New York City, Rhode Island, and Now Minnesota Defy the “Crack House Statute”
Jeffrey A. SingerMinnesota Governor Tim Walz signedSenate File 2974, the Omnibus Human Services appropriations bill into law on Wednesday, May 24. Among the most notable features of the spending bill is that itappropriates $55.49 million in one ‐time grants in 2024 for:[O]rganizations to establish safe recovery sites that offer harm reduction services and supplies,including but not limited to safe injection spaces; sterile needle exchange; naloxone rescue kits; fentanyl and other drug testing; street outreach; educational and referral services; health, safety, and wellness services; and access to hygiene and sanitatio...
Source: Cato-at-liberty - May 25, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Imaging Technique Reveals Contraction Patterns During Labor
Researchers at the Eunice Kennedy Shriver National Institute of Child Health and Human Development have developed a new imaging technique called electromyometrial imaging (EMMI) which clinicians can use to create 3D maps of uterine contraction patterns during labor. The non-invasive imaging method utilizes rapid MRI scanning with an electromyogram obtained through sensors placed on the skin of the belly. These data are then combined to create 3D maps that reveal how contractions are initiated and spread throughout the uterus. The data will allow researchers to better understand the process of labor and help clinicians to d...
Source: Medgadget - March 22, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Ob/Gyn Radiology Source Type: blogs
CNN Segment Illustrates the Iron Law of Prohibition and the Need for Harm Reduction
Jeffrey A. SingerCNN ’sAnderson Cooper 360 program ran a powerfulsegment on March 7 that focused on how xylazine ‐infused fentanyl is harming intravenous drug users in the Kensington District of Philadelphia. Drug dealers mix the veterinary tranquilizer, which users call “Tranq,” with fentanyl because the tranquilizer enhances the potency of opioids, thus making it easier to smuggle in smaller sizes a nd subdivide into a greater number of units to sell. As I explained in mywritten andoral testimony before a March 1 House Judiciary Committee Subcommittee on Crime and Federal Governme...
Source: Cato-at-liberty - March 8, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
It ’ s time to ditch cultural competence
A pregnant Somali woman was determined to have a vaginal delivery. Unfortunately, labor wasn’t progressing as expected, and the health care team recommended a c-section. The patient declined the recommendation and said it’s in God’s hands. After some persistence, the health care team convinced the patient to get a c-section. After the c-section, the patient
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It’s time to ditch cultural competence originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 24, 2023 Category: General Medicine Authors: Raj Sundar, MD Tags: Physician Public Health & Policy Source Type: blogs
What's new in midwifery - 2nd November 2022 - research
Infant feedingText message-based breastfeeding support compared with usual care: a randomized controlled trial (librarian intervention or payment needed for access to full text)DeliverySufentanil for spinal analgesia during cesarean section delivery: a systematic review and meta-analysis of randomized controlled trialsMonofilament suture versus braided suture thread to improve pregnancy outcomes after vaginal cervical cerclage (C-STICH): a pragmatic randomised, controlled, phase 3, superiority trialGestational diabetesExercise during pregnancy for preventing gestational diabetes mellitus and hypertensive disorders: An...
Source: Browsing - November 2, 2022 Category: Databases & Libraries Tags: midwifery Source Type: blogs
A C-section is not a defeat
“It was a cold night in October …” I can now joke about that night with my husband and my best friend from OB/GYN residency. I had worked a Saturday 24-hour call shift, and as soon as I got home on Sunday morning, I began having symptoms that made me turn around and head right
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A C-section is not a defeat originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 28, 2022 Category: General Medicine Authors: Carrye Daum, MD Tags: Conditions OB/GYN Source Type: blogs
What's new in midwifery - research - 8th July 2022
Librarian intervention (or a subscription) may be needed for some of these.Perinatal depressionThe effectiveness of telemedicine interventions on women with postpartum depression: A systematic review and meta-analysisEffectiveness of Internet-based psychological interventions for treating perinatal depression: A systematic review and meta-analysisSmoking cessationEconomic analysis of financial incentives for smoking cessation during pregnancy and postpartumPreterm birthDoes vaginal progesterone prevent recurrent preterm birth in women with a singleton gestation and a history of spontaneous preterm birth? Evidence from a sy...
Source: Browsing - July 8, 2022 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Matthew ’s health care tidbits: Texas is the present future of abortion care
Each week I’ve been adding a brief tidbits section to the THCB Reader, our weekly newsletter that summarizes the best of THCB that week (Sign up here!). Then I had the brainwave to add them to the blog. They’re short and usually not too sweet! –Matthew Holt
In this edition’s tidbits, I have to return to the stunning impact of the Dobbs ruling. We know will happen because it is already happening in Texas where the 6 week law was already being enforced in contravention of Roe v Wade.
Taxpayer money is going to “pregnancy crisis centers” that flat out lie to vulnerable patients about the impact o...
Source: The Health Care Blog - July 5, 2022 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Matthew Holt Medical Practice OP-ED Physicians Abortion Dodd HIPAA roe Telehealth Texas Source Type: blogs
If my mother gave birth to me today, she would probably would die
If my mother gave birth to me today instead of over 60 years ago, she would probably be dead based on her risk factors. She was Black, had gestational diabetes, and gave birth to a 9-pound 4-ounce baby girl via C-section. She would have been discharged from the hospital on post-op day four rather thanRead more …If my mother gave birth to me today, she would probably would die originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 27, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/linda-burke-galloway" rel="tag" data-wpel-link="internal" > Linda Burke, MD < /a > < /span > Tags: Physician OB/GYN Source Type: blogs
Weekly Overseas Health IT Links – 26th March, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://mhealthintelligence.com/news/55-of-telehealth-providers-frustrated-with-overblown-patient-expectations55% of Telehealth Providers Frustrated With Overblown Patient ExpectationsProviders also cited their ability to provide quality care and technical difficulties as among their top frustrations with telehealth, a new survey shows.ByAnuja VaidyaMarch 18, 202...
Source: Australian Health Information Technology - March 26, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Encouraging Signals from the Justice Department on Safe Consumption Sites
Jeffrey A. SingerThe Associated Pressreports the U.S. Department of Justice announced it is “evaluating supervised consumption sites, including discussions with state and local regulators about appropriate guardrails for such sites, as part of an overall approach to harm reduction and public safety.” This is welcome news.As I explained in a 2019Cato Policy Analysis, safe consumption sites (also called “safe injection sites” and “overdose prevention sites”) have established a track record of saving lives and preventing the spread of HIV, hepatitis, and other infectious diseases since the late 1980...
Source: Cato-at-liberty - February 8, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
What this physician learned from medicine in developing countries [PODCAST]
“On a recent call with a small health organization in rural Uganda, I asked the director about the C-section rate in the community. In some private maternity centers, this procedure is performed far more often than one might expect. I ’ve learned that while this practice may be financially motivated, the extra fees also pay forRead more …What this physician learned from medicine in developing countries [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Emergency Medicine Source Type: blogs
What is this rhythm? Is there AV block?
Case written and submitted by Elzada Sercus M.D., peer reviewed by Pendell Meyers, Steve Smith, and Ken GrauerA 31-year-old female with a history of low blood pressure and episodes of lightheadedness developed near syncope on postpartum day one after an uncomplicated c-section. She has no other past medical history and does not take any medications. She has no family history of sudden cardiac death or premature coronary artery disease. Given the patient ' s near syncope, an ECG was obtained and when the patient was placed on continuous telemetry monitoring was found to have frequent PVCs. She did not experience any palpita...
Source: Dr. Smith's ECG Blog - July 16, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
NC Pediatricians/Physicians RISE Against CHEAP/PROFITEERING Hospital Executives: Maybe I'm Not " Disgruntled " . . . Or " Disruptive " . . . OR ALONE . . . After All.
First, read the following article (linked in red) at North Carolina Health News - " lifted " from a story/letter published at the Charlotte Ledger:The doctor won ' t see your newborn now - North Carolina Health NewsIt only under-scores the cheap, supremely arrogant C-Suite mind-set that I ' ve been blogging about . . . and fighting . . . as an inpatient Pediatrician covering the duty in small/rural/community hospitals in NC and Virginia . . . for over 20 years.Pediatricians that work for hospitals are " a-dime-a-dozen " . We ' re " interchangeable light bulbs " . We can be " replaced by nurses " . The gen...
Source: Dr.J's HouseCalls - June 23, 2021 Category: American Health Tags: ApolloMD APRN Central Carolina Hospital CMS Duke Lifepoint JCAHO LDRP medical scope creep Mother-Baby Care Pediatric Hospitalist Pediatrics Quality Assruance Source Type: blogs
Ebstein ’ s anomaly and pregnancy
Ebstein’s anomaly and pregnancy
Ebstein’s anomaly of tricuspid valve was first described by Wilhelm Ebstein in 1866 [1]. It is characterized by distal displacement of the septal and posterior leaflets of tricuspid valve. Anterior leaflet is elongated and sail like. A portion of the right ventricle is ‘atrialized’ due to the distal displacement of the tricuspid valve. Right atrium is often grossly dilated. Right to left shunting occurs across a patent foramen ovale producing cyanosis of variable extent. Ebstein’s anomaly is one of the cyanotic congenital heart diseases in which survival to adul...
Source: Cardiophile MD - May 14, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs
