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JAMAevidence Users' Guide to the Medical Literature: Using Evidence to Improve Care
Mark C. Wilson, MD, MPH, University of Iowa, Carver College of Medicine discusses Evidence-Based Practitioners and Evidence-Based Care with Gordon H. Guyatt, MD, MSc, McMaster University. Related Content:
Dual-PhD researcher Celeste Beck is a leading maternal health researcher at Heluna Health who just published a groundbreaking study on vitamin D and pregnancy.It turns out something as simple as your vitamin D levels could have a major impact on your pregnancy, postpartum recovery, and your baby's health. With over 15 years in public health and a dual PhD in Nutritional Science and Clinical and Translational Science, Celeste breaks down what every parent needs to know—how to recognize the risks of deficiency, when and how to supplement, and why this one nutrient can make a lifelong difference for your baby.If you're pregnant, postpartum, or supporting someone who is, this episode gives you the critical info your doctor might not be talking about - yet. Advocating for yourself with the right information empowers you and gives your baby the healthiest start possible.Full show notes fourthtrimesterpodcast.comConnect with Celeste Beck PhD LinkedInCeleste's research in the American Journal of Clinical Nutrition Maternal vitamin D status, fetal growth patterns, and adverse pregnancy outcomes in a multisite prospective pregnancy cohortLearn more Evidence Based Care for Improving Postpartum Recovery - Advice From Dr Rebecca Dekker | Morning Sickness Causes and Cures: Hyperemesis Genetic Link and Practical Advice from USC Geneticist Dr Marlena FejzoResources HelloGaia Parenting Copilot | FREE DOWNLOAD Customizable Birth Plan | FREE DOWNLOAD Customizable Fourth Trimester PlanConnect with Fourth Trimester Facebook | InstagramWant trustworthy parenting data at your fingertips? Download HelloGaia Parenting Copilot for FREE today. The app uses reliable sources like ACOG, AAP, The Society for Maternal-Fetal Medicine. FREE app available now on Apple & Google Play
In this episode of The Digital Executive, Brian Thomas sits down with Ro Huntriss, an award-winning registered dietitian and Chief Nutrition Officer at Simple. With over 13 years of experience across clinical practice, private consulting, and international health tech, Ro shares how her passion for nutrition—sparked by early involvement in sports—evolved into a mission to support global health through innovative, evidence-based approaches. At Simple, she leads a multidisciplinary team committed to responsible, science-backed weight management strategies, including personalized intermittent fasting protocols and comprehensive nutrition scoring systems.Ro also delves into her expertise in fertility nutrition, the power of the Mediterranean diet, and the future of personalized health through AI coaching. She explains how Simple is leveraging advanced technology like AI image recognition and behavioral science to make healthy lifestyle changes more accessible and effective than ever before. Tune in to discover how tech and nutrition are merging to transform lives—one healthy habit at a time.
Listen to Andrew Duckworth, Yael Gelfer, Liz Ashby and Dan Perry discuss the paper 'Paediatric orthopaedics: the modern quest for standardized, evidence-based care' published in the January 2025 issue of The Bone & Joint Journal.Click here to read the paper.Find out as soon as the next episode is live by following us on X (Twitter), Instagram, LinkedIn, Tik Tok or Facebook!
A Clinician's guide to TMD Management Walkthrough of the latest TMD Guidelines with the authors! What's the right approach when a patient presents with both acute and chronic painful jaw symptoms? How can the latest RCS guidelines simplify your diagnosis and treatment process? In this episode, Professor Justin Durham and Mrs. Emma Beecroft join Jaz to unpack the latest Royal College of Surgeons TMD guidelines designed specifically to help GDPs navigate these tricky cases. Together, they explore practical strategies for managing TMD, breaking down the step-by-step flowchart that makes handling these cases less intimidating. From understanding the key principles to applying them in everyday practice, this episode will help you feel more confident in delivering better patient care for TMD. https://youtu.be/R0NaBJr5g5E Watch PDP213 on Youtube Protrusive Dental Pearl: Important takeaway: Download the New TMD Guidelines The folder includes: A patient version of the guidelines A dentist version of the guidelines The full guidelines document Video of delivering an equilibrated soft bite guard using heat technique Key Takeaways: The guidelines for TMD are designed to simplify diagnosis and treatment. Self-management is crucial for TMD patients and can lead to better outcomes. Understanding the difference between muscle and joint pain is essential in TMD management. Early intervention in TMD can lead to significant improvements for patients. The importance of patient-centered care in managing TMD effectively. TMD is a common issue that requires a collaborative approach among dental professionals. The role of pain management in TMD is about improving quality of life, not just curing the condition. Continuous education and training are vital for dental professionals dealing with TMD. Understanding the pathogenesis of TMD is crucial for effective treatment. Stabilization splints can provide relief but should be used judiciously. Effective communication can significantly impact patient pain experiences. Tailoring treatment to individual patient needs is vital. Highlights for this episode: 00:48 Protrusive Dental Pearl 05:20 Introducing the Guests: Prof. Justin Durham and Mrs. Emma Beecroft 13:05 Stigma and Complexity of TMD in Dentistry 17:01 Challenges of Navigating TMD Treatment Perspectives 22:07 Diagnosing TMD: Tools and Techniques 27:09 Simplified Approach to TMD Examination 30:54 Muscle Palpation Pressure 32:20 Acute Limited Opening: Muscle vs. Joint Origin 40:20 Diazepam for Acute Myogenous TMD 54:58 Debating Soft vs. Stabilization Splints 57:17 Patient-Centered TMD Management 01:09:28 Conclusion and Resources This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes B and C. AGD Subject Code: 200 OROFACIAL PAIN (Diagnosis and treatment) Dentists will be able to - Explore the varied approaches to TMD care and how to align them with evidence-based practices. Emphasize the importance of self-management strategies and their role in improving patient outcomes. Advocate for a patient-centered approach, focusing on listening, communication, and individualized care plans. If you loved this episode, be sure to check out this episode: TMD Full Exam with ‘The TMJ Doc' Dr Priya Mistry – PDP064
Emily Salahuddin set out to have an unmedicated birth at a birth center, but trying to remain within the risk boundaries of that facility turned into an all-consuming mind game, bringing with it an onslaught of non-medical interventions. Ironically, it was after being transferred to the hospital that she was able to have a more hands-off experience… until the baby was born. She shares with Adriana how it was then that she and her husband had to lean into their advocacy skills to minimize unnecessary interventions for both her and her baby.Sponsor offers - TIME SENSITIVE! NEEDED - Get 20% off at ThisIsNeeded.com with code BIRTHFULHONEYLOVE - Get 20% off at HoneyLove.com/Birthful FAMILYALBUM APP - Check out FamilyAlbum at family-album.comAQUATRU - Get 20% off at AquaTru.com with code BIRTHFULARTIFACT UPRISING - Get up to 20% off at ArtifactUprising.com with code BIRTHFUL through December 31.Get the most out of this episode by checking out the resources, transcript, and links on its show notes page. If you liked this episode, listen to our interview on The Problem with Due Dates and our episode on Evidence-Based Care, Castor Oil and More.You can connect with Birthful @BirthfulPodcast on Instagram or email us at podcast@Birthful.com. If you enjoy what you hear, download Birthful's Postpartum Plan FREE when you sign up for our weekly newsletter! You can also sign up for Adriana's Own Your Birth online BIRTH preparation classes and her Thrive with Your Newborn online POSTPARTUM preparation course at BirthfulCourses.com.Follow us on Goodpods, Apple Podcasts, Amazon Music, Spotify, and anywhere you listen to podcasts.Support this podcast at — https://redcircle.com/birthful/donationsAdvertising Inquiries: https://redcircle.com/brands
In this powerful episode, host Rebecca Deyo opens up about the catastrophic knee injury she sustained on October 28, 2023. She recounts her journey from the initial shock of the injury through the MRI results, sharing what it's like to transition from doctor to patient. Rebecca dives into the emotional toll, the challenges of navigating a siloed healthcare system, and the importance of early education and understanding after such a traumatic event. We also explore how value-based care from her physical therapist and orthopedist set her on a path to healing. The episode drives home the importance of individualized care and the recognition that no two cases are the same, while highlighting the 3 Pillars of Evidence-Based Care, including the critical role of patient preferences and goals.
Dr Rebecca Dekker of Evidence Based Birth provides clear, plain-language guidance on postpartum recovery, including the very immediate period after birth from delivering the placenta and then through the extended fourth trimester. Learn what the evidence points to so that you can make informed decisions and enhance your recovery period.Full show notes fourthtrimesterpodcast.comResources Skin to Skin After A Cesarean Evidence on Pitocin During the Third Stage of Labor Why Postpartum Midwifery is Vital to Healing With Serena Saeed-Winn FREE DOWNLOAD Birth Plan Template (a.k.a. Birth Intentions Document) Edinburgh Postnatal Depression Scale (EPDS) The Best Hospitals For Labor And Delivery - Ratings App ‘Irth' Created By Kimberly Seals Allers The State of Postpartum Maternal Health with Dr Amanda P Williams
Are you aware of current guideline recommendations and best practices for managing patients with CIED infections? Credit available for this activity expires: 5/6/25 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1000768?ecd=bdc_podcast_libsyn_mscpedu
Relevance Behavioral Health (866-245-1497), New Jersey's leader in mental health and substance abuse care, is on a mission to help teens in need with their holistic, uplifting and life-affirming after-school recovery program. Get your teen the help they need at https://relevancerecovery.com/treatment-services/iop/ Relevance Behavioral Health City: Freehold Township Address: 61 W Main Street Website: https://relevancerecovery.com/ Phone: +1 866 245 1497 Email: info@hucenters.com
CME credits: 0.25 Valid until: 22-12-2024 Claim your CME credit at https://reachmd.com/programs/cme/accelerating-evidence-based-care-in-la-scchn/16196/ The emergence of early clinical endpoints compared to the current gold standard of overall survival may change the landscape of how clinical trials are designed as well as how patients with locally advanced squamous cell carcinoma of the head and neck (LA SCCHN) are managed. At the forefront of this change are unique small molecule agents that help to overcome the inhibitory influence of tumors on the apoptotic pathway. Join Drs. Ezra Cohen and Susan Yom as they focus on why utilizing early endpoints in clinical trials, and eventually the clinic, may provide therapeutic advantages compared to our current gold standard of overall survival.=
Send us a Text Message.Welcome to Headfirst: A Concussion Podcast Episode 11 - Evidence Based Practice and How to Interpret the Research. This episode we cover the current landscape of the media and how its covering CTE. We discuss research, its standing, how to assess an article when research is presented and what follow up questions you should be asking. Lastly, we look at a general media article as an example. Introductions & wording is everything: Cleaned Up: (6:20)What is Evidence Based Care: (11:45)Levels of evidence & research: (13:30)What we should ask when reading studies: (20:00)Examples of misconduct in studies: (23:00)Reading a media article and questions to ask: (31:15) Next Episode/ Outro (40:00) References:https://libguides.cdu.edu.au/evidence News Article Discussed:https://futurism.com/neoscope/younger-concussion-bad-news Journal it is based off:https://n.neurology.org/content/early
In this episode of the EBB Podcast, we dive into the updated research on Nitrous Oxide. I discuss the following topics: What is Nitrous Oxide? How is it used? How commonly is Nitrous Oxide used around the world? How does Nitrous Oxide impact overall satisfaction in birth? What are the benefits of Nitrous Oxide? What are the risks of using Nitrous Oxide? And lastly, as always, we will discuss the bottom line! Resources & References For Practitioners Association of Ontario Midwives: Nitrous Oxide Tip Sheet For Parents EBB videos/articles: Painless Birth and Pain Perception During Childbirth EBB Podcast: Episode 15: Nitrous oxide EBB Podcasts: Birth Stories (5 birth stories with nitrous) Episode 76: Pushing Through Anxiety in Birth with Parent Emily Fleenor Episode 147: Long Preterm Birth with Caitlyn Martens Episode 158: Empowering Hospital Birth Experience during COVID-19 with Fiona and Craig Castleton Episode 163: Stress and Anxiety During Pregnancy with Nathalie Walton, CEO of Expectful Episode 202: A Fast First-Time Birth Experience with EBB Childbirth Class Graduate, Haley Grachico Other Resources: News Articles Contemporary OB/GYN: Nitrous oxide's revival in childbirth Cosmopolitan: Why I Used Laughing Gas to Ease My Labor Pain The Atlantic: Using Laughing Gas to Relieve the Pain of Childbirth The New York Times: The Rise of Laughing Gas in the Delivery Room NPR: Laughing Gas Gives Women Another Option to Manage Labor Pain NPR: Bill of The Month: $4,836 Charge for Laughing Gas During Childbirth Is No Joke Today: Laughing gas for childbirth is on the rise in the US. What took so long? References For a full list for references, please access https://evidencebasedbirth.com/nitrous-oxide-during-labor/
In this episode we talk with Jessica King, an EBB Childbirth Class graduate, about their journey to parenthood and the importance of finding support networks before, during, and after pregnancy. Jessica grew up in Upstate New York and then moved to Boston to get her Master's in architecture. While in Boston, she met her wife and fellow upstate New Yorker, Sarah. They started working on creating their family three years ago, and they welcomed their daughter this past November! Jessica and Sarah are graduates of the Evidence Based Birth Childbirth Class with EBB Instructor, Anna Sutkowski. Their family currently lives in St. Louis with their two dogs. Jessica and her wife, a surgical resident, decided to take the EBB Childbirth Class to ease their anxieties and demystify the process of labor and delivery. In this podcast episode, Jessica opens up about her family's struggles, setbacks, and joy in their journey from assisted reproduction to postpartum. Jessica also shares how she was able to use the skills and knowledge learned in the course to advocate for herself postpartum when she had difficulties with lactation and a postpartum mood disorder. We wrap up this episode by talking about how knowing you are not alone can make all the difference in the world. Trigger Warning: assisted reproduction, ovarian hyperstimulation syndrome (OHSS), pregnancy loss, bleeding in pregnancy, epidurals, preeclampsia, newborn jaundice, and postpartum mood disorders. Resources: Learn more about Anna Sutkoski and her EBB Childbirth Class here For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on: TikTok Instagram Pinterest Ready to get involved? Check out our Professional membership (including scholarship options) here Find an EBB Instructor here Click here to learn more about the Evidence Based Birth® Childbirth Class.
On this episode the EBB Podcast, we talk with Brandi Jordan, the founder of The Cradle Company and the Dear Doula podcast, all about supporting infant mental health using a whole family approach. Brandi is a board-certified lactation consultant, pediatric sleep specialist, newborn care specialist, and a postpartum doula. Brandi's work as a consultant, parenting group leader and in-home practitioner have led her to develop a unique philosophy of gentle parenting techniques that are pragmatic, practical, and a healthy approach for the whole family. In 2018, Brandi founded the National Association of Birth Workers of Color and currently hosts the Dear Doula podcast. She holds a Bachelor of Arts in Child Development and a Master of Social Work from the University of Southern California where she's also an adjunct faculty lecturing in infant mental health and culturally competent mental healthcare. Brandi talks with us about how to find our unique skills and assets to bringing our whole selves into birth work. Once you know what sets you apart, you can connect with the right clients for you to make this work more sustainable. Brandi believes that whatever you think might be your deficit in this work – is actually your assets – it is exactly the type of support certain clients will need. Additionally, she discusses the growing field of infant mental health and how we can support families across the spectrum of development and bring a more holistic and comprehensive approach, a whole family approach, to caring for infants in the prenatal and postpartum periods. Resources: Follow Brandi's work: Follow Brandi on Instagram Follow the Dear Doula podcast on Instagram here Listen to Rebecca Discuss Circumcision, Water Births, and Evidence Based Care on Brani's Dear Doula Podcast here Connect with the Cradle Company here Listen to the following EBB Episodes: EBB 118 – How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin EBB 169 – The Importance of Postpartum Doula Care with Ali Buchanan
As new parents or parents-to-be, we can spend hours going down rabbit holes trying to find the best information to support our birthing and parenting decisions. In a lot of instances, the articles people see online talking about controversial issues are heavily slanted towards the author's own views and not necessarily backed by evidence. While most of what I talk about is related to what I've seen in the trenches working with families over the past 20 years, I am a strong believer in passing evidence-based information to parents to inform decisions. My special guest today, Dr. Rebecca Dekker, became fed up with how the system treats birthing families. She is now working hard to take the stress out of research and make science sexy for parents and birth workers alike! She is the founder of Evidence Based Birth®, and has made it her mission to ensure all birthing families have access to safe, respectful, evidence-based, and empowering care. Join our conversation now to hear her evidence-based insights into two controversial birthing topics. Resources Read the Evidence Based Birth® article on circumcision here Read more on the evidence around waterbirth here Watch the College Humor video on the history of circumcision Listen to the Evidence Based Birth® Podcast Follow @ebbirth on Insta Go to the Evidence Based Birth® Youtube Channel If you need more support for this or if you have questions about this topic, you can follow Brandi and her work @deardoulapodcast on IG, @brandi_jordan_official IG, and send questions, comments and platitudes to brandi@deardoulapodcast.com. Have a question you want Brandi to answer? Shoot her an email or a DM and she might include it on her next podcast episode! If you appreciate Dear Doula, please take a minute to subscribe, rate and review! Time Stamps 01:22 - Dr. Rebecca Dekker tells us more about Evidence Based Birth® and the work that they do. 02:47 - Brandi tells us about her own experience of circumcision with her now 16 year old son. 03:58 - Dr. Dekker discusses her background and how she approached the evidence-based work she has produced around circumcision. 06:02 - Dr. Dekker shares how she was personally confronted with the topic of circumcision and how this put the procedure into perspective for her. 07:59 - Dr. Dekker discusses the ethical considerations around circumcision. 11:46 - We find out what the evidence shows with regard to circumcision. 16:30 - Brandi and Dr.Dekker speak about the regret parents can feel around their decision to circumcise their children. 23:06 - We learn about the historical context of circumcision. 26:25 - Dr. Dekker talks through evidence-based information surrounding waterbirths.
In today's episode, Adam Miller, president of OPGA, talks with Jeff Brandt, of Brandt Ventures, about the Limb Loss and Preservation Registry and the progress they've seen in the last year. They discuss the importance of the outcomes program in providing evidence-based care in the O&P profession.
Could the left's argument on trans issues be smarter? Well it couldn't possibly be dumber than the dumbest version. #Ad Trade Coffee is offering our listeners a total of $30 off your first order at drinktrade.com/mightbewrong Learn more about your ad choices. Visit megaphone.fm/adchoices
What's UP everyone? On today's episode, we have a conversation with Dr. Laura Rubiales, who is a naturopathic physician and acupuncturist. She has been on the front lines during the Covid-19 pandemic in service to both caregivers and Covid-19 patients. This multi-faceted experience led her to create a retreat called The Path Forward, helping both caregivers and patients. She is happy with the circle of gifted physicians and healers coming together to practice true, helpful and authentic health care.In this episode, Dr. Rubiales opens up about the difficulties of providing patients with evidence-based care during the era of Covid and information warfare. She also discusses her perspective as a Cuban immigrant to the United States, the lack of critical analysis in the medical field, and her plans going forward as a physician.LinksDr. Laura Rubiales Website: https://sedonaholisticmedicine.com/The Path Forward: https://pathforwardretreat.com/Links for The Unity Project:The Unity Project is a 501c3 non-profit organization that relies on the contributions of our generous supporters to fuel the work we do in this movement. If you value our efforts, please consider making a tax-deductible contribution today by visiting our website at www.theunityproject.org and clicking the “donate” button.Follow us on socialInstagram: https://www.instagram.com/theunityprojectonline/ Facebook: https://www.facebook.com/theunityprojectonline Twitter: https://twitter.com/UnityProjectUSAGettr: https://gettr.com/user/theunityprojectTruth: https://truthsocial.com/@theunityprojectonlineTelegram: https://t.me/unityprojectofficialRumble: https://rumble.com/c/c-1310104TikTok: https://www.tiktok.com/@theunityprojectusaSubstack: https://theunityproject.substack.com
Did you know that when midwifery care increases in developed countries, mortality rates of birthing women drastically decrease? How and why can the midwifery model of care result in better overall outcomes in birth? Well...that's what we discuss in this episode. Allison Tartari is a licensed midwife and the co-owner of Tourmaline Collective Birth + Wellness Center. Tourmaline Birth is a wellness center that offers holistic, evidence based care for every stage of the pregnancy journey. Operated by a team of Licensed Midwives, Tourmaline offers prenatal, postpartum, and birth services alongside their wellness team of holistic practitioners like naturopaths, nutritionists, acupuncturists, herbalists, cranial sacral therapists, and pelvic floor therapists. CONNECT WITH ALLISON: https://birthcentersandiego.com/ (Website) // https://www.instagram.com/tourmaline_collective/ (IG) // https://birthcentersandiego.com/donate/ (Non-Profit) View https://www.icloud.com/iclouddrive/018G77XPVGzT4tcYKpTMit9uw#Suggested_reading_list (Tourmaline's Suggested Reading List) OUR LINKS + DISCOUNTS https://getmushylove.com/products/mushy-love-latte (MushyLove Latte) (discount: MEDICIN) https://my.captivate.fm/www.themedicin.com/products (Immune Intel AHCC) ASEA Redox Supplement https://wildpastures.com/promos/save-20-a/?affid=47&oid=1 (Wild Pastures Regenerative Meats) (20% off + FREE SHIPPING) https://www.shopog.com/ShoppingCart/index.cfm?FuseAction=CategoryShop&CategoryID=104&ParentCategoryID=15&OwnerID=10002263906 (Our favorite Reishi KING Coffee) https://my.captivate.fm/www.organifishop.com (Organifi) (20% discount: MIMIFIT) See all our favorite products on http://www.themedicin.com/medicincabinet (The Medicin Cabinet) CONNECT WITH US http://www.themedicin.com/ (Our website) https://www.instagram.com/mimi_themedicin/ (Mimi's IG) // https://www.instagram.com/the_chasen_one/ (Chase's IG) // https://www.instagram.com/themedicinpodcast/ (The Medicin IG) Sound from https://www.zapsplat.com/ (Zapsplat.com)
Welcome back beautiful mama to another episode of the Nurture Hub Podcast. In this episode, we invite Melissa Hays from Cocoon & Cradle to share with us some insight into a holistic approach to Sleep. Melissa is a Gold Coast-based Midwife, Lactation Consultant and Sleep Specialist who provides services for mums & mums-to-be who want holistic and evidence-based breastfeeding, sleep and early parenting support. As you may have guessed, Cocoon & Cradle is not your average early parenting support service. Most consultants have training in only one area; lactation or sleep. Whereas Melissa is an International Board Certified Lactation Consultant (IBCLC) and holistic sleep coach, in addition to 10+ years of experience as a paediatric nurse and midwife. This is how she is able to offer truly holistic care. By pulling together all the pieces of the puzzle from feeding, sleep and development, Melissa is able to identify the root cause of the issue and work together with you to come up with a creative solution. On top of her professional experience, She is also a mum to two very energetic but beautiful toddlers. So believe her when she says, She gets what it's like for new mamas. Melissa launched Cocoon & Cradle in 2020 because she felt there was not enough support and too much confusing and conflicting information regarding early parenthood. To be honest, She was sick of seeing incorrect and sometimes harmful advice being given out to unknowing mums and mums-to-be. Why? Because you deserve better. Since launching she has been able to support hundreds of mums all while focusing on responsive feeding and parenting, and biologically normal sleep. To work with Melissa CLICK HERE to go to her website or follow her on Instagram @cocoonandcradle We hope you enjoy this episode and we would love for you to leave us a review. To work with Shari Lyon from Belly2Birth and join one of her Hypnobirthing Courses CLICK HERE or follow Shari @belly2birth To work with Nicola Laye in the breath or to help reduce anxiety through pregnancy or post-birth CLICK HERE or follow Nicola @nicola_laye
Today, I am speaking to Myra, the co-founder of Mochi, a Tele-health network that provides science-based care for obesity medicine. Myra, along with my best friend Preeti, founded this start up in hopes of changing the game on weight loss and binge eating disorders. They successfully launched their start up and have gained over 5,000 patients thus far. Myra and I discuss her background in medicine as well as the realities of being a female founder. Please note that everything in this episode is of the opinion of the speaker. Pursuing Leadership was not paid to promote Mochi in anyway shape or form. Insta @joinmochi TikTok @preetimyramochi Website https://www.joinmochi.com
Dr. Centor discusses current thinking about the appropriate treatment of patients with substance use disorder with Dr. Stefan Kertesz.
Dr. Centor discusses the diagnosis and management of diverticulitis with Dr. Lisa Strate.
In this episode of the Caring Greatly™ podcast, Dr. DeRienzo and I discuss his new orientation to the “why” behind care transformation. Like most quality improvement leaders, Dr. DeRienzo's focus has long been on the triple aim of improved care quality, reduced cost, and improved experience. But the work he's focusing on now is creating energy and opportunity for a greater focus on health equity, necessary variability, and humanity. Care transformation, then, becomes less about productivity and standardization as a primary aim, and more about allowing clinicians to practice at the top of their humanity and their license in a way that is fulfilling and meaningful – which is also very likely to boost productivity and practice resilience over the long run.
“What we've got to do is look at what is the impact of having a wound infection, or a surgical site infection, on the patient, on the doctor and the healthcare professionals, as well as the economic burden within the NHS.”As somebody who has become highly knowledgeable on these what these impacts of a surgical site infection (SSI) are, it is why Giles Bond-Smith is so passionate around improving the processes and attention paid to it within the NHS.The Emergency General/HPB surgeon at Oxford University Hospitals NHS Trust joined host Matt Roberts on NHE's Finger on the Pulse podcast discussing some of the challenges commonly faced around this type of infection prevention, but also the opportunities to innovate as well.“We should be doing everything possible to look at how we can mitigate surgical site infections for our patients.“Typically, as surgeons, we don't really pay much attention to our wounds, but the patients do. How does a patient judge whether an operation went well or not? They look down at their wound; they see how big it was.“If the wound is less in size than the wound is in their mind, they think we've done well. If the wound heals beautiful, people show it and say the operation went very well.“Whereas, if someone's had a complete wound dehiscence due to infection, they feel the operation was a disaster. Now, it might not have been, but that's how the patient perceives it, and we've got to take this more seriously.”But how do we tackle surgical site infections and ensure the wounds can heal neatly, safely and quickly for the patient?One of the ways, as Giles explains during the podcast episode, is to look at some of the really simple but innovative technology out there – such as the antibacterial Ethicon PLUS sutures he and his team uses – as ways to improve patient outcomes without having to drastically alter the way in which these surgeries are performed.Much of the success instead can come from small, incremental gains in the procedures, awareness and tools being utilised by surgeons.Listen to Ep 24. of NHE's Finger on the Pulse podcast with Giles Bond-Smith
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
PeerView Family Medicine & General Practice CME/CNE/CPE Audio Podcast
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Go online to PeerView.com/NWD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, experts in oncology discuss the diagnosis of cancer-associated VTE, review the latest data and guidelines on currently available treatment options, and suggest strategies for including interprofessional collaboration in routine clinical practice. Upon completion of this accredited CE activity, participants should be better able to: Assess the global disease burden, etiopathogenesis, risk factors, and stratification scores for cancer-associated VTE using established diagnostic tools, Review safety & efficacy evidence, clinical trial data, and practice guidelines for currently available treatment options for managing cancer-associated VTE, Employ guideline-concordant, evidence-based care and shared decision-making strategies including multidisciplinary and interprofessional collaboration for prevention and treatment of cancer-associated VTE in routine clinical practice.
Episode 09: What is evidence based care? Why is it important? In this episode I cover: What is evidence based care? Why do you need to advocate for it? One thing hospitals do routinely that goes against the evidence. How can you be more informed? _____ VIP MOMS list: https://tremendous-designer-9463.ck.page/572d6fc55b Follow me on Instagram: https://www.instagram.com/fiercelizzie/ Grab your free labor tools: https://www.lizziebolliger.com/links Get on the waitlist for my birth course: https://www.lizziebolliger.com/waitlist Show Notes: https://www.lizziebolliger.com/blog/episode09
When it comes to finding a doctor, does it ever make you feel completely stuck? How do you know if they will be right for you? Today Stephanie and I are talking about why we recommend finding an evidence based care provider and how you can tell if the person you're interviewing (YES, you should absolutely be interviewing your providers!) is practicing evidence based care. Stephanie is a doula, lactation counselor, and certified childbirth educator so you will definitely want to soak in all of her amazing knowledge! Grab your free download: Guide to Finding an Evidence Based Provider! You can also go straight to thebirthhour.com/course to sign up for our Know Your Options course today! Use code 100OFF for $100 off your enrollment.
On today's episode we sit down with Georgia Noonan, a Registered Labor & Delivery Nurse and soon to be Women's Health Nurse Practitioner, to discuss becoming parents as LGBTIQ individuals, ways to advocate for yourself and your family amidst a broken healthcare system, navigating ART (assisted reproductive technology) and finding the right practitioner for you, as well as an often overlooked yet common condition that plays an important role in fertility. Georgia is a soon-to-be Women's Health Nurse Practitioner with under four weeks remaining in her graduate program at Frontier Nursing University. Originally on track to be a certified nurse midwife, Georgia is incredibly passionate about all things pregnancy, childbirth and the postpartum. She is an advocate for birth justice and empowerment and helping birthing individuals achieve their birth outcomes and avoid the obstetrical violence and trauma she witnessed firsthand as a labor and delivery nurse for six years before returning to grad school to more actively implement the birth and women's healthcare revolution our nation demands. As a queer woman herself, she is both personally and professionally motivated to work with LGBTIQ individuals after graduation and address the rampant health disparities her community faces. The provision of Evidence Based Care and Information is of paramount importance to her and she recently became part of the Evidence Based Birth® instructor and childbirth educator team. In April, she launched her platform Birthing Beings to help connect and provide all of these services and more to clients in need.You can also find Georgia on LUNA Mother Co's platform teaching our Childbirth Education Course as well as our Preparing For Postpartum Series. To connect with Georgia visit www.Birthing Beings.com or follow her on InstagramRESOURCES:Thyroid Health Resources: https://avivaromm.com/category/energy-adrenals-thyroid/https://avivaromm.com/book/Evidence Based Birth: https://evidencebasedbirth.com/How to find an LGBTIQ+ provider: https://www.healthline.com/health/mental-health/find-lgbtq-ally-health-provider#Online-resources-to-help-you-find-an-LGBTQIA-friendly-providerADDITIONAL NOTES:Sarah & Stephanie are the Founders of LUNA Mother Co, the first all-in-one digital platform for motherhood. From their evidence based fitness method, to pelvic floor & core physical therapy programs, parenting classes, & community, LUNA Mother Co has it all. New subscribers, get your first month FREE using the code MOTHERLODE.Subscribe to The MOTHERLODE Podcast so you never miss an episode, & catch up with us on Instagram! Interested in being on the show or know someone who would be a great fit? Email us online@lunamother.co Like this episode? Leave us a review and let us know your thoughts!
Guest: Patrice Harris, MD Guest: Frank Dowling, MD Guest: Elizabeth Salisbury-Afshar, MD Guest: Sharon Levy, MD, MPH Guest: John Renner, MD As the nation's opioid epidemic has now become a deadlier drug overdose epidemic, the AMA Opioid Task Force urges individualized and evidence-based patient care for those with a substance use disorder. Offering their unique perspectives on how to help patients, physician members of the AMA Opioid Task Force shared their perspectives on helping patients with a substance use disorder. Drs. Patrice Harris, Frank Dowling, Elizabeth Salisbury-Afshar, Sharon Levy, and John Renner.
Guest: Patrice Harris, MD Guest: Frank Dowling, MD Guest: Elizabeth Salisbury-Afshar, MD Guest: Sharon Levy, MD, MPH Guest: John Renner, MD As the nation’s opioid epidemic has now become a deadlier drug overdose epidemic, the AMA Opioid Task Force urges individualized and evidence-based patient care for those with a substance use disorder. Offering their unique perspectives on how to help patients, physician members of the AMA Opioid Task Force shared their perspectives on helping patients with a substance use disorder. Drs. Patrice Harris, Frank Dowling, Elizabeth Salisbury-Afshar, Sharon Levy, and John Renner.
Guest: Patrice Harris, MD Guest: Frank Dowling, MD Guest: Elizabeth Salisbury-Afshar, MD Guest: Sharon Levy, MD, MPH Guest: John Renner, MD As the nation’s opioid epidemic has now become a deadlier drug overdose epidemic, the AMA Opioid Task Force urges individualized and evidence-based patient care for those with a substance use disorder. Offering their unique perspectives on how to help patients, physician members of the AMA Opioid Task Force shared their perspectives on helping patients with a substance use disorder. Drs. Patrice Harris, Frank Dowling, Elizabeth Salisbury-Afshar, Sharon Levy, and John Renner.
Guest: Patrice Harris, MD Guest: Frank Dowling, MD Guest: Elizabeth Salisbury-Afshar, MD Guest: Sharon Levy, MD, MPH Guest: John Renner, MD As the nation’s opioid epidemic has now become a deadlier drug overdose epidemic, the AMA Opioid Task Force urges individualized and evidence-based patient care for those with a substance use disorder. Offering their unique perspectives on how to help patients, physician members of the AMA Opioid Task Force shared their perspectives on helping patients with a substance use disorder. Drs. Patrice Harris, Frank Dowling, Elizabeth Salisbury-Afshar, Sharon Levy, and John Renner.
The BirthCircle | Birth, Pregnancy, & PostPartum Conversations
In today's episode, we talk with Rebecca Dekker, founder of Evidence Based Birth and author of “Babies Are Not Pizzas: They're Born, Not Delivered.” She describes what Evidence Based Birth is and how it can put research into your hands to help you make empowered choices for your birth. Within the episode, we cover the significant topic of how to work with the hospital in order to achieve your birth plan. We also answer common questions such as: "Is eye-ointment a required treatment for your newborn?", "Does pineapple juice help with contractions?", and "What are the benefits of Vitamin K supplements?" In addition, Rebecca explains the best way to use the resources she and her team provide for the community. -What is Evidence Based Care? 1:18 -Is It Evidence Based?: Eating During Labor 7:47 -Professional Guidelines Can Be Flawed 9:55 -Defensive Medical Practice and Banning Over Innovating 11:56 -Change Can Happen 15:02 -Working With Hospitals to Achieve Your Birth Plan 18:54 -Dispelling Myths With Evidence-Based Care 24:01 -How evidencbasedbirth.com Finds Answers to Your Questions 38:18 -Using Evidence Based Birth's Resources 45:01 “I'm spending a lot of time on this, way more than I would normally because I just feel like this is probably one of the most valuable resources that a mom could use.” Sarah, 46:41. evidencebasedbirth.com
Hematologist-oncologist, author and evidence-based medicine expert Vinay Prasad MD MPH, joins Adam this week to talk about medical reversals, the addiction of helping someone while making money, decision-making with suboptimal evidence, what questions to ask your doctor, and much more. This episode is brought to you by Acuity (www.acuityscheduling.com/factually).
I’m Adriana Lozada, and today I’ll be talking with Rebecca Dekker about Evidence Based Care, how it relates to Florence Nightingale, why it matters and how to bring its three components into your maternity care. We also talk about the evidence for using Castor oil as an induction method and much more. Stay tuned. Get the most of this episode by checking out the resources and links listed on the show notes page at birthful.com/podcast-evidence-based-care-castor-oil Support our sponsors: Go to Lovevery.com and, for a limited time, use the code birthful for $15 off your subscription. And go to birthful.com/simplybreastfeeding, and use the code BIRTHFUL for 15% off their breastfeeding course. If you enjoy what you hear, make sure to subscribe! Click to join the Birthful Patreon Community, and get the extra content related to this episode Click to grab my free postpartum plan Title music: “Vibe Ace” by Kevin MacLeod, at freemusicarchive.org/music/Kevin_MacLeod/ (©CC BY) Sponsorship music: “Air Hockey Saloon” by Chris Zabriskie, at freemusicarchive.org/music/Chris_Zabriskie/ (©CC BY)
Jayne Lehmann and Kirrily Chambers introduce their Power of 2 podcast, P2 Chat. This will be the place where chat is filled with insight, wisdom and a good dose of the practical to help health professionals improve diabetes management in Australia.
Author: Rachel Brady, MD Educational Pearls: Elderly patients (>65 years old) have a higher trauma mortality compared to younger patients, even though they have lower mechanisms of injury Elder trauma is often under-triaged due to low-energy mechanisms and lack of physiologic response due to age and medications such as beta-blockers. Do not be reassured by normal vital signs. Image elderly patients with head injury aggressively since they are at high risk of intracranial bleeds Be sure to ask about anticoagulation use. Up to 15% of asymptomatic head injury patients on warfarin will have intracranial bleeds on CT. Be on the lookout for unstable C-spine injuries such as type II odontoid fractures Central cord syndrome is a possibility with any neck extension injury Rib fractures are common, with mortality increasing greatly with more than 2 ribs involved The elderly are more prone to musculoskeletal injuries due to loss of bone density Always discuss goals of care with these patients References Rathlev NK, Medzon R, Lowery D, Pollack C, Bracken M, Barest G, Wolfson AB, Hoffman JR, Mower WR. Intracranial pathology in elders with blunt head trauma. Acad Emerg Med. 2006 Mar;13(3):302-7. doi: 10.1197/j.aem.2005.10.015. PubMed PMID: 16514123. Keller JM, Sciadini MF, Sinclair E, O'Toole RV. Geriatric trauma: demographics, injuries, and mortality. J Orthop Trauma. 2012 Sep;26(9):e161-5. doi: 10.1097/BOT.0b013e3182324460. PubMed PMID: 22377505. Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma.2000 Jun;48(6):1040-6; discussion 1046-7. doi: 10.1097/00005373-200006000-00007. PubMed PMID: 10866248. Hashmi A, Ibrahim-Zada I, Rhee P, Aziz H, Fain MJ, Friese RS, Joseph B. Predictors of mortality in geriatric trauma patients: a systematic review and meta-analysis. J Trauma Acute Care Surg. 2014 Mar;76(3):894-901. doi: 10.1097/TA.0b013e3182ab0763. Review. PubMed PMID: 24553567. Brooks SE, Peetz AB. Evidence-Based Care of Geriatric Trauma Patients. Surg Clin North Am. 2017 Oct;97(5):1157-1174. doi: 10.1016/j.suc.2017.06.006. Review. PubMed PMID: 28958363.
As 2018 draws to a close, The American Journal of Managed Care® (AJMC®)'s co-editors-in-chief, A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design at the University of Michigan, and Michael E. Chernew, PhD, director of the Healthcare Markets and Regulation Lab at Harvard Medical School, recapped their favorite AJMC® papers published in 2018, identified events from the year that are likely to impact future research in the journal, and looked ahead to 2019 with healthcare and health policy predictions. Read more about the papers and news events mentioned: Financial Burden of Healthcare Utilization in Consumer-Directed Health Plans: https://www.ajmc.com/journals/issue/2018/2018-vol24-n4/financial-burden-of-healthcare-utilization-in-consumer-directed-health-plans A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic Surgery: https://www.ajmc.com/journals/issue/2018/2018-vol24-n11/a-randomized-pragmatic-pharmacistled-intervention-reduced-opioids-following-orthopedic-surgery Overall US Healthcare Spending Growth Slowed for Second Year, CMS Says: https://www.ajmc.com/focus-of-the-week/overall-us-healthcare-spending-growth-slows-for-second-year-cms-says Levers to Reduce Use of Unnecessary Services: Creating Needed Headroom to Enhance Spending on Evidence-Based Care: https://www.ajmc.com/journals/issue/2018/2018-vol24-n8/levers-to-reduce-use-of-unnecessary-services-creating-needed-headroom-to-enhance-spending-on-evidencebased-care Addressing Low-Value Care and a Better Benefit Design at the V-BID Summit: https://www.ajmc.com/managed-care-cast/addressing-lowvalue-care-and-a-better-benefit-design-at-the-vbid-summit Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act In the Wake of ACA Ruling, the Only Thing Certain Is Uncertainty: https://www.ajmc.com/focus-of-the-week/in-the-wake-of-aca-ruling-the-only-thing-certain-is-uncertainty
In this episode, I interview Carissa Hipsher, a parent who was pressured into a cesarean for breech positioning. Carissa lives with her husband and three month old baby in Columbus, Ohio, and is working on obtaining her PhD in environmental science. She had a surprise breech positioning at the end of her pregnancy, and was pressured into a cesarean very quickly. After that experience, she decided to become more involved in examining the evidence on breech positioning and its different delivery options, as well as advocating for pregnant families’ rights. After compiling the evidence on breech delivery and asking to present it to her hospital management to help future families have more choices in birth, Carissa received little response. Now she is working on getting a modified version of the letter she sent to the hospital published in a national obstetrics journal. She is also focusing on processing her birth, including talking to other women who had unplanned c-sections. Find our more about the International Cesarean Awareness Network (ICAN) here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this second episode of the Evidence Based Birth® podcast, Rebecca Dekker, PhD, RN, shares the true definition of evidence based care, and talks about the different kind of evidence you can read about your birth options. To learn more about the EBB Instructor program, please visit https://evidencebasedbirth.com/become-an-evidence-based-birth-instructor/
In this episode of the Evidence Based Birth® podcast, Rebecca Dekker, PhD, RN, talks about why it's so difficult to find evidence based care. To find out if there's a Savvy Birth Workshop near you, visit the Evidence Based Birth® Facebook page and click on "Events." You can also see if there is an Instructor near you by visiting directory.evidencebasedbirth.com
of the 6.3 million children under the age of five who died in 2013, 44% (2.761 million) were neonates (defined as age 0-28 days). Over the past decade, neonatal mortality decreased at an annual rate of 2.9% compared to 4.9% in children aged 1-59 months. This smaller reduction in under-five mortality (U5M) among neonates is a significant contributor to the worldwide failure to achieve Millennium Developmental Goal 4 this year. Reducing global neonatal mortality through prevention and treatment programs in low-to-middle-income countries (LMIC), where nearly all U5M occurs, is a high priority among global child survival agendas.
Reading by Mark Olfson, MD, MPH, author of Investing in Evidence-Based Care for the Severely Mentally Ill