Acad Emerg Med
December 2024
Background: Acute exacerbations of chronic obstructive pulmonary disease (COPD) in the emergency department (ED) involve dyspnea, cough, and chest discomfort; frequent exacerbations are associated with increased mortality and reduced quality of life. Noninvasive positive pressure ventilation (NiPPV) is commonly used to help relieve symptoms but is limited due to patient intolerance. We aimed to determine whether high-velocity nasal insufflation (HVNI) is noninferior to NiPPV in relieving dyspnea within 4 h in ED patients with acute hypercapnic respiratory failure.
View Article and Find Full Text PDFObjective: Syndromic assessment with multiplex polymerase chain reaction (mPCR) testing in patients with acute respiratory illness (ARI) allows for simultaneous identification of multiple possible infectious etiologies. Point-of-care (POC) syndromic assessment can be conducted in a clinical setting, such as an urgent care center (UCC), without requiring certified laboratories. The primary objective of this study was to determine whether POC syndromic assessment improved patient satisfaction for patients seen at an UCC with ARI; secondary objectives included whether syndromic assessment reduced self-isolation time, increased diagnostic confidence, and reduced overall antibiotic utilization.
View Article and Find Full Text PDFBackground: During the COVID-19 pandemic, people with disability had a right and an acute need to access accessible COVID-19 information, in formats such as sign language, Braille, large print and Easy Read/English. Yet such information was not always provided and many people with disability were without sufficient accessible information.
Objective: This paper explores the experiences of Australian accessible information provider organizations of producing accessible information during the pandemic.
One longitudinal study of married couples and one experiment tested the hypothesis that the experience of sexual desire for an alternative sexual partner might heighten feelings of desire for one's long-term romantic partner, and conversely, sexual desire for one's long-term partner might heighten desire for alternative partners. A daily-diary study of newlywed couples revealed that (a) on days people reported heightened interest in alternative partners, they also reported increased desire to have sex with their partner and (b) on days people reported heightened desire to have sex with their partner, they also reported increased interest in alternative partners. An experimental study of partnered individuals revealed that people primed with sexual desire for an alternative partner reported increased sexual desire for their romantic partner (relative to a control condition).
View Article and Find Full Text PDF