Article
Otorhinolaryngology
Timothy Fan, Alan D. Workman, Lauren E. Miller, Mallory Mason Sakats, Karthik Rajasekaran, Jason A. Brant, Arjun K. Parasher, David Huckins, Avner Aliphas, Robin Glicksman, Antoine Eskander, Jordan T. Glicksman
Summary: COVID-19 had a significant impact on private otolaryngology practices in Massachusetts, leading to a decrease in both office visits and surgeries, with virtual visits becoming more prevalent. Practices reduced working hours, furloughed personnel, and applied for the Paycheck Protection Program.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2021)
Article
Emergency Medicine
Arjun K. Venkatesh, Alexander T. Janke, Ryan Koski-Vacirca, Craig Rothenberg, Vivek Parwani, Mike A. Granovsky, Laura G. Burke, Shu-Xia Li, Jesse M. Pines
Summary: The COVID-19 pandemic and its policy responses have significantly impacted the delivery and financing of health care services. This study estimated the reimbursement losses to emergency physicians in 2020 compared to 2019, focusing on the shifts in acute care utilization during the pandemic. The findings indicate a significant decline in reimbursement, both at the individual hospital sites and nationwide, which highlights the need for policymaker relief and future redesign of emergency care financing.
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Sport Sciences
Karim Chamari, Yorck Olaf Schumacher, Mokhtar Chaabane, Raouf Nader Rekik, Souhail Chebbi, Ramadan Daoud, Lena Kristin Bache-Mathiesen, Khalid Alkhelai, Roald Bahr, Montassar Tabben
Summary: This study compares the injury incidence, burden, and characteristics in Qatari professional football before and after the COVID-19 lockdown. The results show that there was no difference in injury incidence during the early post-lockdown period, but a lower injury burden compared to the benchmark. In the late post-lockdown period, match injury incidence and burden were lower, while overall and training injury burden were higher. Notably, there was a significant increase in adductor strains during both post-lockdown periods.
JOURNAL OF SCIENCE AND MEDICINE IN SPORT
(2023)
Article
Environmental Sciences
Krzysztof Goniewicz, Mariusz Goniewicz, Anna Wloszczak-Szubzda, Dorota Lasota, Frederick M. Burkle, Marta Borowska-Stefanska, Szymon Wisniewski, Amir Khorram-Manesh
Summary: The COVID-19 pandemic has sparked discussions about the moral and social professional attitudes of physicians, as they are exposed to personal risks that may affect their willingness to work. This study aimed to assess the ethical perspective of physicians' duties during a pandemic and found that although they are willing to sacrifice personal interests, they are not prepared for high levels of personal risk. The research highlights the importance of respecting the rights and interests of all parties involved in a pandemic.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Nursing
Kelly Calkins, Jill Guttormson, Natalie S. McAndrew, Holly Losurdo, Danielle Loonsfoot, Shania Schmitz, Jacklynn Fitzgerald
Summary: The objective of this study is to describe the impact of the COVID-19 pandemic on intensive care nurses' personal and professional well-being. A descriptive, qualitative design was used and interviews were conducted with thirteen nurses working in an intensive care unit in the United States. The findings revealed that the pandemic has had a significant physical and mental health toll on intensive care nurses and has serious implications for workforce retention and expansion.
INTENSIVE AND CRITICAL CARE NURSING
(2023)
Article
Medicine, General & Internal
Evelien H. van Leeuwen, Toon Taris, Elizabeth L. J. van Rensen, Eva Knies, Jan-Willem Lammers
Summary: This study reveals that the COVID-19 pandemic has impacted physicians' employability and work experiences. Work experiences vary among physicians with different specialties, highlighting the importance of addressing individual needs and challenges during the pandemic and post-crisis work continuation. Tailor-made solutions for physicians are crucial for maintaining a healthy and employable workforce, essential for a sustainable healthcare system.
Article
Education & Educational Research
Zheng Gong, Wen Li, Huimin Bu, Mingyu He, Hongjian Hou, Tongtong Ma, Xide Hu, Lu Fu, Joseph Adu-Amankwaah, Hong Sun
Summary: The outbreak of COVID-19 has impacted the future career planning of current medical and health-related students, leading to changes in their professional intentions. More students preferred clinical medicine, public health, pharmacy, and oral medicine after the pandemic, while fewer students chose nursing and medical technology. Chinese students, particularly females, showed a stronger inclination towards medical and health work post-pandemic.
BMC MEDICAL EDUCATION
(2021)
Article
Management
Olga Maria Pimenta Lopes Ribeiro, Leticia de Lima Trindade, Cintia Silva Fassarella, Soraia Cristina de Abreu Pereira, Paulo Joao Figueiredo Cabral Teles, Carla Gomes da Rocha, Paula Cristina da Silva Leite, Joao Miguel Almeida Ventura-Silva, Clemente Neves Sousa
Summary: This quantitative observational study conducted in a Portuguese hospital with 403 registered nurses aimed to analyze the impact of COVID-19 on professional nursing practice environments and patient safety culture. The study found that COVID-19 had a positive impact on the structure and outcome components of nursing professional practice environments, but there was a negative trend in almost all dimensions of the process component. Weaknesses were identified in safety culture, with only the dimension of teamwork within units maintaining a positive culture. The study concludes that positive responses regarding patient safety are significantly associated with the quality of the nursing professional practice environment.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Public, Environmental & Occupational Health
Andrea Soares, Prashanth Thakker, Elena Deych, Shikha Jain, Rakhee K. Bhayani
Summary: This study found that female members of dual-physician households were more likely to worry about job security, finances, and health, and experienced increased feelings of exhaustion during the pandemic. This highlights the need for additional support for these family members.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Multidisciplinary Sciences
Yeunkyung Kim, Jihye Kim, Yue Li
Summary: This study evaluated whether the Massachusetts COVID-19 vaccine lottery increased vaccine uptake. The results showed insufficient evidence to conclude that the lottery was associated with an increased number of adult COVID-19 vaccinations.
Article
Psychology, Multidisciplinary
Robert N. Collins, David R. Mandel, Sarah S. Schywiola
Summary: Research indicates that both political identity and personal experience play a significant role in shaping individuals' attitudes and responses towards the COVID-19 pandemic. Political identity strongly influences emotional distress, threat perception, and support for restrictions, while personal impact has a weaker influence on these factors. The dominance of political identity highlights the importance of understanding normative value differences and partisan messaging in shaping public response during crises.
FRONTIERS IN PSYCHOLOGY
(2021)
Review
Medicine, General & Internal
Shaista S. S. Guraya, Prianna Menezes, Isabell Nelson Lawrence, Salman Yousuf Guraya, Fiza Rashid-Doubell
Summary: COVID-19 has posed a threat to healthcare systems worldwide, causing moral dilemmas and questioning the morality of physicians. This review explores the transformation of patient care during the pandemic and its impact on physicians' psychological wellbeing.
FRONTIERS IN MEDICINE
(2023)
Article
Education & Educational Research
Sandrine Passemard, Albert Faye, Caroline Dubertret, Hugo Peyre, Camille Vorms, Victor Boimare, Stephane Auvin, Martin Flamant, Philippe Ruszniewski, Jean-Damien Ricard
Summary: Medical students from the University of Paris North volunteered to help during the COVID-19 pandemic, with 82% participating in medical work and half of them acting as nurses. Despite most students remaining committed to becoming physicians, some experienced doubts about their future specialty choices and abilities during the crisis, especially women.
BMC MEDICAL EDUCATION
(2021)
News Item
Medicine, General & Internal
Rita Rubin
Summary: This article discusses the issue of physicians supporting COVID-19 claims without sufficient evidence.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Public, Environmental & Occupational Health
Prasad Patil, Xiaojing Peng, Beth M. Haley, Keith R. Spangler, Koen F. Tieskens, Kevin J. Lane, Fei Carnes, MPatricia Fabian, R. Monina Klevens, T. Scott Troppy, Jessica H. Leibler, Jonathan I. Levy
Summary: Researchers compared the use of finer-resolution data with coarser-resolution data to study the predictors of COVID-19. The results showed changes in estimates and tighter confidence intervals at the census-tract level. Conclusions based on town or county-resolution data may be misleading when studying high-risk populations.
ANNALS OF EPIDEMIOLOGY
(2023)
Article
Health Care Sciences & Services
Hossein Zare, Matthew D. Eisenberg, Gerard Anderson
Summary: The study found that non-profit hospitals on average spent 5.9% of their total expenses on community benefits, 1.3% on charity care, and received 4.3% in tax exemptions. Some non-profit hospitals provided more incremental community benefits and charity care than the value of their tax exemption, while others did not meet or even fell below the value of their tax exemption.
HEALTH SERVICES RESEARCH
(2022)
Article
Health Care Sciences & Services
Mark K. Meiselbach, Matthew D. Eisenberg, Ge Bai, Aditi Sen, Gerard F. Anderson
Summary: The study found that increasing labor market concentration is linked to higher worker contributions to health plan premiums, reduced take-home income, and unchanged employer contributions, indicating that higher labor market concentration is associated with less generous health benefits. Regulatory agencies examining mergers and acquisitions in labor markets should consider worker contributions to health insurance premiums.
MEDICAL CARE RESEARCH AND REVIEW
(2022)
Article
Health Care Sciences & Services
Alene Kennedy-Hendricks, Cameron J. Schilling, Alisa B. Busch, Elizabeth A. Stuart, Haiden A. Huskamp, Mark K. Meiselbach, Colleen L. Barry, Matthew D. Eisenberg
Summary: The study found that HDHPs do not affect the continuity of buprenorphine treatment among commercially insured enrollees with OUD, but may increase financial burden for this population.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Editorial Material
Emergency Medicine
Rebekah Mannix, Amanda M. Stewart, Joel Hudgins
ACADEMIC EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Lois K. Lee, John J. Porter, Rebekah Mannix, Chris A. Rees, Sara A. Schutzman, Eric W. Fleegler, Caitlin A. Farrell
Summary: The study found that over the past decade, pediatric ED visits for traumatic injuries increased in US children's hospitals, while hospitalizations decreased. The use of advanced imaging increased, while the median trauma care costs decreased over time.
ANNALS OF EMERGENCY MEDICINE
(2022)
Article
Sport Sciences
Todd W. Lyons, Rebekah Mannix, Ken Tang, Keith Owen Yeates, Gurinder Sangha, Emma C. M. Burns, Darcy Beer, Alexander S. Dubrovsky, Isabelle Gagnon, Jocelyn Gravel, Stephen B. Freedman, William Craig, Kathy Boutis, Martin H. Osmond, Gerard Gioia, Roger Zemek
Summary: This study aimed to assess the occurrence and clustering of post-concussive symptoms in children and identify distinct patient phenotypes based on symptom type and severity. The results showed that post-concussive symptoms occur in distinct clusters and five patient groups were identified based on symptom type and severity.
BRITISH JOURNAL OF SPORTS MEDICINE
(2022)
Review
Clinical Neurology
Steve J. Stephen, Linda Hasman, May Goldenberg, Kian Merchant-Borna, Keisuke Kawata, Rebekah Mannix, Jeffrey J. Bazarian
Summary: Through a scoping review, it was found that the evidence linking contact sports-related repetitive head impacts and short-term declines in neurologic function is relatively sparse and lacking in methodological rigor. Further research with more careful trial design may be needed to definitively establish a causal link.
JOURNAL OF HEAD TRAUMA REHABILITATION
(2022)
Article
Clinical Neurology
Jessie R. Oldham, David Howell, Corey Lanois, Paul Berkner, Grant L. Iverson, Rebekah Mannix, William Meehan
Summary: This study aimed to investigate whether male collision sport athletes performed worse on computerised neurocognitive assessments and reported higher symptom burdens compared to athletes in contact (but not collision) sports and athletes in non-contact sports. The results showed minimal differences in performance on neurocognitive assessments between collision sport, contact sport, and non-contact sport athletes. Additionally, collision and contact sport athletes had slightly lower total symptom scores than non-contact sport athletes.
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
(2022)
Article
Clinical Neurology
Jianhua Qiu, Masen Boucher, Grace Conley, Yue Li, Jingdong Zhang, Nicholas Morriss, William P. Meehan, Rebekah Mannix
Summary: This study reveals that mild traumatic brain injury can cause vision impairments and permanent degeneration of the optic nerve in a continuous process over months.
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY
(2022)
Article
Hospitality, Leisure, Sport & Tourism
J. D. DeFreese, Samuel R. Walton, Zachary Yukio Kerr, Benjamin L. Brett, Avinash Chandran, Rebekah Mannix, Hope Campbell, Ruben J. Echemendia, Michael A. McCrea, William P. Meehan, Kevin M. Guskiewicz
Summary: This study found that for the mental health of former NFL players, involuntary discontinuation and lack of transition planning before discontinuation were associated with greater severity of depressive and anxiety symptoms. Autonomy in discontinuation and pretransition planning are important for the mental health of former NFL football players.
JOURNAL OF SPORT & EXERCISE PSYCHOLOGY
(2022)
Article
Psychology, Clinical
Zachary Yukio Kerr, Samuel R. Walton, Benjamin L. Brett, Avinash Chandran, J. D. DeFreese, Rebekah Mannix, Ruben J. Echemendia, Michael A. McCrea, Kevin M. Guskiewicz, William P. Meehan
Summary: This study examined the associations between self-reported concussion history and depression, and found significant correlations between the two variables, with the degree of association varying based on different variable characterizations.
CLINICAL NEUROPSYCHOLOGIST
(2023)
Article
Clinical Neurology
Jonathan Savitz, Bryna D. Goeckner, Bart N. Ford, T. Kent Teague, Haixia Zheng, Jaroslaw Harezlak, Rebekah Mannix, L. Tugan Muftuler, Benjamin L. Brett, Michael A. McCrea, Timothy B. Meier
Summary: This study suggests that cytomegalovirus infection may contribute to structural brain abnormalities in individuals with concussion. The researchers evaluated the effect of cytomegalovirus serostatus on brain structure in athletes with concussion, finding significant differences in white and grey matter structure between athletes with and without cytomegalovirus infection.
Article
Emergency Medicine
Kelsey A. A. Miller, Sarah Cavallaro, Alexander Hirsch, Joel Hudgins, Jason Levy, Joyce Li, Galina Lipton, Ashley Marchese, Rebekah C. C. Mannix, Michael C. C. Monuteaux, Sara Schutzman, Andrew F. F. Miller
Summary: This study investigated the impact of recent trends in increased pediatric patients and behavioral health complaints on the clinical exposure of residents in pediatric emergency medicine. The results showed that alternative care sites can address capacity challenges without decreasing the volume or variety of patients seen by residents.
AEM EDUCATION AND TRAINING
(2023)
Article
Psychology, Applied
J. D. DeFreese, Erianne A. Weight, Landon B. Lempke, Samuel R. Walton, Zachary Yukio Kerr, Benjamin L. Brett, Avinash Chandran, Rebekah Mannix, Ruben J. Echemendia, Michael A. McCrea, William P. Meehan III, Kevin M. Guskiewicz
Summary: Transitioning from professional football life has significant implications for the health and well-being of former NFL players. This study examined the experiences of former NFL players during this transition, identifying factors that facilitated the process and factors that made it difficult. The most commonly reported facilitators were having a career transition plan/options and social support, while difficulties related to structure and identity were identified as challenges. These findings highlight targeted intervention areas to enhance the well-being of NFL players during their transition from sport.
JOURNAL OF CLINICAL SPORT PSYCHOLOGY
(2023)
Article
Business
Mara Schein, Rosemary J. Avery, Matthew D. Eisenberg
Summary: The study shows that the FTC's Red Flag Initiative did not successfully stop deceptive claims in weight loss product advertising, as manufacturers found ways to continue misleading consumers through creative content.
JOURNAL OF PUBLIC POLICY & MARKETING
(2022)
Letter
Emergency Medicine
Zhao-Yu Hsieh, Chen-Xiong Hsu
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Editorial Material
Emergency Medicine
Laura E. Walker, Jessica A. Stanich, Fernanda Bellolio
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Letter
Emergency Medicine
E. Tekin
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Amanda S. Dupont, Patrick S. Walsh
Summary: Recent research indicates that children who unintentionally ingest cannabis often undergo extensive additional testing, such as head imaging or lumbar puncture. However, the yield of these tests is limited. While head imaging and lumbar puncture are frequently performed, diagnoses such as skull fracture, intracranial hemorrhage, intracranial neoplasm, meningitis, or intracranial abscess are rare. Additionally, discharge diagnoses related to other drugs are infrequent. The most common co-diagnoses are cocaine and opioids. Therefore, prompt consideration of cannabis ingestion and quick identification through testing may result in more effective neuroimaging outcomes.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Letter
Emergency Medicine
Mio Nagata, Shunsuke Kudo, Motoyasu Nakamura
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Andy Hung-Yi Lee, Katherine Dickerson Mayes, Regan Marsh, Christina Toledo-Cornell, Eric Goralnick, Michael Wilson, Leon D. Sanchez, Alice Bukhman, Damarcus Baymon, Dana Im, Paul C. Chen
Summary: This study assessed the disparities in transferring patients from an academic medical center emergency department to a community hospital general medical service, revealing healthcare disparities among different patient populations.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Annabelle Croskey, William Trautman, David Barton, Mary Kathleen Ratay, Joshua Shulman
Summary: This case report describes a successful management of ocular palytoxin exposure in a young male, highlighting the importance of prompt recognition and treatment of ocular PTX toxicity.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Matthew K. Kolbeck, Rachel F. Schult, Nicholas Nacca
Summary: This article presents four cases of adolescents who experienced seizures after acute fluoxetine overdose. Although seizures are an uncommon complication after fluoxetine overdose, they occurred in some patients at doses lower than those reported in the literature.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Editorial Material
Emergency Medicine
Daven Patel, John Bailitz, Simone Ymson, Jonas Neichin, Gary D. Peksa, Michael Gottlieb
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Amichai Gutgold, Shaden Salameh, Jeries Nashashibi, Yonatan Gershinsky
Summary: This study aimed to test the prognosis of patients with a pH lower than 6.9 on emergency department admission. The findings showed that a small but significant portion of these patients survived at least 24 hours and until hospital discharge.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Na-Yeon Emily Song, Ki Hong Kim, Ki Jeong Hong
Summary: This study aimed to evaluate the effect of the duration of no-flow (NF) interval on the vaso-pressor effect of initial epinephrine administration in a porcine model of cardiac arrest. The results showed that a shorter NF interval can enhance the vasopressor effect of epinephrine.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Kenneth A. Scheppke, Paul E. Pepe, Jonathan Jui, Remle P. Crowe, Eric K. Scheppke, Nancy G. Klimas, Aileen M. Marty
Summary: This study reported cases of rapid and complete remission of severe long COVID after receiving monoclonal antibody treatment. The findings suggest that monoclonal antibody infusions may be effective in treating severe debilitation caused by long COVID.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Suhrith Bhattaram, Varsha S. Shinde
Summary: Nerve blocks have emerged as promising options for targeted pain relief in the Emergency Department, providing effective analgesia without compromising motor function. The successful use of ultrasound-guided genicular nerve blocks (GNBs) in this case series demonstrates their potential as an alternative to traditional nerve blocks and opioid-based pain control strategies in the ED.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Rick Kye Gan, Jude Chukwuebuka Ogbodo, Yong Zheng Wee, Ann Zee Gan, Pedro Arcos Gonzalez
Summary: The aim of this study was to evaluate and compare the performance of ChatGPT, Google Bard, and medical students in performing START triage during mass casualty situations. The results showed that Google Bard had significantly higher accuracy compared to ChatGPT, while there was no significant difference between Google Bard and medical students.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Nancy Clemens, Paria M. Wilson, Matthew J. Lipshaw, Holly Depinet, Yin Zhang, Michelle Eckerle
Summary: This study compared clinical features and outcomes between pediatric sepsis patients with blood cultures positive versus negative for bacterial pathogens. The results showed that children with blood culture positive sepsis had higher rates of organ dysfunction, a larger base deficit, and higher procalcitonin levels.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)