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What endocrinologists can do to prevent cardiovascular complications in adults with Prader-Willi syndrome: Lessons from a case series
ConclusionDiagnosing CV problems in PWS adults is challenging. Peripheral edema is common in PWS adults without CV morbidity, which makes edema in general a poor marker for heart failure. However, when edema is of the pitting kind and progressive, this is a strong predictor of cardiac decompensation. We provide practical recommendations for diagnosing and treating CV problems in this vulnerable patient population.
Source: Frontiers in Endocrinology - March 24, 2023 Category: Endocrinology Source Type: research
Watch what happens when you teach others how to find OMI
Submitted by Dr. Caio Aguiar from Brazil, written by Pendell MeyersIt is immensely rewarding to receive these emails, like I received from Dr. Aguiar last week:" Last year I had a couple of lessons with you while on my internship.I finished my residency of Emergency Medicine and I ’m working at a great Emergency Department here in Brazil.Since then, I started looking for OMI EKG findings and not just STEMI.So, I ' m a follower of your blog, and I think I have a interesting case that I attended yesterday. "Case" Male, 43yo, come to ED with Epigastric Pain started 3 hours ago. Risk Factors: High Cholesterol. Vitals S...
Source: Dr. Smith's ECG Blog - March 21, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Use of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to guide iterative adaptations: Applications, lessons learned, and future directions
CONCLUSIONS: The use of Iterative RE-AIM to guide and support understanding of adaptations has proven feasible across diverse projects and in multiple case studies, but there are still questions about its strengths, limitations, essential components, efficiency, comparative effectiveness, and delivery details. Future directions include investigating the optimal frequency and timing for iterative applications; adding contextual assessments; developing more continuous and rapid data on which to make adaptation decisions; identifying opportunities to enhance health equity; and determining the level of facilitation that is mos...
Source: Cancer Control - March 17, 2023 Category: Cancer & Oncology Authors: Russell E Glasgow Catherine Battaglia Marina McCreight Roman Ayele Anna M Maw Meredith P Fort Jodi Summers Holtrop Rebekah N Gomes Borsika Adrienn Rabin Source Type: research
In This Texas County, There ’ s No Such Thing as Moving on From COVID-19
Nearly one out of every 100 people living in Lamb County, Texas, died of COVID-19, one of the highest death rates in the nation. But in June 2022, more than two years after the start of the pandemic, many residents in the rural towns making up the panhandle county say things are back to normal. At a fundraiser for a Catholic church in Olton in the northeast part of the county, local families had set up stands selling gorditas and aguas frescas, and a live band belted out Tejano crowd pleasers while couples danced. Javi Lopez, 17 at the time, told me that people were comfortable gathering in groups now. Some of his friends ...
Source: TIME: Health - March 15, 2023 Category: Consumer Health News Authors: Alejandro De La Garza / Lamb County, Texas Tags: Uncategorized COVID-19 feature healthscienceclimate Source Type: news
Gene-editing summit touts sickle cell success, while questions on embryo editing linger
After decades of living with often excruciating pain, Victoria Gray had to get used to a new sensation in recent years: waking up without it. “It may sound crazy, but I had to pinch myself to see was I still able to feel pain,” she says.
Gray, a 37-year-old mother of four from Forest, Mississippi, who was born with sickle cell disease, arguably became the star of last week’s
International Summit on Human Genome Editing
in London when she spoke about her transformation. In 2019, she was the first person to undergo an
experimental therapy
in which blood stem cells were taken from her, altered with the ...
Source: Science of Aging Knowledge Environment - March 13, 2023 Category: Geriatrics Source Type: research
A man in his 50s with chest pain
Sent by anonymous, written by Pendell MeyersA man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He had episodes of chest pain off and on all night, until about 1 hour prior to arrival when the pain became constant, crushing, 10/10 chest pain that radiated to both arms. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain. Vitals were within normal limits.Here is his triage ECG at 0343:What do you think?Meyers interpretation: Diagnostic of LAD OMI, with hyperacute T waves in a large LAD distribution including precord...
Source: Dr. Smith's ECG Blog - March 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Lessons from the implementation of a trauma center-based program to support primary care providers in managing opioids and pain after trauma hospitalization
CONCLUSIONS: This level I trauma center successfully implemented a telephonic opioid taper support program during COVID-19 but adapted the program to allow nurses and medical assistants to receive it. This study demonstrates a critical need to improve care transition from hospitalization to home for patients discharged after trauma.LEVEL OF EVIDENCE: Level IV.PMID:36844370 | PMC:PMC9944266 | DOI:10.1136/tsaco-2022-001038
Source: Pain Physician - February 27, 2023 Category: Anesthesiology Authors: Laura-Mae Baldwin Laura A Katers Mark D Sullivan Debra B Gordon Adrienne James David J Tauben Saman Arbabi Source Type: research
6 Healthcare Examples Of Virtual, Augmented And Mixed Reality
Lately, there has been a tendency in the tech world to adopt “new” realities in their midst. Meta has a branch dedicated to developing virtual reality (VR) hardware and software; earlier this year HTC unveiled its new augmented reality (AR) glasses; while Apple is reportedly gearing up to launch a mixed reality (MR) headset.
Collectively, VR, AR and MR fall under the umbrella term of extended reality (XR), which analysts believe holds the potential to be the next major computing platform. Such potentials have spillover effects into the medical field through digital health approaches, and healthcare practice is...
Source: The Medical Futurist - February 23, 2023 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: TMF Augmented Reality Virtual Reality MR XR VR AR mixed reality extended reality Source Type: blogs
Lessons From a Ransomware Attack: The Importance of Partnership & Collaboration
The following is a guest article by John Gaede, Director of Information Systems at Sky Lakes Medical Center.
Imagine a rural business is the victim of a cyberattack. A nefarious person or group convinces an unsuspecting employee to open an email promising a bonus. Within 12 hours, every piece of technology connected to that network, and every process needed to conduct daily operations, is paralyzed.
Now imagine that business is a hospital. It serves 80,000 people and it’s the only one within 10,000 square miles. Add to the scenario a global pandemic that is steadily ravaging the nation’s healthcare system. On October...
Source: EMR and HIPAA - February 21, 2023 Category: Information Technology Authors: Guest Author Tags: Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Security and Privacy 3M 3M Health Information Systems 3M HIS Abbadox Cohesity Cyberattacks Cybersecurity Electromek Diagnostic System FBI’s Source Type: blogs
105 Betrayal Quotes to Help You Deal With the Pain and Move On
Betrayal.
It can break your heart. Drag you down into a depressed state of mind. Make you cold and bitter.
In today's post I’d like to share timeless wisdom to help you deal with that. 105 of the best and most powerful betrayal quotes.
To help you process what's happened in a relationship of yours and to move on from that tough situation.
And if you want even more timeless and helpful inspiration then check out this post with quotes on dealing with broken trust and this one filled with quotes on regret (and letting go of it).
Relatable Betrayal Quotes
“To me, the thing that is worse than death is betrayal. You s...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - February 20, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs
105 Regret Quotes to Help You Let Go and Move on With Your Life
Regret can get you stuck in the past.
In a memory that you keep turning and turning in your head. Without being able to move on.
In today’s post I’d like to share the 105 of the most powerful regret quotes. To help you to let go of that dark and heavy cloud hanging over your head.
I hope these timeless thoughts will help you to create a better today and go forward towards a happier, lighter and more successful tomorrow.
And if you want even more timeless wisdom and motivation then check out this post with quotes on inner peace and this one filled with Wednesday motivation quotes.
Helpful Regret Quotes
“One of the gr...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - February 17, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs
A Practical Framework for Serious Illness Communication Developed in a Mistrust Pressure Cooker: Lessons from a COVID Intensive Care Unit in Brazil (FR204B)
Outcomes:1. Explore a serious illness communication model grounded in establishing trust for patient populations in whom mistrust abounds2. Discuss best practices for applying this communication framework to diverse patient populations with whom you work.During the early days of the COVID-19 pandemic, the world looked on as Brazil experienced one of the first peak waves, caring for patients when prognosis was uncertain, and infrastructure and capacity were severely insufficient. Through this lived experience of developing and running a COVID intensive care unit at a public hospital with extensive barriers to trust, we real...
Source: Journal of Pain and Symptom Management - February 11, 2023 Category: Palliative Care Authors: Daniel N. Forte, Bethany-Rose Daubman, Mark Stoltenberg Source Type: research
Pediatric Telehospice: Program Development, Implementation, and Lessons Learned (TH118B)
Outcomes:1. Evaluate recent literature that demonstrates the immediate needs for hospice nurses caring for children with life-limiting illness, including access to clinical experts2. Describe key steps in program development of a telehealth pathway to streamline access to pediatric palliative care providers for hospice nurses and pediatric patientsApproximately 50,000 children die annually in the United States, and only 10% receive hospice services at end of life. While the prevalence of pediatric-specific hospice agencies remains low, most hospices serve pediatric patients or have developed a formal program for children.
Source: Journal of Pain and Symptom Management - February 11, 2023 Category: Palliative Care Authors: Sydney Ariagno, Megan Thorvilson, Christopher A. Collura Source Type: research
A Part-Time, Competency-Based Fellowship for Mid-Career Physicians: Challenges, Opportunities, Lessons Learned, and Next Steps (TH116A)
Outcomes:1. Describe the benefits and challenges of mid-career HPM fellowship training for both the individual mid-career fellow as well as for the programs in which they train2. Outline strategies for successful implementation of mid-career fellowship training at the home institution, including the active role of individual fellow in co-creating the educational experienceDespite recent expansion of traditional hospice and palliative medicine (HPM) physician training programs, the clinical, academic, administrative, and research demands for board-certified HPM physicians remain largely unmet.
Source: Journal of Pain and Symptom Management - February 11, 2023 Category: Palliative Care Authors: Laura Dingfield, Mollie A. Biewald, Maria Dans, Elizabeth C. Lindenberger, Karen Blackstone Source Type: research
