Medical Community Hub
- This community is being redeveloped to better serve the needs of the medical community on Lemmy
You may have noticed that the community name has changed! Please stay tuned for more updates.
Please see the other pinned post for an organized list of healthcare/medical communities: https://lemmy.ca/post/6611650
- Medical Community Directory
Below, you can find the medical related community that is most relevant to you. If you would like to add a community to the list, please comment it below.
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/c/Medicine
> Description: Official Lemmy community for /r/Medicine. !medicine@mander.xyz is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. This is a highly moderated community. Please read the rules carefully before posting or commenting.
Alternatively, see the c/medical_professionals community below for similar content
Links:
- mander.xyz/c/medicine
- !medicine@mander.xyy
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/c/medical_professionals
> Description: This is a community for physicians, PAs, NPs, Nurses, Paramedics, EMTs, CNAs, LPNs, students of medical disciplines, and folks interested in joining the field.
Alternatively, see the c/medicine community below for similar content
Links:
- midwest.social/c/medical_professionals
- !medical_professionals@midwest.social
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Medicine Canada
> Description: A community for Canadian physicians and medical professionals 🍁 While this community is intended for Canadian discussions, you are free to post about other medical systems. We’re all in this together :)
Links:
- lemmy.ca/c/medicine
- !medicine@lemmy.ca
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Premed
> Description: Whether you are a high school student planning your journey or a university student looking for guidance, this community is here to provide support, share experiences, and exchange valuable insights to help you navigate the challenging path to medical school admission. 🌎 This community is intended for all students on the premed path, regardless of where they are from. We will do our best to keep an organized list of resources for all.
Links:
- lemmy.world/c/premed
- !premed@lemmy.world
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Premed Canada
> Description: Whether you are a high school student planning your journey or a university student looking for guidance, this community is here to provide support, share experiences, and exchange valuable insights to help you navigate the challenging path to medical school admission. 🍁 This community is intended for Canadian students (primarily students FROM Canada applying to schools in Canada and abroad).
Links:
- lemmy.ca/c/premed
- !premed@lemmy.ca
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Public Health
> Description: For issues concerning: Public Health, Global Health, Health Systems & Policy, Environmental Health, Epidemiology, etc. 🩺 This community has a broader scope so please feel free to discuss. When it may not be clear, leave a comment talking about why something is important.
Links:
- mander.xyz/c/publichealth
- !publichealth@mander.xyz
- Eating disorder rates jumped ‘significantly’ among adolescents amid COVID: study | Globalnews.caglobalnews.ca Eating disorder rates jumped ‘significantly’ among adolescents amid COVID: study | Globalnews.ca
Eating disorders requiring hospital care increased 'significantly' among children and teenagers in Canada during the COVID-19 pandemic, according to new research.
cross-posted from: https://lemmy.ca/post/6509323
> You can read the study here: https://www.cmaj.ca/content/195/38/E1291?rss=1
- Is it ethical for dietitian influencers to take money for posts? Not everyone agrees | CBC News
Portion I thought was important:
> So far, dietitian colleges that act as regulators have largely allowed members to take money from industry, as long as they follow guidelines for advertising. > > But some experts say the current level of oversight is insufficient, or argue that it's not possible for a licensed health-care practitioner to take money from industry without having a conflict of interest. > > A recent joint investigation by the Washington Post and health journalism outlet The Examination found a number of American dietitians had posted videos on Instagram where they criticized headlines that questioned the safety of aspartame. It was revealed that the dietitians had been paid by the beverage industry to make the posts, and that in some cases the payment wasn't disclosed. > > The same article highlighted paid posts some Canadian dietitians had done for the Canadian Sugar Institute — a non-profit industry group funded by private companies.
- Anti-viral drug backfires: COVID drug linked to viral mutations that spread | Ars Technicaarstechnica.com Anti-viral drug backfires: COVID drug linked to viral mutations that spread
Merck's small-molecule molnupiravir linked to mutated viruses that spread in people.
- globalnews.ca World’s 1st drug to regrow teeth enters clinical trials - National | Globalnews.ca
Toregem Biopharma is slated to begin clinical trials in July of next year after it succeeded growing new teeth in mice five years ago.
- Air pollution has decreased across the US, but new research finds health burdens remain unequal among racial groups | ScienceDailywww.sciencedaily.com Air pollution has decreased across the US, but new research finds health burdens remain unequal among racial groups
Health benefits that have resulted from reductions in fine particulate air pollution aren't distributed equally among populations in the U.S., a new Yale-led study finds. Racial and ethnic minorities -- and Black people in particular -- still experience disproportionately high rates of cardiovascula...
- Surgeon Sex and Long-Term Postoperative Outcomes Among Patients Undergoing Common Surgeriesjamanetwork.com Surgeon Sex and Patients’ Long-Term Postoperative Outcomes
This cohort study examines differences in 90-day and 1-year postoperative outcomes in patients treated by female vs male surgeons.
- New research establishes enduring connection between racial segregation, childhood blood lead levels | ScienceDailywww.sciencedaily.com New research establishes enduring connection between racial segregation, childhood blood lead levels
Living in a racially segregated neighborhood puts Black children at a higher risk of having elevated blood lead levels, and this association has persisted over more than two decades, according to new research.
- arstechnica.com The 10 drugs up for Medicare price negotiation have seen steep price hikes
Much of the drugs' costs are due to repeated price hikes over the years.
- apnews.com A cyberattack has disrupted hospitals and health care in several states
A cyberattack has affected computers at hospitals in multiple states, forcing some emergency rooms to close and ambulances to be diverted.
- globalnews.ca Leprosy cases on the rise in Florida. Should travellers be concerned? - National | Globalnews.ca
Amidst a concerning rise in leprosy cases across Florida, the CDC issued a warning saying the disease may be on the path to becoming endemic in the region.
- A lemmy community for neuro(science, logy, …) enthousiasts 🧠lemmy.world Neuroscience - Lemmy.World
A place for discussions about neuroscience and neuroscience careers.
I started a neuroscience community for anyone interested in neuroscience, feel free to join :)
- www.who.int Childhood immunization begins recovery after COVID-19 backslide
New WHO and UNICEF data show promising signs of immunization services rebounding in some countries, but, particularly in low-income countries, coverage still falls short of pre-pandemic levels putting children at grave risk from disease outbreaks.
- Why ERs are under intense pressure across Canada — and how to help fix them | CBC
A decent discussion which pulls from a few recent reports. Since this is a community of healthcare professionals, you might already know most/all of this, but it's a nice place to start discussions or to share with friends/family :)
- www.cihi.ca Commonwealth Fund survey, 2022 | CIHI
The 2022 Commonwealth Fund survey polled family doctors in Canada and 9 other developed countries and provides insight into the current gaps and improvements in primary care.
> June 8, 2023 — The Commonwealth Fund’s 2022 International Health Policy Survey of Primary Care PhysiciansFootnote i focuses on the experiences of family doctors in 10 developed countries, including Canada. The 2022 survey results explore topics such as physicians’ workload, access to care, coordination of care and use of information technologies. These international comparisons provide an important perspective on the state of primary care in Canada and where improvements can still be made.
- Home detection of Parkinson's disease with smartwatchwww.nature.com Using a smartwatch and smartphone to assess early Parkinson’s disease in the WATCH-PD study - npj Parkinson's Disease
Digital health technologies can provide continuous monitoring and objective, real-world measures of Parkinson’s disease (PD), but have primarily been evaluated in small, single-site studies. In this 12-month, multicenter observational study, we evaluated whether a smartwatch and smartphone applicati...
Inspired by the other post about STEMI and smartwatch. Still early results, but they found patients with Parkinson's had smaller arm swings as measured by the smartwatch compared to controls.
- Home detection of STEMI with smartwatch
patient was instructed to move the smartwatch around his chest and was able to get analogues of leads I, V2, V4
- CDC to Reduce Funding for States’ Child Vaccination Programskffhealthnews.org CDC to Reduce Funding for States’ Child Vaccination Programs - KFF Health News
Citing the recent debt ceiling deal, the CDC is trimming its funding to child vaccination programs that focus on communities vulnerable to disease outbreaks. The cuts come despite data showing the percentage of children getting vaccinated has dropped in recent years.
This seems like a great idea, just coming off of a multi year pandemic - let's cut funding for the most successful public health intervention in human history!
> Claire Hannan, executive director of the Association of Immunization Managers, said Wednesday that jurisdictions are reporting that the cut amounts to 10% or more of their previous year’s award. The targeted cut will affect programs that identify communities vulnerable to disease outbreaks, said Hannan. This information is used to prevent and manage outbreaks, Hannan added.
- Question: The gut microbiome and mental health - Nature Reviews Microbiologywww.nature.com The gut microbiome and mental health - Nature Reviews Microbiology
This study reports a large population cohort study in which the authors correlate microbial taxa with quality of life and the incidence of depression.
As I've been reading about the studies about microbiome differences in people with various mental illnesses, is there any potential for a connection regarding contagion of mental issues? Like if people are around each other for long enough, will their microbiome and therefore their mental state become similar?
- Radiology community is up and running.lemmy.world Radiology - Lemmy.World
A community for all things related to medical imaging! # RULES: -1. Please follow the Lemmy.World Server Rules [https://mastodon.world/about]. -1A. Please be civil. -1B. Please be respectful when discussing medical cases. While we do not wish to impose a somber tone upon this community, please remem...
I think it would be nice for the health-related fields on Lemmy to form a network, so I'm sharing the radiology/medical-imaging community I started.
For now, enjoy a nice selection of mostly my personal cases, which I'm adding at a rate of 1-2 per day. In the long term, I'm hoping to see others post and more discussion as well, similar to the subreddit of the same name.
- The Residency Selection Arms Race: How Orthopedic Surgery PDs can Transform Medical Education - The Sheriff of Sodium
YouTube Video
Click to view this content.
A video discussing the arms race in the Match, and how the increasing importance of scores, research, and other resume items doesn't have real worth beyond getting a graduate their preferred residency program.
- Anyone wants to help with a general health community?
Hello,
We have a community for general health topics, debates, resources: !health@lemmy.world
I could use some help with it, since I think it could be a useful resource, nobody else seemed to be interested, and I don’t really know what I’m doing.
Currently I’m compiling a list of health communities on the Lemmy network and it’s just a draft for now.
Anyone here who’d like to join?
- A human experiment in nerve divisionacademic.oup.com A human experiment in nerve division by W. H .R. Rivers MD FRS, Fellow of St John's College, Cambridge and Henry Head MD FRS, Physician to the London Hospital, Brain 1908: 31; 323–450
Despite having studied in detail the symptoms and signs of recovery from peripheral nerve injury in patients at the London Hospital with Mr James Sherren,
From the history of pretty crazy self experimentation in medicine, a doctor has a cutaneous branch of his own radial nerve surgically cut. He then meticulously documents the progress of nerve regrowth, initial total numbness followed by neuropathic pain, and a partial return of sensation over time
- Any refugees from r/medicine here?
I would love to transplant (pun intended) the r/medicine community over to the Fediverse. So far this seems like the largest community, but I'm curious if there are other medical professionals here, laypersons interested in medical news, or what?
- For the pharmers, chemists, and relatedlemmy.world Pharmacy - Lemmy.World
All things Pharma! Whether you are in the industry, interested in organic chemistry, or antique pharmaceutical novelties. Scientific articles are preferred but not required as long as discussion is sparked. No requests or sourcing for illegal sales/possession or any of that nonsense Respect for each...
- Axi-cel CAR-T cell therapy in second line for aggressive B-cell lymphoma confers an overall survival benefit over standard of care salvage chemotherapy.
The standard of care first line therapy for many types of aggressive B-cell lymphoma is R-CHOP combination chemo-immunotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone). 85% of patients with advanced stage disease are in remission after R-CHOP, and approximately 75% in remission never relapse. For those who have relapsed or primary refractory aggressive lymphoma, unfortunately things look bleaker, and prior to the era of CAR-T cell therapy, the vast majority (70-80% or more) would die of lymphoma.
CAR-T cell therapy is a radically different cancer therapy from combination chemotherapy. White cells are removed from patients with lymphoma using leukapheresis. The T cells are isolated by the manufacturing lab, and a bastardized T-cell receptor with an antibody for a business end that targets some cancer-associated antigen. In the case of B-cell lymphoma, the antigen is CD19. When the engineered T-cells are ready, they are infused back into the patient, proliferate, and start attacking CD19-positive lymphoma cells. 50-60% of patients with refractory or relapsed disease can get to a complete response by 30 days after infusion, and most of those will stay in remission. At 5 years after CAR-T infusion, 35-40% of all patients treated are still in remission. This was first studied and approved as a third line treatment, following salvage chemotherapy +/- high dose chemotherapy and stem cell rescue. The obvious next question is whether or not this treatment was better than salvage chemotherapy in the second line.
Prior to 2021, the standard of care was to administer salvage platinum-based combination chemotherapy to patients who were not remission after first line R-CHOP, or who relapsed after R-CHOP. If the tumor bulk shrank by more than half, a single high dose cycle of combination chemotherapy was given followed by stem cell rescue (autologous stem cell transplantation). For patients who get through the high dose chemotherapy, the long-term survival is in the 40% range. However, many didn't respond to second line chemotherapy. Those patients went on to CAR-T cell chemotherapy.
The ZUMA-7 trial enrolled patients with aggressive B-cell lymphoma who were refractory to first line treatment or who relapsed in under a year, predicting a poor response to second line chemotherapy. Patients were randomized to go straight to CAR T with axi-cel anti-CD19 CAR T cell therapy or to standard of care salvage chemotherapy followed by high dose chemo/ASCT for responders. Most of those who did not respond or who relapsed after second-line chemotherapy did go on to get CAR-T cell therapy, so the comparison ended up being 2nd line versus 3rd line CAR T for many patients. The initial report in December 2021 at ASH from Zuma-7 showed that 98% of patients randomized to second-line CAR T got CAR T cells infused, while a distinct minority randomized to salvage chemotherapy made it to HDCT/ASCT. There was a large progression-free survival benefit to CAR T cell therapy in the second line, but the overall survival data were immature.
Based on these data and strong biologic plausibility (patients predicted to do poorly with chemotherapy do poorly with chemotherapy, generally), second-line CAR T for refractory or early-relapsed aggressive B-cell lymphoma became standard of care. However, there were some holdouts (including insurers of course) who were waiting to see if there was an overall survival benefit. One would expect an OS benefit, because in a deadly but curable disease, PFS tends to become OS.
Last week, the 5 year update from the Zuma-7 trial was recently published, which showed that the substantial advantage in progression free survival has now become an overall survival benefit at 5 year follow-up. The 9% absolute increase in overall survival at 4 years (55% vs 46%) is even more notable in that patients given how many of the standard of care arm ended up getting CAR T cell therapy in a later line. So this trial really is comparing second-line CAR T cell therapy to third line therapy, and the survival in the "control" arm was therefore quite a bit higher than the historical expected survival in the era before CAR T. It is now inarguable that the correct treatment for patients who relapse early after R-CHOP or who are refractory is going straight to CAR T with all due haste.
As of 2023, the treatment for aggressive B cell lymphoma has changed dramatically compared to 5 years ago, with substantially increased survival in relapsed/refractory disease. The next major step forward, with bispecific T cell engaging antibody immunotherapy is already here, but that's a topic for another post.
- academic.oup.com The impact of aortic valve replacement on survival in patients with normal flow low gradient severe aortic stenosis: a propensity-matched comparison
AbstractAims. To assess the survival benefit of aortic valve replacement (AVR) in patients with normal flow low gradient severe aortic stenosis (AS).Method
In patients with normal flow low gradient severe AS, AVR was associated with a significantly improved survival compared with those who received standard medical treatment.
- academic.oup.com Normal-flow low-gradient severe aortic stenosis is a frequent and real entity
This editorial refers to ‘The impact of aortic valve replacement on survival in patients with normal flow low gradient severe aortic stenosis: a propensity
Low-gradient aortic stenosis (AS) [i.e. an aortic valve area (AVA) <1 cm2 with a mean transvalvular gradient <40 mmHg and/or peak jet aortic velocity <4 m/s] is a frequent finding, with up to 40% AS patients harbouring discrepant results at transthoracic echocardiography (TTE) examination.1 This discordant grading pattern raises challenges and uncertainties regarding the true severity of the valve disease. Therefore, a thorough, integrative approach including assessment of flow status has been proposed in recent guidelines
- Ventricular Arrhythmias Associated With Over-the-Counter and Recreational Opioids
Conclusions The nonprescription drugs loperamide and mitragynine are associated with disproportionate reports of life-threatening ventricular arrhythmia in North America.