Appropriateness and imaging outcomes of ultrasound, CT, and MR in the emergency department: a retrospective analysis from an urban academic center
ConclusionThe prevalence of inappropriate imaging orders in the ED was 59.4% for US, 29.1% for CT, and 33.3% for MR. Appropriately ordered imaging was three times more likely to yield findings compatible with the initial diagnosis across all modalities. (Source: Emergency Radiology)
Source: Emergency Radiology - April 26, 2024 Category: Emergency Medicine Source Type: research

Development and testing of four stage chemical reactor (FSCR) for decontamination of liquid radioactive waste
AbstractCutting-edge research introduces a chemical reactor for liquid radioactive waste treatment, utilizing a four-stage radiochemical separation. Biomass conversion yielded activated carbons with impressive adsorption capacities up to 1  × 104 Bq/g and proved effective for Cs removal. Standout coagulants, AlCl3·6H2O and FeSO4·7H2O, achieved an 80% decontamination factor for six radionuclides. Sulphonated DVB ion-exchange resins showed high efficiency, achieving 100% Cs decontamination at pH 4  ± 2. Integrated processes successfully decontaminated twelve radionuclides up to 99 ± 1% with substantial demi...
Source: Journal of Radioanalytical and Nuclear Chemistry - April 26, 2024 Category: Nuclear Medicine Source Type: research

What can hospital emergency admissions prior to cancer diagnosis tell us about socio-economic inequalities in cancer diagnosis? Evidence from population-based data in England
British Journal of Cancer, Published online: 26 April 2024; doi:10.1038/s41416-024-02688-6What can hospital emergency admissions prior to cancer diagnosis tell us about socio-economic inequalities in cancer diagnosis? Evidence from population-based data in England (Source: British Journal of Cancer)
Source: British Journal of Cancer - April 26, 2024 Category: Cancer & Oncology Authors: Aimilia Exarchakou Bernard Rachet Georgios Lyratzopoulos Camille Maringe Francisco Javier Rubio Source Type: research

Time Savings and Safety of EMS Administration of Antibiotics for Open Fractures
CONCLUSIONS: EMS clinicians were able to safely administer antibiotics to patients with open fractures a median of 15 minutes before arrival at the hospital, and 99 percent of the patients receiving antibiotics had them administered within one hour of EMS dispatch. EMS administration of antibiotics may be a safe way to increase compliance with recommendations for early antibiotic administration for open fractures.PMID:38661320 | DOI:10.1080/10903127.2024.2347291 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 25, 2024 Category: Endocrinology Authors: Alexander D Muniz Dominic J Gregorio Scott A Studebaker Aaron M Peth Cole G Camacho Bilie Williams Douglas F Kupas Lawrence H Brown Source Type: research

Bios-Ethics and the Bios Emergency: Finding the Real Work
This article presents a case for transforming traditional bioethics into "Bios-ethics." This exposition relies on three propositions: (1) the climate emergency is the "Bios emergency"; (2) in the Bios emergency, bioethics must be replaced by Bios-ethics; and (3) the top and overwhelming priority of Bios-ethics is to address the Bios emergency. Biocentrism, habitat, and environmental ethics are discussed in light of their contribution to the development of Bios-ethics, and potential lines of research in Bios-ethics are outlined. The urgency of undertaking substantive conceptual and practical innovations in response to our c...
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: David Schenck Source Type: research

Herd Immunity: History, Concepts, and Ethical Rationale
This article provides a conceptual framework tailored to uncover the ethical rationale behind such strategies. Clarity on this issue is important in order to facilitate the terms of the political debate when tackling future health emergencies.PMID:38662008 | DOI:10.1353/pbm.2023.0003 (Source: Perspectives in Biology and Medicine)
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: Davide Vecchi Giorgio Airoldi Source Type: research

2020: < em > what COVID taught us about women in medicine < /em >
Perspect Biol Med. 2023;66(3):461-467. doi: 10.1353/pbm.2023.a902038.ABSTRACTAs Vice Chair of Clinical Services of Psychiatry at the University of Colorado, I choose to work where clinical services need most attention. As a woman, I want to show up where we can be seen and show up in the best possible way. Just as COVID began, I found myself doing clinical shifts in the newly created psychiatry emergency room. I became part of a front-line team, where "I" became "We," facing an unknown enemy. Not only was my work life upended, but my personal life was too, as I rushed to help my daughter, a medical student, care for her so...
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: Alison M Heru Source Type: research

Trends in Suspected Opioid Drug Overdose Events in Emergency Medical Service Encounters in South Carolina, 2019-2022
CONCLUSIONS: Monitoring trends in suspected opioid drug overdoses allows decision makers to adjust resources and programs for overdose response and is essential for local coordinated response. Continued monitoring of trends is needed for an equitable response to prevent opioid drug overdoses.PMID:38659370 | DOI:10.1177/00333549241238697 (Source: Public Health Reports)
Source: Public Health Reports - April 25, 2024 Category: International Medicine & Public Health Authors: Marco Tori Christina Galardi Source Type: research

Factors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population
J Health Care Poor Underserved. 2024;35(1):79-93.ABSTRACTEarly and Periodic Screening, Diagnostic, and Treatment (EPSDT) services is a Medicaid benefit for children that addresses their health problems before they become advanced, debilitating, and expensive. We conducted a retrospective cross-sectional analysis of pediatric beneficiaries (newborn to younger than 21 years) enrolled in a Medicaid managed care organization to examine the factors associated with EPSDT screening services completion. We obtained 2018 administrative claims data for beneficiaries continuously enrolled for a minimum of 90 days (n=156,108). Complet...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Shamly Austin Zo Ramamonjiarivelo DeLawnia Comer-HaGans Yuan Zhang Source Type: research

Trends in Suspected Opioid Drug Overdose Events in Emergency Medical Service Encounters in South Carolina, 2019-2022
CONCLUSIONS: Monitoring trends in suspected opioid drug overdoses allows decision makers to adjust resources and programs for overdose response and is essential for local coordinated response. Continued monitoring of trends is needed for an equitable response to prevent opioid drug overdoses.PMID:38659370 | DOI:10.1177/00333549241238697 (Source: Public Health Reports)
Source: Public Health Reports - April 25, 2024 Category: International Medicine & Public Health Authors: Marco Tori Christina Galardi Source Type: research

Bios-Ethics and the Bios Emergency: Finding the Real Work
This article presents a case for transforming traditional bioethics into "Bios-ethics." This exposition relies on three propositions: (1) the climate emergency is the "Bios emergency"; (2) in the Bios emergency, bioethics must be replaced by Bios-ethics; and (3) the top and overwhelming priority of Bios-ethics is to address the Bios emergency. Biocentrism, habitat, and environmental ethics are discussed in light of their contribution to the development of Bios-ethics, and potential lines of research in Bios-ethics are outlined. The urgency of undertaking substantive conceptual and practical innovations in response to our c...
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: David Schenck Source Type: research

Herd Immunity: History, Concepts, and Ethical Rationale
This article provides a conceptual framework tailored to uncover the ethical rationale behind such strategies. Clarity on this issue is important in order to facilitate the terms of the political debate when tackling future health emergencies.PMID:38662008 | DOI:10.1353/pbm.2023.0003 (Source: Perspectives in Biology and Medicine)
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: Davide Vecchi Giorgio Airoldi Source Type: research

2020: < em > what COVID taught us about women in medicine < /em >
Perspect Biol Med. 2023;66(3):461-467. doi: 10.1353/pbm.2023.a902038.ABSTRACTAs Vice Chair of Clinical Services of Psychiatry at the University of Colorado, I choose to work where clinical services need most attention. As a woman, I want to show up where we can be seen and show up in the best possible way. Just as COVID began, I found myself doing clinical shifts in the newly created psychiatry emergency room. I became part of a front-line team, where "I" became "We," facing an unknown enemy. Not only was my work life upended, but my personal life was too, as I rushed to help my daughter, a medical student, care for her so...
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: Alison M Heru Source Type: research

Time Savings and Safety of EMS Administration of Antibiotics for Open Fractures
CONCLUSIONS: EMS clinicians were able to safely administer antibiotics to patients with open fractures a median of 15 minutes before arrival at the hospital, and 99 percent of the patients receiving antibiotics had them administered within one hour of EMS dispatch. EMS administration of antibiotics may be a safe way to increase compliance with recommendations for early antibiotic administration for open fractures.PMID:38661320 | DOI:10.1080/10903127.2024.2347291 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 25, 2024 Category: Endocrinology Authors: Alexander D Muniz Dominic J Gregorio Scott A Studebaker Aaron M Peth Cole G Camacho Bilie Williams Douglas F Kupas Lawrence H Brown Source Type: research

Factors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population
J Health Care Poor Underserved. 2024;35(1):79-93.ABSTRACTEarly and Periodic Screening, Diagnostic, and Treatment (EPSDT) services is a Medicaid benefit for children that addresses their health problems before they become advanced, debilitating, and expensive. We conducted a retrospective cross-sectional analysis of pediatric beneficiaries (newborn to younger than 21 years) enrolled in a Medicaid managed care organization to examine the factors associated with EPSDT screening services completion. We obtained 2018 administrative claims data for beneficiaries continuously enrolled for a minimum of 90 days (n=156,108). Complet...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Shamly Austin Zo Ramamonjiarivelo DeLawnia Comer-HaGans Yuan Zhang Source Type: research