Miranda So PharmD MPH (Epidemiology)'s Avatar

Miranda So PharmD MPH (Epidemiology)

@mirandapharmdmph.bsky.social

Manager, ID/Antimicrobial Stewardship Pharmacist, Assistant Professor, Runner, Knitter Clinical & research: immunocompromised hosts; public health; epidemiology; study design. #IDSky #PharmSky ๐Ÿ‡จ๐Ÿ‡ฆ https://www.linkedin.com/in/miranda-so-pharmd-mph-98b9591a9/

2,357 Followers  |  1,125 Following  |  305 Posts  |  Joined: 09.11.2024  |  2.3752

Latest posts by mirandapharmdmph.bsky.social on Bluesky

Preview
โ€˜He loves splashing aroundโ€™: UK pools host doggy dips for pets and owners Gourock outdoor pool in Inverclyde drops its humans-only policy on last day of the swim season โ€“ part of a trend at lidos around the country

This brings me joy! ๐Ÿ•๐Ÿฆฎ๐Ÿ•โ€๐Ÿฆบ๐ŸŠโ€โ™€๏ธ๐ŸŠโ€โ™‚๏ธ๐ŸŠ

www.theguardian.com/lifeandstyle...

30.09.2025 20:57 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

@ichejournal.bsky.social is the journalโ€™s website down by any chance ? I have not been able to get on it today to read these excellent papers.
Thank you. ๐Ÿ™

29.09.2025 17:57 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Info sheet: "Antimicrobial resistance occurs when germs evade drug treatments." Risk factors include antibiotics, catheters, hospitalization, weakened immunity, age, and chronic conditions. Reduce resistance by avoiding overuse, washing hands, and getting vaccinated.

Info sheet: "Antimicrobial resistance occurs when germs evade drug treatments." Risk factors include antibiotics, catheters, hospitalization, weakened immunity, age, and chronic conditions. Reduce resistance by avoiding overuse, washing hands, and getting vaccinated.

Antimicrobial resistance is the ability of germs to evade the treatment effects of antimicrobial drugs.

This JAMA Patient Page describes antimicrobial resistance, its risk factors, and how to decrease the spread of antibiotic resistance.

ja.ma/46ieWAE

12.09.2025 11:30 โ€” ๐Ÿ‘ 12    ๐Ÿ” 6    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Selective digestive tract decontamination in the intensive care unit: Life saver or recipe for disaster? โ€˜Selective digestive tract decontaminationโ€™ (SDD) refers to the use of antibiotics to decrease bacterial load in the gut with the intention of reducing the risk of pneumonia (from microaspiration) and...

Excellent pro-con debate on selective digestive tract decomtaination (SDD)

www.cmi-comms.org/article/S295...
@cmicomms.bsky.social

12.09.2025 01:02 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Video thumbnail

v1.108 is rolling out today ๐Ÿšš

Now live, at long last: Bookmarks, aka Saved Posts. For all those posts you'll definitely plan to come back to!

Update the app and give it a try. The button is right down there ๐Ÿ‘‡

08.09.2025 18:24 โ€” ๐Ÿ‘ 24059    ๐Ÿ” 6221    ๐Ÿ’ฌ 1141    ๐Ÿ“Œ 2477
Preview
#TheMoment Mark Carney surprised a volunteer at an Ontario race Agnes Jung tells The National about the moment she ran alongside Prime Minister Mark Carney when he appeared at the Haliburton Forest Trail Race in Ontario.

www.cbc.ca/player/play/...

As a runner ๐Ÿƒ๐Ÿปโ€โ™€๏ธ I love this story so much! May be I will sign up for next year !!
๐Ÿ‡จ๐Ÿ‡ฆ

09.09.2025 12:55 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
The Millionaire Who Left Wall Street to Become a Paramedic

A remarkable and moving human interest story.

The Millionaire Who Left Wall Street to Become a Paramedic www.nytimes.com/2025/09/02/n...

03.09.2025 01:36 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

02.09.2025 03:31 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ always appreciate the analyses and recommendations from ECIL! ๐Ÿ‘

28.08.2025 15:41 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

26.08.2025 19:52 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

26.08.2025 19:49 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿฅฐ๐Ÿฅฐ๐Ÿฅฐ

21.08.2025 23:20 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

20.08.2025 16:03 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
JAMA Research Letter: Climate Change and Health. Threats of Weather Disasters for Drug Manufacturing Facilities in the US. Figure 2 shows disaster declarations (2019-2024) on US maps, highlighting all disasters, severe storms, fires, and hurricanes.

JAMA Research Letter: Climate Change and Health. Threats of Weather Disasters for Drug Manufacturing Facilities in the US. Figure 2 shows disaster declarations (2019-2024) on US maps, highlighting all disasters, severe storms, fires, and hurricanes.

Climate-related disasters have impacted nearly two-thirds of US drug production facilities from 2019 to 2024, highlighting vulnerabilities in the #pharmaceutical supply chain.

ja.ma/470sGSI

20.08.2025 15:45 โ€” ๐Ÿ‘ 10    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1

๐Ÿ“Œ

19.08.2025 21:57 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image

A beautiful late afternoon run today. ๐Ÿƒ๐Ÿปโ€โ™€๏ธ
Full view of Toronto by the lakefront.

P.S. There is a hint of fall ๐Ÿ‚๐Ÿ‚๐Ÿ‚๐Ÿ๐Ÿ๐Ÿ in the air.

18.08.2025 02:12 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

15.08.2025 21:49 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

15.08.2025 16:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

15.08.2025 12:00 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ
๐Ÿ‘๐Ÿ‘๐Ÿ‘
Thanks for the short and snappy review AND lesson in French in one thread.

14.08.2025 12:03 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

๐Ÿ“Œ

11.08.2025 16:03 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Thank you for this case example on the potential utility of inflammatory makers to rule in / rule out bacteremia and by extension being used for antibiotic decision making (ie stewardship intervention). They are not perfect and the results should be interpreted in context. Not hard and fast rules.

10.08.2025 18:30 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“Œ

10.08.2025 18:05 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
How to Read Numbers: A Guide to Stats in the News (and โ€ฆ โ€˜Even one glass of wine a day raises the risk of cancerโ€ฆ

Nice book for users of medical literature (clinicians), and producers of medical literature (researchers) alike.

Tom and David Chivers explained statistical concepts with common examples from the news, often with humour. I LOL while listening to it on a run๐Ÿƒโ€โ™€๏ธ

www.goodreads.com/book/show/57...

07.08.2025 16:25 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
The Case for Caseโ€“Cohort: An Applied Epidemiologistโ€™s Guide ... : Epidemiology recision for addressing a singular research question, but caseโ€“cohort studies have broader efficiency and superior flexibility. Despite this, caseโ€“cohort designs are comparatively underutilized in the...

Went down a small rabbit hole to refresh my understanding of case-cohort design for a project. Here is a nice review in the journal #Epidemiology, comparing case-cohort to nested case-control, which is more common.

#ResearchMethods fascinates me!

journals.lww.com/epidem/abstr...

04.08.2025 15:36 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Fewer than 10% of published observational studies in this sample used DAGs to justify confounder selection.

This is a huge missed opportunity for both readers and researchers.

DAGs are invaluable in research design and critical appraisal.

04.08.2025 13:50 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Post image

Hazy sunset due to #wildfires
๐Ÿƒ๐Ÿปโ€โ™€๏ธ

04.08.2025 00:31 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Oral Vancomycin for Prevention of Recurrent Clostridioides difficile Infection This randomized clinical trial examines whether prophylactic oral vancomycin vs placebo reduces recurrent Clostridioides difficile infection in adults receiving antibiotics for another indication.

Interesting study in @jamanetworkopen.com on vancomycin PO to prevent recurrent C. difficile infection. Speaks to the challenges of study design to evaluate effects of prophylaxis. I commend the authors for their efforts.

jamanetwork.com/journals/jam...

03.08.2025 21:11 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Confounder Selection in Observational Studies in High-Impact Journals This cross-sectional study investigates whether there have been improvements over time in the methods reported for selecting confounders in observational studies published in the highest impact factor...

Enjoyed reading this review from @jamanetworkopen.com !
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...

03.08.2025 21:04 โ€” ๐Ÿ‘ 5    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1

@mirandapharmdmph is following 20 prominent accounts