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    Studying the efficacy of Nirmatrelvir and Ritonavir (Paxlovid) for outpatient treatment of COVID-19 in the pediatric population using real-world data from the National COVID Cohort Collaborative (N3C)

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    This study analyzes the efficacy of Nirmatrelvir and Ritonavir (NMV-r; Paxlovid) for outpatient treatment of COVID-19 in the pediatric population in the age group 12-18 years by using real-world data from N3C. The study uses propensity matching to create a treatment cohort and a control cohort. It further analyzes the clinical outcome such as hospitalization and ED visits following infection with COVID-19

    Midwifery detection, evaluation, and treatment of perinatal mood disorder: a quality improvement project

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    Perinatal mood disorder (PMD) is the leading complication that arises during pregnancy and the postpartum period. In Oregon, rates of PMD are purportedly higher than they are nationally. Since the advent of the Covid-19 pandemic, rates of PMD have increased while the number of mental health providers and community resources dwindled. In 2023, practice guidelines were updated to include the new recommendation that pregnant patients should now be screened for an additional time during the third trimester. However, clinics are lagging behind these updated recommendations and as a result are struggling in their timely detection and treatment of PMD. The aim of this project is to increase detection of PMD during the third trimester and improve provider comfortability with managing PMD in an ambulatory prenatal clinic in a suburb outside of Portland, Oregon

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    Plague on the Pacific coast of the United States

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    Plague is a very old disease, forty-one epidemics being recorded before the time of Christ. Extensive epidemics in Egypt and Syria are recorded in the writings of Rufus of Ephesuo who lived one hundred years B. C.. Plague first entered the United States in 190O, an epidemic occurring in San Francisco. It was shown by investigation that the disease came from Honolulu where an epidemic was raging at that time. This gives us an idea of the importance of Plague to us on the Pacific Coast

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