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  • A Sharp Learning Curve: New Nurses and Needlesticks

    There is some concern incoming nurse graduates whose training was compromised by the COVID-19 pandemic may be vulnerable to needlesticks in clinical settings.

  • Two Strikes? A Black Woman’s Experience Working in Healthcare

    In the wake of the disparities in patient care exposed by the pandemic, healthcare continues a racial reckoning that now includes clinicians and employees. Black women in healthcare face entrenched racism daily, from the death by a thousand cuts of microaggressions to the longstanding barriers to leadership positions.

  • States: End HCW COVID-19 Vaccine Mandates

    Twenty-two states have joined to petition CMS to stop mandating COVID-19 vaccines for healthcare workers. In a Nov. 18, 2022, letter to HHS Secretary Xavier Becerra, West Virginia Attorney General Patrick Morrisey called for the vaccination requirement to be withdrawn.

  • The Joint Commission Expands Sexual Assault Definition

    The Joint Commission has revised its definition of a sexual abuse/assault of healthcare workers, clarifying and expanding it to include social media and related technology. The original definition was developed more than a decade ago, before the ubiquitous presence of social media and related technology.

  • Active Shooters Gun Down Healthcare Workers

    Violent attacks on healthcare workers in 2022 included a gunman who shot two physicians, a receptionist, and a visitor at Saint Francis Health System in Tulsa, OK, on June 1. In addition to the long-documented physical assaults and verbal aggression, these incidents underscore the relatively rare but real risk to healthcare workers of an active shooter in the building.

  • EMS Trauma Stabilization and Transport: A Comprehensive Review

    It is essential that acute care providers have an awareness of the prehospital system — strengths, scope of practice, different transport modalities (strengths and limitations) — to optimize patient outcomes.

  • Can Artificial Intelligence Help Us to Choose the Best Anti-Seizure Medicine?

    A new deep learning artificial intelligence algorithm was able to identify the most effective initial drug to treat newly diagnosed epilepsy, compared to the physicians’ clinical judgment. The algorithm required prospective, carefully collected clinical data for its success.

  • Lipid Pathway Dysfunction in Parkinson’s Disease

    In this large-scale study, the authors used a comprehensive untargeted lipidomic approach to determine the extent to which lipid dysregulation occurs in patients with Parkinson’s disease generally and in mutation carriers of one of the most common Parkinson’s disease risk genes, LRRK2. Further pathway analysis reveals sphingolipid metabolism, insulin signaling, and mitochondrial function as major metabolic pathways dysregulated in Parkinson’s disease.

  • Influence of Vitamin Intake on the Prevalence of Migraine

    In a large population-based survey, 21.6% of participants reported having severe headaches or migraine. Those reporting severe headaches also reported a lower intake of thiamine and riboflavin, based on 24-hour recall of food intake. There also was an inverse relationship between thiamine intake and reports of severe headaches.

  • Atypical Presentations for Inclusion Body Myositis

    Inclusion body myositis, the most common acquired myopathy, often is misdiagnosed or diagnosed after a delay of many years. Atypical presentations are not unusual, and clinicians should maintain a high degree of suspicion for this disorder when patients present with slowly progressive muscle weakness in an unusual pattern.