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On episode #78 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 3/27/25 – 4/9/25. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral Demise of the Milwaukee protocol for rabies (CID) A natural experiment on the effect of herpes zoster vaccination on dementia (Nature) Taking a shot at dementia(microbeTV: TWiV) Recommendations from the 10th European Conference on Infections in Leukaemia for the management of cytomegalovirusin patients after allogeneic haematopoietic cell transplantation and other T-cell-engaging therapies (LANCET: Infectious Diseases) Epstein-Barr virus exposure precedes Crohn`s disease development (Gastroenterology aga) Bacterial Blujepa (gepotidacin) approved by US FDA for treatment of uncomplicated urinary tract infections (uUTIs) in female adults and paediatric patients 12 years of age and older (GSK) GSK wins FDA nod for first oral UTI antibiotic in almost 30 years(BioSpace) Efficacy and safety of individualised versus standard 10-day antibiotic treatment in children with febrile urinary tract infection (INDI-UTI): a pragmatic, open-label, multicentre, randomised, controlled, non-inferiority trial in Denmark (LANCET: Infectious Diseases) Frequency and severity of Myasthenia Gravis exacerbations associated with the use of ciprofloxacin, levofloxacin, and azithromycin (Muscle & Nerve) The cost of blood cultures: a barrier to diagnosis in low-income and middle-income countries (LANCET: Microbe) Rethinking blood culture (LANCET: Microbe) Trends in Anaplasmosis Over the Past Decade: A Review of Clinical Features, Laboratory Data and Outcomes(CID) Fungal The Last of US Season 2 (YouTube) Cracks in the curriculum: the hidden deficiencies in fungal disease coverage in medical books (OFID) Kazachstania slooffiae fungemia: a case report and literature review on an emerging opportunistic pathogen in humans (OFID) Plasma microbial cell-free DNS metagenomic sequencing for diagnosis of invasive fungal diseases among high risk outpatient and inpatient immunocompromised hosts (CID) Parasitic Fatal Case of Splash Pad–Associated Naegleria fowleri Meningoencephalitis — Pulaski County, Arkansas, September 2023 (CDC: MMWR) Notes from the Field: Fatal Acanthamoeba Encephalitis in a patient who regularly used tap water in an electronic nasal irrigation device and a continuous positive airway pressure machine at home — new Mexico, 2023 (CDC: MMWR) Malaria (NEJM) Miscellaneous FDA grants marketing authorization of first home test for chlamydia, gonorrhea and trichomoniasis (FDA) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.
Dr. Johan Melendez, a Johns Hopkins School of Medicine Assistant Professor, reviews diagnostic testing options, point-of-care and rapid tests, to identify gonorrhea, chlamydia, Trichomonas, and syphilis and discusses implementation issues for clinics with National STD Curriculum Podcast Editor Dr. Meena Ramchandani. View episode transcript at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program.
Dr. Patricia Kissinger, a Tulane School of Public Health and Tropical Medicine Professor, discusses T. vaginalis treatment options and how to manage antimicrobial resistance, bacterial vaginosis coinfection, and partner treatment with National STD Curriculum Podcast Editor Dr. Meena Ramchandani. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program.
Trichomonas vaginalis is increasingly recognized as an important pathogen with potentially great morbidity. Dr. Patricia Kissinger, a Tulane School of Public Health and Tropical Medicine Professor and national expert, discusses screening and testing for T. vaginalis with National STD Curriculum Podcast Editor Dr. Meena Ramchandani. View episode transcript at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program.
Today we provide you with an update on the sexually transmitted infection: Trichomonas vaginalis, a protozoan which infects the vagina, urethra and paraurethral glands. It is an uncommon cause of vaginal discharge and penile urethritis and can persist for a long time if left untreated. Up to 50% of people with vaginal infections and especially people with urethral infections remain asymptomatic. Persistent trichomonas infection has been associated with facilitating the transmission of human immunodeficiency virus (HIV) and adverse poor reproductive health outcomes. Dr Christina Munzy, Professor in Infectious Diseases at University of Alabama, Birmingham, USA, will present on published clinical trial data on novel treatment against trichomoniasis. Relevant publications: Van Gerwen OT, Aaron KJ, Schroeder J, et al. Spontaneous resolution of Trichomonas vaginalis infection in men. Sexually Transmitted Infections. Published Online First: 27 June 2024. Muzny CA, Van Gerwen OT, Kaufman G, Chavoustie S. Efficacy of single-dose oral secnidazole for the treatment of trichomoniasis in women co-infected with trichomoniasis and bacterial vaginosis: a post hoc subgroup analysis of phase 3 clinical trial data. BMJ Open. 2023;13:e072071 Kissinger PJ, Gaydos CA, Seña AC, McClelland RS, Soper, Secor WE, Legendre D, Workowski KA, Muzny CA, Diagnosis and Management of Trichomonas vaginalis: Summary of Evidence Reviewed for the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines, Clinical Infectious Diseases, Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022 Howe K and Kissinger PJ. Single-dose compared with multidose metronidazole for the treatment of trichomoniasis in women: a meta-analysis. Sex Transm Dis 2017; 44: 29–34. Kissinger P, Muzny CA, Mena LA, et al. Single-dose versus 7- day-dose metronidazole for the treatment of trichomoniasis in women: an open-label, randomised controlled trial. Lancet Infect Dis 2018; 18: 1251–1259. Sherrard J, Pitt R, Hobbs KR, Maynard M, Cochrane E, Wilson J, Tipple C. British Association for Sexual Health and HIV (BASHH) United Kingdom national guideline on the management of Trichomonas vaginalis 2021. Int J STD AIDS. 2022 Jul;33(8):740-750. STI Guidelines Australia - Trichomoniasis Host: Dr Fabiola Martin, STI BMJ Podcast editor, a Sexual Health, HIV and HTLV Specialist, Canberra & University of Queensland, Brisbane, Australia Guest: Dr Christina Munzy, Professor in Infectious Diseases at University of Alabama, Birmingham, USA
This episode discusses three articles about the effectiveness of expedited partner therapy (EPT) for trichomoniasis in women and female adolescents. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program.
Trichomoniasis is the most prevalent nonviral sexually transmitted infection (STI) in the United States and is more prevalent than chlamydia and gonorrhea combined. In the US, the southern states share a disproportionate burden of infection, with rates up to 14%. Infection with Trichomonas vaginalis increases risk of human immunodeficiency virus (HIV) acquisition and is associated with adverse perinatal outcomes, including preterm birth, low birth weight, and preterm premature rupture of membranes. Although 80% of infections are asymptomatic, there are no national recommendations for trichomoniasis screening in women who are HIV-negative (including pregnant women who are HIV-negative), except for incarcerated women, where screening is recommended. Plus, there is also perpetual controversy surrounding whether asymptomatic trich should be treated in pregnancy or not. Why is that? Shouldn't we always treat STIs in pregnancy? The data is a bit confusing for asymptomatic trichomoniasis. We'll review the data in this episode and we will end with some practical advice for treatment of trich in pregnancy.
The JournalFeed podcast for the week of June 12-16, 2023.These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Swabs vs. Urine Spoon FeedVaginal swabs are more accurate than urine samples in diagnosing Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. These results support CDC recommendations that vaginal swabs are the preferred sample modality when testing for STIs in women.Infants and COVID Spoon FeedInfants who tested positive for SARS-CoV-2 were less likely to have UTI, bacteremia, and bacterial meningitis.
Welcome back to our rogue's gallery of STIs where we peruse the bitches that mess with our sexy. Today's special guest? Trichomonas - a condition that affects over 200 MILLION (!) people all over the world. You may not hear much about this STI, but boy can it be nasty. So what the hell is trich and what does it do to your body? In today's episode, we're kicking off the month of Halloween talking about trich and why it's no treat. You'll also learn; -Why we shouldn't dismiss trichomona as harmless -All the messed up symptoms of trich and what we do about them -Why trich doesn't always point to infidelity fuckery
Hoy Nuevo Episodio de la Temporada 23 de tú PROGRAMA FAVORITO EN EL MICRO un Podcast de Citorush Training Center sobre #EnElMicro #Podcast #Broadcasting #citorushtc #citolovers #cursosonline #latinoamerica #Trichomonas -
Episode 41. Topics in this episode: urinary tract infections (UTIs) such as acute uncomplicated cystitis, vaginal hygiene, physiologic leukorrhea (normal vaginal discharge), common sexually transmitted infections (STIs) like acute cervicitis (neisseria gonorrhea, Chlamydia trachomatis), Trichomonas vaginalis (trichomoniasis), HPV (human papillomavirus), Candida vulvovaginitis (vulvovaginal candidiasis), bacterial vaginosis, and Bartholin gland cysts/abscesses. Visit First Line's website where you can submit questions and feedback as well as view blog posts: https://poddcaststudios.wixsite.com/firstlinepodcast This episode is sponsored by TrueLearn. TrueLearn special discount codes: For $10 off Shelf/COMAT, use code firstline-shelf For $15 off COMLEX subscriptions, use code firstline-comlex For $35 off USMLE subscriptions, use code firstline-usmle Use this link to easily find First Line on different platforms and social media platforms: linktr.ee/FirstLinePodcast First Line is now available on Spotify & Anchor, Apple Podcasts, Google Podcasts, Overcast, Stitcher, Amazon Music & Audible, iHeartRadio, Vurbl, Breaker, Castbox, PocketCasts, Castro, Player Fm, Pod Bean, Reason, Vurbl, and TuneIn. First Line is on Instagram @firstlinepodcast and on Facebook www.facebook.com/firstlinepodcast Content on First Line is for educational and informational purposes only and should not be taken as medical advice. Please see your primary care physician (DO or MD) for any medical concerns you have. All ideas expressed are individual ideas of the host and do not represent any organizations the host is linked to. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/firstline/message Support this podcast: https://anchor.fm/firstline/support
This episode focuses on some of the literature supporting seven days of metronidazole treatment for Trichomonas infection recommended in the CDC 2021 STI Treatment Guidelines. View episode transcript and references at www.std.uw.edu.Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Medical Director of the Public Health – Seattle & King County Sexual Health Clinic. This podcast is dedicated to an STD [sexually transmitted disease] literature review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs.
Trichomoniasis is the most common, non-viral, sexually transmitted infection. Pathologists providing laboratory testing for this infection should understand the advantages and disadvantages of the commercially available, FDA approved/cleared methods, explains Mayo Clinic pathologist Bobbi Pritt, MD, FCAP, in this CAPcast. Dr. Pritt led the development of the Clinical Pathology Improvement Program offerings on this topic (capatholo.gy/3x9XUCy).
Don't worry, I can spell. This week we are talking about Trichomonas vaginalis, aka Trich. We thought it fitting to spread the love on a little venereal disease being the day after Valentine's Day and all. Enjoy...and maybe get that checked out.Support the show (https://www.patreon.com/tellmesomethingterrible)
Dr. Sadaf Lodhi and Zabeen Mirza sit down to answer your most pressing questions about sex. Everything you wanted to know, but were too embarrassed to ask - we've got you covered! Some highlights: a. HPV b. Herpes c. Chlamydia/Gonorrhea d. Trichomonas e. Syphilis Tune in for answers to those and more! Disclaimer: Anything discussed on the show should not be taken as official medical advice. If you have any concerns about your health, please speak to your medical provider. If you have any questions about your religion, please ask your friendly neighborhood religious leader. It's the Muslim Sex Podcast because we just happen to be two Muslim women who talk about sex. To learn more about Dr. Sadaf's practice and to become a patient visit DrSadaf.com To learn more about Zabeen's work, visit Jobs.mom Follow us on Social Media at... Facebook: DrSadaf Instagram: DrSadafobgyn TikTok: DrSadafobgyn
Songbirds Suffer Mystery Illness From The East Coast To The Midwest The reports started in late May: Songbirds in Washington, D.C. and neighboring regions were being found dead, often with swollen and crusty eyes. In the days that followed, similar sightings came from many states, including Kentucky, Virginia, Pennsylvania, and New Jersey. Now, the symptoms have been seen as far west as Indiana—but wildlife experts still aren't sure what's causing the deaths. The illness has affected many species, including American robins, blue jays, common grackles, and European starlings. So far, investigators have found no signs of salmonella and chlamydia; avian influenza virus; West Nile virus and other flaviviruses; Newcastle disease virus and other paramyxoviruses; herpesviruses and poxviruses; or Trichomonas parasites. But unfortunately, their tests have been inconclusive as to the actual cause. Experts are asking people in the affected areas to be on the lookout for birds with crusty eyes or behaving strangely—and in an effort at avian social distancing, they're suggesting removing bird feeders until the cause of the ‘mortality event' is known. Ira talks with Allisyn Gillet, state ornithologist for Indiana, and Lisa Murphy, a toxicologist and co-director of the Wildlife Futures Program at the University of Pennsylvania School of Veterinary Medicine, about what's known so far about the illness, and about what steps investigators are taking to try to solve the medical mystery. If you find a bird exhibiting these symptoms, researchers encourage you to report it to the Wildlife Futures Program at the University of Pennsylvania. Sweating Is Our Biological Superpower Sweat may feel like a constant summer companion, whether or not you exercise frequently. Being damp can feel uncomfortable, but the smells that follow—thanks to the lives and deaths of sweat-munching bacteria—are often socially stigmatized as well. (Deodorant itself is actually a very recent invention!) But sweat isn't just a cosmetic embarrassment: It's crucial to keeping us cool, as the evaporating liquid pulls heat energy from our bodies. If you look at animals that don't sweat, many have evolved alternate adaptations like peeing or even pooping on body parts to achieve that vital evaporative effect. People who are born unable to sweat run a constant risk of heatstroke. Ira talks to Sarah Everts, author of the new book, The Joy Of Sweat, about what makes sweat useful, the cool chemistry of this bodily fluid, and why it's our evolutionary superpower. Betelgeuse's False Supernova Alarm The famous red giant star, Betelgeuse, sits on the left shoulder of the constellation Orion. It's one of the brightest stars in the night sky, distinguishable by its faint red hue. In December 2019, the star suddenly dimmed to about a third of its usual brightness. Scientists called this the ‘Great Dimming.' And there was some speculation in the news that the dimming meant Betelgeuse was about to explode in a giant supernova. But within months, Betelgeuse quietly returned to its original brightness, leaving astronomers perplexed. Now, nearly two years after the initial dimming, a study recently published in Nature proposed a theory for Betelgeuse's Great Dimming. Supernova expert Sarafina Nance joins Ira to talk about Betelgeuse, give an outside perspective on the new Nature study, and discuss her science communication work.
Trichomoniasis is the most common, non-viral, sexually transmitted infection. Pathologists providing laboratory testing for this infection should understand the advantages and disadvantages of the commercially available, FDA approved/cleared methods, explains Mayo Clinic pathologist Bobbi Pritt, MD, FCAP, in this CAPcast. Dr. Pritt led the development of the Clinical Pathology Improvement Program offerings on this topic (https://capatholo.gy/3x9XUCy).
This episode covers trichomonas vaginalis!
When something is off is all about vaginitis, or the inflammation of the vagina. We are talking about the three most common forms of vaginitis; bacterial vaginosis, yeast infections, and trichomonas. By the end of the episode you will have a better idea of the different types of vaginal discharge these conditions cause. This is our second episode in our series about infections of the genital tract. Get the Ultimate Guide to Foreplay HERE! Follow me on Facebook and Instagram Email: JordanDnelle@VaginasVulvasandVibrators.com
CME credits: 0.25 Valid until: 28-05-2021 Claim your CME credit at https://reachmd.com/programs/cme/treatment-vaginal-discharge-syndromes-community-practice-settings/11562/ Vaginal infections are among the most common reasons why women in the United States seek medical care. These infections are typically characterized by discharge, itching, or odor. Although vaginal discharge symptoms are common, diagnosis of bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and Trichomonas vaginalis (TV) is not standardized. As a result, diagnostic approaches and the suitability of treatment for vaginal discharge syndromes in community practices remain inadequate.
CME credits: 0.25 Valid until: 28-05-2021 Claim your CME credit at https://reachmd.com/programs/cme/treatment-vaginal-discharge-syndromes-community-practice-settings/11562/ Vaginal infections are among the most common reasons why women in the United States seek medical care. These infections are typically characterized by discharge, itching, or odor. Although vaginal discharge symptoms are common, diagnosis of bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and Trichomonas vaginalis (TV) is not standardized. As a result, diagnostic approaches and the suitability of treatment for vaginal discharge syndromes in community practices remain inadequate.
Episode 7 - Suboxone: One Film at a TimeThe sun rises over the San Joaquin Valley, California. Today is April 15, 2020. Viral diseases anyone? The American Society for Colposcopy and Cervical Pathology (ASCCP) recommended HPV vaccination for clinicians routinely exposed to HPV. This recommendation encompasses the complete provider team, including physicians, nurse practitioners, nurses, residents, and fellows, and others in the fields of OB/GYN, family practice, gyn-onc, and dermatology. While there is limited data on occupational HPV exposure, ASCCP, recommends that members actively protect themselves against the risks(1). This recommendation on HPV vaccination for health care workers was published on February 19, 2020. We thought it would be pertinent to remind you about the viral infections that we CAN prevent, since there are some viruses for which we do NOT have a vaccine yet. Welcome to Rio Bravo qWeek, the podcast of the Rio Bravo Family Medicine Residency Program, recorded weekly from Bakersfield, California, the land where growing never stopsThe Rio Bravo Family Medicine Residency Program trains residents and students to prevent illnesses and bring health and hope to our community. Our mission: To Seek, Teach and Serve. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care to patients throughout Kern and Fresno counties since 1971. Quote: “Improvement begins with I.” – Arnold H. GlasowImprovement is a never-ending process, and we must remind ourselves who needs to improve first? It’s normally us. That’s why “improvement begins with I”, I think that was a brilliant quote. Today our guest is Golriz Asefi. She is a smart, compassionate, dynamic PGY1 who is excited to talk to us after her community medicine rotation. She told me she enjoyed a lot working with Dr Beare, our street medicine doctor, whom I hope can be our guest in this podcast one day. Welcome, Dr Asefi. As you know we will ask you 5 questions. Let’s start with our first question number 1. 1. Who are you?I’m Dr Golriz Asefi, I’m a PGY1 here at Rio Bravo family medicine residency program. I grew up in the Bay Area (California). I went to UC Berkeley and then to Ross University School of Medicine. I picked our residency program because I was very interested in community medicine and helping the underserved. On my “spare time” I like to take long walks by the beach and go hiking with my friends. I also have a newly found love for yoga and barr method. 2. What did you learn this week?This week I learned about suboxone. Suboxone is a combination of buprenorphine (a partial opioid agonist) and naloxone (an opioid antagonist). It is used in the treatment of opioid use disorder along with counseling and other behavioral therapy. Suboxone is a class III controlled substance in the form of sublingual pill, sublingual film or buccal film.Comment: Suboxone is part of the Medication-Assisted Treatment (MAT) of opioids. It is the use of medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. These medications operate to normalize brain chemistry, block the euphoric effects of opioids, relieve physiological cravings, and normalize body functions without the negative effects of the abused drug.Suboxone is a combined medication. Why do we have both an agonist and antagonist in the same dose you might ask? Well it’s to prevent abuse, you see naloxone when taken sublingually as directed is minimally absorbed, whereas when injected, it is a strong blocker of the opioid receptor. So, you can get the antagonistic effect of naloxone. When taken sublingually naloxone is poorly absorbed, therefore patients experience less withdrawal symptoms. The “Ceiling effect”Buprenorphine exhibits what’s called a “ceiling effect”, which occurs because suboxone partially stimulates opioid receptors even when saturated. Even exponentially increasing the dose only achieves limited additional effect– similar to approaching an asymptote - remember those hyperbolas and parabola in high school geometry? Basically, never reach full effect. Therefore, it has a lower chance of abuse and accidental overdose. Suboxone vs MethadoneMethadone is full opioid agonist. It is a PO liquid administered through methadone clinics to which patients must go to everyday, and get the medication. Take-home privileges can be eventually earned for methadone. Suboxone has lower chances of overdose because it is a partial agonist, however, dropout rates are higher. Suboxone can be prescribed to be taken at home, so it is more convenient(2).Candidates for suboxone Opiate users who are motivated for treatment and are willing to adhere to scheduled visits and treatment. They should understand the indications, risks, benefits, and alternatives. Ideally, they should not be on other CNS depressants, such as alcohol and benzos, however, suboxone is preferable over methadone for people who use CNS depressants or are at higher risk of respiratory failure. Suboxone can also be used during pregnancy.Contraindications to suboxone:-Severe liver impairment.-Conditions that already increases risk of respiratory depression such as head injuries or taking CNS depressants such as benzodiazepines or alcohol. Mixing large amounts of other medications with buprenorphine can lead to overdose or death(2).Required Training to Prescribe SuboxonePrescription is regulated by the DATA (Drug Addiction Treatment Act of 2000), you need to complete a MAT (medication assisted treatment) training which is currently available free of cost. To qualify as an MD, you need to have an active medical license and DEA license. The training takes about 8 hrs for MDs, 24hrs for NPs, CNMs, and PAs. You can take the training at anytime, even as a resident, and save the certificate until you receive your MD license and DEA license. The training is 100% online, you can print your certificate and apply for an X-license to prescribe suboxone. The information is found online at PCSSNOW.ORG (Providers Clinical Support System)(3)3. Why is this knowledge important for you and your patients?Suboxone is underutilized by primary care providers. Opioid use disorder leads to a lot of socioeconomic problems, such as increased rates of suicide, accidental overdose, HIV, HepC, marital problems, and unemployment. About 46,000 people died of opiate related deaths in 2018, steadily rising from 21,000 in 2010. Of that, 18,000 was due to prescription opioids(4). Luckily, treatment of the disorder decreases all of the above. MAT has shown to improve mortality due to opioid overdose, increase retention in treatment, decrease illicit opiate use and other criminal activity, increase patient’s ability to gain and maintain employment, improve birth outcomes in pregnant women with substance use disorder, lower risk of contracting HIV and HepC. You can see, Dr Arreaza, you can make a big impact in your patients if you get this training, you will change lives and whole communities by providing this life-changing treatment. Comment: This is something I learned recently. Having a substance use disorder reprograms your brain, it is like being thirsty and not finding water to drink. So when we tell our patients, “Just stop taking Norco”, it is similar to tell them, “Just stop drinking water.” We have to develop empathy to some of the most neglected patients in our society. Not many people are helping these patients! And many of them also have mental illness, as many as 30-60%, depending on the source you read. So, it’s a good idea to get trained to help this vulnerable population.4. How did you get this knowledge?I was working with Dr. Beare during my community medicine rotation. I really enjoyed learning about suboxone and seeing how rewarding this experience was between him and his patients. This made me want to do more research and present this topic to my colleagues. As Dr. Beare likes to say: “Treating addiction is like treating any other complex chronic disease. There is no such thing as quick fix.” We as physicians need to listen to our patients, to care and to treat this difficult condition.5. Where did this knowledge come from?-SAMHSA – substance abuse and medical health service administration, The National Institutes of Health, an Up to Date article, and other articles. See details below.______________________Speaking Medicalby Lisa Manzanares The medical word of the day is leukorrhea. It is the flow of whitish, yellowish, or greenish discharge from the vagina. Leukorrhea can be normal, or it can be a sign of infection. Leukorrhea commonly occurs during pregnancy, and is normal if the discharge is thin, white, and odorless. Physiologic leukorrhea is a normal condition occurring within several months to 1 year of onset of menses in adolescent girls. Leukorrhea that is not normal can be caused by bacteria: bacterial vaginosis, chlamydia, gonorrhea, or postpartum endometritis. Fungal causes include candida species. Parasites can cause it, too: specifically, Trichomonas vaginalis.So, when your patient complains of vaginal discharge, be sure to sound smart in your notes and document that the patient has leukorrhea._________________________Espanish Por Favor (Spanish Word of the Day) by Claudia CarranzaHi this is Dr Carranza on our section Espanish por favor. The Spanish word for this week is rodilla. What comes to your mind when you hear the word rodilla? Does it sound to you like a popular Mexican food? Well, rodilla has nothing to do with quesadilla. Rodilla is a large joint in our body that may wear off over time and gets injured easily. Yes, you guessed it, rodilla means knee. This word comes from the Latin root “rota” or “rueda” which means round or wheel. Patients may come to you with the complaint: “Doctor, me duelen las rodillas” or “Doctor, tengo la rodilla hinchada” which means: “Doctor, my knees hurt” or “Doctor, my knee is swollen”. Most likely the patient will point at one or both of their knees which will guide your assessment. Now you know the Spanish word of the day, rodilla. Have a great week and take care! __________________________________________For your Sanity (Medical joke of the day)by Golriz Asefi and Lisa ManzanaresThe Expensive DentistPatient: Doctor, how much to have this tooth pulled?Dentist: $100.00. Patient: What? $100.00 for just a few minutes of work? Dentist: Well, I can extract it very slowly if you like.The Invisible PatientClerk: Doctor, there's a man on line 1 who thinks he's invisible.Doctor: Well, tell him we can't see him right now.__________________________________________Conclusion: During this episode, we had a glimpse of the Medication Assisted Treatment for Opioid Use Disorder. Suboxone can be the answer to many patients who are desperately looking for help to overcome their addictions. Suboxone can make a difference, one film at a time. We also were reminded of another way to say vaginal discharge, leukorrhea; and learned how to say knee in Spanish, rodilla. May you continue to enjoy your training and stay safe. See you next week! This is the end of Rio Bravo qWeek. We say good bye from Bakersfield, a special place in the beautiful Central Valley of California, United States, a land where growing is happening everywhere.If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or by visiting our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. Our podcast team is Hector Arreaza, Lisa Manzanares, Claudia Carranza, and Golriz Asefi. Audio edition: Suraj Amrutia. ________________________________References“ASCCP: Clinicians Routinely Exposed to HPV Should Receive Vaccine”, OBG Project Alert, https://www.obgproject.com/2020/03/03/asccp-clinicians-routinely-exposed-to-hpv-should-receive-vaccine/, accessed on April 13, 2020.Buprenorphine, SAMHSA, https://www.samhsa.gov/medication-assisted-treatment/treatment/buprenorphine , accessed on Apr 13, 2020.Waiver Training for Physicians, Providers Clinical Support System, https://pcssnow.org/medication-assisted-treatment/waiver-training-for-physicians/ Overdose Death Rates, National Institute on Drug Abuse, https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-ratesStrain, Eric, MD, “Pharmacotherapy for opioid use disorder”, https://www.uptodate.com/contents/pharmacotherapy-for-opioid-use-disorder?search=suboxone&source=search_result&selectedTitle=2~19&usage_type=default&display_rank=1, accessed on March 23, 2020. Velander JR. “Suboxone: Rationale, Science, Misconceptions”, Ochsner J. 2018;18(1):23–29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855417/ , accessed on March 23, 2020.Srivastava, Anita; Kahan, Meldon; Nader, Maya (March 2017), "Primary care management of opioid use disorders: Abstinence, methadone, or buprenorphine-naloxone?". Canadian Family Physician. 63(3): 200–205. ISSN1715-5258. PMC5349718. PMID28292795.
In this episode, Dr. Reginald Nesbitt and I had a candid conversation about sexually transmitted diseases. The discussion included: gonorrhea, chlamydia, syphilis, HIV & Aids, Herpes 1 & 2, and Trichomonas. STD'S are caused by 1 Sexual intercourse with an infected person 2 Sharing sex toys with an infected person 3 Sharing needles with an infected person or using unclean piercing or tattoo needles 4. Having intimate contact with genital, mouth or rectal areas of an infected person 5. Exposure to infected fluids during birth. www.cdc.gov/STD Please subscribe and write a brief review. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/thehealthflo/message
A new study led by a Tulane University researcher and recently published in the journal, Lancet Infectious Diseases, could change the way doctors treat the common, sexually transmitted parasite, Trichomonas vaginalis. Joining me today to talk about trichomoniasis and the new study is the lead author, infectious disease epidemiologist at the Tulane University School of Public Health and Tropical Medicine , Dr. Patricia Kissinger.
A new study led by a Tulane University researcher and recently published in the journal, Lancet Infectious Diseases, could change the way doctors treat the common, sexually transmitted parasite, Trichomonas vaginalis. Joining me today to talk about trichomoniasis and the new study is the lead author, infectious disease epidemiologist at the Tulane University School of Public Health and […] The post Trichomonas vaginalis treatment: New research shows multi-dose metronidazole is better in women appeared first on Outbreak News Today.
Lets talk about Vaginal Discharge once and for all! It can be normal and it can be abnormal. Interested in the difference? Take a listen to the latest FVO podcast episode!
Trichomoniasis is the most common curable sexually transmitted infection. It is caused by the protozoan parasite, Trichomonas vaginalis. In the United States, the Centers for Disease Control and Prevention (CDC) estimates 3.7 million people have the infection. Joining me today to discuss this protozoa is Parasitology teacher and author of Parasites, Tales of Humanity's Most Unwelcome Guests, Rosemary Drisdelle.
Trichomoniasis is the most common curable sexually transmitted infection. It is caused by the protozoan parasite, Trichomonas vaginalis. In the United States, the Centers for Disease Control and Prevention (CDC) estimates 3.7 million people have the infection. Joining me today to discuss this protozoa is Parasitology teacher and author of Parasites, Tales of Humanity’s Most Unwelcome […] The post Trichomonas vaginalis: The sexually transmitted parasite appeared first on Outbreak News Today.
(Repost - Original posting on August 27, 2012) Every issue of The PreMedLife Magazine features a hard working student who's Pre Med game is on point. In this episode of the podcast we talk with one of the most recent students to be nominated and has all the attributes that are needed to be in the Student Spotlight. Make sure to check out https://www.premedlife.com/ to find out more info on the Student Spotlight as well as an incredible amount of useful information geared towards pre med students! Medical Term of the Day: Trichinosis Vs Trichomonas Trichinosis and Trichomonas are two diseases that may sound similar and it it could be problematic if you mix the two up. One comes from pork and the other comes from pork-ing and if you are a crappy speller like I am, associating TrichoMOANas with pork-ing, may help you from mixing up the two. Here is what you need to know... Trichomonas: An STD caused by a parasite ~ One of the most common curable STDs ~ 70% of the people with this disease have no symptoms ~ More common in women then men Trichinosis: A parasitic disease acquired from eating raw/undercooked pork ~ Pig MUST have parasite for transmission to occur ~ Parasite can burrow into human flesh/muscle/brain to lay eggs ~ Once eggs hatch they calcify and the body can't reabsorb them ~ Can be treated with meds (Mintezol and Vermox) While you are checking out Dr. Gray's podcast in iTunes, don't forget to subscribe to The Lost In PreMed Podcast, leave a comment or review about what you think of the episode! Follow us on Twitter; @LostInPreMed
We are talking Sports Medicine today and hope to dispel some myths. One of us will spin the Wheel of Medicine - but only the wheel knows what the medicine will be. We can't wait to take 3 shots. By popular demand we have another caller to tackle My Blank Hurts. We hope you join us as we dive deep into medicine so you don't have to. We present the best studies and research in easy to understand and entertaining ways. We gladly accept show topics and ideas from our listeners.
Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin The TWiP troika solve the case of the Female from the Bronx, and reveal how feeding on different plants affects mosquito capacity to transmit malaria. Links for this episode: Plant mediated effects on malaria transmission (PLoS Path) Image credit Letters read on TWiP 114 This episode is sponsored by CuriosityStream, a subscription streaming service that offers over 1,400 documentaries and nonfiction series from the world's best filmmakers. Get unlimited access starting at just $2.99 a month, and for our audience, the first two months are completely free if you sign up at curiositystream.com/microbe and use the promo code MICROBE. This episode is also sponsored by Drobo, a family of safe, expandable, yet simple to use storage arrays. Drobos are designed to protect your important data forever. Visit www.drobo.com to learn more. Become a patron of TWiP. Case Study for TWiP 114 12 year old boy brought to hospital ER by parents with severe headache, stiff neck, fever, decreased alertness. No rashes. Has been healthy with no prior medical problems. No one else in family is ill. In summer, boy has been engaged in usual summertime activities: soccer, swimming in warm freshwater, playing outside. Undergoes lumbar puncture for CSF: start on meningitis treatment. No surgeries, no allergies. Not on any meds. Lives with Mom, Dad, few brothers. No substance abuse. Not a geographically limited illness. Has had bug bites - lots of mosquito bites. Dogs around as well. Symptoms began a day or two before hospital visit. Eats whatever family eats, food is cooked. Exam: 39.4C, bp low, heart rate up, resp up, decreased responsiveness, stiff neck, looks ill. WBC elevated, neutrophil predominant, eosinopenia. CSF glucose low, cells increased, no bacteria, fungi, acid fast bacilli on stain. CT scan, diffuse swelling of brain. Doing poorly, not a good outcome. Send your case diagnosis, questions and comments to twip@microbe.tv
Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin The TWiPtastic trio solves the case of the Surfer from Switzerland, and reveal how taste-chemosensory tuft cells in the gut regulate immune responses to parasites. Links for this episode: Taste-chemosensory cells and parasite gut immunity (Science) Image credit Letters read on TWiP 107 This episode is sponsored by ASM Agar Art Contest and ASM Microbe 2016 Case study for TWiP 107 Todays case is a fun case about a 45 year old gentleman from Assam India, with sixteen years of fever, abdominal pain, darkening of skin, yellowing of eyes. Farmer, does not have much energy. Works barefoot in fields. Fever occurs every other day. Prior medical problems, nothing out of the ordinary. No surgeries, no meds, has never seen physician. Married, kids, no extramarital affairs, HIV negative, eats mostly cooked vegetables. Lives in concrete house, no screens, mosquito netting. Other people in area have similar problems. Water comes from pump, fill plastic jugs. Been in Assam sick his whole life, finally came to regional med center for evaluation. Underweight. No pets. Dogs around, avoids dogs. Cows, monkeys are around. Fair appetite. Exam: febrile, in face can see darkening which is increasing, also extremities. Whites of eyes are yellow (jaundiced). Striking is has a very large liver, spleen. Elevated bilirubin. Some increased liver enzymes. No physical scarring or lesions. Send your diagnosis to twip@microbe.tv Send your questions and comments to twip@microbe.tv
Vincent and Dickson welcome new TWiP host Daniel to discuss the association of a new Mycoplasma with Trichomoniasis, and to introduce a new feature to the show, a case study. Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin Links for this episode: Association of Mycoplasma with trichomoniasis (PLoS One) Biggest DNA genomes (Wikipedia) Send your case study solutions to twip@twiv.tv Letters read on TWiP 80 Contact Send your questions and comments (email or mp3 file) to twip@twiv.tv Subscribe Subscribe to TWiP (free) in iTunes, by the RSS feed or by email
To go alongside this month's special STI issue on Trichomonas vaginalis, Dr Scott McClelland, Departments of Medicine, Epidemiology, and Global Health, University of Washington, and Prof Sharon Hillier, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, talk about our current understanding of the condition, and future clinical and academic directions. View all the content from the special issue here: http://sti.bmj.com/content/89/6.toc
Hosts: Vincent Racaniello and Dickson Despommier Vincent and Dickson review evidence that a virus of the protozoan parasite Trichomonas vaginalis may exacerbate disease. Links for this episode: Endobiont viruses sensed by the human host (PLoS One) Letters read on TWiP 47 Contact Send your questions and comments (email or mp3 file) to twip@twiv.tv
Hosts: Vincent Racaniello and Dickson Despommier Vincent and Dickson tackle the backlog of listener email, then consider the life cycle and pathogenesis of Trichomonas vaginalis, the flagellated protozoan transmitted by sexual contact. Links for this episode: T. vaginalis life cycle (jpg) T. vaginalis hydrogenosome (jpg) Letters read on TWiP 38 Contact Send your questions and comments (email or mp3 file) to twip@twiv.tv.
Een gemeentebericht, live reportage en de SOA van de dag. Respectievelijk met de uitslag van de Rabobank Bergeijk reisbureau prijsvraag, een bezoek aan het nieuwe refractie-chirurgisch centrum Bergeijk, Trichomonas. Meer op de site van Radio Bergeijk
Een gemeentebericht, live reportage en de SOA van de dag. Respectievelijk met de uitslag van de Rabobank Bergeijk reisbureau prijsvraag, een bezoek aan het nieuwe refractie-chirurgisch centrum Bergeijk, Trichomonas.