No abstract

Findings from this scoping review suggest that while ED clinicians acknowledge the utility and value of using POC cognitive support technology, actual use of such technology can be low. Further, few studies have evaluated the acceptance and use of POC technologies in routine care. Prospective studies that evaluate how ED clinicians appraise and consider POC technology use in clinical practice are now needed with diverse clinician samples. While this review identified multiple factors contributing to technology acceptance, determining how clinician, technical, patient, and organizational factors mediate or moderate acceptance should also be a priority.

CLINICIAN'S CAPSULE What is known about the topic? Emergency department (ED) visits for adolescent alcohol-related concerns offer the opportunity for early intervention; however, the underlying alcohol problem generally remains unaddressed. What did this study ask? What are ED physicians' perceptions regarding adolescent alcohol use and ED-based intervention? What are their current intervention practices? What did this study find? While the majority of ED physicians feel the responsibility to address problematic adolescent alcohol use, interventional practices are unstandardized and lacking. Why does this study matter to clinicians? This study identifies the resources needed by ED physicians to deliver appropriate adolescent alcohol-related care.

Childbearing and infant care practices have dramatically evolved since the 15th century. Shifting away from traditional home-based experiences, with the emergence of the microbial aware era and the hospital as a quintessential sanitizing machine, early life has now long been characterized as a condition to be medically managed. Paradoxically, this ‘germ-free’ march towards a healthier early life environment has opened the door to greater microbial susceptibility and dysbiosis. Many studies have now established that infant exposure to excessive sanitation and hygiene regimens are associated with an increased risk for and onset of childhood immune system diseases. In this paper, we explore the ways in which biomedical-centered efforts to enhance early life have come at a cost to planetary health, in relation to infant microbial succession. We examine three major areas of early life that have been subject to the ‘ripple effect’ of hygiene and sanitation concerns—childbirth, home environment, and breastfeeding.

No abstract