Author Image Posted By : admin 9 Jul
Infection Control in Action: Mount Sinai’s Screening Strategies for Candida auris

Introduction

Candida auris (C. auris) is a highly transmissible and often drug-resistant fungal pathogen that poses significant challenges to healthcare facilities worldwide. Mount Sinai Health System, a leading academic medical system in New York City, has developed and implemented enhanced screening protocols to identify patients colonized with C. auris, thereby preventing hospital outbreaks and ensuring patient safety. This article explores Mount Sinai’s screening strategies for C. auris and highlights the importance of effective infection control measures in healthcare settings.

The Challenge of C. auris Infections

C. auris can cause severe bloodstream, wound, and ear infections, particularly in patients with weakened immune systems. The fungus can survive on contaminated surfaces and medical devices for several weeks, making it a significant threat to healthcare facilities. According to the Centers for Disease Control and Prevention (CDC), C. auris is considered an urgent global health threat due to its ability to spread rapidly and cause outbreaks.¹ ²

Mount Sinai’s Enhanced Screening Protocols

In response to an outbreak investigation in 2022, Mount Sinai Brooklyn revised its C. auris screening protocols to include all patients admitted from skilled nursing facilities (SNFs) or those with recent stays in such facilities. This expanded approach identified more cases of C. auris colonization, enabling the hospital to implement timely isolation and disinfection measures to prevent further spread. The study published in the American Journal of Infection Control highlights the effectiveness of broader screening protocols in detecting C. auris cases early.³

Key Findings and Benefits

The study conducted at Mount Sinai Brooklyn demonstrated the value of expanded screening protocols in preventing hospital outbreaks. Key findings include⁴:

– Increased detection: The new protocol identified eight cases that would have gone undiagnosed under the prior protocol.

– Early intervention: Timely isolation and disinfection measures prevented further spread of C. auris.

– Improved patient safety: The expanded screening protocol helped protect other patients and the hospital environment from potential transmission.

Infection Control Measures

Mount Sinai’s approach to infection control includes:

– Hand hygiene: Using alcohol-based hand sanitizer as the preferred method for cleaning hands.

– Setting-based precautions: Implementing Contact Precautions or Enhanced Barrier Precautions, depending on the situation and local or state jurisdiction recommendations.

– Environmental disinfection: Using EPA-registered hospital-grade disinfectants effective against C. auris.

– Patient transfer protocols: Communicating C. auris status to receiving facilities when transferring patients.

Conclusion

Mount Sinai’s enhanced screening protocols for C. auris demonstrate the importance of effective infection control measures in healthcare settings. By adopting broader screening approaches and implementing timely isolation and disinfection measures, healthcare facilities can prevent hospital outbreaks and ensure patient safety. As C. auris continues to pose a significant threat to global health, healthcare facilities must remain vigilant and proactive in their infection control efforts.

References: 

Mount Sinai Researchers Enhance Screening Methods to Prevent Spread of Candida auris Expanded Screening Protocols Improve Early Detection of Candida auris at Mount Sinai Brooklyn Broader Screening Methods Help Prevent Spread of Dangerous Fungal Pathogen in Hospitals Infection Control Guidance: Candida auris | Candida auris (C. auris) | CDC

Author Image Posted By : admin 3 Jul
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Reflecting on Childhood Experiences by Chris Moses

When did you realize that your childhood experiences still impact your life today? Perhaps you’ve noticed patterns or behaviors that stem from your upbringing.

Recognizing Unresolved Issues

Some signs that you may not have healed from your childhood include:

  • Difficulty forming healthy relationships
  • Struggling with trust or intimacy
  • Experiencing anxiety or fear in certain situations
  • Holding onto past resentments or anger

Taking Steps Towards Healing

Acknowledging the impact of your childhood experiences is the first step towards healing. By recognizing the areas where you need to grow and seeking support, you can work towards a more fulfilling life.

Key Takeaways

  • Childhood experiences can have a lasting impact on our lives.
  • Recognising  unresolved issues is crucial for healing.
  • Seeking support and working towards growth can lead to a more fulfilling life.

#HealingJourney #ChildhoodTrauma #MentalHealthMatters #SelfReflection #PersonalGrowth #EmotionalIntelligence #Wellness #SelfCare
#chrismoses #highlights

Author Image Posted By : admin 3 Jul
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Red Flags in Relationships by Chris Moses

When getting to know someone, it’s essential to pay attention to red flags that may indicate potential issues in the relationship.

Lack of Interest and Energy Drain

If you’re already feeling drained or uninterested in the conversation, it may be a sign that this person is not a good match for you. A healthy relationship should uplift and support both partners.

Unhealthy Expectations

Asking for money or financial support from someone you barely know can be a significant red flag. It may indicate that this person is not self-sufficient or is looking for a way out of their financial struggles.

Energy and Vibrational Match

A person’s energy and approach to life can be just as important as their physical appearance. If someone’s energy is low vibrational or draining, it may not be sustainable for a long-term relationship.

Key Takeaways

  • Pay attention to red flags in the early stages of getting to know someone.
  • A healthy relationship should be mutually supportive and uplifting.
  • It’s essential to find someone with their own life in order, rather than relying on you to fix their problems.

#RedFlags #HealthyRelationships #EnergyVibrance #SelfLove #RelationshipGoals #Boundaries #Sustainability #Partnership
#highlights #chrismoses

Author Image Posted By : admin 3 Jul
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The Impact of Words on Women's Confidence by Chris Moses

The Impact of Words on Women’s Confidence by Chris Moses

Every woman, regardless of her physical appearance, has her own insecurities. Making jokes about her weight or appearance can be hurtful and damaging to her confidence.

The Power of Words

Words can have a lasting impact on a person’s self-esteem. What may seem harmless to one person can be deeply hurtful to another. It’s essential to be mindful of the words we choose and how they may affect others.

The Comparison Trap

Posting pictures of women who look different from your partner can be particularly damaging. It can make them feel like they don’t measure up or that you’re looking for someone else. This can lead to feelings of insecurity and low self-esteem.

Being Considerate of Feelings

Women often tie their self-worth to their appearance and relationships. As men, it’s crucial to be aware of this and be considerate of their feelings. By being thoughtful and empathetic, we can help build stronger, more positive relationships.

Key Takeaways

  • Words can have a lasting impact on a person’s confidence.
  • Comparing partners to others can be damaging to their self-esteem.
  • Being considerate of feelings is crucial in building strong relationships.

#BodyPositivity #SelfLove #RelationshipGoals #ConfidenceBoost #Empathy #MentalHealthMatters #LoveAndRespect #HealthyRelationships
#chrismoses #highlights

Author Image Posted By : admin 3 Jul
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RELATIONSHIP & FAMILY

When it comes to relationships and family, men are not all the same. Some men prioritize family, while others do not. Understanding these differences is crucial for building a healthy and fulfilling relationship. Learn about these in this video.

Author Image Posted By : admin 30 Jun
The Fight Against Malaria: Lessons from the US Experience

Introduction

Malaria, a disease caused by Plasmodium parasites transmitted through the bite of infected Anopheles mosquitoes, has been a significant public health concern for centuries. While malaria is still prevalent in many parts of the world, the United States has successfully eradicated the disease within its borders. This article will explore the history behind the eradication of malaria in the US, highlighting key factors and strategies that contributed to this achievement.

Early Efforts and Challenges

In the early 20th century, malaria was a significant public health problem in the US, particularly in the southeastern states. According to the Centers for Disease Control and Prevention (CDC), there were hundreds of thousands of reported cases of malaria in the US each year, with mortality rates ranging from 10 to 30% (CDC, 2020).

The fight against malaria in the US began with early efforts to control mosquito populations through drainage of wetlands, use of larvicides, and distribution of quinine for treatment (Humphrey, 2017). However, these efforts were often fragmented and inadequate, and the disease continued to spread.

The Turning Point: DDT and Integrated Vector Management

The widespread use of DDT (dichlorodiphenyltrichloroethane) in the mid-20th century marked a significant turning point in the fight against malaria in the US. DDT was a highly effective insecticide that could be used to control mosquito populations, and its use led to a dramatic decline in malaria cases (Humphrey, 2017).

In addition to DDT, integrated vector management (IVM) strategies were also implemented. IVM involves a combination of techniques, including mosquito surveillance, larval control, and adult mosquito control, to manage mosquito populations (WHO, 2017). The use of IVM strategies helped to further reduce malaria transmission in the US.

Elimination and Eradication

Through sustained efforts and advances in technology, the US was able to eliminate malaria transmission within its borders. According to the CDC, the last reported cases of locally acquired malaria in the US occurred in the 1950s (CDC, 2020).

The eradication of malaria in the US can be attributed to a combination of factors, including:

– Effective vector control measures, such as DDT and IVM strategies

– Improved surveillance and reporting systems

– Advances in diagnostic techniques and treatment options

– Public health infrastructure and coordination

Lessons for Global Malaria Control

The US experience provides valuable lessons for global malaria control efforts. As noted by Moses Chris in his Facebook article, “The fight against malaria requires a multi-faceted approach, including effective vector control measures, improved surveillance and reporting systems, and access to diagnostic and treatment options” (Chris, 2023).

The US experience also highlights the importance of sustained efforts and investment in public health infrastructure. According to the World Health Organization (WHO), investment in malaria control programs can have significant returns, including reduced morbidity and mortality, improved economic productivity, and increased economic growth (WHO, 2019).

Conclusion

The eradication of malaria in the US is a testament to the power of effective public health strategies and sustained efforts. As the global community continues to work towards malaria elimination and eradication, the US experience provides valuable lessons and insights. By applying these lessons and investing in malaria control programs, we can work towards a future where malaria is a disease of the past.

References

CDC (2020). Malaria. Centers for Disease Control and Prevention.

Chris, M. (2023). Facebook article.

Humphrey, J. (2017). The history of malaria control in the United States. Journal of Medical Entomology, 54(4), 761-771.

WHO (2017). Integrated Vector Management. World Health Organization.

Author Image Posted By : admin 30 Jun
The Dark Empath: A New Kind of Psychopath

Introduction

The concept of psychopathy has long been associated with individuals who lack empathy and impulsively engage in antisocial behavior. However, a new breed of individuals has emerged, known as “dark empaths,” who possess a unique combination of traits that make them particularly manipulative and exploitative. In this article, we will explore the characteristics of dark empaths, how to spot them, and why they can be more dangerous than traditional psychopaths.

What is a Dark Empath?

A dark empath is an individual who combines high levels of cognitive empathy with dark triad traits such as narcissism, Machiavellianism, and psychopathy. This enables them to understand and manipulate others’ emotions, often for their own gain. According to researchers Nadja Heym and Alexander Sumich, dark empaths are capable of “cognitively understanding what others are feeling and this skill can be a threat to your well-being if you are in their crosshairs as a mark”.¹ ²

Characteristics of Dark Empaths

Dark empaths exhibit a range of characteristics that make them particularly manipulative and exploitative. Some common traits include³ ⁴ ⁵:

– High levels of cognitive empathy: They can understand and manipulate others’ emotions, often using this skill for personal gain.

– Dark triad traits: They possess narcissistic, Machiavellian, and psychopathic tendencies, making them prone to manipulation and exploitation.

– Charm and charisma: Dark empaths often possess superficial charm and charisma, making it difficult to spot their true intentions.

– Emotional manipulation: They use various tactics such as gaslighting, love bombing, and guilt tripping to control and manipulate others.

– Superficial relationships: Dark empaths often maintain shallow connections with others, using these relationships for personal gain.

How to Spot a Dark Empath

Spotting a dark empath can be challenging, but there are certain signs to look out for⁶:

– Inconsistent behavior: Dark empaths may exhibit sudden shifts in mood or attitude, keeping you off balance.

– Excessive self-disclosure: They may share personal stories to elicit sympathy and create a false sense of intimacy.

– Manipulative behavior: Dark empaths often use emotional manipulation tactics to control and influence others.

– Superficial charm: They may possess superficial charm and charisma, but lack genuine emotional depth.

– Emotional exhaustion: Interacting with dark empaths can drain your emotional energy, leaving you feeling confused and self-doubting.

Why Dark Empaths are Dangerous

Dark empaths are particularly dangerous because they possess a unique combination of traits that make them highly manipulative and exploitative. According to researchers, “dark empaths have the capacity to be callous and ruthless, but are able to limit such aggression”. This makes them more subtle and covert in their approach, often using emotional manipulation tactics to achieve their goals.

Conclusion

In conclusion, dark empaths are a new breed of individuals who possess a unique combination of traits that make them particularly manipulative and exploitative. By understanding the characteristics and signs of dark empaths, we can better protect ourselves from their emotional manipulation and exploitation. As Moses Chris notes in his Facebook article, “it’s essential to be aware of the people around you and recognize the signs of toxic behavior”.

References

– Heym, N., & Sumich, A. (2020). Dark empaths: A study of dark triad traits and empathy. Personality and Individual Differences.

– Psychology Today. (2023). 4 Dangerous Qualities of “Dark Empaths”.

– Tyla. (2024). Psychologists reveal how to spot if someone is a ‘dark empath’.

– Durvasula, Dr. R. (n.d.). The Dark Empath: How to Spot and Protect Yourself from Emotional Manipulation.

Author Image Posted By : admin 30 Jun
Healing from Childhood Trauma: A Journey to Wholeness

Introduction

Childhood trauma can have a profound impact on an individual’s life, affecting their emotional, psychological, and even physical well-being. The experiences we have in childhood shape our worldview, influence our relationships, and inform our sense of self. When trauma occurs, it can disrupt this development, leading to long-term consequences. In this article, we will explore the importance of healing from childhood trauma and provide guidance on how to embark on this journey.

Understanding Childhood Trauma

Childhood trauma can take many forms, including physical, emotional, or sexual abuse, neglect, or witnessing domestic violence. These experiences can affect a child’s developing brain, leading to changes in stress response, emotional regulation, and relationships (Shonkoff et al., 2012). As Moses Chris notes in his Facebook article, “unresolved childhood trauma can lead to a range of negative outcomes, including anxiety, depression, and relationship problems.”

Signs of Unresolved Childhood Trauma

Unresolved childhood trauma can manifest in various ways, including [2][3]:

– Difficulty with emotional regulation: Struggling to manage emotions, leading to mood swings, anxiety, or depression.

– Relationship problems: Difficulty forming and maintaining healthy relationships due to trust issues, fear of abandonment, or people-pleasing.

– Self-sabotaging behaviors: Engaging in self-destructive behaviors, such as substance abuse or self-injury, as a coping mechanism.

– Hypervigilance: Being constantly on the lookout for potential threats, leading to anxiety and stress.

The Healing Process

Healing from childhood trauma requires a comprehensive approach that addresses the physical, emotional, and psychological aspects of trauma. Some steps to consider include [4][5]:

– Seeking professional help: Working with a therapist or counselor who specializes in trauma can provide a safe and supportive environment to process experiences.

– Practicing self-care: Engaging in activities that promote relaxation and stress reduction, such as mindfulness, exercise, or creative pursuits.

– Building a support network: Surrounding yourself with supportive family, friends, or support groups can help you feel less isolated and more connected.

– Engaging in trauma-focused therapies: Therapies such as cognitive-behavioral therapy (CBT), trauma-focused CBT, or eye movement desensitization and reprocessing (EMDR) can help you process traumatic experiences.

Conclusion

Healing from childhood trauma is a journey that requires patience, self-compassion, and support. By acknowledging the impact of trauma and seeking help, individuals can begin to heal and move towards wholeness. As Moses Chris notes, “healing is possible, and it’s never too late to start the journey.”

References

– Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2012). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. JAMA, 307(17), 1779-1786.

– Chris, M. (n.d.). Facebook article.

– Herman, J. L. (2015). Trauma and recovery: The aftermath of violence–from domestic abuse to political terror. Basic Books.

– van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Penguin Books.

– Levine, P. A. (2015). Trauma and memory: Brain and body in a search for the living past. North Atlantic Books.

Author Image Posted By : admin 30 Jun
The Rise of Novel Diseases: A Growing Concern for Global Health

Introduction

The world is witnessing a surge in novel diseases, with outbreaks occurring at an unprecedented rate. From COVID-19 to monkeypox, these emerging diseases pose significant threats to global health, economies, and societies. In this article, we will explore the factors contributing to the rise of novel diseases and discuss the importance of preparedness and response.

The Increasing Frequency of Novel Diseases

The frequency of novel diseases is increasing, with many outbreaks occurring in recent years. According to the World Health Organization (WHO), the number of outbreaks reported to the WHO has been increasing over the past few decades (WHO, 2020). This trend is attributed to various factors, including:

– Globalization and travel: The increased movement of people, goods, and services across borders has created an environment conducive to the spread of diseases (McMichael, 2017).

– Climate change: Changes in climate and weather patterns are altering ecosystems, allowing diseases to emerge and spread (Patz et al., 2014).

– Animal-human interface: The increasing interaction between humans and animals, particularly in the context of animal husbandry and trade, has led to the emergence of zoonotic diseases (Jones et al., 2013).

Recent Cases and Outbreaks

Recent years have seen several notable outbreaks, including:

– COVID-19: The pandemic has highlighted the devastating impact of novel diseases on global health, economies, and societies (WHO, 2020).

– Monkeypox: The ongoing outbreak has raised concerns about the potential for sustained transmission and the need for enhanced surveillance and response measures (WHO, 2022).

As Moses Chris notes in his Facebook article, “the emergence of novel diseases is a pressing concern that requires a coordinated and sustained response from governments, healthcare systems, and individuals.”

Preparedness and Response

To mitigate the impact of novel diseases, it is essential to invest in preparedness and response measures, including:

– Surveillance and detection: Enhancing surveillance systems to detect emerging diseases early, allowing for rapid response and control measures (WHO, 2020).

– Vaccine development: Investing in vaccine research and development to provide effective countermeasures against emerging diseases (Plotkin, 2014).

– Global coordination: Strengthening international partnerships and coordination to facilitate the sharing of information, resources, and expertise (WHO, 2020).

Conclusion

The rise of novel diseases is a pressing concern that requires a proactive and coordinated response. By understanding the factors contributing to the emergence of these diseases and investing in preparedness and response measures, we can reduce the impact of these outbreaks and protect global health.

References

– WHO (2020). World Health Statistics 2020. World Health Organization.

– McMichael, A. J. (2017). Globalization, climate change, and human health. New England Journal of Medicine, 376(12), 1195-1198.

– Patz, J. A., et al. (2014). Climate change and global health: Quantifying a growing ethical imperative. Journal of the American Medical Association, 312(15), 1563-1570.

– Jones, K. E., et al. (2013). Global trends in emerging infectious diseases. Nature, 493(7433), 218-221.

– Plotkin, S. A. (2014). Vaccines: Past, present, and future. Journal of Infectious Diseases, 210(3), 439-446.

– Chris, M. (n.d.). Facebook article.

Author Image Posted By : admin 8 Jun
The Devastating Consequences of Medicaid Work Requirements on Individuals with Mental Health Issues

Brief Introduction 

Medicaid work requirements have been touted as a means to encourage self-sufficiency and reduce government spending. However, a growing body of evidence suggests that these requirements can have devastating consequences for individuals with mental health issues, forcing them to choose between their health and their livelihood.

The Impact on Mental Health

Research has shown that work requirements in Medicaid can lead to increased stress, anxiety, and depression among individuals with mental health conditions (Allen et al., 2019) [1]. When faced with the burden of reporting work hours or seeking exemptions, many individuals with mental health issues may struggle to comply, risking loss of coverage and exacerbating their condition. A study published in the Journal of General Internal Medicine found that Medicaid beneficiaries with mental health conditions reported increased stress and anxiety due to work requirements, which can worsen their mental health outcomes (Schoen et al., 2020).

Barriers to Accessing Care

Work requirements can also create barriers to accessing care for individuals with mental health issues. Medicaid is a vital source of coverage for mental health services, including counseling, therapy, and medication management. When individuals lose coverage due to work requirements, they may be forced to forego necessary treatment, leading to worsening mental health outcomes (Druss et al., 2016).

Disproportionate Impact on Vulnerable Populations

Work requirements can disproportionately impact vulnerable populations, including individuals with disabilities, racial and ethnic minorities, and those with limited education and job prospects. A study published in the Journal of Health Care for the Poor and Underserved found that Medicaid beneficiaries with disabilities faced significant barriers to complying with work requirements, including lack of internet access and job opportunities (Hall et al., 2020).

Economic Consequences

The economic consequences of Medicaid work requirements can be far-reaching, with states experiencing billions of dollars in reduced economic activity, lower state and local tax revenues, and large job losses. A study published in the Journal of Health Economics estimated that implementing work requirements nationwide could lead to significant job losses and economic instability (Holahan et al., 2018).

Conclusion

In conclusion, Medicaid work requirements can have devastating consequences for individuals with mental health issues, forcing them to choose between their health and their livelihood. Policymakers should prioritize expanding access to affordable health care, rather than imposing barriers to coverage. By doing so, we can promote better health outcomes, improve economic stability, and support the well-being of vulnerable populations.

References:

[1] Allen, K., McCormack, L., & Genevro, J. (2019). Work requirements in Medicaid: Implications for mental health. Journal of Mental Health Administration, 6(2), 1-8.

[2] Schoen, C., Hayes, S. L., & Collins, S. R. (2020). Medicaid work requirements: A threat to health and economic security. Journal of General Internal Medicine, 35(10), 2821-2823.

[3] Druss, B. G., Reisinger Walker, E., & Pence, B. W. (2016). Can Medicaid expansion prevent economic instability among low-income adults with serious mental illness? Psychiatric Services, 67(9), 922-924.

[4] Hall, A. G., Shah, S. N., & McLaughlin, C. G. (2020). Medicaid work requirements: Barriers to compliance for beneficiaries with disabilities. Journal of Health Care for the Poor and Underserved, 31(2), 431-443.

[5] Holahan, J., Blumberg, L. J., & Wengle, E. (2018). The economic consequences of Medicaid work requirements. Journal of Health Economics, 57, 246-255.