Using a tool that could introduce bias into a clinical situation or during an ethics consult is problematic. To address these and other issues, ethicists can and should be part of their facility's artificial intelligence oversight board.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Cerebral Embolic Protection Device Disappoints in TAVR/Stroke Trial

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      Abstract: In this largest-to-date randomized trial of stroke prevention in transcatheter aortic valve replacement patients, use of the Sentinel cerebral embolic protection device did not significantly affect the incidence of periprocedural stroke.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Researchers Overlook Unintended Consequences of Health Technology

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      Abstract: Health technology studies usually cover research ethics related to conducting the study. However, paper authors often seem to omit details about the ethical implications of the technology itself. This gap is important to consider in an era of dramatically advancing technology.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • The Dental Procedure-Infective Endocarditis Link Controversy Continues

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      Abstract: Infective endocarditis was more common with dental surgery or tooth extractions in the preceding four weeks in high-risk patients. Researchers abrogated this risk with antibiotic prophylaxis before the procedure.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       
  • Hot Trials from the European Society of Cardiology Annual Congress

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      Abstract: Some highlights from two key studies presented in Barcelona, Spain, between Aug. 26 and Aug. 29, 2022, along with Dr. Crawford’s personal commentary on both.
      PubDate: Thu, 20 Oct 2022 02:00:00 -070
       

  • Interpregnancy Interval Outcomes in Group Prenatal Care vs. Traditional
           Care


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      Abstract: This study demonstrated that, when compared to women receiving conventional prenatal care, CenteringPregnancy care was associated with a substantial decrease in interpregnancy intervals at ≤ 6 and ≤ 12 months and a remarkable increase in postpartum long-acting reversible contraception uptake.
      PubDate: Wed, 19 Oct 2022 07:52:00 -070
       

  • Labor Epidural Analgesia Is Not Associated with Autism Spectrum
           Disorder or ADHD in Offspring


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      Abstract: Use of epidural analgesia by pregnant women in labor was not associated with an increased risk of autism spectrum disorder or attention-deficit/hyperactivity disorder in the resulting children after controlling for confounding factors, including familial risks.
      PubDate: Wed, 19 Oct 2022 07:52:00 -070
       

  • Increasing Incidence of Stage IV Cervical Cancer


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      Abstract: This study examined the incidence of stage IV cervical cancer in the United States between 2001 and 2018. Rates were highest among Black women, but the annual rate of increase was highest among white women in the South aged 40-44 years. Compared with Black women, white women also had lower rates of guideline-adherent cervical cancer screening, and white teens had lower rates of human papillomavirus vaccination.
      PubDate: Wed, 19 Oct 2022 07:52:00 -070
       

  • Extended Use of Intrauterine Devices: New Data


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      Abstract: In this prospective cohort study, 362 participants started year 6 of the device and 223 women completed eight years of 52-mg levonorgestrel intrauterine device use. For years 6-8, the three-year Pearl Index (95% confidence interval) was 0.28 (0.03-1.00), with a three-year cumulative failure rate of 0.68% (0.17-2.71).
      PubDate: Wed, 19 Oct 2022 07:52:00 -070
       
  • An Idea Whose Time Has Come: Racial Research in IP &amp; Control

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      Abstract: As the first step in an ambitious research agenda to address healthcare racial inequities and hospital infections, Shanina Knighton, PhD, RN, CIC, is starting at ground zero: “hygiene poverty.”
      PubDate: Wed, 19 Oct 2022 02:00:00 -070
       
  • CDC: Monkeypox Causing Severe Infections, Test Patients for HIV

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      Abstract: A severe spectrum of monkeypox disease is appearing in patients with untreated human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome, prompting the Centers for Disease Control and Prevention to urge HIV testing for patients with monkeypox.
      PubDate: Wed, 19 Oct 2022 02:00:00 -070
       
  • Endemic Monkeypox' Overall Decline, but Persistence Likely

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      Abstract: Although the most likely scenario is that monkeypox cases will fall significantly in the next few months, transmission in the United States is “unlikely to be eliminated in the near future,” the Centers for Disease Control and Prevention reports.
      PubDate: Wed, 19 Oct 2022 02:00:00 -070
       
  • Pandemic Puts Scientists, Medical Groups, Federal Agencies at Odds

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      Abstract: Misinformation has been the enemy of truth during a pandemic that now has exceeded two years and taken a million lives, but there also has been genuine scientific disagreement that would seem inevitable given the many variables of the response.
      PubDate: Wed, 19 Oct 2022 02:00:00 -070
       
  • Feds Seek to Overhaul Nation’s Prescription Drug Model

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      Abstract: The White House has directed federal agencies to find ways to lower costs, expand access, and speed delivery.
      PubDate: Tue, 18 Oct 2022 02:00:00 -070
       
  • IRS Resolves ‘Family Glitch’ in Affordable Care Act

    • Free pre-print version: Loading...

      Abstract: The long-standing blind spot had left many ineligible for marketplace subsidies.
      PubDate: Mon, 17 Oct 2022 02:00:00 -070
       
  • Reviewing Pediatric Arrhythmias

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      Abstract: Although pediatric arrhythmias are uncommon, it is essential to recognize which ones require diagnostic evaluation and therapy and which ones do not. Frequently, there are normal variations on pediatric ECGs that do not require a significant evaluation, but recognizing critical arrhythmias in pediatric patients is a must-know for providers.
      PubDate: Thu, 13 Oct 2022 02:00:00 -070
       

  • Identifying and Treating Non-COVID Viral Respiratory Infections


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      Abstract: These days, it is easy to think every patient with a cough or a runny nose has COVID-19. But it is important to remember that all of the viral respiratory diseases are still circulating and causing significant disease and discomfort. Respiratory viruses can cause a variety of clinical manifestations, from asymptomatic infections to life-threatening illnesses with multi-organ failure.
      PubDate: Wed, 12 Oct 2022 09:28:00 -070
       

  • Crisis Pregnancy Centers Often Deliver Coercive, Inaccurate
           Information


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      Abstract: People seeking help with a pregnancy decision may see ads for a free pregnancy test and ultrasound and believe they are visiting a medical clinic, where all of their options will be explored. Instead, they will soon discover that they are visiting a center with no licensed medical providers that is designed to convince them not to seek an abortion.
      PubDate: Wed, 12 Oct 2022 07:15:00 -070
       

  • National Survey Reveals Critical Need for Patient-Centered
           Counseling


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      Abstract: Contraceptive Technology Update asked a Veterans Affairs researcher about her new study involving data on women veterans and contraceptive counseling.
      PubDate: Wed, 12 Oct 2022 07:15:00 -070
       

  • Patients Report Positive Experiences with Self-Removal of IUDs


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      Abstract: Self-removal of IUDs appears to be popular among many people and may empower women, but research indicates successful self-removal is not guaranteed.
      PubDate: Wed, 12 Oct 2022 07:15:00 -070
       

  • Bias-Free Reproductive Health Counseling Can Improve Patient
           Autonomy


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      Abstract: Counseling patients on their contraception choices has always been difficult, but the stakes are higher now in the post-Roe era. New research about provider bias and empowering women to make their own decisions suggests ways to improve contraception counseling.
      PubDate: Wed, 12 Oct 2022 07:14:00 -070
       

  • Cultural Humility and Other Training for Contraceptive Care
           Providers


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      Abstract: Reproductive health providers might believe they provide unbiased contraceptive counseling, but research shows that this is not always the case. A recent study revealed that providers who said they embraced patient-centered care had used negotiating, withholding information, and delaying tactics to prevent patients from removing an IUD early.
      PubDate: Wed, 12 Oct 2022 07:14:00 -070
       

  • Suggestions for Teaching Staff How to Counsel Without Bias,
           Persuasion


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      Abstract: Research helps inform training tactics for reproductive health staff on providing contraceptive counseling in a way that patients perceive is unbiased and with cultural humility. These methods can establish trust with patients and improve contraceptive care.
      PubDate: Wed, 12 Oct 2022 07:14:00 -070
       
  • OSHA Violence Prevention Draft Reg Gathers Momentum

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      Abstract: Making slow but steady progress on an intractable problem, OSHA is expected to issue a violence prevention draft standard for healthcare in 2023. The need for regulation is compelling, particularly since violence in healthcare is notoriously underreported.
      PubDate: Wed, 12 Oct 2022 02:00:00 -070
       
  • Predicting Violence in the Individual Patient

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      Abstract: Is it possible to assess whether a patient is a risk for committing an act of violence' An occupational health consultant in Oregon thinks the evidence strongly supports the efficacy of patient assessment tools, and more hospitals should be using them.
      PubDate: Wed, 12 Oct 2022 02:00:00 -070
       
  • ACEP Survey: Emergency Departments Under Siege

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      Abstract: In a recent survey, two-thirds of emergency physicians reported a patient assaulted them in the past year, and more than one-third of respondents said they have been attacked more than once. The survey by ACEP revealed 31% of assaults involved a family member or friend of the patient.
      PubDate: Wed, 12 Oct 2022 02:00:00 -070
       
  • Using Technology to Alleviate HCW Stress, Strengthen Resiliency

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      Abstract: As healthcare worker stress and burnout spiked during the pandemic, organizations searched for ways to alleviate the burden, including finding new uses for technology. To help healthcare workers adjust to these significant sources of stress, health systems can build and enhance resiliency.
      PubDate: Wed, 12 Oct 2022 02:00:00 -070
       
  • Burnout Affects Nearly Half of Nurses, Physicians

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      Abstract: Teamwork may be an antidote to burnout in healthcare. Before the COVID-19 pandemic, burnout affected 43% of physicians and nurses. Doctors reported more isolation, according to a recent study. Worse, the pandemic pushed burnout to crisis levels, affecting more than half of all nurses and physicians.
      PubDate: Wed, 12 Oct 2022 02:00:00 -070
       
  • High Altitude Illness

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      Abstract: Some patients love to challenge themselves, seeking new locations and activities, pushing themselves to perform in extreme environments. In this issue, the authors explore the physiology of altitude and the various illnesses encountered by people working and playing in the higher areas of the earth.
      PubDate: Tue, 11 Oct 2022 09:00:00 -070
       
  • Where Are the P Waves'

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      Abstract: The ECG in the figure was obtained from a previously healthy young woman with “palpitations.” How would one interpret this two-lead rhythm strip' Is there a conduction disorder'
      PubDate: Mon, 10 Oct 2022 02:00:00 -070
       
  • Poor Cardiovascular Health a Predictor for Premature Brain Aging

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      Abstract: Worse cardiovascular health at age 36 years can predict worse brain aging and associated cognitive problems later in life.
      PubDate: Mon, 10 Oct 2022 02:00:00 -070
       
  • Statins Plus Ezetimibe vs. Statins Alone

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      Abstract: A comparison of rosuvastatin 10 mg/day plus ezetimibe (10 mg/day) to 20 mg/day of rosuvastatin alone showed non-inferiority in three-year major cardiovascular outcomes, with lower LDL cholesterol levels and fewer episodes of drug discontinuation or dose reductions in the combination therapy group.
      PubDate: Mon, 10 Oct 2022 02:00:00 -070
       
  • Understanding Statin-Related Muscle Pain and Cardiovascular Benefits

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      Abstract: A review of large-scale, randomized, double-blind trials of statin therapy suggested statins are responsible for only a small excess of muscle pain symptoms in patients taking these drugs.
      PubDate: Mon, 10 Oct 2022 02:00:00 -070
       
  • Prevalence of Urinary Incontinence Among Adult U.S. Women Has Increased

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      Abstract: The updated prevalence of urinary incontinence using the National Health and Nutrition Examination Survey data is 60% in community-dwelling women, which is an increase from prior estimates.
      PubDate: Mon, 10 Oct 2022 02:00:00 -070
       
  • Bivalent COVID-19 Vaccine (Booster Dose)

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      Abstract: The FDA has amended the emergency use authorizations of two leading COVID-19 vaccines. Now, these new bivalent formulations can be used as a single booster dose (after primary or booster vaccination).
      PubDate: Mon, 10 Oct 2022 02:00:00 -070
       
  • Labor Department Invests Millions of Dollars in Nurses

    • Free pre-print version: Loading...

      Abstract: Grants will help address staff shortages by providing more funding for training, expansion, and diversification.
      PubDate: Sat, 08 Oct 2022 02:00:00 -070
       
  • Epilepsy: The Hidden Side Effect of Bariatric Surgery

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      Abstract: The benefits of weight loss procedures are numerous, but a recently published paper reveals a long-term side effect clinicians and patients should heed.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Many Emergency Medicine Residents Struggle with Communication

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      Abstract: Researchers studied how to objectively assess patient/physician interactions in the ED. They used an observational tool to assess emergency medicine residents’ non-technical skills in patient interactions. This tool allows educators to consistently measure several important interpersonal domains to pinpoint the reasons why interactions are poor.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Legal Implications if Adolescents Seek Confidential Care

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      Abstract: Generally, emergency clinicians are required to obtain parental consent for care provided to minors. However, there can be exceptions if the minor is seeking treatment for sexually transmitted infections, mental health, substance use disorders, sexual assault, or pregnancy. Several federal and state laws apply. Healthcare professionals are advised to be aware of the laws where they practice.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Tracking Undertriage Can Help Prevent Medical Errors

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      Abstract: Investigators found several issues were important to track using quality improvement methods, including discrepancy in exam or history between the triage and assessment nurses, along with discrepancy between the chief complaint and the physical exam. Also, they found failure to synthesize historic or objective information.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Repeat Visits Are Second Chances to Avoid Misdiagnosis

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      Abstract: Conditions that start with subtle signs and evolve over time are traps for the practitioner who is too rushed to let the situation unfold.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • What Role Should Providers Play in New Rural Emergency Model'

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      Abstract: In 2023, remote, financially stressed hospitals could convert to a new model and remain a critical part of small communities. This is an exciting opportunity for emergency medicine providers, although much depends on the final regulations that will govern these facilities.

      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Frontline Providers Must Consider Dual Threats of AFM Resurgence, Polio
           Return

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      Abstract: The CDC is advising frontline providers of a potential surge in cases of acute flaccid myelitis (AFM), a rare, polio-like complication of certain enteroviruses. Concurrently, there are concerns about the re-emergence of poliomyelitis.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • How Did Paralytic Polio Re-Emerge in the U.S.'

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      Abstract: Most outbreaks globally are attributed to vaccine-derived polio, or type 2. Cases of the type 2 form of polio stem from the large-scale, global use of the oral polio vaccine, a solution that contains a live (but weakened) virus.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Multidisciplinary Program Accelerates Care, Boosting Outcomes for Hip
           Fracture Patients

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      Abstract: Returning Seniors to Orthopedic Excellence focuses on prioritizing early pain management and shortening the time to surgery for patients with confirmed hip fractures. Since implementation in early 2021, lengths of stay are shorter, time to surgery has declined, and attendance rates at follow-up appointments are higher.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Dozens of Facilities Predicted to Show Interest in Rural Emergency
           Hospital Model

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      Abstract: Key targets are hospitals that operated three years with negative total margins, facilities that recorded an average acute and swing daily census of less than three, and centers running with net patient revenue of less than $20 million.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Lack of EP Evaluation of Chest Pain Can Lead to Disaster

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      Abstract: If an emergency physician never evaluates such a patient, leaving the care solely to a physician assistant or a nurse practitioner, this could lay the foundation for litigation.
      PubDate: Fri, 07 Oct 2022 02:00:00 -070
       
  • Preventing Strokes After Transcatheter Aortic Valve Replacement

    • Free pre-print version: Loading...

      Abstract: Researchers continue testing cerebral embolic protection devices as a solution — but are they effective'
      PubDate: Thu, 06 Oct 2022 02:00:00 -070
       
  • Whole Grains vs. Refined Grains: Preventing Early-Onset Heart Disease

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      Abstract: Researchers found eating too many refined grains is like consuming an excess of sugar.
      PubDate: Wed, 05 Oct 2022 02:00:00 -070
       
  • Biden Administration Invests in Pediatric Mental Healthcare Expansion

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      Abstract: Announcement made on the same day various organizations call for optimizing resources for pediatric emergencies.
      PubDate: Tue, 04 Oct 2022 02:00:00 -070
       
  • Keep on the Sunny Side: Timing Meals for Better Mental Health

    • Free pre-print version: Loading...

      Abstract: Feelings of anxiety and depression can fluctuate depending on when one eats throughout the day.
      PubDate: Sun, 02 Oct 2022 02:00:00 -070
       
  • Expert Panel Debunks Common Sleep-Related Myths

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      Abstract:
      Authors identified and deconstructed 10 misconceptions parents hold about teenage nocturnal patterns.
      PubDate: Sat, 01 Oct 2022 02:00:00 -070
       
  • Top Heart Medication Could Help Alcohol Use Disorder Patients

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      Abstract: Spironolactone is known to block mineralocorticoid receptors, an action believed to reduce alcohol cravings.
      PubDate: Fri, 30 Sep 2022 02:00:00 -070
       
  • Irregular Sleep Could Cause More Inflammation

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      Abstract: Those who slept few hours per night exhibited troubling signs of improper immune system function in a small study.
      PubDate: Thu, 29 Sep 2022 02:00:00 -070
       
  • CDC: U.S. Adult Obesity Rate Up Sharply

    • Free pre-print version: Loading...

      Abstract: At least 35% of adults are obese in 19 states and two territories.
      PubDate: Wed, 28 Sep 2022 02:00:00 -070
       
  • Emergency Providers Report Rise in ED Violence

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      Abstract: Two-thirds of survey respondents said they were assaulted by patients in the past year.
      PubDate: Tue, 27 Sep 2022 07:30:00 -070
       
  • Probiotics and Iron Intake in Pregnant Women

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      Abstract: In a randomized, controlled trial, a significantly smaller decrease in serum ferritin was observed in pregnant women with the intake of a Lactinplantibacillus plantarum 299v supplement containing a low dose of iron, folic acid, and ascorbic acid than in the placebo group.
      PubDate: Mon, 26 Sep 2022 07:00:00 -070
       
  • Measuring the Effect of Ending Food Deserts in Obese Children

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      Abstract: A study of New York City students followed for 12 months after the opening/remodeling of a grocery store incentivized to provide healthy food options revealed a small but significant decrease in body mass index scores and a decrease in the likelihood of obesity in the students living within walking distance to the store compared to a control group of peers living farther from such a store.
      PubDate: Mon, 26 Sep 2022 07:00:00 -070
       

  • Racial Disparities in Hypertension Appear Related to Social
           Determinants of Health


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      Abstract: Recent research revealed a reason why more Black Americans than white Americans die from hypertension. It also provides a care coordination solution to this health inequity.
      PubDate: Thu, 22 Sep 2022 08:15:00 -070
       

  • Burnout Affects Nearly Half of Nurses, Physicians


    • Free pre-print version: Loading...

      Abstract: Teamwork may be an antidote to burnout in healthcare. Before the COVID-19 pandemic, burnout affected 43% of physicians and nurses. Doctors reported more isolation, according to a recent study. Worse, the pandemic pushed burnout to crisis levels, affecting more than half of all nurses and physicians.
      PubDate: Thu, 22 Sep 2022 08:15:00 -070
       

  • Care Management Intervention Helps Patients with Behavioral Health
           Readmissions


    • Free pre-print version: Loading...

      Abstract: From a case management perspective, behavioral health patients — particularly those with substance use disorders — can be challenging. But a care management program at one health system has resulted in a 30% decrease in readmissions.
      PubDate: Thu, 22 Sep 2022 08:14:00 -070
       

  • Interprofessional Meetings Can Prepare Caregivers of Brain Injury
           Patients


    • Free pre-print version: Loading...

      Abstract: Brain injury patients and their caregivers face difficult care transitions after leaving an inpatient setting. But care teams with case management can help caregivers by assessing their readiness and engaging with them in interprofessional meetings early.
      PubDate: Thu, 22 Sep 2022 08:14:00 -070
       

  • Poor Care Coordination Affects Patients with Ambulatory Care-Sensitive
           Conditions


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      Abstract: A veteran population at risk of poor outcomes after being treated in an ED needed follow-up care and outreach to improve care coordination, according to recent research. Patients with unmet needs after an ED visit are more likely to report poor outcomes, including returning to the hospital.
      PubDate: Thu, 22 Sep 2022 08:14:00 -070
       

  • Focusing on Home Health and Hospice Referral Practices


    • Free pre-print version: Loading...

      Abstract: While healthcare is ever-changing, the practice of making referrals across the continuum of care evolves along with it. Over the last three years, as hospitals have been full and transitions of care have been made in haste, ensuring quality transitions to home health and hospice has become even more important. Thankfully, technology has helped ease the burden.
      PubDate: Thu, 22 Sep 2022 08:14:00 -070
       

  • Telehealth Monitoring Helps At-Risk Patients with Diabetes


    • Free pre-print version: Loading...

      Abstract: Standard care for patients with persistently poor control of type 2 diabetes does not always work well. Investigators studied different telehealth interventions designed for this group. They found comprehensive telehealth improved multiple outcomes in patients with persistently poorly controlled type 2 diabetes.
      PubDate: Thu, 22 Sep 2022 08:14:00 -070
       

  • Engaging Seamlessly with Patients and Families


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      Abstract: Case managers and other medical professionals are daily tasked with communicating with patients and their families. The reality is exceptional communication skills are often hard wrought. However, it is important to the patient and their families that the care can seamlessly engage with them in ways they can understand and appreciate.
      PubDate: Thu, 22 Sep 2022 08:14:00 -070
       
  • Improvement of Memory with Transcranial Electrical Brain Stimulation in
           Patients with Alzheimer’s Disease

    • Free pre-print version: Loading...

      Abstract: The authors showed that gamma frequency transcranial alternating current stimulation targeting the precuneus in patients with Alzheimer’s disease improved measures of immediate and delayed verbal memory as well as associative memory for faces. Additionally, neurophysiological measurements of cholinergic transmission improved. Apolipoprotein E genotype and baseline cognitive performance were correlated with treatment response. Memory improvement was correlated both with increases in gamma frequency power in posterior cortical regions and spatial overlap between the modeled electric field distribution and the precuneus target site.
      PubDate: Wed, 21 Sep 2022 11:42:00 -070
       
  • Magnetic Resonance Imaging Evaluation of Perivascular Space Abnormalities
           in Neuromyelitis Optica

    • Free pre-print version: Loading...

      Abstract: Perivascular space (PVS) abnormalities were demonstrated in two cohorts of patients with neuromyelitis optica spectrum disorder (NMOSD) as compared to healthy controls. Magnetic resonance imaging provided visualization of PVS enlargement, and quantification of reduced flow in NMOSD patients, both of which were found to be associated with disease outcomes.
      PubDate: Wed, 21 Sep 2022 11:42:00 -070
       

  • COVID-19 Vaccination in Patients with Autoimmune Neuromuscular
           Diseases


    • Free pre-print version: Loading...

      Abstract: In a population-based, self-reporting survey of patients with immune-mediated myopathy and myasthenia gravis, the frequency of both mild and severe acute adverse events appeared to be no more frequent than in the general population. COVID-19 vaccinations are safe for this population of patients.
      PubDate: Wed, 21 Sep 2022 11:42:00 -070
       

  • Benefits and Risks of Dual Antiplatelet Therapy After Acute Ischemic
           Stroke or TIA


    • Free pre-print version: Loading...

      Abstract: Secondary prevention of acute ischemic stroke is continuing to evolve with great interest in the use of dual antiplatelet treatment early in the course. A complicating factor has been the role of the CYP2C19 loss-of-function gene that interferes with the conversion of clopidogrel to its active antiplatelet metabolite.
      PubDate: Wed, 21 Sep 2022 11:42:00 -070
       

  • Long-Term Outcome in Patients with Intracerebral and Intraventricular
           Hemorrhage


    • Free pre-print version: Loading...

      Abstract: Intracerebral hemorrhage continues to be a major cause of mortality and long-term disability. Early in the course of this severe disease prognosis is based on early characteristics, and care may be withdrawn at an early stage. The natural history and long-term recovery of survivors is uncertain because of withdrawal of care at an early time, resulting in a “self-fulfilling prophecy.”
      PubDate: Wed, 21 Sep 2022 11:42:00 -070
       

  • Should Endovascular Thrombectomy Be Performed With or Without
           Intravenous Alteplase'


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      Abstract: With the widespread adoption of endovascular thrombectomy for the treatment of acute ischemic stroke caused by large vessel occlusion, a debate has raged about the role of intravenous thrombolysis. None of the clinical trials published to date have given us a clear evidence-based answer regarding the relative risks and benefits of this approach.
      PubDate: Wed, 21 Sep 2022 11:42:00 -070
       

  • A Guide to Change: Modifying Unhealthy Behaviors in Patients


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      Abstract: Motivational interviewing is an evidence-based, empathic approach to the patient interview incorporating techniques that encourage patients to self-reflect and voice reasons for change, while recognizing underlying ambivalence. This article presents approaches recommended for use in a primary care office when the clinical interview indicates a need for behavioral change.
      PubDate: Wed, 21 Sep 2022 11:32:00 -070
       

  • Updates on Syncope


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      Abstract: Syncope is a common ED chief complaint that often results in over-ordering of tests and unnecessary admission to the hospital, with significant economic impact. The main focus of the emergency medicine physician is to risk stratify the patient based on the history and physical exam.
      PubDate: Wed, 21 Sep 2022 09:18:00 -070
       
  • Nurses at Rural Facilities Explain Barriers to End-of-Life Care

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      Abstract: Family members often disagree with one another and misunderstand the meaning of “lifesaving measures.”
      PubDate: Wed, 21 Sep 2022 02:00:00 -070
       
  • Fear of a Polio Outbreak Brewing in New York

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      Abstract: The Centers for Disease Control and Prevention is investigating a case of paralytic polio in an unvaccinated, immune-competent young patient who presented to an emergency room in Rockland County, NY, with lower limb weakness and fever.
      PubDate: Tue, 20 Sep 2022 05:00:00 -070
       
  • Drug-Resistant Pathogens Surging in Hospitals

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      Abstract: Already classified as a high priority, “urgent” threat in 2019, Candida auris infections increased 60% in 2020 as the chaos of the pandemic derailed infection prevention and antimicrobial stewardship efforts, the Centers for Disease Control and Prevention reports.
      PubDate: Tue, 20 Sep 2022 05:00:00 -070
       
  • Lessons Learned, Initiatives to Support

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      Abstract: Conceding that the pandemic has undone much of the nation’s progress on preventing the rise of antimicrobial resistance, especially in hospitals, the Centers for Disease Control and Prevention urged support and funding for key initiatives.
      PubDate: Tue, 20 Sep 2022 05:00:00 -070
       
  • CDC Struggles to Regain Public Health Footing

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      Abstract: Once widely considered the greatest public health institution in the world, the Centers for Disease Control and Prevention has admitted it mishandled the COVID-19 pandemic response and has begun an ambitious rebuild.
      PubDate: Tue, 20 Sep 2022 05:00:00 -070
       
  • Mortality Projections Spur CDC Booster Approval

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      Abstract: Clinicians and public health epidemiologists are loath to make bold moves with a dearth of data, but one dire projection recently swayed clearly uncomfortable members of the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.
      PubDate: Tue, 20 Sep 2022 05:00:00 -070
       
  • CDC: Most Pregnancy-Related Deaths Are Preventable

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      Abstract: Recent data indicate mental health conditions, excessive bleeding are the leading causes of pregnancy-related deaths in the United States.
      PubDate: Tue, 20 Sep 2022 02:00:00 -070
       
  • Congressional Report Details the Role Healthcare Systems Play in the
           Climate Change Battle

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      Abstract: Various industry players weigh in on progress so far and what is yet to come.
      PubDate: Sat, 17 Sep 2022 02:00:00 -070
       
  • Kindergarten Vaccine Rates: Post-COVID

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      Abstract: The COVID-19 pandemic caused disruption in healthcare delivery for everyone. Schools continue to struggle to meet the Healthy People 2030 Nationwide target of ≥ 95% coverage for measles, mumps, rubella (MMR) vaccination in kindergarteners, and COVID-19 did not help. Remarkably, the nationwide vaccine rate for children entering kindergarten in the 2020-2021 school year was decreased by only 1% for all vaccines compared with the previous year.
      PubDate: Fri, 16 Sep 2022 11:44:00 -070
       
  • Rehospitalization Common in Herpes Encephalitis

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      Abstract: Herpes simplex encephalitis (HSE) is the most common cause of infectious encephalitis in the United States, accounting for around 30% of all causes of infectious encephalitis in the United States. With the advent of antiviral therapy and improved diagnostic measures, mortality and morbidity have improved over the past few decades, but patients remain at risk for long-term neurologic sequelae and even relapse.
      PubDate: Fri, 16 Sep 2022 11:37:00 -070
       
  • U.S. Endemic Fungal Infection Surveillance

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      Abstract: In the United States in 2019, 29,061 cases of coccidioidomycosis were reported, as were 1,124 cases of histoplasmosis and 240 of blastomycosis.
      PubDate: Fri, 16 Sep 2022 11:25:00 -070
       
  • CDC Warning: Enterovirus-D68 Re-Emerging and Once Again Raising the
           Specter of Acute Flaccid Myelitis in Children

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      Abstract: The Centers for Disease Control and Prevention is receiving increasing reports of pediatric infections with enterovirus-D68, which previously has been associated with the development of acute flaccid myelitis.
      PubDate: Fri, 16 Sep 2022 11:13:00 -070
       
  • Safety of Infliximab After Live Vaccines

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      Abstract: Despite concerns about the use of infliximab for children with Kawasaki disease shortly after administration of live vaccines, retrospective reviews do not show any vaccine-related infections following subsequent infliximab use.
      PubDate: Fri, 16 Sep 2022 11:06:00 -070
       
  • Doxycycline Plus a Beta-Lactam for Treatment of Inpatients with
           Community-Acquired Pneumonia

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      Abstract: In this retrospective study of an elderly male population hospitalized with community-acquired pneumonia, the combination of doxycycline with a beta-lactam was at least as effective as a respiratory fluoroquinolone or a combination of a beta-lactam with azithromycin.
      PubDate: Fri, 16 Sep 2022 10:57:00 -070
       
  • Cellular Tests Are Not Accurate for Diagnosing Lyme Disease

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      Abstract: A prospective case-control study from the Netherlands evaluated three cellular tests for diagnosing Lyme disease. All three had low specificity compared to serological testing, leading to an unacceptably high number of false-positive results.
      PubDate: Fri, 16 Sep 2022 10:51:00 -070
       
  • Boosting with the New Bivalent COVID-19 Vaccines

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      Abstract: The Centers for Disease Control and Prevention has made recommendations for the use of the newly approved bivalent COVID-19 booster vaccine.
      PubDate: Fri, 16 Sep 2022 10:43:00 -070
       
  • Antibiotic Resistance: We Were Doing Great and then COVID Happened

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      Abstract: After improvement, antimicrobial resistance in the United States significantly increased.
      PubDate: Fri, 16 Sep 2022 10:39:00 -070
       
  • Appellate Court Affirms $806k Verdict for Failure to Treat Psychotic
           Symptoms, Suicide Attempt

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      Abstract: Important substantive and procedural lessons can be learned from this case. First and foremost, the jury’s significant award was based on the defendant’s failure to provide treatment.
      PubDate: Thu, 15 Sep 2022 11:28:00 -070
       

  • Active Shooter Risks Require Prevention, Response Plans


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      Abstract: Active shooters can threaten people in virtually any place or situation, but healthcare facilities may be uniquely at risk because they are open to the public and frequently experience violence from patients and others. Hospitals and other facilities should create an active shooter program that reduces the risk as much as possible and includes a response plan.
      PubDate: Thu, 15 Sep 2022 11:28:00 -070
       

  • Say What You Mean: Imprecise Language Can Lead to Medical Errors


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      Abstract: Imprecise language during surgery can threaten patient safety. Research indicates comments and instructions during surgery often are subject to misunderstanding.
      PubDate: Thu, 15 Sep 2022 11:27:00 -070
       

  • Wrong-Site Surgery Still a Problem, Requires Vigilance


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      Abstract: Despite many years of intense education and attention to prevention efforts, wrong-site surgery is on the rise. Hospitals and health systems must make sure their wrong-site prevention efforts have not weakened.
      PubDate: Thu, 15 Sep 2022 11:27:00 -070
       

  • Better Recruitment Can Improve Safety During Staff Shortages


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      Abstract: As staff shortages threaten patient safety, hospitals and health systems are eager to bring more clinicians on board. But this is becoming harder, especially for the most desired candidates. Improving the application and hiring process can improve patient safety.
      PubDate: Thu, 15 Sep 2022 11:27:00 -070
       

  • OIG Issues Alert on Telemedicine Fraud


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      Abstract: The Department of Health and Human Services Office of Inspector General recently issued a Special Fraud Alert on arrangements with telemedicine companies, describing seven characteristics that could suggest a risk of fraud and abuse.
      PubDate: Thu, 15 Sep 2022 11:27:00 -070
       

  • No Liability for Telemedicine Company or Hospital Over Stroke
           Treatment


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      Abstract: This case confirms the importance of timely treatment and how providers can defend against claims of failure to provide such treatment. Frequently, a patient’s condition requires time-sensitive treatment, and the failure to do so may constitute medical malpractice if a similar physician under such circumstances would provide that timely care.
      PubDate: Thu, 15 Sep 2022 11:27:00 -070
       

  • Technology Helps with Active Shooter Prevention and Response


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      Abstract: Technological options may help reduce the risk from active shooters. Technology is available to monitor people and predict dangerous behavior, and it can help during the incident response.
      PubDate: Thu, 15 Sep 2022 11:27:00 -070
       
  • Button Battery Ingestions Leading to More Pediatric ED Visits

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      Abstract: Children are eating these tiny disks; researchers call for better laws and regulations.
      PubDate: Thu, 15 Sep 2022 09:40:00 -070
       
  • Appropriate Oxygenation Targets in the Treatment of Hypoxemic Respiratory
           Failure

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      Abstract: The care of critically ill patients in the ICU remains challenging. Recent studies support current protocols for the delivery of oxygen to patients who require supplemental oxygen due to respiratory failure of varying etiologies. Broad oxygenation targets of SpO2 between 88% to 97% continue to be supported by recent trials.
      PubDate: Thu, 15 Sep 2022 02:00:00 -070
       
  • Family Members of Critically Ill Patients with SARS-CoV-2 Pneumonia Have a
           High Burden of Symptoms of PTSD

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      Abstract: This multicenter cohort study revealed a high incidence of PTSD symptoms among family members of COVID-19 patients at three months after the ICU admission.
      PubDate: Thu, 15 Sep 2022 02:00:00 -070
       
  • Limitation of Tidal Volume Is Cardioprotective Among Mechanically
           Ventilated Patients Undergoing Cardiac Surgery

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      Abstract: In this experimental study, rising tidal volume increased right ventricular afterload.
      PubDate: Thu, 15 Sep 2022 02:00:00 -070
       
  • Association to Launch Center Focused on Young People and Their Social
           Media Use

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      Abstract: American Academy of Pediatrics will receive federal money to create a national repository of resources to support youth mental health and responsible, smart social media use.
      PubDate: Wed, 14 Sep 2022 10:00:00 -070
       
  • Feds Sign Off on Oregon’s Mobile Mental Crisis Intervention Service

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      Abstract: This is the first state to receive funds for a program designed to deploy trained professionals into the community to better manage citizens with mental health and/or substance use issues.
      PubDate: Wed, 14 Sep 2022 08:40:00 -070
       

  • Can Maternal COVID-19 Vaccination Protect Newborns'


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