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Women With First-Episode Psychosis Not Getting Targeted Care They Need
Specialty team –based services for first-episode psychosis (FEP) have the potential to improve outcomes among patients with schizophrenia. In anarticle inPsychiatric Services, psychiatrists Maria Ferrara, M.D., and Vinod H. Srihari, M.D., of Yale University described several factors that may disadvantage women in terms of both access to and quality of care in FEP services.Age of onset: Although many FEP services target young adults, research suggests the onset of psychosis may occur later in women. To meet the needs of women of all ages, the authors suggested that FEP programs consider increasing the maximum age at which...
Source: Psychiatr News - September 29, 2020 Category: Psychiatry Tags: age clinical presentation FEP first-episode psychosis mood symptoms preventive medicine Psychiatric Services sexual health women Source Type: research

Research and Reviews in the Fastlane 065
This study looked at how patients and doctors can use shared decision making to reduce in patient work ups for low risk chest pain. Using a chest pain decision aid, they reduced in patient work ups by 19%. The brilliance here is in the application of the theory of shared decision making and the knowledge transfer to patients using this system.Recommended by: Anand SwaminathanThe Best of the RestCardiology, Emergency MedicineBangalore S et al. Clinical outcomes with β-blockers for myocardial infarction: a meta-analysis of randomized trials. Am J Med. 2014;127(10):939-53. PMID: 24927909The pendulum for beta blockers in MI k...
Source: Life in the Fast Lane - January 7, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Cardiology Education Emergency Medicine Intensive Care Pre-hospital / Retrieval Respiratory Resuscitation airway critical care R&R in the FASTLANE recommendations Review Trauma Source Type: blogs

How to Be Kind
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog I seem to constantly skirt trouble. Writing and medicine are fractious bedfellows – a marriage not always congenial. On one hand, to write well, to truly produce good work, you have to crack yourself open and claw out the truth for examination in the light. No fluffing around, avoiding the difficult topics. No wilful blindness to your own biases. No doing stuff to be liked. No pretence. Writing about medicine, on the other, requires a good deal of restraint – case anony...
Source: Life in the Fast Lane - June 19, 2018 Category: Emergency Medicine Authors: Michelle Johnston Tags: 'How to...' series. An Instruction manual for those in Critical Care How to Be Kind Source Type: blogs

Colleges of Medicine take lead on anti-racism in medicine initiatives
Solutions require complex, sustained efforts to move the mountain of historical racism in medicine and the systemic ways it may exhibit itself today. David Mogollon Today University of Arizona Health Sciencesgettyimages-56959507-hero-web.jpg The COVID-19 pandemic further exposed inequities in social determinants of health and wide disparities in health care delivery that are in part tied to historic issues of racism in medicine. Getty ImagesHealthBlack History MonthCollege of Medicine - PhoenixCollege of Medicine - TucsonDiversityInclusion Media contact(s)Stacy Pigott University of Arizona Health Sciencesspigott@a...
Source: The University of Arizona: Health - February 3, 2022 Category: Universities & Medical Training Authors: mittank Source Type: research

Colleges of Medicine lead initiatives focused on anti-racism in medicine
Solutions require complex, sustained efforts to move the mountain of historical racism in medicine and the systemic ways it may exhibit itself today. David Mogollon Today University of Arizona Health Sciencesgettyimages-56959507-hero-web.jpg The COVID-19 pandemic further exposed inequities in social determinants of health and wide disparities in health care delivery that are in part tied to historic issues of racism in medicine. Getty ImagesHealthBlack History MonthCollege of Medicine - PhoenixCollege of Medicine - TucsonCompassionDiversityInclusion Media contact(s)Stacy Pigott University of Arizona Health Scienc...
Source: The University of Arizona: Health - February 3, 2022 Category: Universities & Medical Training Authors: mittank Source Type: research

Human Infection Challenge with Serotype 3 Pneumococcus
CONCLUSIONS: An SPN3 human challenge model is feasible and safe with comparable carriage rates to an established SPN6B human challenge model. SPN3 carriage may cause mild upper respiratory symptoms. Clinical trial registration available at www. https://www.isrctn.com/, ID: ISRCTN11306486.PMID:35802840 | DOI:10.1164/rccm.202112-2700OC
Source: American Journal of Respiratory and Critical Care Medicine - July 8, 2022 Category: Respiratory Medicine Authors: Ryan E Robinson Elena Mitsi Elissavet Nikolaou Sherin Pojar Tao Chen Jes ús Reiné Tinashe K Nyazika James Court Kelly Davies Madlen Farrar Patricia Gonzalez-Dias Josh Hamilton Helen Hill Lisa Hitchens Ashleigh Howard Angela Hyder-Wright Maia Lesosky Kon Source Type: research

#14 Dr. Natasha Burgert Joins Us To Talk About Social Media Pediatric Practice Management Awesome-Cast
Wow, we scored big this week and somehow convinced Natasha Burgert – queen of pediatric social media – to speak to us. Her real-life stories are great. Don’t believe us? Watch/listen and see her Twitter effort or check out her blog. A special shout out to an awesome vaccine-related charity that Dr. Burgert supports: Shot @ Life! As always, you can get the AwesomeCast in different formats: iTunes Google+ PPMM Community Page Pediatric Practice Management MediaCast Related articles #13 What Will You Do With All That Money? [Pediatric Practice Management Awesome-Cast] (pediatricinc.com) Filed under: Clinic...
Source: Pediatric Inc - July 10, 2013 Category: Pediatricians Authors: Brandon Tags: Clinical Care Customer Experience Internet Pediatric Practice Management VideoCast Social Media Technology The Business of Medicine Time Management Training Facebook Google iTunes LinkedIn Social network Twitter Source Type: blogs

What Every Pediatric Practice Manager Needs to Know About Vaccine Inventory
This is a guest post by Paul Vanchiere. He is the co-founder of Pediatric Practice Institute, a pediatric centric service company that helps practices and healthcare networks leverage their success and maximize their potential.  I recently took a trip to The Home Depot to round up some supplies for a project. While there, I noticed an army of people with laptops attached to rolling carts counting the inventory. It got me thinking about pediatric practices and the need to ensure tight inventory controls.While Home Depot does this for a variety of tax reasons, it is also part of its program to ensure that its inventory le...
Source: Pediatric Inc - December 4, 2013 Category: Pediatricians Authors: Brandon Tags: Cost Lessons Money Savings Reporting Revenue The Business of Medicine Training Home Depot Inventory MMR vaccine Source Type: blogs

Influenza in children
Purpose of review: We review the current information and evidence available on the global burden of disease in the pediatric population, clinical presentation and complications, testing, treatment, and immunization. Recent findings: In addition to multiple other risk factors for influenza complications, children with neurologic and neuromuscular disorders are significantly higher risk for serious complications. In practice, there is no lower age limit for children with influenza who can be treated with oseltamivir. The quadrivalent live attenuated influenza vaccine was not recommended for use during the 2016–2017 season...
Source: Current Opinion in Pediatrics - May 11, 2017 Category: Pediatrics Tags: EMERGENCY AND CRITICAL CARE MEDICINE: Edited by Jean Klig and Clifford W. Bogue Source Type: research

Parainfluenza Virus Infection
Semin Respir Crit Care Med 2016; 37: 538-554 DOI: 10.1055/s-0036-1584798Human parainfluenza viruses (HPIVs) are single-stranded, enveloped RNA viruses of the Paramyoviridaie family. There are four serotypes which cause respiratory illnesses in children and adults. HPIVs bind and replicate in the ciliated epithelial cells of the upper and lower respiratory tract and the extent of the infection correlates with the location involved. Seasonal HPIV epidemics result in a significant burden of disease in children and account for 40% of pediatric hospitalizations for lower respiratory tract illnesses (LRTIs) and 75% of croup case...
Source: Seminars in Respiratory and Critical Care Medicine - August 2, 2016 Category: Respiratory Medicine Authors: Branche, Angela R. Falsey, Ann R. Tags: Review Article Source Type: research

Immunocompromise among vaccinated versus unvaccinated COVID-19 cases admitted to critical care in Ireland, July to October 2021
In this study, we found a statistically significant association between the vaccination status of severe COVID-19 cases requiring critical care admission and underlying immunocompromise. Fully vaccinated patients were significantly more likely to be highly (OR = 19.3, 95 % CI 7.7-48.1) or moderately immunocompromised (OR = 9.6, 95 % CI 5.0-18.1) compared to unvaccinated patients with COVID-19. These findings support our hypothesis, that highly immunocompromised patients are less likely to produce an adequate and sustained immune response to COVID-19 vaccination, and are therefore more likely to require critical care admiss...
Source: Vaccine - March 26, 2023 Category: Allergy & Immunology Authors: David Kelly Kate O'Donnell Louise Marron Rory Dwyer Michael Power Chantal Migone Joan O'Donnell Cathal Walsh Source Type: research

Pediatric EHR Selection Checklist for Small & Mid-sized Clinics
Replacing your Pediatric EMR? If you are thinking of replacing your existing EMR system for your pediatric health care practice, you’re not alone: an increasing number of pediatric practices are replacing their existing Pediatric EHR due to a multitude of reasons. For today’s pediatric practices, the concern with selection of a new replacement Pediatric EHR is twofold: streamlining operations for increased efficiency and enhanced ability to meet the specific needs of pediatric patients. But not all pediatric EHRs are created equally. The Certification Commission for Health Information Technology, which evaluates comp...
Source: EMR EHR Blog for Physicians - January 19, 2015 Category: Technology Consultants Authors: Alok Prasad Tags: Specialty EHR Software Pediatric EMR Software Source Type: blogs