In this prospective observational study, 8 women with low risk pregnancy in the first trimester were recruited at an urban academic medical center. Participants received a mobile phone app with a connected digital weight scale and blood pressure cuff for at-home data collection for the duration of pregnancy. At-home data was assessed for abnormal values of blood pressure or weight to generate clinical alerts to the patient and provider. As measures of the feasibility of the system, participants were studied for engagement with the app, accuracy of remote data, efficacy of alert system, and patient satisfaction.
The objective of the study was to predict volume responsiveness and to assess the diagnostic accuracy of carotid flow time (FTc) with the change in hydration status, before and after a passive leg raise (PLR) maneuver. Co-authors included PGY3 resident Dr. Murteza Shahkolahi, resident and fellow alumnus Dr. Grant Berry, and Dr. Ali Pourmand.
The press release and Dr. Pines' article center around a study, published in the same issue of the Annals of Emergency Medicine, on the Association Between the Opening of Retail Clinics and Low-Acuity Emergency Department Visits.
At the George Washington University, Dr. Neal Sikka, co-chief of the Telehealth Section at the GWU School of Medicine and Health Sciences, said the school focuses on health problems commonly found in an urban environment. He noted that a weakened patient with a chronic disease and few resources may have as much trouble getting across town to his doctor’s office as an isolated rural individual who needs to drive several hours would. So his team is working on ways to use telehealth to serve an urban population. It’s also exploring novel treatments in post-surgery wound care as well as tele-consults for those in chronic pain, which is critical in an era of opioid overuse.
The article discusses how to construct a template for physical exams that will both assist in the process and insure proper coding adhering to the 1995 and 1997 CMS guidleines.
Last month, Health Affairs published new research on hepatitis C treatment in American prisons. Hepatitis C is a liver disease and the most common bloodborne pathogen in the United States, infecting approximately 1 percent of the general population.(1) Within the prison population, however, the prevalence of hepatitis C is higher: 17 percent. Prisoners are a key demographic to decrease the spread of hepatitis C, which is spread through IV drug abuse because approximately 20-55 percent of inmates have used IV drugs in the past.
Puncture wounds are common injuries treated in the emergency department (ED). Prior studies have shown that toothbrushes are common reservoirs for oral flora, especially in regions near the head of the toothbrush near the bristles. ED providers must be aware of the danger associated with bacterial contamination of the associated wound and should be familiar with different pathogens and options for treatment. We present a unique case of a 30-year-old male with non-intraoral injury who presented to the ED after puncturing his left palm with the metal post of an electric toothbrush.