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Your curated feed for medical news, research, innovations, and global health. Stay updated on breakthroughs, clinical trials, and advancements in healthcare and technology. // Made at BlueskyFeeds.com

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Tim Holt-Wilson
@timholtwilson.bsky.social
about 1 hour ago
"Accusations of shifting baseline syndrome rely on judgements of degradation, whilst judgements of degradation depend on the establishment of a baseline. So where do baselines come from?" An important 🤔 philo discussion about #normality here. 🧵 philsci-archive.pitt.edu/31078/1/PreP...
A small field of rough grassland next to a trunk road, with a row of about 10 heaps of yellowish, stony clay lying across it. An environmental baseline is about to be altered.
A large excavated 'ghost pond' site in a field, showing a shallow depression lined with dark brown, organic-rich sediment. There is a group of three people standing on the lip of the depression on the right of the view, with the trees of a wood behind them. A new environmental baseline has been set, ready for monitoring ecological restoration.
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Kevin
@emptymindz.bsky.social
about 1 hour ago
Two very clinical finishes 👌🏻
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Good Trouble Indiana
@goodtroubleindiana.bsky.social
about 1 hour ago
478,820 Hoosiers need contraception and live in an access gap. That’s not just a reproductive health issue. It’s a public health issue. @powertodecide.bsky.social #HoosierSky #PublicHealth #ContraceptiveAccess #GTC
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L Berrini
@lpberrini.bsky.social
about 1 hour ago
As I transitioned into public education last year the imposter syndrome was real. It takes time to build that subject knowledge. I’ve been a librarian for years and can research for days. Teaching 8th graders video journalism this year has me searching far and wide for material that doesn’t suck.

🚨NEW BLOG🚨 During #ITT beginning #historyteacher tutorials yesterday, the biggest concern was about developing subject knowledge for #teaching. A very practical blog with tips for how to develop subject knowledge when it feels impossible. uonhistoryteachertraining.school.blog/2026/09/19/d...

uonhistoryteachertraining.school.blog

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Aerith
@aerithdemon.bsky.social
about 1 hour ago
So I'm not doing so hot. Had to get an MRI. I'm not claustrophobic but even I was a little nervous about being effectively strapped down with a cage over my face lol
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Rare Disease Readout
@rarediseasereadout.bsky.social
about 1 hour ago
So the leading Huntington's program looks like gene therapy and behaves like its opposite. AMT-130 is an AAV5 virus carrying an artificial microRNA that silences huntingtin, delivered by MRI-guided surgery straight into the striatum. (5/8)
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Insurance Ninja 🇰🇷
@insuranceninja.bsky.social
about 1 hour ago
I only do because apparently I’ve got Stockholm syndrome and am identifying with my captors. I just love the club, not the nonces running it…
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@ry5423038.bsky.social
about 1 hour ago
Study BPT at Affordable Colleges in Noida


Start your physiotherapy journey by exploring affordable BPT colleges in Noida Uttar Pradesh. Look for colleges that offer a balanced combination of classroom education, practical training, clinical exposure, modern facilities, and career development opportunities for aspiring physiotherapists.
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💫Nale⁷💫 saw bts!
@yenale-na.bsky.social
about 1 hour ago
yeah iirc this is the first time both full groups took a picture together, we've had a good few dance challenges together and song collabs but only with individual members :) they might release a Behind with the meeting, who knows, but true the pic feels a bit clinical as it is
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@earth2ceres.bsky.social
about 1 hour ago
How many of Trump’s cabinet,along with Trump,do you think have actual clinical mental disorders? It’s like when Republicans hire someone their first question is how crazy are you and the second question is how crazy can you get. Your hired!
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Soccer|Football|Futbol Starting XI
@dailystartingxi.bsky.social
about 1 hour ago
🚨 Birmingham City XI vs Middlesbrough futbolstartingeleven.com/… Formation: 4-2-3-1 🧤 GK: J. Beadle 🛡️ DEF: P. Neumann, C. Klarer, B. Osayi-Samuel, A. Cochrane ⚙️ MID: C. Vicente, J. Solís ⚙️ MID: L. Millar, J. Stansfield, T. Iwata 🎯 FWD: L. Vázquez
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clumsy_machinist
@clumsy-machinist.bsky.social
about 1 hour ago
State Fair Withdrawal Syndrome
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@ericpiekarski.bsky.social
about 1 hour ago
Trump Derangement Syndrome: It's a symptom of every Trump voter, excuser, defender, accomplice, elected Republicans (state & federal), Administration official, "Influencer", pro-Trump friendly media
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Dr John Kiel | Medical Education
@mededcases.bsky.social
about 1 hour ago
🖐️ Which fingers receive sensation from the ulnar nerve? What’s your answer? 👇 🔗 link in bio. #Anatomy #UlnarNerve #MedicalEducation #HandAnatomy #NervousSystem
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Snigdha
@snig.bsky.social
about 1 hour ago
Pentagon announces mandatory testosterone screening, including screening for symptoms such as “reduced libido, loss of spontaneous morning erections, erectile dysfunction,” and other symptoms. Hegseth's preoccupation with masculinity leads to a gross invasion of privacy. [H/T @meidastouch.com]
DEPARTMENT OF

UNITED STATES OF AMERICA

DEFENSE HEALTH AGENCY

7700 ARLINGTON BOULEVARD, SUITE 5101 FALLS CHURCH, VIRGINIA 22042-5101

September 17, 2026

MEMORANDUM FOR DIRECTORS, DEFENSE HEALTH NETWORKS DIRECTORS, MILITARY MEDICAL TREATMENT FACILITIES

SUBJECT: Clinical Practice Guideline for Testosterone Deficiency in the Male Service Member

The updated clinical practice guideline for Testosterone Deficiency in the Male Service Member (Attachment) is available at www.dha.mil/HHPO. Clinical and Periodic Health Assessment questions will be updated to match this policy. The female clinical practice guideline is being reviewed and will be posted upon approval.

Clinical educational materials are being updated and will be posted on Joint Knowledge Online.

DARIN VIA

Vice Admiral, Medical Corps, United States Navy Director, Defense Health Agency

Attachment:

Clinical Practice Guideline for Testosterone Deficiency in the Male Service Member

cc:

Assistant Secretary of War for Health Affairs

Joint Staff Surgeon

Surgeon General, Department of the Army

Surgeon General, Department of the Navy

Surgeon General, Department of the Air Force

Defense Health Agency, Assistant Directors

Defense Health Agency, Deputy Assistant Directors

Defense Health Agency, Directors, Special Staff
Testosterone Deficiency in the Male Service Member

CPG ID: [TBD]

EXECUTIVE SUMMARY

Testosterone deficiency is a clinical syndrome requiring both a consistently low morning serum testosterone concentration and a compatible symptom profile. [1,2] Neither element establishes the diagnosis alone. Symptoms attributable to androgen deficiency - reduced libido, loss of spontaneous morning erections, erectile dysfunction, diminished energy and physical performance, impaired concentration, reduced muscle mass, and depressed mood overlap substantially with the effects of sleep restriction, caloric deficit, psychological stress, mild traumatic brain injury, and mood disorders, all of which are prevalent in the operational population. [1,2,24]

Prevalence depends heavily on definition. Isolated biochemically low total testosterone is common and rises with age and adiposity. When both biochemical and symptomatic criteria are applied, prevalence is substantially lower: the European Male Ageing Study reported 2.1 percent across ages 40 to 79, and 0.1 percent at ages 40 to 49.[18] Defense Medical Surveillance System records for 2018 through 2025 indicate that fewer than 1 percent of male Service members carried an active clinical diagnosis annually.

Testosterone therapy has demonstrated benefit for sexual function and improves body composition and bone mineral density. [7,9,10] Evidence does not support its use to improve energy, vitality, physical function, or cognition, and the American College of Physicians recommends against initiating therapy for those indications. [5] In the Testosterone Trials, the prespecified primary endpoints for vitality and for walking distance were both null. [10] Guidance premised on performance enhancement rather than on treatment of a diagnosed deficiency is not supportable on the current evidence.

The central diagnostic challenge in this population is not detection. It is discrimination. Intense physical training, sleep restriction, caloric de…
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Rupert Wilkey
@rupertwilkey.bsky.social
about 2 hours ago
Today is International Snakebite Awareness Day. In India alone, an estimated 50,000 people die every year, often in rural communities far from care, where the minutes after a bite matter most. Project One is here. #SnakebiteAwarenessDay #Snakebite #HyamInstitute #GlobalHealth #PublicHealth #India
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Steve Senski's Watching
@stevensenski.bsky.social
about 2 hours ago
Best Films from 1979: ALIEN APOCALYPSE NOW BEING THERE THE BLACK STALLION BREAKING AWAY THE BROOD THE CHINA SYNDROME THE GREAT SANTINI THE IN-LAWS MANHATTAN MY BRILLIANT CAREER TESS TIME AFTER TIME

Ooh, I want to play! Best films from 1979: Zombi 2 Life Of Brian Serie Noire Apocalypse Now Nosferatu the Vampyre Chilly Scenes of Winter Sisters, Or The Balance Of Happiness In For Treatment Alien The Man Who Stole The Sun

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Patrick Hickey, MD
@pwhickey.bsky.social
about 2 hours ago
colleagues from the DOD Joint Trauma System highlights the complexity of the challenge, identifies clinical drivers of mortality, & begins to frame a scientific agenda for clinical research & medical training to give injured children the best care. publications.aap.org/pedi….

publications.aap.org

Pediatric Mortality in Deployed United States Military Treatment Facilities: 2001–2022

10.1542/6386293119112Video AbstractPEDS-VA_2025-0714346386293119112OBJECTIVE. Pediatric mortality from conflict-related injuries exceeds that of adults. Understanding pediatric injury patterns and out...

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Patrick Hickey, MD
@pwhickey.bsky.social
about 2 hours ago
“While prevention is the primary goal, there must be a correlating focus on pediatric combat casualty care improvement since the annual number of pediatric casualties continues to rise.
Recommendations
In his 2022 memorandum, the US Secretary of Defense directed reviewing and implementing
tactical protocols to prevent civilian casualties and also provided several directives. [174] While prevention is the primary goal, there must be a correlating focus on pediatric combat casualty care improvement since the annual number of pediatric casualties continues to rise.
In response to the growing recognition of the need for pediatric-focused casualty care, the US Army Medical Command added a pediatric trauma curriculum to the Joint Forces Combat Trauma Management Course (2007), pediatric critical care telemedicine services for expanded access to pediatric and neonatal intensivists, and pediatric-focused medical sets were fielded. Currently, an update to the Borden Institute’s Pediatric Surgery and Medicine for Hostile Environments textbook is ongoing, along with development of a DoD pediatric trauma clinical practice guideline and inclusion of a pediatric template in the Operational Medicine’s pre-hospital electronic health record. Yet there remains more to do. Recommendations include:
• Develop and implement comprehensive pediatric casualty care curriculum and refresher
training designed for military medical providers of various skill levels and specialties.
• Develop and field pediatric trauma manikins and related materials for hands-on training
on poly-trauma injury patterns.
• Prioritize and fund research by the Joint Trauma System, Uniformed Services University,
and other stakeholders to delineate between primary injury, complications, and
physiologic causes of death in pediatric casualties, review practice patterns related to the diagnosis, initial treatment, and definitive management of pediatric injuries, determine
adherence to best practice guidelines.
• Further integrate and employ pediatric casualty care knowledge, skills, and abilities (KSA)
into the Clinical Readiness Program across relevant medical and nursing specialties.
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Patrick Hickey, MD
@pwhickey.bsky.social
about 2 hours ago
“along with development of a DoD pediatric trauma clinical practice guideline and inclusion of a pediatric template in the Operational Medicine’s pre-hospital electronic health record. Yet there remains more to do. Recommendations include:
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Patrick Hickey, MD
@pwhickey.bsky.social
about 2 hours ago
• Further integrate and employ pediatric casualty care knowledge, skills, and abilities (KSA) into the Clinical Readiness Program across relevant medical and nursing specialties. • Review and/or develop and implement pediatric-sized equipment and medication kits at all echelons of care.
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Carolyn Barber, MD
@cbarbermd.bsky.social
about 2 hours ago
“Any one of these changes could be catastrophic in its own right, especially as it relates to staffing and funding.” 433 park sites. PUBLIC LAND. PUBLIC MONEY. #NationalParks #Yosemite #Trump #PublicLands #NPS www.nytimes.com/2026/09/1…. #BlueSky #MedSky #LawSky
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