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Discoveries & Impact

Patient Mortality with Antiplatelet Therapy & Tracheostomy Use

Patients with respiratory failure who require invasive mechanical ventilation for extended periods of time may require a tracheostomy, a ventilatory mechanism through the trachea. Acute myocardial infarction patients require an antiplatelet regimen to thin the blood and prohibit clumping in the arteries. This antiplatelet regimen often cannot be stopped and may increase the risk of bleeding from tracheostomy.

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  • Poor Outcomes with Long-term Acute Care Hospitals

    More than 70,000 Medicare beneficiaries receive care in long-term acute care hospitals for prolonged medical illnesses such as dependence on the ventilator after pneumonia. Very little has been known about their long-term functional and cognitive outcomes after hospitalization.

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  • Trust-Centered Approach to Deprescribing in Older Patients

    Older adults often take multiple medications, some of which may interact with each other to cause adverse effects. Physicians address this problem through “deprescribing,” which involves systematic discontinuation of medications where the risks outweigh the benefits.

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  • Unique Case of Mucormycosis Presented in JAMA Clinical Challenge

    Faculty from the Yale Department of Internal Medicine’s Section of Infectious Diseases have recently contributed a clinical case to JAMA’s Clinical Challenge series. The case involved a patient with poorly controlled type 1 diabetes, who presented to the emergency room with a one-week history of weakness.

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  • Unhealthy Alcohol Use Among Men who have Sex with Men Taking PrEP for HIV Prevention

    A recent study conducted by Yale researchers focused on the intersection of unhealthy alcohol use and adherence to pre-exposure prophylaxis (PrEP) among gay, bisexual, and other men who have sex with men. The research, undertaken between February 2019 and July 2020, involved semi-structured interviews with 15 men who have sex with men in Providence, Rhode Island and New Haven, Connecticut, who were prescribed PrEP and had screened positive for unhealthy alcohol use.

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  • Tick-Borne Diseases in the United States: An Escalating Challenge

    Tick-borne diseases, primarily transmitted by Ixodes scapularis (black-legged or deer tick), are increasingly prevalent in the United States, surpassing diseases spread by mosquitoes. With over 490,000 annual cases, these diseases, including Lyme disease, babesiosis, anaplasmosis, and Powassan virus, present significant public health challenges.

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