Advocating for an Advanced Cardiac POCUS Curriculum Among Internal Medicine Residents.

Advocating for integrating a cardiac point-of-care ultrasound (POCUS) curriculum into Internal Medicine residency, this letter emphasizes the unique advantages of cardiac POCUS, particularly its rapid utility and safety, while highlighting existing knowledge gaps among trainees. This perspective research letter underscores the need for a structured advanced cardiac POCUS elective to address the knowledge and skill gaps among internal medicine trainees who have taken the introductory POCUS elective, providing a career preparatory course for internal medicine residents interested in cardiology, critical care, hospital medicine, primary care, and rural medicine. The perspective research paper also underscores the feasibility and benefits of such training, ultimately supporting the implementation of an advanced cardiac POCUS elective in the United States Internal Medicine residency programs.

Immediate-use steam sterilization and the effect on surgical site infection risk in an acute care facility.

Immediate-use steam sterilization (IUSS) shortens the time of sterilization but may increase the risk of surgical site infection (SSI). Among 23,919 procedures with 416 (1.7%) procedures resulting in SSI, IUSS was associated with a 1.

Delirium event and associated treatment modifications among older adults with Alzheimer's disease: An interrupted time-series analysis of Medicare data.

Background: Both Alzheimer's disease (AD) and deliriogenic medications increase the risk of delirium in older adults. This study examined the association between delirium and the subsequent monthly use of anticholinergic, sedative, and opioid medications in the 1 year after delirium in older adults with AD.

Methods: This comparative interrupted time series analysis involved adults (aged 65 years and older) with a diagnosis of AD initiating on cholinesterase inhibitors (ChEIs) based on 2013-2017 Medicare data.

Cumulative Anticholinergic Burden and its Predictors among Older Adults with Alzheimer's Disease Initiating Cholinesterase Inhibitors.

Background: Cumulative anticholinergic burden refers to the cumulative effect of multiple medications with anticholinergic properties. However, concomitant use of cholinesterase inhibitors (ChEIs) and anticholinergic burden can nullify the benefit of the treatment and worsen Alzheimer's disease (AD). A literature gap exists regarding the extent of the cumulative anticholinergic burden and associated risk factors in AD.

Technological Addictions.

Modern technology rewards constant engagement and discourages sparing use, opening the door to unhealthy use and even addiction. The technological addictions (TAs) are a newly described set of disorders that come with the technological advances that define the new era. Internet gaming disorder (IGD) is already codified as a proposed diagnosis in the 5th Edition of the Diagnostic and Statistical Manual (DSM-5) of the American Psychiatric Association.