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Using behavioural science to improve antibiotic stewardship in Canadian long-term care homes: Protocol for a multi-center cluster randomized quality improvement study.
Can Commun Dis Rep
January 2025
Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Ottawa, ON.
Background: Antimicrobial resistance (AMR) is associated with significant human and financial costs, particularly among vulnerable populations like older adults living in long-term care homes (LTCHs). Urinary tract infection (UTI) is the leading indication for antibiotic use in this population, with some estimates suggesting that up to 70% of these prescriptions may be avoidable.
Objective: The purpose of this study is to develop and test novel behavioural science-informed antimicrobial stewardship (AMS) quality improvement strategies in Canadian LTCHs, which aim to decrease unnecessary testing and treatment for residents who lack the minimum clinical signs and symptoms of UTI.
Resident Education in the Age of AI.
J Comput Assist Tomogr
November 2024
From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.
Article Synopsis
- Artificial intelligence (AI) is increasingly important to radiologists for aiding in disease detection and impacting their professional roles.
- Radiology educators must create curricula that equip residents to effectively use AI tools while ensuring they gain necessary knowledge and skills for their practice.
- Residency programs should explore collaboration and seek national support to develop comprehensive AI educational resources.
Background And Aims: Arterial function (specifically arterial stiffness) is an important cardiovascular risk factor. Pulse wave velocity (PWV) and augmentation index (Al ) are established indicators of arterial function. The present study aimed to evaluate the repeatability and reproducibility of PWV and Al in healthy individuals.
View Article and Find Full Text PDFAppropriateness of Empiric Initiation of Meropenem in the Intensive Care Unit as Determined by Internal Medicine Residents.
Antimicrob Steward Healthc Epidemiol
October 2024
Division of Infectious Diseases, Department of Medicine, Nuvance Health at Vassar Brothers Medical Center, Poughkeepsie, NY, USA.
Objective: To evaluate the appropriateness of empiric initiation of meropenem in the intensive care unit (ICU) and to determine the agreement between internal medicine (IM) residents and infectious diseases (ID) physicians/pharmacists on appropriateness.
Design: Retrospective observational study.
Setting: ICU in a tertiary care community teaching hospital.
Ductal hamartoma of the pancreas: A clinicopathologic study.
Hum Pathol
November 2024
Yale University School of Medicine, Department of Pathology, New Haven, CT, USA. Electronic address:
Article Synopsis
- Benign ductular proliferative lesions resembling hepatic von-Meyenburg Complexes have been identified in the pancreas, termed pancreatic ductal hamartomas (PDH), but their characteristics and causes are still unclear.
- A study reviewed three cases of PDH found during evaluations for other pancreatic conditions, often misdiagnosed as intra-ductal pancreatic mucinous cystic neoplasms, leading to surgical removal.
- PDH were found incidentally in 4.5% of pancreatic resections, showing varied sizes and histological features, but their connection to pancreatic cancer or IPMN remains uncertain.
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