Patrick Harris

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Patrick Harris

Patrick Harris

@padstamundo

Infectious Diseases Physician, Microbiologist and Research Fellow @UQMedicine. Views all my own.

Brisbane, QLD, Australia Katılım Eylül 2011
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Peter H. Diamandis, MD
Peter H. Diamandis, MD@PeterDiamandis·
The science funding system is BROKEN. PhDs and professors are spending their days writing grant proposals rather than conducting research that could transform millions of lives. And the worst part? The system REWARDS predictable, safe, incremental science. It PUNISHES radical ideas and moonshots.
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Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟
🆕⚡🟢PRUDENCE RCT A pragmatic, randomised controlled clinical trial in 13 countries Point-of-care testing strategy versus usual care to safely reduce antibiotic prescribing for acute respiratory tract infections in primary care A point-of-care testing strategy for respiratory tract infection, which included testing for CRP, group A streptococcus, and influenza, did not reduce antibiotic prescribing when clinicians were considering prescribing or had planned to prescribe an antibiotic. Point-of-care testing is unlikely to be effective as a standalone solution in antimicrobial stewardship. @BradSpellberg Thanks @Inox94 thelancet.com/journals/lanpr…
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Leah Pierson
Leah Pierson@leah_pierson·
omg this title, this paper
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Isaac Bogoch
Isaac Bogoch@BogochIsaac·
Step 1: Insert bacteria ("Wolbachia") into mosquitoes. Step 2: Release mosquitoes. Step 3: Watch Dengue rates plummet. Phenomenal results from Singapore. Link: tinyurl.com/59c9t67u, by Lim et al.
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Sam Kinyanjui
Sam Kinyanjui@sam_skmuchina·
Really saddened to hear of the passing on of Prof Nick White... a true giant in malaria research on whose shoulders many of us stand. Condolences to his family, colleagues and friends. Rest in peace Nick. ndm.ox.ac.uk/news/professor…
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Dr Monique Ryan MP
Dr Monique Ryan MP@Mon4Kooyong·
In the words of a world-renowned cardiologist, Australia’s young medical researchers are “left to flounder with total job insecurity and family pressures. It’s the best recipe we have for raiding our future, in terms of a medical research workforce and the benefits of medical research, which are profound and help everyone.” Why won't the government release the billions already putting aside for the sector in the Medical Research Future Fund? Why is it raiding the country’s future? Medical research matters. theage.com.au/politics/feder…
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Anil Makam
Anil Makam@AnilMakam·
Imagine a system that requires scientists to spend 30-50% of their time to write and submit grant proposals that take 18 months to get funding if accepted immediately (rare) but more typically 3-5 years because require 1-2 resubmissions and not uncommonly 5-8 years Reform needed
Ashvin Gandhi@ashdgandhi

Question for @NIHDirector_Jay: Why not do submissions in two stages? First stage: no paperwork. Submit only the science and CVs to be reviewed by a study section. Second stage: Top proposals invited to fill out tedious paperwork used for final selection on cost-benefit.

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Dr Monique Ryan MP
Dr Monique Ryan MP@Mon4Kooyong·
The NHMRC yesterday announced final allocations for the year. The 2025 success rate for Ideas grants was 10%, Investigator grants 13%, and Clinical Trials 9%. Australia's total spend on healthcare and technology innovation in medicine and biotech from the Medical Research Endowment Account and Medical Research Future Fund this year will equate to the cost of 0.004 submarines. We're spending more on a single submarine than we'll spend on medical research in 30 years. Medical research matters. A clever country invests in the things that matter.
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Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟
🆕🔥🦴 Our 2025 Update to @WikiGuidelines for the Management of Pyogenic Osteomyelitis in Adults 🌟 @BradSpellberg 🧪 Diagnosis 🔹 Nuclear scans & paravertebral biopsies → high accuracy 🔹 Bone histopathology > culture 🔹 MRSA nares negative → >90% NPV for DFO 🔹 PEDD > CT-guided biopsy for spinal osteomyelitis ⚠️ ESR, procalcitonin, CRP → poor reliability 💊 Treatment ✅ Combined medical + surgical care improves outcomes ✅ Oral ≈ IV therapy; IV lead-in optional (POvIV 10th RCT confirms) ✅ Cephradine, cephalexin, cefadroxil, doxycycline, tedizolid → oral options 🧬 Rifampin adjunct → may reduce PJI/vertebral osteomyelitis failure ⚠️ Long-acting lipoglycopeptides → limited data, high cost 🔪 Surgery ⚖️ One- vs two-stage prosthetic exchange → similar outcomes 🩻 MRI pre-amputation (DFI) → lower re-amputation risk (16% vs 32%) 📌 Residual osteomyelitis on histopathology → poor predictor 💡 Takeaway: Oral therapy works; combine medical & surgical care; tailor surgery with imaging. 🔗 Full WikiGuideline: [link] amjmed.com/article/S0002-…
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Patrick Harris
Patrick Harris@padstamundo·
@DrToddLee @PaulSaxMD @AlexLawandi Yes so many assumptions that seem plausible but not really based on much except “vibes” … ceftriaxone even if non-effective will likely still have influence on things like AmpC expression and selection for de-repressed mutants in pseudomonas ..
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Todd C. Lee
Todd C. Lee@DrToddLee·
@PaulSaxMD @AlexLawandi The concept of using drugs like ceftriaxone to avoid pseudomonas activity and therefore prevent resistance
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Todd C. Lee
Todd C. Lee@DrToddLee·
Pseudomonas sparing antibiotics --- this myth is about to be busted hard @AlexLawandi
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