Articles Tagged With:
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From Exhaustion to Empowerment: Combating Physician Burnout in Healthcare
Medicine always has been demanding, both emotionally and intellectually. Yet, primary care providers have found deep purpose in their work. However, the modern practice of medicine brings new challenges, such as administrative burdens, financial strain, and large patient loads, contributing to widespread burnout. This paper examines burnout in the primary care provider and its related consequences and offers practical strategies for supporting provider well-being.
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Pediatric Pain Control
The fast-paced environment of the emergency department, unfamiliar faces, and noisy surroundings can create challenges when taking care of a child in pain, especially a child who has experienced a traumatic event. Management of pain in pediatric patients requires special considerations because of the unique physiological and psychological needs of children.
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Infectious Disease Updates
MDRO Colonization Increases Risk of Infection; Peri-Operative Ertapenem; Whole-Genome Sequencing Shows Negligible Transmission of Clostridioides difficile in the ICU
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Noninferiority of Seven vs. 14 Days of Antibiotic Therapy for Bloodstream Infections
In this multinational, noninferiority trial that included more than 3,600 hospitalized patients with bloodstream infections from various pathogens and infectious syndromes, seven days of antibiotic therapy was noninferior to 14 days with respect to death from any cause by 90 days. Patients were excluded if they had severe immunosuppression or foci requiring prolonged treatment, or if their blood cultures yielded Staphylococcus aureus or possible contaminants. Various secondary outcomes were similar between the two groups.
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Parvovirus and Increasing Danger in Pregnancy and Sickle Cell Disease
The incidence of human parvovirus B19 infection is increasing in the United States, putting vulnerable groups at risk of serious complications.
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Oseltamivir for Adults Hospitalized with Influenza: Earlier Is Better
A multicenter observational study on adults hospitalized with influenza found that initiation of oseltamivir on the day of admission reduced the risk of disease progression, including pulmonary and extra-pulmonary organ failure and death.
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Usefulness of Pyuria to Diagnose UTI in Children
Of 4,188 children aged 1 to 36 months screened for urinary tract infection (UTI) in emergency departments, 407 (9.7%) had a culture-positive UTI. Pyuria (by various means of assessment) was not present in 20% of febrile children with a UTI, raising questions about the validity of using pyuria as a necessary component or as a tool for the diagnosis of UTI in young children.
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Artemisinin-Resistant Malaria in Uganda
Partial resistance to artesunate was seen in 11% of young children hospitalized with complicated malaria, mostly due to the Pfkelch13 A675V genetic variation. Affected children demonstrated delayed initial parasite clearance and then suboptimal efficacy 28 days following initiation of treatment with parenteral artesunate followed by oral artemether-lumefantrine.
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Nursing-Focused Ethics Education Is in High Demand
Nurses spend more time with patients and families than other healthcare providers. “Yet, they do not always have the greatest authority and power. This means that they can experience ethical challenges and burdens in a different way to other healthcare professionals,” says Georgina Morley, PhD, MSc, RN, HEC-C, director of the Nursing Ethics Program at the Cleveland Clinic.
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Informed Consent Is Ethical Concern with Digital Health Research
Technologies such as wearable fitness trackers and home-based air sensors are increasingly being used to collect research participant data. This poses some new ethical challenges for researchers.