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Veteran Speaker and Consultant on the Struggles of Healthcare Workers
Kathy Espinoza, MBA, MS, CPE, CIE is a frequent speaker on work culture, including work-life balance, motivation and overcoming adversity, and the science of ergonomics in a variety of settings. Hospital Employee Health asked Espinoza to comment on the conditions healthcare workers are currently facing.
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As Predicted, Measles Returns in Unvaccinated
As this report was filed, a measles outbreak was underway at a Florida elementary school, prompting a bizarre letter to parents and guardians by the state Surgeon General Joseph Ladapo, MD, PhD. Ladapo has a history of taking antivaccine positions.
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HIV Needlestick: Low Risk, High Anxiety
Worst-case scenario: a healthcare worker experiences a needlestick and is exposed to the blood of an HIV-positive patient. All things considered, there is a less than 1% chance that the healthcare worker will acquire HIV from a known positive needlestick. Despite those odds, many healthcare workers do not feel particularly lucky right after a needlestick.
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NIOSH Redoubles Emphasis on HCW Mental Health Crisis
The National Institute for Occupational Safety and Health is making good on its promise to restore the battered medical workforce, which is threatening an exodus from the bedside after suffering years of moral injury, belligerent patients, and declining mental health.
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Bigeminy and What Else?
The medical providers in this case were concerned the cause of the bigeminal rhythm in the figure below was sinoatrial block. Do you agree? Are there other things to be concerned about?
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Bempedoic Acid (Nexletol) and Bempedoic Acid and Ezetimibe (Nexlizet)
The U.S. Food and Drug Administration is expected to update the indications for bempedoic acid and bempedoic acid/ezetimibe. Esperion has submitted clinical evidence in the form of Cholesterol Lowering via Bempedoic Acid an ACL-inhibiting Regimen (CLEAR) that demonstrated that bempedoic acid was associated with a lower risk of major adverse cardiovascular events compared to placebo. Bempedoic acid and bempedoic acid/ezetimibe are distributed by Esperion as Nexletol and Nexlizet, respectively.
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Is Screening First-Degree Relatives of Cardiomyopathy Patients Worthwhile?
An observational study of screening first-degree relatives of patients with dilated cardiomyopathy revealed 14% will show either dilated left ventricles, low left ventricular function, or both. These findings are more common if the relatives have been diagnosed with hypertension or are obese, but their frequency is not altered by sex or race.
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Long-Term Antiplatelet Therapy After PCI
The five-year follow-up of patients randomized to clopidogrel vs. aspirin monotherapy beyond one year after percutaneous coronary intervention has shown that clopidogrel is noninferior, but not superior, to aspirin for preventing the combined endpoint of adverse cardiovascular or major bleeding events.
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Dyeing to Death: Examining the Risks of Red 40 and High-Fat Diets
This study exploring colorectal cancer development reveals that Allura Red AC (Red 40), a synthetic dye prevalent in many American diets, causes significant deoxyribonucleic acid damage and colonic inflammation in mice, especially when combined with a high-fat diet.
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Vitamin D and Marine n-3 Fatty Acids Reduce Autoimmune Diseases
Continued use of vitamin D3 and n-3 fatty acids reduced the incidence of autoimmune diseases such as psoriasis.