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Infectious Disease: Influenza

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Total 27336 results found since Jan 2013.

Influenza vaccination and 1-year risk of myocardial infarction, stroke, heart failure, pneumonia, and mortality among intensive care unit survivors aged 65  years or older: a nationwide population-based cohort study
ConclusionsCompared with the unvaccinated ICU survivors, the influenza vaccinated ICU survivors had a lower 1-year risk of stroke and a lower 1-year risk of death, whereas no substantial association was observed for the risk of hospitalization for myocardial infarction, heart failure, or pneumonia. Our findings support influenza vaccination of individuals aged  ≥ 65 years.
Source: Intensive Care Medicine - June 10, 2019 Category: Intensive Care Source Type: research

Intensive care admissions and outcomes associated with short-term exposure to ambient air pollution: a time series analysis
ConclusionsIncreased ICU mortality was associated with higher levels of PM2.5. Larger studies are required to determine if the frequency of ICU admissions is positively associated with short-term exposure to air pollution.
Source: Intensive Care Medicine - April 29, 2020 Category: Intensive Care Source Type: research

Enhanced primary care and impact on quality of care in Massachusetts.
CONCLUSIONS: Enhanced primary care was associated with improved self-reported quality outcomes in a statewide telephone survey. A brief, 5-question module provided a novel population measure of access to enhanced primary care. This is a scalable option for other states hoping to characterize their own primary care improvement efforts through the patient-centered medical home model. PMID: 27266583 [PubMed - in process]
Source: The American Journal of Managed Care - June 10, 2016 Category: Health Management Authors: Bitton A, Baughman AW, Carlini S, Weissman JS, Bates DW Tags: Am J Manag Care Source Type: research

Using electronic health record clinical decision support is associated with improved quality of care.
Conclusions The use of CDS was associated with improvement in some quality indicators. Not having at least 1 CDS was common; disabling CDS was infrequent. This suggests that meaningful use standards may improve national quality indicators and health outcomes, once fully implemented. PMID: 25414982 [PubMed - in process]
Source: The American Journal of Managed Care - November 28, 2014 Category: Health Management Authors: Mishuris RG, Linder JA, Bates DW, Bitton A Tags: Am J Manag Care Source Type: research

Personalized medicine in influenza: a bridge too far or the near future?
Purpose of review: Personalized medicine is based on understanding mechanisms of disease and putting this in the context of an individual patient, which eventually helps to guide tailored diagnostic and therapeutic intervention. In this review we focus on one pulmonary infection that has major impact on society, namely influenza, and highlight the way we think personalized medicine could have an impact on the outcome of this pulmonary infection. Recent findings: When a patient's defect is known, one could envision that restoring this defect in addition to the standard treatment regimen might result in a better clinical ou...
Source: Current Opinion in Pulmonary Medicine - March 29, 2017 Category: Respiratory Medicine Tags: PERSONALIZED MEDICINE IN PULMONOLOGY: Edited by Venerino Poletti, Praveen Mathur and Marjolein Drent Source Type: research

A payer-provider partnership for integrated care of patients receiving dialysis.
CONCLUSIONS: Promising trends were observed among members participating in this payer-provider care partnership with respect to both clinical and economic outcomes. This suggests that collaborations with shared incentives may be a valuable approach for patients with ESRD. PMID: 29668211 [PubMed - in process]
Source: The American Journal of Managed Care - April 1, 2018 Category: Health Management Authors: Kindy J, Roer D, Wanovich R, McMurray S Tags: Am J Manag Care Source Type: research

Trends in management and outcomes of COPD patients in primary care, 2000-2009: a retrospective cohort study.
Conclusions:The trends suggest that management and outcomes observed in patients with COPD may have improved since the year 2000. PMID: 24990313 [PubMed - in process]
Source: Primary Care - July 8, 2014 Category: Primary Care Authors: James GD, Donaldson GC, Wedzicha JA, Nazareth I Tags: NPJ Prim Care Respir Med Source Type: research

Managed care considerations and economic implications of vaccination practices.
Abstract Influenza is an acute viral respiratory disease caused by the influenza A and B viruses. The epidemiologic characteristics of influenza are in constant flux as the viruses mutate frequently, and the subsequent spread of illness depends on the affected population's susceptibility to the new antigens. These viral mutations necessitate frequent updates to the annual seasonal influenza vaccine. Those most at risk for serious complications of influenza are young children and elderly persons. Although influenza vaccination rates are highest among adults 65 years or older, vaccine effectiveness in this age group...
Source: The American Journal of Managed Care - March 1, 2018 Category: Health Management Authors: Nowalk MP Tags: Am J Manag Care Source Type: research

The LITFL Review 130
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 130th edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and ALiEM Chris Ni...
Source: Life in the Fast Lane - March 25, 2014 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review Toxicology LITFL R/V Source Type: blogs

Tropical Travel Trouble 010 Fever, Arthralgia and Rash
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs

Pediatric Update: Top 10 Articles of 2022
This study shows a surge in pediatric firearm injuries presenting to US children’s hospitals during the COVID-19 pandemic. The unequal rates of injury in black children and children with public insurance reflects the disproportionate impact of COVID-19 in minority groups due to the exacerbation of previously present healthcare disparities. This data should be used to support advocacy efforts and healthcare policy aimed at injury prevention. Common Diagnoses and Costs in Pediatric Hospitalization in the U.S. Kaiser SV, et al. Common diagnoses and costs in pediatric hospitalization in the US. JAMA Pediatr. 2022;176(3):316...
Source: The Hospitalist - July 5, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Adolescent Medicine Business of Medicine Hospital Medicine Pediatrics Transitions of Care Source Type: research

COVID-19 Is Forcing Us to Talk About Rationing Health Care in the U.S. Again. Could We Have Avoided This?
On Sept. 7, the country’s leading COVID-19 doctor issued a dire warning about the growing number of pandemic cases in the country, and the shrinking number of ICU beds available to care for the sickest people. Speaking on CNN, Dr. Anthony Fauci, the chief White House medical advisor, said we are “perilously close in certain areas of the country of getting so close to having full occupancy that you’re going to be in a situation where you’re going to have to make some tough choices.” Those tough choices, he admitted, include discussions about whether scarce resources should go to people who have...
Source: TIME: Health - September 10, 2021 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized COVID-19 healthscienceclimate Source Type: news

COVID-19: Physicians in Shackles
By ANISH KOKA, MD A number of politically tinged narratives have divided physicians during the pandemic. It would be unfortunate if politics obscured the major problem brought into stark relief by the pandemic: a system that marginalizes physicians and strips them of agency. In practices big and small, hospital-employed or private practice, nursing homes or hospitals, there are serious issues raising their heads for doctors and their patients. No masks for you When I walked into my office Thursday, March 12th, I assembled the office staff for the first time to talk about COVID.  The prior weekend had been awa...
Source: The Health Care Blog - May 2, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Physicians Anish Koka medical autonomy Pandemic Source Type: blogs

Pandemic Planning and Response in Academic Pediatric Emergency Departments During the 2009 H1N1 Influenza Pandemic
ConclusionsDespite a decade of investment in hospital preparedness, gaps in pediatric ED pandemic preparedness remain. This work suggests that raising awareness of pandemic planning standards and promoting strategies to overcome barriers to their adoption could enhance ED and hospital preparedness. Helping hospitals better prepare for pandemic events may lead to strengthened all‐hazards preparedness. Resumen Planificación y Respuesta de los Servicios de Urgencias Pediátricos Universitarios durante la Pandemia de Gripe H1N1 2009ObjetivosLos ataques terroristas del 11 de Septiembre del 2001 iniciaron un cambio hacia un ...
Source: Academic Emergency Medicine - January 13, 2013 Category: Emergency Medicine Authors: Clara E. Filice, Federico E. Vaca, Leslie Curry, Stephanie Platis, Nicole Lurie, Sandy Bogucki Tags: Original Research Contribution Source Type: research

Evaluation of Mannose Binding Lectin Gene Variants in Pediatric Influenza Virus-Related Critical Illness
Background: Mannose-binding lectin (MBL) is an innate immune protein with strong biologic plausibility for protecting against influenza virus-related sepsis and bacterial coinfection. In an autopsy cohort of 105 influenza-infected young people, carriage of the deleterious MBL gene MBL2_Gly54Asp(“B”) mutation was identified in 5 of 8 individuals that died from influenza-methicillin-resistant Staphylococcus aureus (MRSA) coinfection. We evaluated MBL2 variants known to influence MBL levels with pediatric influenza-related critical illness susceptibility and/or severity including with bacterial coinfections. Methods: We e...
Source: Frontiers in Immunology - May 7, 2019 Category: Allergy & Immunology Source Type: research