Internal Medicine
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Surviving Sepsis 2021 Update
Some of the important changes include clearer differentiation of sepsis vs. septic shock and, for numerous recommendations, changing the strength and quality of evidence to support many.
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Coffee Consumption and the Curious Effects on the Heart
Real-time patient monitoring allowed researchers to observe a strange mix of short-term harms and benefits.
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Plant-Based Diets and Menopausal Hot Flashes
In this clinical trial, women randomized to a low-fat, vegan diet including one-half cup of cooked whole soybeans daily experienced a reduction in total hot flashes of 79% compared to 49% in the control group over 12 weeks of observation.
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Children and Electronics: A Longitudinal Study
This Finnish investigation of electronic media (e-media) use in young children revealed 95% of 5-year-olds studied exceeded guidelines for time spent with e-media. The authors noted an association between more screen time and additional psychosocial symptoms at 5 years old and found these associations were less prominent when measuring use of electronic games alone.
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Fish Consumption, Omega-3 Fatty Acids, and Cardiovascular Disease
Is there enough scientific evidence to suggest there are associations between fish consumption and risk of cardiovascular disease, or of mortality, among people who consume fish compared to those who do not consume fish?
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NIH Awards Grant for Psychedelic-Related Investigation
First federal investment in decades indicates evolving attitudes on this area of research.
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Medicare Sepsis Performance Measure Criteria Do Not Improve Outcomes
A longitudinal study of a single health system’s adherence to and outcomes of Medicare Sepsis Performance Measures (SEP-1) did not show an improvement in mortality despite improvements in adherence to guideline-mandated care.
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Attitudes Toward Hyperoxemia and Oxygen Therapy Among Nurses, Respiratory Therapists, and Physicians
Critical care clinicians, such as nurses, respiratory therapists, and physicians, have varying opinions regarding oxygen therapy and hyperoxia. Interdisciplinary education addressing current evidence of oxygen therapy and the potentially harmful effects of oxygen is warranted.
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Burnout in the Critical Care Workforce
The burnout epidemic has plagued the medical profession for decades, with an escalating prevalence most recently fueled by the COVID-19 pandemic.
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IRBs Often Reluctant to Approve Inclusion of Pregnant Participants in Research
Some IRB members cite uncertainty on whether inclusion of pregnant participants could affect the study’s scientific validity. Others acknowledge they rely on the common, default practice of excluding pregnant individuals without requiring justification. Guidance is needed for characterizing the risk level of research procedures in the context of pregnancy.