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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

Owing to the protean clinical presentations, heterogeneous diagnoses discussed in each patient case presented, and varied management approaches, capturing impact regarding clinical outcomes has proven challenging.

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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

The context: Immigrants, particularly those moving from lower to higher-income countries, often exhibit a heightened susceptibility to non-communicable diseases, such as Type 2 diabetes (T2D), which may manifest at an earlier age and present with different complications compared to the native population.

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In Search for the Antivax Vaccine: Strategical & Ethical Considerations

Integrated Care News by CFHA

Facts on False Beliefs However, research has shown that false beliefs can become even more entrenched when individuals are presented with strong evidence to the contrary. Nevertheless, such an approach, although necessary, seems insufficient to combat disinformation and dispel false beliefs, especially at the societal level.

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Vaccine Uptake Strategies & Ethical Considerations- Part II

Integrated Care News by CFHA

Presenting vaccination as the default, opt-out decision to make it easier to accept than refuse the vaccine. This last strategy is an example of nudging. Vaccine hesitancy is the delay in accepting or refusing vaccination despite the availability of vaccination services. I discussed this debate in my previous blog post.

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Advancing Biomarker Validation for Drug Hypersensitivity

Physician's Weekly

But the varied mechanisms and clinical presentations of drug hypersensitivity reactions (DHRs) can make diagnosis and treatment challenging, and most biomarkers still require validation. The biomarkers of clinical utility are skin tests , specific IgE (sIgE), tryptase , and some HLA-DR genotyping. The measurement method is described.

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Postural Sway Velocity Effective for Assessing Diabetic Peripheral Neuropathy

Physician's Weekly

Several sessions included presentations on diabetic peripheral neuropathy (DPN), such as the Peter J. In one study that was not presented at the PNS annual meeting, the researchers aimed to assess whether evaluating balance and gait could serve as a viable screening tool of DPN. Dyck Lecture on mechanisms of diabetic neuropathic pain.