Articles Tagged With:
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The COVID-19 Pandemic: What Comes Next? Lessons from Seasonal Coronaviruses
In temperate regions other than China, human seasonal coronaviruses circulate most heavily during the winter months, overlapping with influenza and respiratory syncytial virus. This may be the eventual pattern for SARS-CoV-2.
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Application of Acetic Acid to Identify Lesions During Colposcopy
In this prospective study, one minute of acetic acid application was found to be sufficient to identify the most severe colposcopic lesion in 96.7% of subjects.
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Outcomes in Pregnant Women Treated with Anti-Tumor Necrosis Factor-Alpha Biologic Therapy
In this population-based cohort study of 1,027 infants born to women treated with anti-TNF-α biologic therapy, there was an increased prevalence of preterm birth (adjusted odds ratio [aOR], 1.61; 95% confidence interval [CI], 1.29-2.02), cesarean delivery (aOR, 1.57; 95% CI, 1.35-1.82), and small for gestational age neonates (aOR, 1.36; 95% CI, 0.96-1.92) when treatment with anti-TNF was compared to non-biologic systemic treatment. Since disease processes varied greatly in these pregnant women, it was difficult to rule out confounding by disease severity (confounding by indication).
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Tamoxifen for the Management of Bleeding Irregularities in Contraceptive Implant Users
In this double-blind, randomized controlled trial, etonogestrel implant users with prolonged or frequent menses who took 10 mg of tamoxifen twice daily for seven days as needed for irregular bleeding had an average of 9.8 (95% confidence interval, 4.6-15.0) more consecutive days of amenorrhea over a 90-day period compared to those who took a placebo.
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Race Correction in Clinical Calculations — Is It Time to Reconsider?
Many clinical calculators use race as a predictive variable to assess risk for outcomes. Although most of the tools assume a genetic disposition for these outcomes, other factors, such as health disparities and other potential confounders, are more likely to be the underlying reasons for any race-related differences in outcomes.
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COVERED Project Seeks to Protect ED Personnel from COVID-19
Few questions are of greater concern to emergency health personnel these days than how they can protect themselves from COVID-19. It is an issue loaded with nuance. Much depends on such factors as how someone works in the emergency department, what procedures they perform, what specific practices they use when performing those procedures, and how often they are exposed.
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Rural Hospitals Struggle Amid Budgetary Constraints, Reporting Requirements
Hospitals across the United States have their hands full dealing with COVID-19 pandemic-related obstacles that are straining resources and increasing the stress levels of frontline providers. Meanwhile, hospitals in many rural communities are facing added concerns. Many have seen their already-precarious financial health pushed almost to the breaking point while staff struggle to keep up with ever-changing medical advisories and reporting requirements. All this on top of meeting the care needs of their communities in an environment where many patients fear accessing care.
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Keep Staff Healthy and Productive Using Leadership Techniques
Case management leaders can help their employees maintain their health and productivity during crises, such as the COVID-19 pandemic, by following organizational policies. One technique is to help employees change their perspective about what is happening to them and around them.
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Individual Drive, Human Spirit Can Help Case Managers, Others Cope with COVID-19
The COVID-19 pandemic has put healthcare workers in the spotlight, highlighting their heroism in the face of disease, severe illness, and death. Case managers are among the unsung heroes of the crisis, as they work to keep patients safe during transitions — sometimes in the face of daunting challenges.
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Remote Monitoring Technology Can Improve Efficiency
Community case management and care coordination services are important in the care of at-risk seniors. But healthcare organizations sometimes find it challenging to leverage resources. One potential solution is to use technology, such as remote patient monitoring, to increase case management efficiency and improve outcomes. Using a remote monitoring system can streamline services by warning case managers when patients’ vital signs are outside expected ranges.