101010.pl is one of the many independent Mastodon servers you can use to participate in the fediverse.
101010.pl czyli najstarszy polski serwer Mastodon. Posiadamy wpisy do 2048 znaków.

Server stats:

491
active users

#jama

3 posts2 participants2 posts today

Coding for Climate:

“When a physician is aware that there’s a heat wave, they’re more likely to code for heat-related illness, like acute heat stroke”, said Ashley Ward, PhD, director of the Heat Policy Innovation Hub at Duke University. But, she noted, “it is not those short-term extreme heat events that actually result in the greatest health outcomes. It’s the everyday chronic exposure throughout heat season’ that exacerbates other conditions.”

“If more physicians included ICD-10 codes for heat, including chronic exposure, experts say policymakers would have a clearer picture of its health effects, ideally leading to initiatives that protect patients from its harms. Coding for heat-related illness is just one part of a larger push to better document social determinants of health. But difficulty in determining the role of heat in a patient’s condition, a lack of physician familiarity with the codes, and balancing thoroughness and efficiency during clinical encounters all present challenges.”
jamanetwork.com/journals/jama/

“The study followed about 700 women from pregnancy to midlife, and those who resided in a highly disadvantaged neighborhood within 10 years of perimenopause experienced early natural onset menopause, with socioeconomic status and household characteristics having the largest effect on long-term trajectories.
Earlier menopause is linked to higher risk of coronary heart disease, stroke, and mortality, with odds increasing about 2% to 3% with a 1-year decrease in menopause age. The lack of access to social and economic resources that may contribute to early menopause requires intervention to address related health outcomes, the authors stated.”
jamanetwork.com/journals/jama/

And this will he how they turn physical disability into evidence of psychopathy. Awesome. #LimaFromAura is salivating over this. This is how she gets conservatorship over people to force them into her “treatment center”/data broker program.

From the link:

“Similarly, if smartphone sensors detect a notable increase in time spent at home (via GPS), decreased physical activity (via accelerometer), and reduced initiation and response to communication (via call and text meta-data), this could trigger a brief assessment of depressive symptoms or anhedonia. If symptoms are elevated, the system could deliver a targeted, smartphone-delivered behavioral activation or cognitive behavioral intervention.”

jamanetwork.com/journals/jaman

Housing First actually solves the problem of homelessness, and like the one doctor commenting says, it’s a lot easier to achieve sobriety when someone has safe & secure shelter.

From the link:

“ Of the interventions that have been tested and implemented, helping people into stable housing without precondition of sobriety, otherwise known as the Housing First model, is a compassionate way to decrease homelessness, reduce health care use, and possibly improve health outcomes. Although the Housing First model previously received broad bipartisan support, the Trump administration appears ready to abandon this approach. Doing so would have grave consequences for the health of the US.”

There are paragraphs and paragraphs talking about the cost savings of housing people, how it saves lives because homelessness causes people to die 30 years before their peers would, and that substance misuse or abuse decreased drastically after housing vets with substance abuse issues.

jamanetwork.com/journals/jama/

Yeah duh, migraines aren’t prevented by apps.

The period tracker helps me plan for migraines, & it reminds me to start taking ibuprofen days before my period will start and that helps keep the hormone low that causes a lot of endo pain, so I guess it kinda prevents issues by helping me keep track of danger days.

And if I didn’t already know what other things trigger migraines tracking that would help, but an app someone “prescribes” you isn’t going to be better than one you choose with those features.

Tech bros should fuck off.

jamanetwork.com/journals/jaman

“Question  Is SARS-CoV-2 infection and/or severity associated with acceleration in changes in cognitive function among older adults after accounting for important prepandemic confounders, including genetic risk for cognitive decline?
Findings  In this cohort study of 3525 participants, cognitive function decreased more rapidly among participants hospitalized for a SARS-CoV-2 infection when compared with participants not infected with SARS-CoV-2. These findings were evident after robust multivariable adjustment for confounders.
Meaning  These findings suggest that avoiding severe SARS-CoV-2 infection could help preserve cognitive function among older adults.”
jamanetwork.com/journals/jaman

“A landmark within-patient study in Sweden found that ADHD medication was associated with a 41% reduction in criminal convictions in women and a 32% reduction in men. In the US, MarketScan insurance data demonstrated that adolescents and adults had a 31% lower risk of substance-related emergency events in women and a 35% lower risk in men during months on ADHD medication. Similarly, Chang and colleagues reported a 42% lower rate of motor vehicle crashes in women and a 38% lower rate in men in medicated months. This real-world benefit extends even further. A meta-analysis by Boland et al demonstrated protective effects similar to those found by Li and colleagues, showing 25% to 35% within-group improvement during the active treatment period and nearly 50% improvement between treated and never-treated groups across mood disorders, substance use disorders, accidents, crime, injuries, and educational outcomes.”

jamanetwork.com/journals/jamap

#ADHD#JAMA#study

This is amazing because I never ever see anyone talk about the clinical benefits of acceptance and commitment therapy. All I ever see is that CBT cures all problems and everyone should do it, which is ridiculous.

I didn’t read this whole thing, but I suspect that parents accepting their child’s diagnosis and figuring out how to help them live the best life they can with the health that they have would keep them from triggering asthma attacks that they can prevent. If you’re not constantly trying to push yourself because you refuse to accept limitations that really helps. Weird, huh?

I don’t understand why this wouldn’t be the way to go. Let’s see, should I accept my condition and commit to living my best life anyway or should I constantly trying to gaslight myself into thinking that everything is great despite the fact that it’s not? Toxic positivity or accommodations and reality? Weird how acceptance and commitment works better than toxic positivity. I’m so happy they did a study about this lol

“Acceptance and Commitment Therapy–Based Parenting Program in Children With Co-Occurring Asthma and ADHD
A Randomized Clinical Trial”
jamanetwork.com/journals/jamap

#ACT#ADHD#asthma

I am really appreciating the acronym for neurologic auto immune disorders. (NAIDS)

“This multicenter retrospective cohort study included patients with #cancer who were treated with ICIs between October 2013 and May 2023 and had preexisting multiple sclerosis (#MS ), myasthenia gravis (#MG ), Guillain-Barré syndrome (#GBS ), and other NAIDs as well as a control cohort of patients with Parkinson disease (#PD ) . . . Meaning: These findings suggest that ICIs may be an option for many patients with appropriate oncologic indications and preexisting autoimmune neurologic disorders, although they should be used with caution in patients with myasthenia gravis.”

jamanetwork.com/journals/jaman

#JAMA#study#ICI

Yeah maybe society shouldn’t push psych meds on people who are having trouble existing in this capitalist hellscape because of systematic problems.

Why should people be forced to take psychiatric medication just so they can more calmly except the systematic problems? Especially if they’re going to get #ALS from them? (And listen I am pro medication, Adderall changed my life. But I remember being prescribed SSRI’s in the early 2000s because I was having trouble affording life after the price gouging that never went down after 9/11. Prozac wouldn’t make my previously $400 now $700 rent more affordable.)

“Question  Is there an association between prescribed use of common psychiatric medications and the risk and progression of amyotrophic lateral sclerosis (ALS)?
Findings  In this case-control study including nearly 9000 individuals, prescribed use of #anxiolytics, #hypnotics and #sedatives, or #antidepressants was associated with a 34%, 21%, and 26% higher future risk of ALS. Prediagnostic use of such medications was also associated with poor prognosis after ALS diagnosis.
Meaning  These findings suggest a potential link between psychiatric medications, or their indications (ie, psychiatric disorders), and the risk and progression of ALS.”
jamanetwork.com/journals/jaman

#JAMA #study #psychiatry

(Edited to fix “health scape” (hellscape)

Continued thread

In case you can’t see the body of the link, the rest of it says this:
“Deaths from opioids decreased substantially during the same period, from about 83 100 to 54 700. Overdose deaths involving cocaine and psychostimulants such as methamphetamine also dropped. Increased distribution of naloxone and better access to treatment for substance use disorders, among other factors, have contributed to the recent declines, the CDC said in February.
Another recent CDC report found that nonfatal overdoses suspected to involve fentanyl also have decreased. The analysis of emergency department visits found that fentanyl-involved nonfatal overdoses trended downward by 11% per quarter through the beginning of 2024 after increasing by about 9% every 3 months from the end of 2020 through mid-2023.”
#JAMA #CDC #OD

What is happening in South Dakota? Noem’s poor leadership caused drug overdoses?? So it wasn’t Biden’s fault people were overdosing on fentanyl? Weird.
“Drug overdose deaths decreased almost 27% in the US, from approximately 110 000 deaths in 2023 to 80 400 in 2024, provisional data from the US Centers for Disease Control and Prevention (CDC) indicate.
Almost all states experienced declines, the National Center for Health Statistics reported, excluding South Dakota and Nevada.”
jamanetwork.com/journals/jama/

Sorry about all the JAMA this morning but there’s a lot. And this one is particularly upsetting because the US still uses psychiatry as a weapon against women, and I suppose the only difference between a private prison and a private psychiatric hospital would be the mandatory medication. And that’s pretty terrifying.

Question  How has private equity (PE) investment among US psychiatric hospitals changed in recent years, and what is the cross-sectional association of PE with geography, staffing, and quality?
Finding  About 14% of US psychiatric hospitals were owned by PE in 2021, with two-thirds of these facilities located in the southern US. In adjusted models, PE ownership was associated with lower staffing ratios but higher performance on quality measures of restraint, 7- and 30-day follow-up visits, and 30-day all-cause readmission.
Meaning  These results demonstrate that PE ownership among US psychiatric hospitals is growing, underscoring the importance of US Centers for Medicare & Medicaid Services initiatives to monitor patient experience.
jamanetwork.com/journals/jamap

Oh look- providing housing to people who can’t afford it actually saves money.

From the link:

Question  To what extent does a Medicaid housing benefit pilot program address the housing needs of participants, and what are the financial implications of implementing the program?
Findings  In this cohort study, 517 individuals were enrolled; top needs were rent and utility support, and service utilization mirrored these needs. Overall, the mean (SD) cost per member per month was $2225 ($1586).
Meaning  The findings of this study of a pilot program highlight a critical need for housing supports among Medicaid members and offer lessons for design and implementation of similar programs, including a key insight on the necessity of cross-sector collaboration between health care and housing organizations.
jamanetwork.com/journals/jaman

This is really interesting if you care about abortion, IVF, or women’s healthcare.

“Yet like abortion, IVF also involves embryo death. Approximately 63% of embryos created in IVF in the US are discarded outside a uterus,1 and depending on patient age, 56% to 90% of frozen embryos transferred into a uterus perish before a live birth. (The subcategories in “discarded”—destroyed, did not survive thaw, and indefinitely frozen with no plans for future use—are not quantified.1 A small number are also donated for research or to others pursuing pregnancy.)”

Rethinking the Ethical and Legal Relationship Between IVF and Abortion
jamanetwork.com/journals/jama/

Yeah, idk about this one.

It seems to me it’s more likely that reducing migraines reduced the symptoms that led to the patient being labeled depressed, than this medication helping depression by itself.

It would be great if it helped with depression in itself, but I know for a fact that because of my chronic illness when I answer those depression screening questions honestly the symptoms of my chronic illness make that screening in indicate I have depression when I absolutely do not. I have an energy limiting neurological disorder. And migraines lol

“Fremanezumab for the Treatment of Patients With Migraine and Comorbid Major Depressive Disorder
The UNITE Randomized Clinical Trial”
jamanetwork.com/journals/jaman