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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

By: Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers. Today we are going to talk about Illness scripts ! Define an illness script 2.- Describe the core components of an illness script 3.- Demonstrate the utility of an illness script in clinical reasoning 4.-

Illness 52
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Intersections Between Gender, Race/Ethnicity and Marital Status Associations with Depression Symptoms [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Study Design and Analysis: This study utilized survey-based methodology to estimate adjusted odds ratios (OR) and interaction effects using ordinal generalized linear model. However, variations in these disparities due to marital status remains unclear.

Illness 130
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Self-management support as an add-on to usual care for adults experiencing anxiety: A pragmatic randomized clinical trial [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Secondary outcome measures include self-reported instruments for quality of life, anxiety and depressive symptoms, recovery, and service utilization. Outcome Measures: The primary outcome measure is the patient-reported Beck Anxiety Inventory. The control condition will access a delayed intervention after a 12-month period.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity.

Referral 130
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Aftershock in Academia: Assessing COVID-19s Impact on Schizophrenia Patients in Academic Medical Centers [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data. Objective: To examine the epidemiology and mortality among schizophrenia patients discharged from AMCs in the U.S. from Oct 2019 to Dec 2023. Mixed models were used for analysis.

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Elevated BAR Signals Poor Prognosis in Patients With CKD Admitted to ICU

Physician's Weekly

Although relatively simple, the BAR has shown predictive utility in various diseases, the study authors continued, including coronary artery disease, sepsis, and intracerebral hemorrhage. “By BAR may serve as a valuable and straightforward indicator for mortality risk stratification,” researchers wrote.

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A New Normal? Assessing Trends and Changes in Inpatient General Medicine During The CO VID-19 Era [Big data]

Annals of Family Medicine

Context: The COVID pandemic disrupted global healthcare, impacting academic medical centers (AMCs) in the United States, necessitating a comprehensive understanding of its effects on healthcare delivery and utilization. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data.

Utilities 130