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shivn.bsky.social
Physician MD, FIDSA. Interests: Inf diseases, bedside medicine, diagnosis, SUD, HIV/HCV. Asst. Prof @UMMedschool @IHVMaryland I seek knowledge not followers
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Very interesting article about how Mpox is presenting more like a STI than a systemic illness : Are we missing Mpox cases? Changes in clade IIb clinical phenotype in the post‐vaccination era Library onlinelibrary.wiley.com/doi/10.1111/...

The use case for generative AI for curricular work raises the moot question- what are class assignment for? What will learning look like? What do we seek from class instruction if pathways for supratentorial prefrontal bypass that disincentivize analytic deep thinking exist

Non-antimicrobial properties of common antimicrobials url:https://academic.oup.com/jac/article-abstract/doi/10.1093/jac/dkaf150/8133549

I really can't stress enough just how critical ID pharmacists are in improving patient care Over 6 months, 10 ID pharmacists were "curbsided" w/ 1,518 Qs, 3/4 from ID attendings 89% of answers led to changes in management!!! @erinmccreary.bsky.social @sidpharm.bsky.social #IDSky #PharmSky

Disbanding CDC’s Healthcare Infection Control Practices Advisory Committee (HICPAC) jeopardizes decades of progress in preventing healthcare-associated infections. IDSA, APIC, SHEA and PIDS comment on President Trump's decision to terminate the HICPAC: bit.ly/4m1jpyV

www.nejm.org/doi/abs/10.1... #cricket makes it to the #NEJM .

Another TWDFNR - annual fit testing for N95 masks www.cambridge.org/core/journal...

No difference in time to healing with Neg pressure wound therapy ( wound vac) versus usual care in patients with surgical wound healing by secondary intention in a multicentre, randomised controlled trial - The Lancet. #IDsky www.thelancet.com/journals/lan...

Trump administration orders #NIH to eliminate $2.6 billion in federal contracts. www.statnews.com/2025/04/03/n... via @statnews.com

Turning in my #ABIM #LKA questions at the last half hour before the deadline. Not a good idea in retrospect - but if you care for scores- to me if i answer wrong and see the answer explanation , this is more effective learning moment

Our patients persecuted; colleagues and public health institutions under attack. Our field needs to rise up & fight back Silence=Death Redux: Infectious Diseases, Public Health, and the Imperative to Resist Viewpoint by @ericmeyerowitz.bsky.social & me OpenAccess: academic.oup.com/cid/advance-...

Listening to this as an audiobook last week, and while everyone who has cared for people with #TB is familiar about how it interweaves with social determinants of health and access, the bit on how hunger from TBRx is a treatment complication when you don't have access to food really gnaws at you

NCHS Data Brief unintentional injury death rates 10 yr trends

Weekend rounding in the hospital is where I can find peace, when I can spend unhurried time with patients clarifying things I miss during the week or spending time to know my patients better in terms of what their understanding of our Rx plans are. PE findings fit better in the A/P dashboard.

www.theatlantic.com/health/archi... - this is such an unfortunate drift. A few years back there was momentum on the great post pandemic reset- this 8 year break on infectious diseases is a big reset in the opposite direction

Studies terminated at NIH: -On reducing asthma from mold -On prenatal risks & screening -On statins influence on dementia -On the safety/risk of gender-affirming care -On how Covid vax outcomes & disparities -On improving HIV care -Training programs for the next generation of scientists

🏥 AHRQ is the only federal agency dedicated to health services research. There's a risk to it now. With bipartisan support from 194 leading organizations, let's urge Congress to demand any reforms are transparent and strategic. Contact your reps today! #HealthForAll ow.ly/aPUe50VjnQe

I am not for self promotion, but here's a plug for a podcast episode we did on navigating acute undifferentiated febrile illness in resource limited settings with the Community Science Alliance along with Dr Gajanan Phutke from JSS Bilaspur. podcasts.apple.com/za/podcast/e...

Looking for reliable homelessness research? BHHI's resource center offers data, solutions, and tools all in one place. Search by: ➡️ Topic ➡️ Type (report, toolkit, news, etc.) ➡️ Study Take a look: buff.ly/3Zh7NOX #HomelessnessAwareness

This was a very interesting poster at #CROI2025 and highlights the challenge of #HIV diagnosis in patients on LAI #PrEP and the pitfalls of even nuclear diagnostics. #LEVI

Useful cost effectiveness abstract at #CROI2025 showing that at $100k/life year saved, #PrEP is not cost effective at current drug prices

Really disappointing to see so many withdrawn abstracts at #CROI2025. We must #standupforscience

If you wish to stream the #standupforscience event in DC today: www.twitch.tv/standupforsc...

This lunacy reminescent of COVIdiocy : "Texas doctors had seen “very, very good results,” Mr. Kennedy claimed, by treating measles cases with a steroid, budesonide; an antibiotic called clarithromycin; and cod liver oil, had high levels of vitamin A and vitamin D." www.nytimes.com/2025/03/04/h...

Ramadan Mubarak to those who celebrate!

Sorry , what?

“Moses said, the law is everything. Jesus said, love is everything. Marx said, money is everything. Freud said, sex is everything. And Einstein said, everything is relative.”

Is interesting how everything comes back to infectious disease. Trying to cure the magi of semaglutide …. www.nytimes.com/2025/02/16/s...

Yuck!

Welcome to the Bluesky account for Stand Up for Science 2025! Keep an eye on this space for updates, event information, and ways to get involved. We can't wait to see everyone #standupforscience2025 on March 7th, both in DC and locations nationwide! #scienceforall #sciencenotsilence

📢FUND DON’T FREEZE!📢 Join researchers and academics in DC on February 19th at 12 PM to stand up for research, education, and jobs! Federal attacks on science and academia put all of our futures at risk - let’s show them we won’t back down! RSVP Here: docs.google.com/forms/d/e/1F...

Health workers face a stark choice: become collaborators or resisters www.statnews.com/2025/02/11/a... via @statnews.com

Great collection on TB Isolation including the history of TB community transmission url:https://academic.oup.com/idsa/pages/tb-isolation?et_rid=1098945255&et_sid=5512380&utm_source=SFMC&utm_medium=Email&utm_campaign=&utm_content=https%3a%2f%2facademic.oup.com%2fidsa%2fpages%2ftb-isolation

Providers in #Maryland please read the following guidance from the Maryland AG re presence of ICE in healthcare facilities. www.marylandattorneygeneral.gov/News%20Docum...

For people invested in health/public health in this country, every day seems like a new crazy event so far this year.

Is checking vitals on someone at clinic visits referred to as ‘vitalizing’ ? - my clinic MA uses this term all the time

Happy new year to all- anxious about what this year might bring but hopeful that its moderation, common sense and the lifting spirit

This Quarter's LKAs done. Thanks for doing away with some of the unnecessary clicks following each Q #abim