viernes, 28 de febrero de 2025
AHRQ Data Tools
AHRQ Data Tools: The AHRQ Data Tools allow you to explore AHRQ data sources in depth through bar charts, trend charts, geographic maps, and more. Create and download charts and datasets to support your research. The website includes access to the following tools.
Data Infographics
Data Infographics: .infographic { display: block; position: relative; width: 325px; min-height: 350px; float: left; margin: 10px 20px; } .infographic > h4 { height: 4.9em; } .infographic a img { border: 1px solid; cursor: pointer; } AHRQ Research Data InfographicsThe Agency for Healthcare Research and Quality (AHRQ) produces evidence to make healthcare safer, higher quality, more accessible, equitable, and affordable.
Webinar - Mar. 18: Artificial Intelligence (AI) Tools to Improve Provider Effectiveness and Patient Outcomes
Webinar - Mar. 18: Artificial Intelligence (AI) Tools to Improve Provider Effectiveness and Patient Outcomes: Date: March 18, 2025Time: 2:30 - 4:00 p.m. ETThis free webinar from AHRQ’s Digital Healthcare Research Program will cover AI’s potential to enhance clinician productivity, improve quality of care and increase patients’ engagement in their own care. Expert panelists will discuss their own research on leveraging AI tools to improve provider effectiveness and patient outcomes in clinical settings. Continuing education/continuing medical education accreditation is pending for the event.
Webinar - March 6: Factors that Impact Perinatal Care Experience and Outcomes
Webinar - March 6: Factors that Impact Perinatal Care Experience and Outcomes: Date: March 6, 2025Time: 2:00-3:15 p.m. ET This free webinar from AHRQ’s National Center for Excellence in Primary Care Research, will highlight research on delivering respectful maternity care, insurance disruptions on maternal healthcare, and postpartum primary care coordination for people with multiple chronic conditions. There will be a Q & A session after the presentations. Advance registration is required.Select to register for the webinar.
Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability
Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability: Editor’s Note: AHRQ News Now will not publish next week. Our next issue will publish Jan. 28.
Better Nurse Staffing Levels Associated With Lower Rates of Cesarean Section
Better Nurse Staffing Levels Associated With Lower Rates of Cesarean Section: AHRQ Stats: Rates of Central-Line Associated Bloodstream Infections by Hospital TypeThe rate of central-line associated bloodstream infections at any hospital type increased substantially between 2019 and 2021. Small hospitals saw an increase of 98.4 percent—the largest increase at any hospital type. Public hospitals saw the smallest increase, with rates rising by 26.9 percent in that same timeframe.
New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment
New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment: AHRQ Stats: Transportation Access Among AdultsAbout 6 percent of U.S. adults reported that a lack of reliable transportation kept them from medical appointments or other important activities for daily living in 2021. In that timeframe, 15.1 percent of those in fair or poor physical health and 17.8 percent of those with fair or poor mental health lacked reliable transportation, far more than those with excellent physical or mental health.
Study Identifies Strategies To Improve Patient Experience
Study Identifies Strategies To Improve Patient Experience: AHRQ Stats: Conditions Associated With Lack of Reliable TransportationIn 2021, 15.5 percent of current smokers reported transportation issues that resulted in difficulties accessing daily living needs. People with chronic conditions reported similar reliability issues—11.3 percent of those who had experienced a stroke, 10.2 percent of those with asthma and 12.1 percent of those with emphysema had unreliable transportation. Just 3 percent of those without any of these conditions experienced transportation issues.
On measles outbreak, the Trump administration’s messaging strikes some as off-key Experts fear tepid statements reflect hesitancy to endorse importance of vaccination
https://www.statnews.com/2025/02/27/trump-administration-measles-outbreak-response-breaks-with-past/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--GRlw5BAKpThFdx99Vzod80CFrD5zJL7xsFpQGD6QLGktB6vJHLPfsar5J0z_ZePycHcYHJgx781DGS1IhlDGNhNZEvA&_hsmi=349369332&utm_content=349369332&utm_source=hs_email
When measles struck New York in 2018 and 2019, federal health officials uniformly preached the power of immunizations. President Trump, himself, implored people to get the shot. But several years later, public messaging has dramatically changed, writes STAT’s Andrew Joseph.
https://www.statnews.com/2025/02/27/trump-administration-measles-outbreak-response-breaks-with-past/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8a3VzHb4t0gKuNeSiaZz1FCRubGFDp9bPxgcLzSC4MB3c_VUChj5pQt8Gg01b6O3hbDFWoV4fs-L7-TqeWWJ68itfjJQ&_hsmi=349369332&utm_content=349369332&utm_source=hs_email
At a Cabinet meeting Wednesday, a reporter asked Trump about the rapidly growing outbreak centered in Texas — over 124 confirmed cases, including the country’s first measles death in a decade in an unvaccinated child. Trump passed the question to his health secretary, and longtime vaccine critic, Robert F. Kennedy Jr., who downplayed the outbreak and misstated the death toll. The lack of messaging from the executive branch is an early sign that Trump’s embrace of prominent anti-vaccine critics like RFK Jr. could usher in a period of greater skepticism of basic public health tenets.
“What I’m struck by is the near total silence from [Centers for Disease Control and Prevention] in communicating about this outbreak, talking about the importance of vaccination, providing its own perspective and voice on the outbreak,” said Jason Schwartz, an expert on vaccine policy at the Yale School of Public Health.
Late Thursday, the CDC quietly released a statement about the outbreak, burying it on its website instead of sending an email to reporters. While it emphasized that "vaccination remains the best defense against measles infection," the statement lacked the full-throated defense of vaccines present in prior administrations. Read more from Drew's excellent story.
https://www.cdc.gov/media/releases/2025/2025-cdc-statement-on-measles-outbreak.html?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9DOYg5n9erNGKkIo-7WbDHWjJ9PyRVifULuMqStveN2gbyiuR2L914OqR4lf4gRss4dskWIqnJyzYkYI0nT2eE3je_wA&_hsmi=349369332&utm_content=349369332&utm_source=hs_email
jueves, 27 de febrero de 2025
Congress can’t let the year end without renewing the Lorna Breen Act This crucial legislation, which expired this year, supports health care workers’ mental health needs
https://www.statnews.com/2024/12/10/lorna-breen-act-health-care-worker-mental-health-physicians/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8bCmSyaTmYCejFY946Ncms1ITwV-5cHASSWpr-5vjxxxg6zJ4ibKB94jLwA-NIhI_xo__hVnArq6yjqWuR8RnwEse6tQ&_hsmi=349157006&utm_content=349157006&utm_source=hs_email
Female docs at higher risk for suicide, study says
Between 2017 and 2021, female physicians died by suicide at more than 1.5 times the rate of females in the general public, according to a study published yesterday in JAMA Psychiatry. The rates were significantly higher before the Covid-19 pandemic began, but comparable after, the study authors write. In the same time period, male doctors died by suicide at lower rates than men in the general public. Out of everyone in the study who died by suicide, physicians were more likely to have experienced depressed moods, mental health issues, and legal problems than non-physicians.
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2830401?guestAccessKey=5b54efa5-f490-4c36-9879-6e5bd722985e&utm_term=022625&utm_campaign=ftm_links&utm_medium=referral&_hsenc=p2ANqtz-9r474FNvhyv-g-e422vaGs4ThhyCeoVFg_NTH7vmaMTrfdkthUev7XWjRIxRlEkIPw3r9nolJ9KEg-9U7B4FWr_B6gFQ&_hsmi=349157006&utm_content=tfl&utm_source=for_the_media
It’s a commonly-cited statistic that doctors die by suicide at twice the rate of the general population. And while there’s persistent evidence that medical professionals, especially doctors, suffer poor mental health broadly at higher rates than the public, the evidence on suicide rates specifically has varied. Many studies use older data, and there’s a powerful stigma around mental illness in medicine, making suicides particularly difficult to track. (This study used data from the National Violent Death Reporting System to analyze the deaths.)
https://www.washingtonpost.com/lifestyle/2020/10/06/doctor-suicide-coronavirus-covid/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9wRsbk7yJXKo_LBEAR3IJU9Z4C7Um_fMOb9iVJHffPscSGaIB7ePc1biOysTvoGeEzLJ3SDvnk_IfjQLiIdDP5WBCTXA&_hsmi=349157006&utm_content=349157006&utm_source=hs_email
The Lorna Breen Health Care Provider Protection Act, passed by Congress in 2022 in honor of a physician who died by suicide, aimed to support health care workers’ mental health needs. It expired last year, and Congress has yet to reauthorize it.
Trump administration takes aim at bird flu. For now, the cattle will have to wait New strategy focuses on economic threat posed by sick poultry over wider pandemic threat
https://www.statnews.com/2025/02/26/trump-administration-bird-flu-policy-issue-of-public-health-or-egg-prices/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--HxpW0ZlCx__jqYZBK_9Ex12w3MCbPu4kCnzbjqyLxIdfJSnfrCFwiM5CqEQ32rzEtbvJh0aEm3tJKmRW-1X91_Md-Xg&_hsmi=349157006&utm_content=349157006&utm_source=hs_email
What USDA’s bird flu plan says about Trump’s approach
And in other infectious disease news: The USDA announced yesterday an additional $1 billion to help the country’s poultry industry fight the accelerating outbreak of H5N1 bird flu that has devastated farmers and driven the price of eggs to record highs.
STAT readers already know that bird flu has been a problem in the country’s dairy cows for close to a year, since the first outbreak was confirmed in Texas last March. But the USDA plan does not include any additional efforts to curb the spread among cattle, signaling that the Trump administration is approaching the disease as primarily an issue of economic concern, STAT’s Megan Molteni and Helen Branswell write.
But it’s more than economics: The ongoing spread among cows has raised fears that bird flu could become an endemic pathogen in a species that has considerable contact with people — which then would increase the odds that it could evolve in ways that make it easier to spread among people. Read more from Megan and Helen.
Texas measles outbreak marks first fatality as more cases reported An unvaccinated child has died in first U.S. measles death since 2015
https://www.statnews.com/2025/02/26/texas-measles-outbreak-death/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_EF6L0lXH_mZQTw4PTXNgJnjCfkqcwDUd2woM85JLwUfJH5XYXVtRWOwljtXoJ64hIYKcN8VqHyZ1mC8y0N5CECwtcOA&_hsmi=349157006&utm_content=349157006&utm_source=hs_email
A “school-aged child” in Texas has died from measles, officials announced yesterday. It’s the first death from the disease in the U.S. since 2015. We know that the child wasn’t vaccinated, but other details like their gender, exact age, and previous health status have not been disclosed. So far, 18 people have been hospitalized in this outbreak of what STAT’s Helen Branswell writes is one of the most infectious diseases known to humankind.
Health secretary Robert F. Kennedy Jr. appeared to try to downplay the news in a press conference yesterday, noting that “we have measles outbreaks every year.” Read more from Helen on the case.
miércoles, 26 de febrero de 2025
Capping Per Enrollee Spending Could Reduce Federal Medicaid Expenditures by $532 billion to Nearly $1 Trillion Over 10 Years Depending on How States Respond and Result in as Many as 15 Million People Losing Medicaid Coverage by 2034 Eliminating the Medicaid Expansion Match Rate at the Same Time Could Push Federal Medicaid Spending Declines to as Much as $2.1 Trillion and Cause 30 Million to Lose Medicaid Coverage Feb 26, 2025
Overview of President Trump’s Executive Actions Impacting LGBTQ+ Health Lindsey Dawson and Jennifer Kates Published: Feb 25, 2025
https://www.kff.org/other/fact-sheet/overview-of-president-trumps-executive-actions-impacting-lgbtq-health/?utm_medium=email&_hsenc=p2ANqtz-8RTvtF_FKbKdRbiwi9jTDD6UsthPc_iM9NyzDz-2VxQsg7Ee1rBOkXw7t8QcNsMwXTjmpwNa4srEActnWyrd6x5Po2Vw&_hsmi=348832853&utm_content=348832853&utm_source=hs_email
Primary Care Research Webinars: March 6 Webinar Highlights Respectful Maternity Care
Primary Care Research Webinars: New 2025 Webinar Series: The Value and Impact of Primary Care ResearchRegister now for the second webinar in the series: The Role of Primary Care in Maternal Health: Factors that Impact the Perinatal Care Experience and Outcomes.
Diagnostic Stewardship of Endotracheal Aspirate Cultures in Hospitalized Children With Artificial Airways: Expert Consensus Statements From the BrighT STAR (Testing STewardship for Antibiotic Reduction) Respiratory Collaborative
https://pubmed.ncbi.nlm.nih.gov/39945582/
An AHRQ-funded project from the BrighT STAR collaborative developed a series of 37 clinical practice statements to consider before, during and after collection of endotracheal aspirate cultures from hospitalized children with artificial airways. Developed through consensus by 38 experts, these practices outline key practices, including preparation before deciding to obtain cultures, clinical indications for obtaining cultures and scenarios in which to avoid obtaining them, methods for specimen collection, and interpretation of culture results. Designed to apply to endotracheal aspirate culture practices among most pediatric inpatients with artificial airways, these clinical practice statements support the creation of clinical decision tools and serve as a starting point for stewardship programs that seek to optimize diagnostic test use. Access the abstract in Pediatric Critical Care Medicine
Request for Information Regarding Diagnostic Excellence Measurement
https://www.federalregister.gov/documents/2024/12/12/2024-29134/request-for-information-regarding-diagnostic-excellence-measurement
AHRQ Seeks Input on Measures of Diagnostic Excellence
A Request for Information published by AHRQ requests public comments by March 10 on the development of measures of diagnostic excellence that may be calculated using administrative data or electronic health record data. The purpose of diagnostic excellence measurement is to identify potential opportunities to improve the diagnostic process at a health system or geographic level. AHRQ welcomes comments on the importance and usability of existing measures and those that may be under development. Submit comments to qisupport@ahrq.hhs.gov with the subject line “Diagnostic Excellence Measurement.”
Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections
Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections: Almost all of the products included in this Technical Brief are classified as “medical devices” by the FDA, so we therefore use the term “device” throughout the report to refer to all of the items we reviewed. For devices that are used more than once, we included devices approved as reusable by the FDA, as well as those designated as single-use which are authorized for reprocessing.
martes, 25 de febrero de 2025
Improving the Management of Menopausal Symptoms in Perimenopausal and Early Postmenopausal Women: A Systematic Review
Improving the Management of Menopausal Symptoms in Perimenopausal and Early Postmenopausal Women: A Systematic Review: Improving the Management of Menopausal Symptoms in Perimenopausal and Early Postmenopausal Women: A Systematic Review
Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections
Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections: Almost all of the products included in this Technical Brief are classified as “medical devices” by the FDA, so we therefore use the term “device” throughout the report to refer to all of the items we reviewed. For devices that are used more than once, we included devices approved as reusable by the FDA, as well as those designated as single-use which are authorized for reprocessing.
U.S. joins WHO-led flu vaccine meeting, despite planned withdrawal from agency CDC, FDA are participating virtually in gathering seen as critical to public health
https://www.statnews.com/2025/02/24/us-who-flu-vaccine-meeting-london/?utm_campaign=daily_recap&utm_medium=email&_hsenc=p2ANqtz-9CmHUSm3HATjZpt933VmD0XzkVQX7BArwaUA4lcXpViQQchi2sjyV29QXyLQrKsACH4LxtTm726lxppNd0Bo8nT8lSzQ&_hsmi=348708590&utm_content=348708590&utm_source=hs_email
The weeklong meeting began Monday, with experts from both the CDC and the Food and Drug Administration in virtual attendance.
By Helen Branswell
lunes, 24 de febrero de 2025
SOPS Nursing Home Database
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We bought all these illegal products in the FDA’s backyard
Secret shoppers went to NY’s unlicensed dispensaries
Unlicensed dispensaries and smoke shops are significantly less likely than licensed retailers to require age verification before somebody enters a store or makes a purchase, according to a secret shopper study published today in Pediatrics. Shoppers went to 37 dispensaries and smoke shops in New York City, also finding that unlicensed stores more often sold products that appeal to young people like energy drinks, soda, and candy.
Part of the point of legalizing weed is to reduce risk through regulation, the authors write. But in New York, unlicensed retailers outnumber the licensed, regulated ones. In a First Opinion essay last year, three researchers and advocates wrote that, “implementing strong and comprehensive protections for children is not the norm in many states that have legalized recreational marijuana use.”
And because we’re talking about how easy it can be to get illegal drugs, I must once again remind you of this iconic STAT video.
https://www.statnews.com/2024/06/05/as-states-legalize-recreational-marijuana-use-for-adults-they-must-prioritize-protecting-kids/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9OW7sqi944emy25T5XDaZg34UGnCzNby6J-3xqPV3UqaurcpspED5LHktYPNBUKzcFqpwVTMnn-XxdxaeXLcDNNGSnjw&_hsmi=348565801&utm_content=348565801&utm_source=hs_email
Cannabis Access by Retailer Type in New York
https://publications.aap.org/pediatrics/article-abstract/155/3/e2024068669/201048/Cannabis-Access-by-Retailer-Type-in-New-York?redirectedFrom=fulltext
A small study on Covid vaccine safety sparks an online tempest Response to preliminary research highlights conundrum faced by scientists
https://www.statnews.com/2025/02/24/post-vaccine-syndrome-yale-study-covid-vaccinations-rare-complication-fuels-critics/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-95T1d457dwminFPAqtQV6Rtg6zA5xZf6CT5JuDdpvRraYcX0R5rwoe_qg_gHnrWKMWiSBagC0twQmPdhBeGxmEoIjECg&_hsmi=348565801&utm_content=348565801&utm_source=hs_email
A parable on the weaponization of science
You may have seen that a group of researchers released a small, preliminary study last week theorizing that Covid-19 vaccines may be linked in rare cases to a constellation of lingering symptoms not dissimilar to long Covid-like illness.
The paper was posted to medRxiv, a preprint server, midway through Robert F. Kennedy Jr.’s first week at the helm of HHS, when there were already signs that policies promoting vaccines would come under attack. The research exploded online, and as STAT’s Helen Branswell writes, became a parable for the ways in which the internet is being used to weaponize basic vaccine research vital to advancing scientific knowledge about the safe use of these key products. Read more from Helen on the dilemmas faced by scientists seeking to advance the field.
https://www.statnews.com/2025/02/20/cdc-vaccine-promotions-rfk-jr-informed-consent/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9q7k48Of-6xEyedSkBOxsUdw14chgDoG6-HsrYlBOxvLoKyGwp6TxN_ZawYvWWI4vOlVKMbpy599HOL_zXskAGk-Z-rA&_hsmi=348565801&utm_content=348565801&utm_source=hs_email
Trump administration rehires some FDA employees it fired Reinstatements, in at least some cases, appear broad
https://www.statnews.com/2025/02/23/fda-fired-employees-rehired-doge/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--NPmlA7Be0ngOwNvpGuMEDPMMLZsgEcuNkHDWaURVm05zJooAGiINyVt_W4BXGaru9ENCg1sV22HsaqBQvKMBy0RYiQQ&_hsmi=348565801&utm_content=348565801&utm_source=hs_email
Firings, reinstatements, and hearings
First, let’s recap all things health and science that have happened with the federal government in the last few days:
The Trump administration has started quietly re-hiring some of the FDA employees that it fired last week in a process that insiders called abrupt and haphazard, STAT’s Lizzy Lawrence reports. The total number of employees re-hired is unclear, but at least in some cases, reinstatements appear to be broad. Read more from Lizzy on the specifics.
domingo, 23 de febrero de 2025
sábado, 22 de febrero de 2025
GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk By Phil Galewitz February 21, 2025
https://kffhealthnews.org/news/article/medicaid-budget-cuts-republicans-trump-agenda-providers-enrollees-at-risk/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8aRsn4uWlai-B_IBCdiFSrViw64zfFoIKYPniaH29GLWY7ENK3nOoK2IqOF-hghQmCxL3PjkfdnDshR_PXuJB-jrqhcg&_hsmi=348383567&utm_content=348383567&utm_source=hs_email
Happy Friday. I’m Renuka Rayasam, a senior correspondent for KFF Health News based in Atlanta. Lately, I have been steeped in Medicaid policy, looking at how Republicans might reshape the program. In particular, my colleague Sam Whitehead and I have extensively covered how the nation’s only active Medicaid work requirement program isn’t working. You can reach me at RenukaR@kff.org.
By Renuka Rayasam
Congressional lawmakers are facing tricky arithmetic as they hammer out a budget plan to finance President Donald Trump’s agenda.
Republicans need to free up roughly $4 trillion to pay for renewing Trump’s 2017 tax cuts, which expire at the end of the year. Trump has vowed not to touch the costliest government programs, including Medicare and Social Security.
He’s been less clear about his plan for Medicaid.
On Wednesday, he endorsed a House GOP plan that cuts at least $880 billion from, very likely, Medicaid — the federal-state health insurance program for Americans with low incomes or disabilities.
As my colleague Phil Galewitz reports, changes to expand Medicaid have become entrenched in most states — and their budgets — over the past decade. Hospitals, which not only treat but also employ a lot of Americans, are reaching out to Congress with concerns.
Medicaid is also popular. A January KFF poll found that about 3 in 4 Americans view the program favorably. So Republicans would have to be strategic about cuts.
But first, let’s back up. What is Medicaid? My colleague Sam Whitehead and I published a useful explainer this week.
Medicaid, which turns 60 this summer, was created as part of President Lyndon B. Johnson’s “Great Society” strategy to attack poverty along with Medicare, the federal health insurance program for those 65 and older.
More than 79 million people receive services from Medicaid or its closely related Children’s Health Insurance Program. That’s about 20% of the country’s population.
About 40% of all children are covered by Medicaid or CHIP. Medicaid also pays for 4 in 10 births and covers costs of caring for more than 60% of nursing home residents.
State and federal spending on the program reached $880 billion last year.
Back in Washington, Phil writes that the GOP is considering a few strategies to shrink Medicaid.
They could reduce how much money the federal government sends to states, leaving state leaders to decide whether and how to plug budget holes.
One idea Republicans are openly talking about is imposing work requirements. Most adults enrolled in Medicaid are already working or probably would be exempt because they’re in school, are caregivers, or are disabled.
But, as Sam and I report, state experiences with work requirements show they make it harder for even eligible people to get coverage.
At the heart of it all are key questions about the role of government in people’s health: How big should the U.S. medical insurance safety net be? Who deserves government assistance?
And, perhaps most urgently, where will those who could lose Medicaid go for coverage?
viernes, 21 de febrero de 2025
CAHPS Health Plan Survey Database
CAHPS Health Plan Survey Database: .block-topics-expandable-text.boxlinks .topics-btn-text { font-size: 1.3em; font-weight: 600; padding: 20px 50px 20px 20px; font-family: "Public Sans Semibold", sans-serif; margin-top: 20px; } button.topics-btn[aria-expanded="false"]:after { content: ""; display: inline-block; background-image: url(/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/plus-solid_5B616B.png); background-repeat: no-repeat; background-size: contain; width: 20px; height: 20px; position: absolute; float: right; ri
Science Under Threat: How Researchers Can Fight Back By Esther Ngumbi Copyright © 2025 IPS-Inter Press Service.
URBANA, Illinois, US, Feb 20 2025 (IPS) - Scientists like me across the U.S. are distressed following the many policy changes, funding elimination, and firings that have happened since President Trump took office. More than ever, scientists must unite in solidarity and share the negative impact these extreme measures will have on science, U.S. science funding agencies and people’s lives. Speaking up can take many forms, from posting your thoughts on social media to writing opinion pieces or op-eds.
https://www.ipsnews.net/2025/02/science-threat-researchers-can-fight-back/?utm_source=rss&utm_medium=rss&utm_campaign=science-threat-researchers-can-fight-back
Copyright © 2025 IPS-Inter Press Service.
Diapers and rides to the doctor: Two simple ways for state and local governments to MAHA Practical help can help keep Americans healthy
https://www.statnews.com/2025/02/21/maha-rfk-jr-diapers-rides-medical-appointments-public-health-state-local-governments/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9z1G5RrfRZaiW5W69jPCNvmOxQz88RvICQ9LObzbKaj2YA6yjgJ4fEQfO7uXM0dqmMnh_XHmZVpZOBuK-_yBBhS6cU3A&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
While health indications in the U.S. lag far behind our peer nations and the nutritional content of foods must improve, poverty is the root cause of poor health for too many Americans. And we don’t have to wait for Robert F. Kennedy, Jr. or Congress to “Make America Healthy Again” to make people’s lives better.
State and local governments can improve health outcomes by providing reliable transportation to medical appointments and helping families access basic necessities for health and wellbeing, like diapers. These actions can reduce preventable deaths and empower families to thrive. Read more from two former employees of the Office of Management and Budget.
https://www.commonwealthfund.org/publications/fund-reports/2024/sep/mirror-mirror-2024?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8RneVOlIUQ_5DPli08ZlZcunsTrzt6EWGaf5IP1xE8qYoEFAHLskKKJ8Dtp0u1i5hnDESHDiVO1Qk5UwsWrT1n2SbptQ&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
Measuring And Addressing Nutrition Security To Achieve Health And Health Equity
Dariush Mozaffarian
https://www.healthaffairs.org/content/briefs/measuring-and-addressing-nutrition-security-achieve-health-and-health-equity?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--I9WuKpRPDN8hC4NWDjab85Zb0yAKFzumpoXxQOes7ztolClP_KGwhy2NcPqgIs7PKcZiRY4GnlzZeaSIdgabspnc19Q&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
What’s at stake in Friday’s court hearing on NIH research indirect cost cuts Judge will be asked to extend a stay on Trump administration cap on grant overhead payments
https://www.statnews.com/2025/02/20/trump-nih-research-cuts-lawsuit-challenges-cap-on-indirect-costs-fed-court-hearing/?preview=true&_thumbnail_id=1280431&utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9bYPDsvhFnrndDnHYxaHAi97C9NTNyxequNtE1u-25UCbUIig8DjOv-bxcCKlOg3wcg6bZ-C9VSqQxADSJoloDh9UaQA&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
Can NIH lower indirect research costs?
Intrepid reporter Anil Oza will be heading to a Massachusetts courtroom today to see whether lawsuits will block the National Institutes of Health’s attempt to cut $4 billion for research, and here he explains what's at stake.
Two weeks ago, the agency announced that it planned to cap indirect costs, ending support for any administrative, facility, and other expenses not directly linked to the goals of a scientific project. The move caused widespread outrage and bewilderment among academics.
Three lawsuits temporarily halted the agency’s moves, and observers are eager for any indication of the judge’s leaning and whether she will uphold the pause, as the changes would have massive impacts upon scientific research. Existing indirect costs range from 20%-60% of grants; NIH wants to slash them to 15%. More from Anil today; keep refreshing that STAT homepage.
A newly developed machine learning-based test could diagnose autoimmune diseases faster The proof-of-concept study analyzed the immune system’s built-in records of disease exposures
https://www.statnews.com/2025/02/20/machine-learning-immune-cells-test-diagnose-auto-immune-diseases/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8qbSiRYwj0MPRiM8IbxlGH2y-QrU9NjQ0A-pynqcK4Rc__ZgXaUtWWHctzEt0S5H0RSyflPe1VPrk4WZ2JOl3jF_CJbQ&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
The body keeps the score, but we don’t check it
Every time you get sick, your body makes a tally. Researchers unveiled a new, machine learning-based tool Thursday that can diagnose Covid-19, HIV, flu, lupus, and type-1 diabetes based on the immune system’s built-in records of disease exposures: B and T cells.
The proof-of-concept study is one of the first to combine B and T cell analysis and potentially paves the way for tests that could better diagnose autoimmune diseases and help researchers unravel the biological underpinnings of complex conditions.
The tool is not ready for clinical use and the general idea is not new, one expert said, but it is the biggest and broadest study of the concept and will help other researchers determine which genes are driving immune response. Read more about the fascinating science from STAT’s Jonathan Wosen and Brittany Trang.
HHS orders CDC to halt some vaccine ads, saying RFK Jr. wants message focused on ‘informed consent’ Experts fear effort to recalibrate tone could dampen vaccine uptake
https://www.statnews.com/2025/02/20/cdc-vaccine-promotions-rfk-jr-informed-consent/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--_MV_SezAGgu9sKlWPhtP9g3iRiogIICVjLnsX1CQs6EB54o9sJ3pgK53CIcDo1RdlElnM2OdlyfdCyIk8BKsVPOzYSw&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
A week after Robert F. Kennedy, Jr was sworn in as Health and Human Services chief, his influence on federal health agencies is manifesting.
First, STAT’s Helen Branswell reports that the committee of experts that advises the Centers for Disease Control and Prevention on vaccine policy — a group that Kennedy has publicly denounced — postponed their first meeting since Trump was inaugurated. Public health experts have been concerned about the future of this committee, and one expert said the postponement “raises suspicions that Mr. Kennedy will not keep his word to Senator [Bill] Cassidy that he will not interfere with ACIP recommendations.”
Second, the Centers for Disease Control and Prevention was ordered to shelve promotions for several vaccines, including the catchy “Wild to Mild” advertising campaign for the flu shot. Kennedy wants to replace the advertisements with others that promote the idea of “informed consent” in vaccine decision-making. Shifting the framing of advertising for vaccines that the CDC has long recommended — like flu shots — to more heavily focus on the risks of vaccines could undermine people’s willingness to get vaccinated, or to have their children immunized, public health experts warned. Helen, again, brings us the scoop.
https://www.statnews.com/2025/02/20/acip-cdc-vaccine-meeting-postponed/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9KlFmiERhotKTA0_qoqbq3pGm-PVqX-AzK9l9mYUSEmSu-pZX44K840veC1hNv-G852tKsCVFI3PI2gojODKtYXKe_rQ&_hsmi=348291083&utm_content=348291083&utm_source=hs_email
jueves, 20 de febrero de 2025
Graduate student admissions paused and cut back as universities react to Trump orders on research ‘It just freezes everybody into inaction,’ says one scientist
https://www.statnews.com/2025/02/19/trump-funding-freeze-grad-student-postdoc-acceptances-paused-nih-research/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_K3vPAgYXBPaf0UPIqFEm_az3ZVfd_wtb4cGfpTARhqtzCSk1eML_p0-tVBnIuF7oPjoBRNPGiLj-96xCHFGDOl7yJgA&_hsmi=348145306&utm_content=348145306&utm_source=hs_email
Acceptances for biomedical graduate students and postdoctoral scholars are being cut back at some universities and medical centers across the country, as institutions grapple with the potential impact of the Trump administration’s order to cut NIH research funding, a team of STAT reporters wrote yesterday. The cuts come even as the proposed reductions on indirect costs were temporarily halted by a federal judge, at least until a court hearing tomorrow.
At some institutions, official admissions were paused even for those offered verbal acceptances. “We had just flown them out, we told them we love you, we want to admit you, and then everything just stopped,” said Jennifer Unger, a professor who runs a doctoral program in health behavior research at USC. Read more about the potential harm to young scientists.
https://www.statnews.com/2025/02/08/nih-indirect-costs-explainer-research-budget-cuts-different-accounting/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_zFjtFuzQtlIIwpF7qMPNOo-ETWzAXcqUd9l96qEZ5iMEJgPbtbn8VTFclMZEEYfrzHEBXkFYXcz3I8k7rIJcHFgvq8Q&_hsmi=348145306&utm_content=348145306&utm_source=hs_email
Global, regional, and national burden of suicide, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(25)00006-4/fulltext?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-96LgYPHlAywRweg94kH85zMBDlmrKOK7xVcSpPg0aGxgzQnrINISY4S98MF4sEys8Xodv3Utfwt2VHeBSItLWYPUjyFA&_hsmi=348145306&utm_content=348145306&utm_source=hs_email
746,000
That’s how many people died by suicide globally in 2021, according to new estimates published yesterday in the Lancet Public Health. The standardized global mortality rate from suicide has declined from almost 15 deaths per 100,000 in 1990 to 9 per 100,000 in 2021. The data, from the Global Burden of Diseases, Injuries, and Risk Factors Study and updated to include the years since 2016, is the only estimate of suicide mortality at the global level, the authors write.
Here are some more of the study’s important findings:
While the overall suicide mortality rate decreased over three decades, the rate increased in areas the study designated as central, Andean, and Tropical Latin America, as well as high-income North America.
Regional mortality rates are highest in eastern Europe (19.2 per 100,000), and southern (16.1) and central (14.4) sub-Saharan Africa.
The U.S., Uruguay, and Venezuela have the highest rates of gun-related suicides. The U.S. has almost double the number of gun-related deaths as the next two countries, with a rate of 6.19 firearm-related deaths per 100,000, vs 3.61 and 3.04 respectively.
There was not a major difference in the global suicide mortality rate before and after the Covid-19 pandemic. (In 2019, the rate was 9.2 per 100,000.)
miércoles, 19 de febrero de 2025
Trends in Short Interpregnancy Interval Births in the United States, 2016-2022 ++ AHRQ in the Professional Literature
AHRQ in the Professional Literature
Trends in short interpregnancy interval births in the United States, 2016-2022. Admon LK, MacCallum-Bridges C, Daw JR. Obstet Gynecol. 2025 Jan;145(1):82-90. Epub 2024 Nov 7. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39509707/
Prevent Acute Chest Syndrome checklist (PACScheck): a quality improvement initiative to reduce acute chest syndrome. Morrone K, Strumph K, Pisacano C, et al. Pediatr Blood Cancer. 2025 Jan;72(1):e31378. Epub 2024 Oct 17. Access the abstract on PubMed®.
Prevent Acute Chest Syndrome checklist (PACScheck): A quality improvement initiative to reduce acute chest syndrome
https://pubmed.ncbi.nlm.nih.gov/39420509/
A human-centered approach for sharing patient experiences through digital storytelling: a research through design study +++ AHRQ in the Professional Literature
AHRQ in the Professional Literature
A human-centered approach for sharing patient experiences through digital storytelling: a research through design study
A human-centered approach for sharing patient experiences through digital storytelling: a research through design study. Behnam-Asl S, Umstead K, Mahtani R, et al. Des Sci. 2024;10:e23. Epub 2024 Oct 25. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39844892/
Machine learning-based infection diagnostic and prognostic models in post-acute care settings: a systematic review. Xu Z, Scharp D, Hobensack M, et al. J Am Med Inform Assoc. 2025 Jan;32(1):241-52. Access the abstract on PubMed®.
Machine learning-based infection diagnostic and prognostic models in post-acute care settings: a systematic review
https://pubmed.ncbi.nlm.nih.gov/39530740/
New linked employee-employer data show workforce composition is associated with health insurance offers among small employers. Zawacki A, Hegland TA, Keenan PS, et al. Med Care Res Rev. 2025 Feb;82(1):79-87. Epub 2024 Oct 23. Access the abstract on PubMed®.
New Linked Employee-Employer Data Show Workforce Composition Is Associated With Health Insurance Offers Among Small Employers
https://pubmed.ncbi.nlm.nih.gov/39441695/
Modeling Nursing Home Harms From COVID-19 Staff Furlough Policies +++ AHRQ in the Professional Literature
AHRQ in the Professional Literature
Modeling nursing home harms from COVID-19 staff furlough policies. Bartsch SM, Weatherwax C, Leff B, et al. JAMA Netw Open. 2024 Aug;7(8):e2429613. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39158906/
Effectiveness of a Digital Health Intervention Leveraging Reinforcement Learning: Results From the Diabetes and Mental Health Adaptive Notification Tracking and Evaluation (DIAMANTE) Randomized Clinical Trial
https://pubmed.ncbi.nlm.nih.gov/39378080/
Effectiveness of a digital health intervention leveraging reinforcement learning: results from the Diabetes and Mental Health Adaptive Notification Tracking and Evaluation (DIAMANTE) randomized clinical trial. Aguilera A, Arévalo Avalos M, Xu J, et al. J Med Internet Res. 2024 Oct 8;26:e60834. Access the abstract on PubMed®.
Birthing parent perspectives on measuring the quality of perinatal care: metrics, timing, and process. Tully KP. Front Health Serv. 2024 Dec 10;4:1473848. Access the abstract on PubMed®.
Birthing parent perspectives on measuring the quality of perinatal care: metrics, timing, and process
Kristin P Tully 1
https://pubmed.ncbi.nlm.nih.gov/39723329/
A Novel Risk-Adjusted Metric to Compare Hospitals on Their Antibiotic Prescribing at Hospital Discharge
https://pubmed.ncbi.nlm.nih.gov/38658348/
More careful use of antibiotics at hospital discharge can help slow the emergence and spread of antibiotic resistance, according to AHRQ-supported research published in Clinical Infectious Diseases. Study authors built a risk-adjusted predictive model for post-discharge length of antibiotic therapy to measure how often and for how long hospitals prescribe antibiotics at discharge. Their review of 1.8 million hospital stays across 129 Veterans Health Administration hospitals from 2018 to 2021 showed that 1 in 5 patients (19.5 percent) received antibiotics at discharge, usually for about seven days. Using the model to compare hospitals, they found 30 percent of hospitals gave fewer antibiotics and shorter treatments than expected; however, 22 percent of hospitals gave antibiotics more often and for longer than needed, suggesting this metric may help hospitals identify opportunities for improved antibiotic stewardship at discharge
AHRQ Safety Program for HAI Prevention
https://safetyprogram4hai-prevention.ahrq.gov/page/home
CLABSI Application | AHRQ Safety Program for HAI Prevention
https://safetyprogram4hai-prevention.ahrq.gov/dc/Introduction?s=638715087908661052-jsJ41262e9pduCaG7A7bHDAO4&u=638754664520221350-cI6B8PDB16R5cWF93dHbJCBCA
Technological barriers to providing pediatric mental and behavioral healthcare in emergency departments
https://pubmed.ncbi.nlm.nih.gov/39644609/
An AHRQ-supported study identified 12 technological barriers affecting pediatric mental and behavioral healthcare in pediatric and adult emergency departments. The research published in Applied Ergonomics identified limitations in electronic medical records management, ineffective communication systems in the emergency department, infrastructure inadequacies and insufficient tools for patient engagement among challenges that impact the quality and safety of care. Researchers concluded future research should focus on the barriers while aiming to create design solutions that assist clinicians in their caregiving roles for pediatric mental and behavioral healthcare, focusing on patient safety.
Do electronic health records used by primary care practices support recommended alcohol-related care?
https://academic.oup.com/jamiaopen/article/7/4/ooae125/7916533
Significant shortcomings in electronic health records (EHRs) used by primary care practices hinder the delivery of evidence-based care for alcohol use disorders (AUD) and unhealthy alcohol use, according to an AHRQ-funded study published in JAMIA Open. An evaluation of 21 EHR systems across 167 practices in seven states found that only 3 percent of practices could generate reports on preventive measures like brief interventions, and just 7 percent could report on treatment initiation and engagement for AUD. These findings highlight critical barriers that limit the ability of primary care providers to address a major public health issue, with alcohol use contributing to over 140,000 U.S. deaths annually. The study emphasizes the need for systemic improvements in EHR functionality to enhance alcohol-related care and offers actionable insights for policymakers, technology developers and healthcare providers.
Penicillin susceptibility among Staphylococcus aureus skin and soft tissue infections at a children's hospital
https://pubmed.ncbi.nlm.nih.gov/39248483/
An AHRQ-funded study has found that penicillin may be an effective treatment for a small but significant portion of community-acquired skin and soft tissue infections in children caused by methicillin-susceptible strains of Staphylococcus aureus (MSSA). Although penicillin-resistant strains comprised the majority of the infections found in a surveillance study conducted at Texas Children’s Hospital, researchers discovered that 9 percent of infections caused by MSSA could be treated with penicillin. Infections caused by penicillin-susceptible MSSA were associated with higher rates of hospital admission and surgical intervention than those caused by penicillin-resistant strains, highlighting their clinical importance. These findings suggested that it may be time to reconsider penicillin susceptibility testing and treatment options for S. aureus infections in the outpatient setting, particularly as most skin infections are managed outside hospitals. This shift could improve care and reduce reliance on other antibiotics. Access the abstract, in Microbiology Spectrum.
Fact Sheet: President Donald J. Trump Expands Access to In Vitro Fertilization (IVF) February 18, 2025
https://www.whitehouse.gov/fact-sheets/2025/02/fact-sheet-president-donald-j-trump-expands-access-to-in-vitro-fertilization-ivf/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9rj-4DSChKSe7J7PaPAXVaJjbLH4ynY_WED7Q2Z2t2194BIYgFg4Qxz_b3kSRbJ64Ywb89X-cMjYtYuyg9C7eUFD5L_Q&_hsmi=347947065&utm_content=347947065&utm_source=hs_email
Trump signs an executive order on IVF
President Trump signed an executive order yesterday “expanding access to in vitro fertilization (IVF) for Americans,” according to a fact sheet posted on the White House website. The fact sheet only states that the aim is generally to lower costs and increase access to IVF. It does not include specific policy recommendations, but says out-of-pocket and health plan costs for the treatment need to be reduced.
During the election, Trump declared himself the “father of IVF,” though it was unclear what he meant by that. “The Order recognizes the importance of family formation and that our Nation’s public policy must make it easier for loving and longing mothers and fathers to have children,” the fact sheet says.
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