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Changing demographics of physician-scientists doing kidney research in the United States

Highlights
The physician-scientist workforce doing kidney research in the United States is increasingly made up of women and international medical graduates.
However, this workforce is older, declining in relative number, and is less overwhelmingly focused on basic rather than clinical science.
Washington, DC (July 14, 2021) U.S. physician-scientists make enormous contributions to biomedical research. New research published in CJASN demonstrates increasing representation of women and international graduates within the physician-scientist workforce doing kidney research; however, this workforce is declining in relative number, is getting older, and is less overwhelmingly focused on basic science research.
The research relied on public data obtained from the internet. A team led by Susan M. Wall, MD (Emory University School of Medicine) mined records from the National Institutes of Health (NIH) to explore demographic changes of early career and established, physic ....

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Complete Revascularization Analysis of ISCHEMIA Opens 'Pandora's Box'

May 18, 2021
Patients with stable coronary artery disease who received “complete” revascularization in the ISCHEMIA trial appear to have derived more clinical benefit with the invasive strategy than medical therapy over follow-up, a finding at odds with what was observed for the overall trial. The implication, say investigators, is that revascularization might offer clinical advantages over conservative medical therapy if all anatomically relevant lesions are treated.
This analysis, which focused only on the patients who had complete revascularization defined anatomically, showed that the primary composite endpoint occurred in 11.9% of patients treated invasively as opposed to 15.4% of patients who were treated medically. ....

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Emergent CABG in Acute MI: Survival Better Despite Increasingly Risky Patients

May 15, 2021
Emergent CABG surgery has seen waning use over the past few decades among patients hospitalized for acute MI in the United States, a trend not likely to come as a surprise to cardiologists watching PCI’s ascendance. But nationwide data also show that even as the patients targeted for CABG therapy have grown sicker and higher-risk, their in-hospital mortality rates have decreased.
The data, encompassing more than 11 million acute MI admissions from 2000 to 2017, were released today during the virtual American College of Cardiology (ACC) 2021 Scientific Session and simultaneously published online in the
Journal of the American Heart Association.
“There has been a near 90% reduction in the need for emergency CABG for acute myocardial infarction [over the years], primary due to the emergence of percutaneous coronary interventions and the associated outcomes,” Sri Harsha Patlolla, MBBS (Mayo Clinic, Rochester, MN), said when presenting the ACC abstr ....

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Virtual Training Booms as COVID-19 Limits In-Person Proctoring, Observation

Photo Credit: Avail Medsystems)
Last spring, during the height of the COVID-19 pandemic, James Harvey, MD (WellSpan Health, York, PA), a specialist in valvular heart disease, was the interventional cardiologist covering his institution’s cath lab when a patient with critical limb ischemia was admitted with an acute vessel closure severe enough that the patient was dangerously close to losing a leg.
“I had trained in this and I had done it, but it really hadn t been my forte in a while,” Harvey recalled to TCTMD. “I needed some guidance.”
Serendipitously, the team had begun experimenting with a virtual training console manufactured by Avail Medsystems earlier in the year, so Harvey was able to quickly connect with his institution’s peripheral vascular disease specialist to advise on the case. “My partner, who s a real expert in this, was ready to come in if need be, but we were able to maintain the isolation from each other,” Harvey said. “I did the ca ....

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