Antibiotic route and outcomes for children hospitalized with pneumonia
AbstractBackgroundEmerging evidence suggests that initial oral and intravenous (IV) antibiotics have similar efficacy in pediatric community-acquired pneumonia (CAP), but further data are needed.ObjectiveWe determined the association between hospital-level initial oral antibiotic rates and outcomes in pediatric CAP.Designs, Settings and ParticipantsThis retrospective cohort study included children hospitalized with CAP at 43 hospitals in the Pediatric Health Information System (2016 –2022). Hospitals were grouped by whether initial antibiotics were given orally in a high, moderate, or low proportion of patients.Main Outc...
Source: Journal of Hospital Medicine - April 28, 2024 Category: Hospital Management Authors: Jillian M. Cotter,
Mathew Hall,
Mark I. Neuman,
Anne J. Blaschke,
Thomas V. Brogan,
Jonathan D. Cogen,
Jeffrey S. Gerber,
Adam L. Hersh,
Susan C. Lipsett,
Daniel J. Shapiro,
Lilliam Ambroggio Tags: ORIGINAL RESEARCH Source Type: research
Poliomyelitis and COVID-19: a repeated history
J Water Health. 2024 Apr;22(4):717-720. doi: 10.2166/wh.2024.327. Epub 2024 Feb 22.ABSTRACTThe measurement of the enterovirus and the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in sewage water is relevant in the early detection of the introduction or disappearance of these viruses in the ecosystem. We evaluated the co-circulation of the enteroviruses and SARS-CoV-2 in 81 sewage water samples collected between September 2021 and April 2023 from different regions of north and southeast Romania, at the border with Ukraine. We used, for the molecular detection of the pathogens, the multiplex real-time polymer...
Source: Journal of Water and Health - April 28, 2024 Category: Environmental Health Authors: Baicus Anda Source Type: research
Maternity healthcare professionals experiences of supporting women in decision-making for labour and birth: a qualitative study
Conclusions
We found that MHCPs are committed to SDM but need better support to deliver it. Structured processes including Core Information Sets, communication skills training and decision support aids may help to consistently deliver SDM in maternity care. (Source: BMJ Open)
Source: BMJ Open - April 28, 2024 Category: General Medicine Authors: Hardman, K., Davies, A., Demetri, A., Clayton, G., Bakhbakhi, D., Birchenall, K., Barnfield, S., Fraser, A., Burden, C., McGuinness, S., Miller, R., Merriel, A. Tags: Open access, Obstetrics & Gynaecology Obstetrics and gynaecology Source Type: research
Healthcare and economic cost burden of emergency medical services treated non-traumatic shock using a population-based cohort in Victoria, Australia
Conclusion
The direct healthcare costs and indirect loss of productivity among patients with non-traumatic shock are high. Targeted public health measures that seek to reduce the incidence of shock and improve systems of care are needed to reduce the financial burden of this syndrome. (Source: BMJ Open)
Source: BMJ Open - April 28, 2024 Category: General Medicine Authors: Bloom, J. E., Nehme, E., Paratz, E. D., Dawson, L., Nelson, A. J., Ball, J., Eliakundu, A., Voskoboinik, A., Anderson, D., Bernard, S., Burrell, A., Udy, A. A., Pilcher, D., Cox, S., Chan, W., Mihalopoulos, C., Kaye, D., Nehme, Z., Stub, D. Tags: Open access, Intensive care Source Type: research
Inequalities in birth before arrival at hospital in South West England: a multimethods study of neonatal hypothermia and emergency medical services call-handler advice
Conclusions
Findings identified factors associated with BBA and neonatal hypothermia following BBA. Improvements to EMS call-handler advice could reduce the number of babies arriving at hospital hypothermic. (Source: BMJ Open)
Source: BMJ Open - April 28, 2024 Category: General Medicine Authors: Goodwin, L., Kirby, K., McClelland, G., Beach, E., Bedson, A., Benger, J. R., Deave, T., Osborne, R., McAdam, H., McKeon-Carter, R., Miller, N., Taylor, H., Voss, S. Tags: Open access, Emergency medicine Source Type: research
Posterior perforator tibial artery flaps for soft tissue defects of limbs: a retrospective cohort study
ConclusionPosterior perforator tibial artery flaps have the advantages of relatively simple technique, few damage, few complications and satisfying appearance. It is a good choice for soft tissue defects of limbs. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - April 28, 2024 Category: Emergency Medicine Source Type: research
Viruses, Vol. 16, Pages 697: SARS-CoV-2 Omicron: Viral Evolution, Immune Evasion, and Alternative Durable Therapeutic Strategies
er
Tong-Ming Fu
Since the SARS-CoV-2 Omicron virus has gained dominance worldwide, its continual evolution with unpredictable mutations and patterns has revoked all authorized immunotherapeutics. Rapid viral evolution has also necessitated several rounds of vaccine updates in order to provide adequate immune protection. It remains imperative to understand how Omicron evolves into different subvariants and causes immune escape as this could help reevaluate the current intervention strategies mostly implemented in the clinics as emergency measures to counter the pandemic and, importantly, develop new solutions. Here, w...
Source: Viruses - April 28, 2024 Category: Virology Authors: Hailong Guo Sha Ha Jason W. Botten Kai Xu Ningyan Zhang Zhiqiang An William R. Strohl John W. Shiver Tong-Ming Fu Tags: Review Source Type: research
The shape of war
Acad Emerg Med. 2024 Apr 27. doi: 10.1111/acem.14929. Online ahead of print.NO ABSTRACTPMID:38676376 | DOI:10.1111/acem.14929 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - April 27, 2024 Category: Emergency Medicine Authors: Zhaohui Su Source Type: research
SAEM24 Abstracts
Acad Emerg Med. 2024 Apr 27. doi: 10.1111/acem.14906. Online ahead of print.NO ABSTRACTPMID:38676388 | DOI:10.1111/acem.14906 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - April 27, 2024 Category: Emergency Medicine Source Type: research
Colorectal Oncologic Emergencies: Recognition, Management, and Outcomes
Surg Clin North Am. 2024 Jun;104(3):631-646. doi: 10.1016/j.suc.2023.12.003. Epub 2023 Dec 18.ABSTRACTColorectal cancer is the third most frequent type of malignancy in the United States, and the age at diagnosis is decreasing. Although the goal of screening is focused on prevention and early detection, a subset of patients inevitably presents as oncologic emergencies. Approximately 15% of patients with colorectal cancer will present as surgical emergencies, with the majority being due to either colonic perforation or obstruction. Patients presenting with colorectal emergencies are a challenging cohort, as they often prese...
Source: The Surgical Clinics of North America - April 27, 2024 Category: Surgery Authors: Joshua Sullivan Alec Donohue Shaun Brown Source Type: research
Surgical Emergencies in Inflammatory Bowel Disease
Surg Clin North Am. 2024 Jun;104(3):685-699. doi: 10.1016/j.suc.2023.11.012. Epub 2023 Dec 14.ABSTRACTInflammatory bowel disease (IBD) patients are at risk for undergoing emergency surgery for fulminant disease, toxic megacolon, bowel perforation, intestinal obstruction, or uncontrolled gastrointestinal hemorrhage. Unfortunately, medical advancements have failed to significantly decrease rates of emergency surgery for IBD. It is therefore important for all acute care and colorectal surgeons to understand the unique considerations owed to this often-challenging patient population.PMID:38677830 | DOI:10.1016/j.suc.2023.11.01...
Source: The Surgical Clinics of North America - April 27, 2024 Category: Surgery Authors: John Van Eaton Quinton M Hatch Source Type: research
Assessment and Application of the Hear Score in Remote Emergency Medicine Outposts in Bosnia and Herzegovina
Conclusions. In conclusion, the outcomes of this study align with existing research, underscoring the effectiveness of the HEAR score in risk stratification for patients with chest pain. In practical terms, the implementation of the HEAR score in clinical decision-making processes holds significant promise.PMID:38674303 | PMC:PMC11052023 | DOI:10.3390/medicina60040657 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Armin Šljivo Nemanja Luki ć Aladin Altic Slobodan Tomi ć Arian Abdulkhaliq Leopold Reiter Diana Maria Bota Eljakim Mahendran Wisam Natour Fatima Gavrankapetanovi ć Emira Kapisazovi ć Haris Duljevi ć Lana Leki ć Dragana Radoi čić Sanja D Tomi ć Source Type: research
Investigation of the Association between Bilateral Selective Anterograde Cerebral Perfusion and Postoperative Ischemic Stroke in Obese Patients with Emergency Surgery for Acute Type A Aortic Dissection
Conclusions: A patient-tailored strategy for cerebral perfusion should be considered in obese patients, considering the high atheromatous burden of the supra-aortic vessels in these patients and the potential risk of atheromatous embolization associated with this technique.PMID:38674307 | PMC:PMC11052173 | DOI:10.3390/medicina60040661 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Mircea Robu Bogdan Radulescu Irina Maria Margarint Cornel Robu Ovidiu Stiru Andrei Iosifescu Silvia Preda Mihai Cacoveanu Cristian Voica Vlad Anton Iliescu Horatiu Moldovan Source Type: research
