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SGLT-2 inhibitor, cardiovascular risk and outcome in patients with comorbidity of hypertension and diabetes [Cardiovascular disease]

Annals of Family Medicine

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Setting or Dataset Five electronic systems of community clinic. Population Studied individuals with comorbidity of hypertension and type 2 diabetes.

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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

By Paul Amendola, Executive Director, VecnaCares Reference: Bartlett L , Avery L , Ponnappan P , et al, Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya, Family Medicine and Community Health 2021; 9: e000845.

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

What should we use to screen individuals? I heard this beautiful thing the other day, which was to an electronic medical record, I am not a whole person. We talk about diagnosis, et cetera, but it’s almost more of a community conversation. Who should get it if anyone? What happens after they test positive?

Screening 119
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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. You have a patient with dementia severe enough that she cannot recognize relatives.

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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Eric: Yeah. Alex: Yeah.

Families 102
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. But yeah, it’s complicated.

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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

Many were community hospitals. We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. We tested two different nudges individually and then we combined them. I highly encourage you.