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Opioids: Leading Cause of Pregnancy-Related Death in New Utah Moms
As the opioid epidemic rages on, one vulnerable group--new moms--have often been overlooked. A new study at the University of Utah Health found that drug-induced death is the most common cause of pregnancy-associated death in Utah. Postpartum women who have previously or currently struggle with substance abuse are at greater risk of overdosing.
The research team explored the need for continued substance abuse counseling, access to naloxone prescriptions and mental health care in the year following childbirth. The results are published online in the May 9 issue of the journal Obstetrics & Gynecology.
“Death is the tip of the iceberg for moms who deal with addiction, these are the women that we can see,” said Marcela Smid, M.D., M.S., M.A., an assistant professor of maternal and fetal medicine at U of U Health and first author on the paper. “The point of this study is to determine when
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New Analysis Predicts Top 25 U.S. Counties At Risk For Measles Outbreaks
A new analysis co-led by The Johns Hopkins University identified 25 United States counties that are most likely to experience measles outbreaks in 2019. The analysis combined international air travel volume, non-medical exemptions from childhood vaccinations, population data and reported measles outbreak information.
The analysis will be published on May 9 in The Lancet Infectious Diseases.
“There has been a resurgence of measles cases, among other vaccine preventable diseases, in the U.S. and other countries in recent years. Measles, in particular, poses a serious public health threat due to the highly contagious nature of the disease. It is therefore critical that we proactively identify areas most likely to experience outbreaks to strategically target for surveillance and control,” says Lauren Gardner, an associate professor of civil engineering at The Johns Hopkins University and o
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Young Woman With Type 1 Diabetes Has Lifesaving Care At Danbury Hospital
Twenty-three year old Lauren Williams was rushed to Danbury Hospital’s Emergency Department (ED). During the past 13 hours, she had vomited 35 times and was severely dehydrated, even though she’d consumed sports drinks and three full pitchers of water. Lauren had begun breathing very quickly and heavily, and she was extremely fatigued. Lauren thought she just had a stomach virus, but since she has Type 1 diabetes, her mom didn’t want to take any chances — so she called 9-1-1.
Emergency response to treat DKA
When the care team in the ED learned about Lauren’s diabetes, and discovered her critically high blood sugar, they diagnosed her with a serious complication of Type 1 diabetes called diabetic ketoacidosis (DKA). DKA occurs when a diabetic’s body can’t produce enough insulin, resulting in dangerously high levels of blood sugar and ketones (molecules that can acidify blood).
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When Doctors And Nurses Can Disclose And Discuss Errors, Hospital Mortality Rates Decline
The diffusion of a culture of openness in hospitals is associated with lower hospital mortality, according to a study conducted among 137 acute trusts in England by Veronica Toffolutti (Bocconi University and London School of Hygiene & Tropical Medicine) and David Stuckler (Bocconi University) published in Health Affairs.
Hospital openness, defined as «an environment in which staff freely speak up if they see something that may negatively affect a patient and feel free to question those with more authority», has already been linked with many positive outputs, such as better patient safety or better understanding of patients' care goals, but this is the first time that an association with mortality rates has been demonstrated.
The authors linked data on hospital mortality rates with hospital openness scores for 137 acute trusts in England in the period 2012-14. They used the Summary Hos