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Partnerships to Care for Our Patients and Communities During COVID-19.

J Am Board Fam Med 2021 Sep-Oct;34(5):1003-1009

From the Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC (AJV, JB, MC, CE, BH, ML, VM-B, JR, KR, KS, GW, HS, JV, NW, JLM).

The Coronavirus disease 2019 (COVID-19) pandemic forced not only rapid changes in how clinical care and educational programs are delivered but also challenged academic medical centers (AMCs) like never before. The pandemic made clear the need to have coordinated action based on shared data and shared resources to meet the needs of patients, learners, and communities. Family medicine departments across the country have been key partners in AMCs' responses. Read More

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Blood Product Administration During Transport Throughout the US Africa Command Theater of Operation.

J Spec Oper Med 2021 ;21(3):66-70

Background: United States Africa Command (US AFRICOM) is one of six US Defense Department's geographic combatant commands and is responsible to the Secretary of Defense for military relations with African nations, the African Union, and African regional security organizations. A full-spectrum combatant command, US AFRICOM is responsible for all US Department of Defense operations, exercises, and security cooperation on the African continent, its island nations, and surrounding waters. We seek to characterize blood product administration within AFRICOM using the in-transit visibility tracking tool known as TRAC2ES (TRANSCOM Regulating and Command & Control Evacuation System). Read More

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January 2021

Reappraisal of the role of motor and somatosensory evoked potentials during open distal aortic repair.

J Thorac Cardiovasc Surg 2021 Aug 20. Epub 2021 Aug 20.

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth, Houston, Tex. Electronic address:

Objective: Intraoperative motor and somatosensory evoked potentials have been applied to monitor spinal cord ischemia during repair. However, their predictive values remain controversial. The purpose of this study was to evaluate the impact of motor evoked potentials and somatosensory evoked potentials on spinal cord ischemia during open distal aortic repair. Read More

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Allergic contact dermatitis caused by dipropylene glycol diacrylate in the Omnipod® insulin pump.

Br J Dermatol 2021 Sep 12. Epub 2021 Sep 12.

Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.

Background: Cases of allergic contact dermatitis (ACD) caused by isobornyl acrylate (IBOA) in the Omnipod® insulin pump have previously been reported.

Objectives: We here present three cases of ACD caused by a new allergen in the pump and results from chemical analyses.

Methods: Omnipod® pumps from different batches were analysed by gas chromatography-mass spectrometry. Read More

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September 2021

Global Cytopathology-Hematopathology Practice Trends.

Am J Clin Pathol 2021 Sep 11. Epub 2021 Sep 11.

Department of Pathology, Stanford University, Stanford, CA, USA.

Objectives: Small-volume biopsy-fine-needle aspiration biopsy (FNAB) with or without core biopsy-is in increasing use in diagnosis and management of lymphoma patients. Our objective was to survey the current practice in small-volume biopsy diagnosis of lymphoma, focusing on the interaction among hematopathologists and cytopathologists and the integration of FNAB, core biopsy, and flow cytometry studies at sign-out.

Methods: This study used a cross-sectional survey design employing the RedCap database distributed via nine pathology professional society email listservs. Read More

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September 2021

Impact of COVID-19 pandemic on the professional intention of medical and related students.

BMC Med Educ 2021 Sep 9;21(1):484. Epub 2021 Sep 9.

Department of Physiology, School of Basic Medicine, Xuzhou Medical University, No.209 of Tongshan Road, Xuzhou, 221004, Jiangsu, China.

Background: The outbreak of COVID-19 has led to increased workload and infection risks among medical staff. This situation may influence current medical and health-related students' decision on the choices of their future careers. Hence, this study investigated the impact of COVID-19 on their future career intentions. Read More

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September 2021

Transition of Farm Pigs to Research Pigs using a Designated Checklist followed by Initiation of Clicker Training - a Refinement Initiative.

J Vis Exp 2021 Aug 21(174). Epub 2021 Aug 21.

Department of Clinical Medicine, AUGUST Centre, Aarhus University;

Implementation of 3R initiatives is important. To refine the life of laboratory pigs, we focused on the time period prior to inclusion of animals in experiments. We improved the checklist during the development. Read More

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Integrating Diversity, Equity, and Inclusion Into an Academic Department of Psychiatry and Behavioral Sciences.

Focus (Am Psychiatr Publ) 2021 Jan 25;19(1):61-65. Epub 2021 Jan 25.

Department of Psychiatry and Behavioral Sciences, Emory School of Medicine, Atlanta (Kaslow, Schwartz, Fani, Gard, Goldsmith, Hampton-Anderson, Holton, Marshall-Lee, White, Cattie); Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon (Ayna).

This article highlights one department's efforts to bolster diversity, equity, and inclusion as an exemplar for other academic departments. It offers an approach for building an infrastructure and leadership group and details accomplishments associated with strategic plan priorities related to visibility, values, stakeholder education, recruitment, retention, promotion, and community engagement. It also delineates challenges encountered in transforming a departmental culture to one that is more diverse, equitable, and inclusive and strategies for overcoming these challenges. Read More

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January 2021

Lessons Learned from a CDC Virtual Partner Services Technical Assistance Pilot Project to Respond to a Local Syphilis Outbreak.

Sex Transm Dis 2021 Aug 31. Epub 2021 Aug 31.

Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Minnesota Department of Health, STD, HIV and TB Section Minnesota Department of Health, STD, HIV and TB Section Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention.

Abstract: A virtual partner services technical assistance (TA) project was piloted with the Minnesota Department of Health (MDH) to address an ongoing syphilis outbreak. The TA reduced the health department's DIS workload, achieved partner services outcomes comparable to in-person methods and identified lessons learned to replicate with other jurisdictions. Read More

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An iterative approach to promoting departmental wellbeing during COVID-19.

J Eval Clin Pract 2021 Aug 29. Epub 2021 Aug 29.

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.

Rationale, Aims, And Objectives: Addressing wellbeing among learners, faculty, and staff during the COVID-19 pandemic is a challenge for many clinical departments. Continued and systemic supports are needed to combat the pandemic's impact on mental health and wellbeing. This article describes an iterative approach to conducting a needs assessment and implementing a COVID-19-related wellness initiative in a psychiatry department. Read More

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Building a Culture of Scholarship Within a Family Medicine Department: a Successful Eight-Year Journey of Incremental Interventions Following a Historical Perspective of Family Medicine Research.

Med Sci Educ 2021 Feb 20;31(1):75-80. Epub 2020 Oct 20.

Department of Family and Community Health, Joan C. Edwards School of Medicine, Marshall University, 1600 Medical Center Drive, Suite 1500, Huntington, WV 25701 USA.

Background And Objectives: Family medicine (FM), a discipline that eschewed worshiping the ivory tower of research in favor of patient care, has struggled with its role in the world of scholarly activity. FM residencies mirror this conflict despite the Accreditation Council for Graduate Medical Education's requirements for creating an environment of inquiry and scholarship. Because of this, the faculty within the Department of Family and Community Health (dFCH) at Marshall University changed its culture of scholarship. Read More

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February 2021

Impact of COVID-19 on the surgical volume of general surgery residents as main surgeons in a National Training Program in Costa Rica: A cross-sectional study.

Medicine (Baltimore) 2021 Aug;100(34):e27041

Department of General Surgery, Mexico Hospital, Caja Costarricense Seguro Social, University of Costa Rica, San José, Costa Rica.

Abstract: To quantify the impact of coronavirus disease 19 (COVID-19) on the surgical volume of residents' medical practice in Costa Rica's General Surgery Residency Program.The COVID-19 pandemic has caused a significant disruption in people's lives. Health systems worldwide have been forced to adapt to the new normal, which has posed a challenge for medical residency programs, especially in the surgical field. Read More

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Incidence of De Quervain's thyroiditis during the COVID-19 pandemic in an area heavily affected by Sars-CoV-2 infection.

Endocrine 2021 Aug 7. Epub 2021 Aug 7.

Department of Clinical and Experimental Sciences, SSD Medicina ad Indirizzo Endocrino-Metabolico, ASST Spedali Civili di Brescia, University of Brescia, 25123, Brescia, Italy.

Purpose: To evaluate the possible association between Covid-19 infection and subacute thyroiditis.

Methods: We reviewed the medical and imaging records of patients referred to our Department's outpatient setting dedicated to 'thyroid emergency' (records with a 'bollino verde'-green sticker, classifed as urgent) from April 2020 to October 2020. This outpatient clinic is devoted to patients requiring evaluation for severe hypothyroidism, thyrotoxicosis and neck discomfort or pain. Read More

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Adding value in the era of COVID-19: Increasing usage of a patient-centered radiology consultation service.

Clin Imaging 2021 Jul 7;80:211-214. Epub 2021 Jul 7.

Weill Cornell Medical College at New York-Presbyterian Hospital, 425 East 61st Street, 9th Floor, New York, NY 10065, United States of America.

Objective: To examine the effects of COVID-19 pandemic on our department's Radiology Consultation Service (RCS) related to breast imaging, and how utilization of the provided services may have differed as compared to prior to the pandemic.

Materials And Methods: A retrospective cohort study of patients and health care providers who consulted the RCS, as well as those patients who had a screening mammogram and/or ultrasound between January 1, 2019 and September 1, 2020. Consultations were performed by an RRA, RN and one of 17 breast imaging radiologists assigned to consults on daily. Read More

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Genomic epidemiology and transmission dynamics of SARS-CoV-2 in congregate healthcare facilities in Santa Clara County, California.

Clin Infect Dis 2021 Jul 30. Epub 2021 Jul 30.

County of Santa Clara, Public Health Department, San Jose, California, USA.

Background: Outbreaks of SARS-CoV-2 in long term care facilities (LTCFs) cause significant morbidity and mortality. Mapping viral transmission within and between by combining genomic sequencing with epidemiologic investigations enables targeting infection control interventions.

Methods: We conducted weekly surveillance of residents and staff in LTCFs in Santa Clara County, CA with at least one confirmed COVID-19 case between March and July 2020. Read More

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Evaluation of Unscheduled Return Visits to the Pediatric Emergency Department and Risk Factors for Admission After Return Visit.

Pediatr Emerg Care 2021 Jul 27. Epub 2021 Jul 27.

From the Division of Pediatric Emergency Medicine, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, University of Health Sciences Division of Pediatric Emergency Medicine, Hacettepe University Faculty of Medicine Department of Pediatrics, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey.

Objective: Unscheduled return visits to the emergency department (unscheduled RTED) increase both the workload and overcrowding in the emergency department. The aim in the present study is to identify the patient groups that require more careful and closer follow-up to reduce the rates of unscheduled RTED and hospital admissions after a return visit.

Methods: Among the patients admitted to the emergency department of our hospital between 2016 and 2017, those who made an unscheduled RTED within 72 hours after their first visit to the emergency department were evaluated retrospectively. Read More

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Telephone Patient Navigation Increases Follow-Up Hepatitis B Care in the Postpartum Period for Immigrants Living in New York City.

J Immigr Minor Health 2021 Jul 27. Epub 2021 Jul 27.

New York City Department of Health and Mental Hygiene, Bureau of Communicable Disease, 42-09 28th Street, Long Island City, NY, USA.

Hepatitis B is a major public health threat which leads to serious liver disease or cancer and disproportionately impacts immigrants. Pregnant people are routinely tested for hepatitis B to prevent perinatal transmission but may themselves not receive appropriate education and referrals. People contacted as part of the local health department's perinatal hepatitis B prevention program were offered culturally appropriate telephone patient navigation services to test if this would improve adherence with postpartum hepatitis B care. Read More

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Results from the National Taskforce for Humanity in Healthcare's Integrated, Organizational Pilot Program to Improve Well-Being.

Jt Comm J Qual Patient Saf 2021 Sep 7;47(9):581-590. Epub 2021 Jun 7.

Background: In health care, burnout remains a persistent and significant problem. Evidence now exists that organizational initiatives are vital to address health care worker (HCW) well-being in a sustainable way, though system-level interventions are pursued infrequently.

Methods: Between November 2018 and May 2020, researchers engaged five health system and physician practice sites to participate in an organizational pilot intervention that integrated evidence-based approaches to well-being, including a comprehensive culture assessment, leadership and team development, and redesign of daily workflow with an emphasis on cultivating positive emotions. Read More

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September 2021

Challenges and Adaptation in Otorhinolaryngology Practice During Pandemic Lockdown: Experience from a Malaysian COVID-19 Hospital.

Malays J Med Sci 2021 Jun 30;28(3):143-150. Epub 2021 Jun 30.

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

COVID-19 has taken the world by storm: since the first few cases appeared in Wuhan, China in December 2019 and by June 2020 there were more than 10 million cases of COVID-19 cases worldwide. Malaysia had its first case in January 2020 and acted promptly by implementing several drastic measures to contain the disease. Subsequently, the Ministry of Health Malaysia has implemented guidelines and recommendations on the management of COVID-19. Read More

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Perspectives from the frontline: A pharmacy department's response to the COVID-19 pandemic.

Am J Health Syst Pharm 2020 08;77(17):1409-1416

Department of Pharmacy Services, St. Joseph Mercy Health System, Ann Arbor, MI.

Purpose: The global coronavirus disease 2019 (COVID-19) pandemic has created unprecedented strains on healthcare systems around the world. Challenges surrounding an overwhelming influx of patients with COVID-19 and changes in care dynamics prompt the need for care models and processes that optimize care in this medically complex patient population. The purpose of this report is to describe our institution's strategy to deploy pharmacy resources and standardize pharmacy processes to optimize the management of patients with COVID-19. Read More

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COVID-19 pandemic preparedness: A practical guide from clinical pharmacists' perspective.

Am J Health Syst Pharm 2020 09;77(18):1510-1515

Department of Pharmacy, NYU Langone Health, New York, NY.

Purpose: To describe our hospital pharmacy department's preparation for an influx of critically ill patients during the coronavirus disease 2019 (COVID-19) pandemic and offer guidance on clinical pharmacy services preparedness for similar crisis situations.

Summary: Personnel within the department of pharmacy at a medical center at the US epicenter of the COVID-19 pandemic proactively prepared a staffing and pharmacotherapeutic action plan in anticipation of an expected surge in admissions of critically ill patients with COVID-19 and expansion of acute care and intensive care unit (ICU) capacity. Guidance documents focusing on supportive care and pharmacotherapeutic treatment options were developed. Read More

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September 2020

Invasive cervical cancer following treatment of pre-invasive lesions: A potential theory based on a small case series.

Eur J Obstet Gynecol Reprod Biol 2021 Sep 3;264:56-59. Epub 2021 Jul 3.

Institute or Reproductive and Developmental Biology, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.

Purpose: The aim of this study is to present a single department's experience on cervical cancer cases following previous excision of cervical intraepithelial neoplasia (CIN) and to discuss potential pathogenesis.

Methods: Nine cervical cancer cases meeting the inclusion criteria, with available pathological and follow-up data, were considered eligible for this study.

Results: The majority (7/9) have had clear excisional margins. Read More

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September 2021

Getting Neurosurgery Services Back on Its Feet: "Learning to Live" with COVID-19.

Asian J Neurosurg 2021 Apr-Jun;16(2):340-348. Epub 2021 May 28.

Department of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Background: Cancellation/postponement of "" surgeries during coronavirus disease of 2019 (COVID-19) pandemic has created a huge backlog of patients waiting for surgery and has put them at risk of disease progression. We share our institute's policy and our department's attempt to resume "" surgeries.

Materials And Methods: We collected details of all patients operated under department of neurosurgery since the onset of COVID-19 pandemic in India and categorized them into "" and "" groups for comparison. Read More

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Evaluating effort-reward imbalance among nurses in emergency departments: a cross-sectional study in China.

BMC Psychiatry 2021 07 14;21(1):353. Epub 2021 Jul 14.

Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.

Background: Effort-reward imbalance is an adverse psychological response to working conditions that has several negative effects on nurses. However, there is little research on effort-reward imbalance and its influencing factors among nurses in emergency departments. This study aimed to understand the current situation of effort-reward imbalance and explore its influencing factors among emergency department nurses in China. Read More

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Surgical Site Infections Are Associated With Higher Blood Loss and Open Access in General Thoracic Practice.

Front Surg 2021 25;8:656249. Epub 2021 Jun 25.

Department of Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Surgical site infections (SSIs) are the most costly and second most frequent healthcare-associated infections in the Western world. They are responsible for higher postoperative mortality and morbidity rates and longer hospital stays. The aim of this study is to analyze which factors are associated with SSI in a modern general thoracic practice. Read More

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Shaping the Future of Higher Education: Practical, Community-Driven Initiatives to Improve Academic Climate.

ACS Cent Sci 2021 Jun 24;7(6):910-916. Epub 2021 May 24.

Historically, efforts to improve academic climate have been siloed-many efforts involve the collection of data to understand issues affecting diversity at an institutional level, while others prioritize recruitment and retention of historically marginalized groups. Few initiatives, however, effectively combine the two in order to create concrete action plans to eliminate structural barriers that hinder the retention of minorities in STEM. In this Editorial, we present the history and details of a collaborative effort to improve the academic climate of the Department of Chemistry at University of California, Berkeley. Read More

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Local Government Approaches to Combating COVID-19 Inequities: A Durham County Department of Public Health Perspective.

Int J Environ Res Public Health 2021 06 18;18(12). Epub 2021 Jun 18.

Durham County Department of Public Health, Public Health Services, 414 East Main Street, Durham, NC 27701, USA.

When a novel coronavirus disease (COVID-19) made major headlines in 2020, it further exposed an existing public health crisis related to inequities within our communities and health care delivery system. Throughout the COVID-19 pandemic, populations of color had higher infection and mortality rates, and even experienced greater disease severity compared to whites. Populations of color often bear the brunt of COVID-19 and other health inequities, due to the multifaceted relationship between systemic racism and the social determinants of health. Read More

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Covid-19 imaging: A narrative review.

Ann Med Surg (Lond) 2021 Sep 18;69:102489. Epub 2021 Jun 18.

Radiology Department, Childrens' Hospital - Ibn Sina University Hospital-Rabat, Lamfadel Cherkaoui Street, 10010, Rabat, Morocco.

Background: The 2019 novel coronavirus disease (COVID-19) imaging data is dispersed in numerous publications. A cohesive literature review is to be assembled.

Objective: To summarize the existing literature on Covid-19 pneumonia imaging including precautionary measures for radiology departments, Chest CT's role in diagnosis and management, imaging findings of Covid-19 patients including children and pregnant women, artificial intelligence applications and practical recommendations. Read More

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September 2021

A Pediatric Hospital Physical Therapy and Occupational Therapy Department's Response to COVID-19: An Administrative Case Report.

Phys Ther 2021 Jun 25. Epub 2021 Jun 25.

Boston Children's Hospital, Department of Physical Therapy and Occupational Therapy Services, 300 Longwood Avenue, MA 02115.

Objective: The purpose of this case report is to describe the challenges that COVID-19 presented for therapists in a pediatric hospital and the response to these challenges.

Methods (case Description): The case report setting is a physical therapy and occupational therapy department (department) of an academic pediatric medical center that provides a range of health care services for children and youth. Challenges that COVID-19 presented to the Department included: (1) managing safety concerns for patients, their families, and staff; (2) continuing to provide high-quality therapy services within state mandated restrictions; (3) triaging patients; and (4) keeping clinicians employed and working productively. Read More

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Diversity, Equity, and Inclusion Committee: An Instrument to Champion Diversity Efforts Within a Large Academic Psychiatry Department.

Psychiatr Serv 2021 Jun 23:appips202000934. Epub 2021 Jun 23.

Department of Psychiatry, Brigham and Women's Hospital, Boston (all authors); Department of Psychiatry, Harvard Medical School, Boston (Amonoo, Levy-Carrick, Nadkarni, Grossman, Green, Silbersweig, AhnAllen). Michael Mensah, M.D., M.P.H., Lucy Ogbu-Nwobodo, M.D., M.S., and Ruth S. Shim, M.D., M.P.H., are editors of this column.

Diversity, equity, and inclusion (DEI) have become increasingly recognized as essential to the practice of high-quality patient care delivery and the support of members of the clinical environment. A solid understanding of DEI contributes to a better grasp of what drives health care disparities and yields improved clinical outcomes for minority populations. This column discusses how individuals can practically promote DEI by describing the design and implementation of DEI in an academic psychiatry department. Read More

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