@PieterPeach@mastodon.social
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PieterPeach

@PieterPeach@mastodon.social

Anaesthetist/Anesthesiologist | Previously virology | MPH | Cabrini Health, Royal Childrens Hospital Melbourne | https://mas.to/@cleanairstars
#Anaesthesia #Anesthesia #CleanAir #PublicHealth

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PieterPeach, to Anesthesia
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Cool white saps-the-life-out-you light should be banned from operating theaters.

badnetmask, to mastodon
@badnetmask@hachyderm.io avatar

I realized I can't keep up on reading my timeline chronologically. Either I follow too many people, or y'all post too much. 🤣

Either way, I clearly need to figure out a different way to keep up. Maybe lists?

I already use the hashtags tab on my mobile client and notifications from the people I really want to see posts quickly.

What else can I do?

PieterPeach,
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@badnetmask try “Tag groups” on @IceCubesApp. It creates a stream based on a selection of hashtags rather than just one. It’s very useful.

PieterPeach, to random
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CDC seeks to update guidance to reflect recognition of aerosol viral spread.

“The US Centers for Disease Control and Prevention (CDC) has asked the Healthcare Infection Control Practices Advisory Committee (HICPAC) to clarify its guideline on isolation precautions to reflect the "widespread recognition" that respiratory viruses spread primarily through aerosols, according to a CDC blog post this week.”

https://www.cidrap.umn.edu/covid-19/updated-who-covid-prevention-guidance-may-endanger-rather-protect-some-experts-say

PieterPeach,
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@WizardBear finding the right respirator for the individual to ensure correct and comfortable fit is incredibly important and requires a respiratory protection program to ensure this happens. Making sure the right respirators are then available is the next step. This is what I saw this morning walking into work at one of the hospitals I work in and should be the standard going forward.

PieterPeach,
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@migriverat the trick will be finding an appropriate balance where measures that are practical and reasonable can be implemented.
There aren’t sufficient single occupancy negative pressure rooms in hospitals to house every patient with confirmed or suspected respiratory tract infections.
There will need to be an intermediate and potentially flexible protocol that involves droplet precautions enhanced with respiratory protection plus enhanced environmental controls like ventilation/filtration.

PieterPeach, to random
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Imagine being sent into a COVID ward, being given a blue medical mask and being told “this will protect you.” and then suffering long term consequences of COVID-19 limiting your ability to work.

We cannot again be put in the position where limited resources for respiratory protection bias policy decision-making.

Respiratory protection should be an ongoing and increasing component of healthcare OH&S to maintain competency and supply chains.

https://news.sky.com/story/the-nhs-sold-out-its-staff-doctors-whose-lives-were-devastated-by-long-covid-to-sue-health-service-13055384

Via
@DRTomlinsonEP

PieterPeach, to random
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“The COVID-19 pandemic has forever changed the approach we take in healthcare settings to protect healthcare personnel, patients, and others from transmission of respiratory infections. Experimental and observational data show that an important pathway for transmission of severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is via inhalation of small particles in the air generated by infected individuals.“
CDC.gov

https://blogs.cdc.gov/safehealthcare/draft-2024-guideline-to-prevent-transmission-of-pathogens-in-healthcare-settings/

PieterPeach, to random
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“Without being overly dramatic — but, I think, being accurate — there’s a small chance, but still real non-zero chance, that we’ve destroyed our country with monetizing hate and monetizing aggression and monetizing outrage. What makes you the most money is outrage and hate. “ -Penn Jilette

From: @bascule
https://mas.to/@bascule/111812010593064735

PieterPeach, to random
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The term “Health care seeking behaviour” is well defined as “any action undertaken by individuals who perceive themselves to have a health problem or to be ill for the purpose of finding an appropriate remedy.”
It’s used to understand and research positive behaviour change in the context of illness to achieve better health outcomes.
Seeing many accounts on social media becoming avoidably upset about this phrase being used by NSW Health Dept appropriately in the context of .

PieterPeach,
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@failedLyndonLaRouchite yes, copayments (even very small ones) and whether they increase the sustainability of healthcare resource utilisation are another well researched area in public health, both in developed and developing countries.

PieterPeach, (edited ) to random
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This is what is being served up to me over at the other place.
Pseudoscience @mackayim2022 !

mackayim2022, to random
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Arvo tea baby!

PieterPeach,
@PieterPeach@mastodon.social avatar

@mackayim2022 that looks like the first thinly sliced bit of cake because you are trying to be good that will be followed another few thinly sliced bits of cake because why not

VerranDeborah, to Medicine
@VerranDeborah@med-mastodon.com avatar

This could well become a ground breaking treatment option if the results are able to be replicated on a larger cohort of patients https://www.yahoo.com/news/gene-therapy-allows-11-old-183759824.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuYmluZy5jb20v&guce_referrer_sig=AQAAAC0FTJWfGZEUG9_49ZfvLosyeO_kIdCMo1Dvf9nL7ZrJtdz3rTx1dTLM6D7eFW49JOsRjeQcWBUUr8qZnUiRP7kSZuY8TeE_T0EefUOi2SDZaywTq-lE1s8QVtpszi_wpTHMJ85L-68w2zPw77hf97piguJLv3POlo-bvuY9aJMD

PieterPeach,
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@VerranDeborah fascinating to think you have until the age of 5 to learn spoken language

Hypoxicchicken, to Anesthesia
@Hypoxicchicken@med-mastodon.com avatar

Blue urticaria post operatively.
What operation has this lady had and what is the likely diagnosis?
(Shared with permission)
#anaesthesia #anaestodon #anesthesia #anesthesiology

PieterPeach,
@PieterPeach@mastodon.social avatar

@Hypoxicchicken absolutely no idea. Extravasation of intravenous dye wouldn’t look like this.

PieterPeach, to random
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“Direct-to-consumer tests advertised online in Australia and their implications for medical overuse: systematic online review and a typology of clinical utility”

“Regulatory mechanisms should demand a higher standard of evidence of clinical utility and efficacy for DTC tests. Better transparency and reporting of health outcomes, and the development of decision-support resources for consumers are needed.”

Relevant to antigen tests for &

https://doi.org/10.1136/bmjopen-2023-074205

ImpudentStrumpet, to random
@ImpudentStrumpet@mastodon.social avatar

people: anyone know how I can find the CADR of a Taotronics TT-AP005 at each of the different speeds? All the sources I'm finding list only one CADR, but there are multiple speeds. There's nothing in the booklet that came with the device.

(This isn't a product rec request, I'm seeking info about the item I already have on hand)

PieterPeach,
@PieterPeach@mastodon.social avatar

@ImpudentStrumpet This is the estimated CADR at each fan speed using data from the manufacturer on wind velocity at each fan speed.
https://docs.google.com/spreadsheets/d/17j6FZwvqHRFkGoH5996u5JdR7tk4_7fNuTxAK7kc4Fk/edit

PieterPeach,
@PieterPeach@mastodon.social avatar

@ImpudentStrumpet only happened because you used the tag 👍

PieterPeach, to random
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Just discovered “Tag Groups” on @IceCubesApp. You can create a custom stream based on a collection of tags (similar to feeds on BlueSky). Didn’t understand the point of it until I tried it and it’s actually pretty great.

PieterPeach,
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@auscandoc @IceCubesApp It only takes a few seconds

PieterPeach, (edited ) to random
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Submission to the Commonwealth Government COVID-19 Response Inquiry by Prof Lidia Morawska, Prof Guy Marks, Prof Fay Johnston, and Dr Bill Dodd on behalf of the Centre for Safe Air
https://safeair.org.au/download/1808/?tmstv=1705276459&mc_cid=912d33dab9&mc_eid=c3bd4d4886

PieterPeach, to random
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It can both be true that we can see prolonged immune dysregulation in a minority subset of people following SARS-CoV-2 infection & that SARS-CoV-2 is not as consequential as HIV infection at the individual or population level.
There is much we are learning about the impact of viruses in circulation before the pandemic (EBV, Measles) that suggest viral infections are not helpful & that broadly applied, reasonable & practical interventions may help mitigate those impacts.

PieterPeach, to random
@PieterPeach@mastodon.social avatar

Spotify needs a “I like this but I’m using my dad’s account so maybe don’t make suggestions based off of it.” button.

sarahmare, to random
@sarahmare@aus.social avatar

Any recommendations on air purifier that's corded (so might have some efficacy)... but light enough to bring into the office for the day?

PieterPeach,
@PieterPeach@mastodon.social avatar

@sarahmare good thought. The problem is the more portable a device the less likely it is to have an impact on room scale particle reduction. The lightest and highest CADR devices for their noise level seem to be the PC fan devices.

PieterPeach,
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@sarahmare you won’t get anything particularly useful for room scale clearance at that weight unfortunately.

mackayim2022, to random
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It wasn't too long ago that we were less than satisfied with a flu vaccine that was 60% effective.

PieterPeach,
@PieterPeach@mastodon.social avatar

@OskarImKeller @mackayim2022 We could do with a consumer designed respirator that has an indicator of fit as part of its design, like a concave rubber membrane that inverts at a given pressure drop that correlates with a correct fit.

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