Nick Mark MD

@nickmmark

intensivist, pulmonologist, technology enthusiast, founder of , husband, dad

Seattle, WA
Vrijeme pridruživanja: ožujak 2015.

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  1. proslijedio/la je Tweet

    How can we get algorithms to be fair, mitigate bias and discrimination? Use causal models by Matt Kusner and

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  2. proslijedio/la je Tweet
    prije 13 sati

    92% of IM residents think is a useful skill for the internist and want to learn IVC, kidneys, abdominal free fluid, DVT, heart and lungs. The main barriers? The lack of availability of experts for bedside supervision.

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  3. proslijedio/la je Tweet
    4. velj

    In our systematic review published today in JAMA we found that home BPAP therapy in patients with COPD and hypercapnia is associated with reduced mortality, less patients being admitted to hospital and less need for intubations compared to no device.

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  4. 2. velj

    Sapira’s is by far the best book of physical diagnosis. I used to read it before bed. It’s an old book but still completely relevant.

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  5. proslijedio/la je Tweet
    31. sij
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  6. proslijedio/la je Tweet
    30. sij

    Putting the 0.1 increase in 2018 US life expectancy (LE) in context 1. The other 35 countries increased more 2. In 2010 the U.S. LE was the same as it in 2018 (78.7) 3. The price paid to get these outcomes

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  7. proslijedio/la je Tweet
    30. sij

    The US National Lung Screening Trial demonstrated a 20% mortality reduction but policy lagged because “it was only one trial”. Now the European trial shows even larger mortality reduction, with broader patient inclusion. Lung cancer screening saves lives!

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  8. proslijedio/la je Tweet
    29. sij

    “At a cardiac arrest, the first procedure is to take your own pulse.” The House of God, 1978

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  9. proslijedio/la je Tweet
    29. sij

    Challenging medical dogma: we used to think that if a person had a collapsed lung (spontaneous pneumothorax) they had to get a chest tube inserted. Until today:

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  10. 28. sij

    What’s the opposite of “emerging”? Disappearing? Receding? Sinking?

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  11. 28. sij

    It sure does. I have a notebook where I (attempted) to record that exact lecture. Very solid physiology teaching.

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  12. proslijedio/la je Tweet

    Redesign is usually more effective than retraining, but we’re still often focused on “educating” our way out of design problems. See: most EHR trainings.

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  13. 28. sij

    This is horrifying: After receiving a kickback from an unnamed pharma company, CareFusion altered clinical decision support in their EHR to increase opioid prescriptions.

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  14. proslijedio/la je Tweet
    27. sij

    This data is generated to inform public health planning and some estimates may change over time, thus should not be viewed as a reason to panic. eg. this paper shows how R0 had a downward trend for SARS as the data became available

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  15. proslijedio/la je Tweet
    26. sij

    Functional assessment of cell entry and receptor usage for lineage B β- This paper demonstrates that different lineage B viruses can recombine to gain entry into human cells and human ACE2 is likely the receptor of

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  16. proslijedio/la je Tweet
    25. sij

    The majority of patients requiring ICU care are those who presented with low blood pressure and dyspnea, high neutrophil count and LDH, and more likely to have AKI, secondary infection and shock.

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  17. proslijedio/la je Tweet
    25. sij

    This paper describes the findings of five patients in a family cluster who presented with unexplained pneumonia. This and the above reports suggest that has approx 3–6 day incubation period and confirm human-to-human transmission.

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  18. proslijedio/la je Tweet
    25. sij

    Early modelling estimates of epidemiological parameters by Although R0 estimates will be changing rapidly as the case data emerges, R0 currently is 2.5 95% CI 2.4 - 2.6. R0 (basic reproduction number)

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  19. proslijedio/la je Tweet
    27. sij

    During H1N1 pandemic this is how I got infected . Sickest I’ve ever been . I gloved , mask and gowned too

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  20. proslijedio/la je Tweet
    27. sij

    💀The 5th case of coronavirus has just been reported in the US. 👉🏽Experts in Toronto learnt from SARS epidemic that intubation introduces a significant risk of infection to HCW. 👍🏾The reassuring news is that effective recommendations have been developed 👇🏽

    , , i još njih 7
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