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Targeting insulin stacking to address overnight hypoglycaemia in hospitalised patients with diabetes.
BMJ Open Qual
March 2025
Medicine, University of California Los Angeles, Los Angeles, California, USA.
Inpatient hypoglycaemia is a significant concern in patients with diabetes due to its association with increased mortality. At the Veterans Affairs Greater Los Angeles Healthcare System, we developed a project to reduce overnight hypoglycaemia in hospitalised patients with diabetes by addressing insulin stacking, defined as insulin dosed within 4 hours of each other. By delaying the timing of bedtime correctional insulin administration in the electronic health record, we achieved a 28% reduction in the proportion of patients experiencing insulin stacking after one year.
View Article and Find Full Text PDFArtificial intelligence and forensic mental health in Africa: a narrative review.
Int Rev Psychiatry
February 2025
Retired forensic psychiatrist/former Provost/Medical Director, Neuropsychiatric Hospital, Abeokuta, Nigeria.
This narrative review examines the integration of Artificial Intelligence (AI) tools into forensic psychiatry in Africa, highlighting possible opportunities and challenges. Specifically, AI may have the potential to augment screening in prisons, risk assessment/management, and forensic-psychiatric treatment, alongside offering benefits for training and research purposes. These use-cases may be particularly advantageous in contexts of forensic practice in Africa, where there remains a need for capacity building and service improvements in jurisdictions affected by distinctive sociolegal and socioeconomic challenges.
View Article and Find Full Text PDFInterventions for SARS-CoV-2 prevention among Jailed adults: A network-based modeling analysis.
Infect Dis Model
June 2025
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, USA.
Background: Airborne pathogens present challenges in settings like jails or prisons with a high density of contacts. The state of Georgia has the highest percentage of its citizens under correctional supervision in the United States. Yet, it had slow COVID vaccine uptake among jail residents, requiring prevention also using non-pharmaceutical interventions.
View Article and Find Full Text PDFOver 20 years has passed since the principles of gender-responsive correctional strategies were published in a foundational report in the U.S. These practices acknowledge the unique characteristics and life experiences of justice-involved women, have undergone rigorous empirical testing, and are shown to effectively reduce women's recidivism.
View Article and Find Full Text PDFTelemedicine virologic and immunologic outcomes in people living with HIV (PLWH) in a correctional setting during the SARS-CoV-2 pandemic.
BMC Infect Dis
February 2025
Department of Pharmacy Practice, University of Illinois Chicago, Chicago, IL, USA.
Background: It is known that SARS-CoV-2 infection increases the risk of severe illness in patients who are immunocompromised as compared to the general public. To combat this issue, telemedicine was utilized to combat the issue of general access to care to decrease the risk of exposure of SARS-CoV-2 infection in various settings. However, there is very little data on adequate continuity of care (COC) and sustainability of telehealth throughout the SARS-CoV-2 pandemic.
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