Browsing by Subject "COVID-19"
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Item An argument for a liberal public health: reflections on a discipline in flux after COVID-19 (The Daniel W. Foster, M.D., Visiting Lectureship in Medical Ethics)(2022-10-11) Galea, SandroHealth has been in the spotlight in an unprecedented fashion during the COVID-19 pandemic. While there is no question that much that was done during the pandemic saved lives, it is also the case that the pandemic should be cause for reflection about what we did not do as well as we should have. How should we rethink what we do and how we do it in health in the aftermath of COVID-19? What are the key takeaways from the pandemic that can make for better efforts towards the health of populations?Item The ATS/IDSA guidelines for community-acquired pneumonia in adults: updates and COVID-19(2021-01-15) Metlay, JoshuaItem Bioethics and COVID-19: lessons for a post-pandemic future(2024-03-12) Brendel, Rebecca Weintraub[Note: The slide presentation is not available from this event.] The COVID-19 pandemic presented a critical need for bioethics engagement as the U.S. (and the world) faced the stark reality that the demand for critical care resources would exceed supply. This session begins by reviewing general approaches to bioethical challenges through an overview of major philosophical approaches with attention to Beauchamp and Childress' (Four) Principles of Biomedical Ethics. Using the COVID-19 pandemic as a paradigm, it will explore the successes and lessons learned from the work of bioethics in the pandemic context. The experience of COVID-19 and the disparities laid bare will serve as an introduction to a variety of lenses, strategies, and opportunities through which bioethics can strive to chart a path forward to achieve health care justice in its broadest forms. The presentation concludes with practical guidance regarding both identifying ethical challenges and approaches in health care generally and candidate opportunities for progress in the future.Item Can we stop the tsunami of common, chronic disease in the post-pandemic era?(2021-04-16) Califf, Robert M.Item COVID-19 and matters of the heart(2020-04-17) Drazner, MarkItem COVID-19 coagulopathy: a distinct entity?(2020-06-19) Ibrahim, IbrahimItem COVID-19 in long term care facilities(2020-12-04) Gangavati, AnupamaItem COVID-19 vaccines: prospects and potential(2020-06-12) Arasaratnam, ReubenItem COVID-19: what are our therapeutic options?(2020-04-03) Jain, MamtaItem Defective catabasis and the post-acute sequelae of COVID(2021-12-03) Levy, Bruce D.Item Disease modifying and biological agent use in COVID-19 infection: a rheumatologic perspective(2020-05-01) Cush, John J.Item Donald W. Seldin, M.D., Research Symposium finalist presentations(2021-04-23) Arvind, Ashwini; Elias, Roy; McAdams, Meredith; Salazar, Alonso Pezo; Rao, Shreya; Sheth, RahulThis edition of the UT Southwestern Internal Medicine Grand Rounds features presentations by the six Foster Fellows selected as finalists from the Sixth Annual Donald W. Seldin, M.D. Research Symposium, which was held on April 23, 2021. These Foster Fellows presented work that spanned the breadth and depth of scholarly activity across the department, and at the close of Grand Rounds, one will be selected as the 2021 Seldin Scholar, in honor of Dr. Donald W. Seldin. The Grand Rounds presentation also includes additional awards honoring Clinical Vignettes and an award for work in Quality and Education at Parkland Hospital.Item Donald W. Seldin, M.D., Research Symposium finalist presentations(2022-04-29) Almonte, Matthew; Duvalyan, Angela; McAdams, Meredith; Onyirioha, Kristeen; Saez-Calveras, Nil; Triana, TaylorThis edition of the UT Southwestern Internal Medicine Grand Rounds features presentations by the six Foster Fellows selected as finalists from the Seventh Annual Donald W. Seldin, M.D. Research Symposium, which was held on April 21, 2022. These Foster Fellows presented work that spanned the breadth and depth of scholarly activity across the department, and at the close of Grand Rounds, one will be selected as the 2022 Seldin Scholar, in honor of Dr. Donald W. Seldin. The Grand Rounds presentation includes additional award presentations recognizing Clinical Vignettes, as well as the Award for Research in Quality and Education at Parkland Hospital and the Social Impact Award.Item Effect of COVID-19 on incidence and management of kidney disease(2020-06-05) Hedayati, Susan; Rajora, NilumItem Lessons learned at UCSD about COVID-19 in the ICU(2021-05-28) Malhotra, AtulItem Looking Back on Creating a COVID Telemedicine(2022-05-01T05:00:00.000Z) Murtuza, Mohammad Imran; Reed, W. Gary; Croft, Carol; Phelps, EleanorBACKGROUND: In March 2020, the Dallas Fort Worth (DFW) Metroplex experienced a surge in acute COVID-19 infections. At that time, no consistent protocols existed for follow-up of discharged patients with COVID-19 from the William P. Clements Jr. University Hospital at the University of Texas Southwestern Medical Center (UTSW). Simultaneously, medical students were suspended from in-person clinical activities to limit viral spread. In response to these events, a telemedicine elective was created to provide timely and high-quality telehealth follow-up for recently discharged COVID-19 patients from April of 2020 to July of 2020. METHODS: The pilot team, consisting of several second- through fourth-year medical students, developed a call script that included warning signs and symptoms, CDC guidelines for isolation, and primary care physician referral information. COVID-19 patients discharged from the Emergency Department and inpatient services were identified and assigned to student callers. All patients were discussed with an attending physician, who was available if an acute issue arose. The elective also included education on the SBAR handover technique, telehealth education, updated COVID-19 literature, and CDC guidelines. RESULTS: Improvement was noted in students' ability to identify patients who required escalation of care, as seen by over 60% of patients who were advised to return to ED required hospital admission. Statistically significant improvement was observed in the students' degree of feeling informed about the current state of COVID-19 and their degree of comfort with interviewing patients over the phone. DISCUSSION: This elective provided quality virtual healthcare to COVID-19 patients while allowing medical students to progress in their medical education and participate in patient care. This elective was an example of an early adopter of telemedicine in COVID-19 follow up. Now two years into the COVID-19 pandemic, the CDC, NIH, and health systems all around the United States have made virtual visits commonplace when treating patients with COVID-19 and beyond.Item Looking into the COVID-19 crystal ball: why, how, and what forecasting tells us about disease trends(2020-05-08) Basit, Mujeeb; Jamieson, Andrew; Medford, RichardItem Mechanical ventilation in COVID-19 disease: controversial or not?(2020-04-24) Kershaw, Corey D.Item Optimizating and Diffusing a Handover Behavioral Assessment Tool for Simulation(2021-03-18) Chen, Rodney; Reed, W. Gary; Greilich, Philip; Phelps, EleanorINTRODUCTION: With multiple simulated and clinical scenarios included in the ongoing Quality Enhancement Plan (QEP), a standardized approach to assessing and trending handover quality across class years could quantify the improvements established through the QEP. This study assesses the utility of the Liang Handover Assessment Tool for Simulation (L-HATS), a valid and reliable behavioral assessment tool tested during the transition to clerkship (T2C) handover module. Here, we use the L-HATS to assess handovers delivered during residency essentials (RE) and COVID-19 telehealth courses, checking for tool reliability in settings other than T2C. In cases where we find the tool to be less reliable, we optimize the L-HATS by improving the observer training course. The study aim is to confirm tool reliability of ICC>0.75, consistent with levels of reliability found during testing in the T2C module. METHODS: We select volunteer observers from a group of medical students who had completed the T2C course, with each observer assigned a set of videos to score for each activity. The primary outcome measure for this study is the two-way random effects ICC, which represents tool inter-rater reliability in each novel activity. An ICC>0.75 is considered good reliability, an ICC 0.5-0.75 is considered moderate reliability, and an ICC<0.5 is considered poor reliability. As the volunteer observer training improves across activities, we assess for observers' intra-rater reliability. Intra-rater reliability is assessed along the same scale used for inter-rater reliability. RESULTS: RE inter-rater reliability was 0.561 [0.167, 0.953], with each of six observers scoring four videos. COVID-19 telehealth inter-rater reliability was 0.644 [0.244, 0.964], with five observers each scoring four videos. The intra-rater reliability calculated for the telehealth course ranged from 0.105 [-0.361, 0.863] to 0.667 [0.020, 0.971]. CONCLUSION: This study demonstrates moderate levels of reliability in both the RE and telehealth courses. However, neither novel activity could match the reliability scores calculated during original L-HATS testing, suggesting that the tool is less reliable in settings outside of the T2C course. Future studies might increase the number of graded videos per handover activity, to narrow the confidence intervals found in the present study. Moreover, we find that a universally flexible assessment tool is difficult to design, suggesting that each new learning activity may require a uniquely tailored behavioral assessment tool.Item Predisposition of COVID-19 patients to secondary infections: set in stone or subject to change?(2023-01-13) Sopirala, Madhuri