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Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya

BMJ

doi: 10.1136/fmch-2020-000845 The appetite for and ability to collect accurate digital patient-level data in low-resource settings has fueled numerous massive global health initiatives. The answer to that question can often be found in an assessment of where those big numbers originate.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice?

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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

A 2020 RCT of coaching for primary care physicians shows that coaching improves burnout well-being during the intervention and has a sustained duration at 6 months of follow up. We make a diagnosis. Beth: Right now, I’m actually just doing individual coaching, but we are writing a grant to start group coaching next year.

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Caveat as well that RCTs should not be placed on pedestal as the only answer- often patients enrolled in RCTs do not represent real world patients – observational studies do. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes.

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COVID-19 vaccine hesitancy and related factors among primary health care workers in a district of Istanbul: A cross-sectional study from Turkey

BMJ

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. A sample was not selected as it was aimed to reach all 323 people working in family health centers in the district.

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Women With IMIDs Face Higher CVD Mortality Than Men

Physician's Weekly

The observed decline in CVD mortality among patients with IMIDs is encouraging, yet sex disparities persist. To address this gap, the study authors evaluated sex differences in CVD mortality among US adults with IMIDs using the Centers for Disease Control and Prevention Multiple Cause of Death files. per 100,000 in 2020.