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Background: The objective of this study was to test a novel household‐based approach to improve late‐season influenza vaccine uptake during the 2020–2021 season, using Epic's MyChart patient portal messages and/or interactive voice response telephone calls. Methods: This study was a non‐blinded, quality improvement program using a block randomized design conducted among patients from Reliant Medical Group clinics residing in a traditional household (≥2 individuals clinically active in the Reliant system living at the same address). Households were randomized 1:1:1 into intervention arms: non‐tailored communication (messaging based on CDC's seasonal influenza vaccination campaign), tailored communication (comprehensive communication including reinforcement of the importance of influenza vaccination for high‐risk individuals), and standard‐of‐care control. Influenza vaccination during the program was captured via medical records, and the odds of vaccination among communication arms versus the control arm were assessed. A survey assessing influenza vaccination drivers was administered using MyChart. Results: Influenza vaccination increased by 3.3% during the program period, and no significant differences in vaccination were observed in intervention arms relative to the control arm. Study operationalization faced substantial challenges related to the concurrent COVID‐19 pandemic. Compared with vaccinated survey respondents, unvaccinated respondents less frequently reported receiving a recommendation for influenza vaccination from their healthcare provider (15.8% vs. 42.3%, p < 0.001) or awareness that vaccination could protect themselves and higher risk contacts (82.3% vs. 92.6%, p < 0.001). Conclusions: No significant effects of the interventions were observed. Survey results highlighted the importance of healthcare provider recommendations and the need for increased education around the benefits of vaccination. [ABSTRACT FROM AUTHOR]

Objective: While frequent contact with diabetes care providers may improve glycemic control among patients with type 1 diabetes (T1D), in‐person visits are labor‐intensive and costly. This study was conducted to assess the impact of an intensive remote therapy (IRT) intervention for pediatric patients with T1D. Methods: Pediatric patients with T1D were randomized to IRT or conventional care (CC) for 6 months. Both cohorts continued routine quarterly clinic visits and uploaded device data; for the IRT cohort, data were reviewed and patients were contacted if regimen adjustments were indicated. Glycated hemoglobin (HbA1c) change from baseline was assessed at 6 and 9 months. Diabetes‐related quality of life (QoL), healthcare services utilization, and hypoglycemic events were also tracked. Results: Among 117 enrollees (60 IRT, 57 CC), mean (SD) 6‐month %HbA1c change for IRT vs CC was −0.34 (0.85) (−3.7 mmol/mol) vs −0.05 (0.74) (−0.5 mmol/mol) overall (P = .071); −0.15 (0.67) (1.6 mmol/mol) vs −0.02 (0.66) (0.2 mmol/mol) for ages 8 to 12 (P = .541); and −0.50 (0.95) (−5.5 mmol/mol) vs −0.06 (0.80) (−0.7 mmol/mol) for ages 13 to 17 (P = .056). Diabetes‐related QoL increased by 6.5 and 1.3 points for IRT and CC, respectively (P = .062). Three months after intervention cessation, %HbA1c changed minimally among treated children aged 8 to 12 but increased by 0.22 (0.89) (2.4 mmol/mol) among those aged 13 to 17. Conclusions: IRT substantially affected diabetes metrics and improved QoL among pediatric patients with T1D. Adolescents experienced a stronger treatment effect, but had difficulty in sustaining improved control after intervention cessation. [ABSTRACT FROM AUTHOR]

Rayong, Thailand, 1992 The celebrated event is an absence, startling, like the end of a slideshow. We had been watching carefully, eyes dilated, the screen goes suddenly bright white, and [...]

Three poems by Tina Kelly are presented. "LETTER WRITTEN WITH THE KRUGER BROTHERS PICKING IN THE BACKGROUND." First Line: Dear One, So Saturday we finally; Last Line: not the music. "ON ASSIGNMENT WITH DITH PRAN IN NEW JERSEY." First Line: Heart of The Killing Fields, fighter of genocide, Last Line: If they can do that for me, my spirit will be happy. "DISPATCH FROM THE OFFICE OF THE CREATOR OF WORDS." First Line: They come in every day, by mail, electronic and paper, Last Line: in mudgrunt, thinking few thoughts. Silent and alone.

Can music really come from its notes? Can this peace come from these words? The pictures are subdued, in tattoo colors, the twilight, no lights on yet, like water. In [...]

'You will be most successful if you remember these simple rules: go slow, go low, approach from behind, and don't cross the butterfly with your shadow.' Butterflies do not believe [...]

The poem "AND THE BEACH RIGHT THERE WAITING FOR US" by Tina Kelley is presented. First Line: What are you doing, 16 years later, Last Line: I knew too well not to cross that line.

Presents the poem "On Assignment, Three Months After the Funeral," by Tina Kelley. First Line: I am visiting a hibernaculum in the Adirondacks, a wintering place for bats that are dying, Last Line: umbrellas, trying to right themselves with that weird thumb on the top of their wings. They can't.

The poem "ABLOOM AND AWRY" by Tina Kelley is presented. First Line: God lurks in the story of stethoscope, Last Line: most of all, inshallah, the many years to come.

The poem "THE NEXT CREATION OF THE UNIVERSE" by Tina Kelley is presented. First Line: After it was all over, time; Last Line: How long can you let this universe last?

The poem "Cancer Scare" by Tina Kelley is presented. First Line: Everyone has one, sooner or later, Last Line: three weeks!—and add another, to get the results.

Presents the poem "Calling Up Dorothy," by Tina Kelley. First Line: She handed me the phone and told me to call Dorothy. Last Line: And she laughs in her sleep.

Presents the poem "Each of Us," by Tina Kelley. First Line: We are all here in these eyelashes of flakes zinging at our faces over and over, Last Line: grandmothers. Come along, look up, mouth open. Take them in, a cold wet eucharist.

Presents the poem "The Joy of Reading 'The Joy of Cooking,'" by Tina Kelley. First Line: Yet. Last Line: Do not disturb the boiling.

Presents the poem "Where Babies Come From," by Tina Kelley. First Line: "If you become a bird and fly away from me," Last Line: to her if she were with me. Even now, she is flying away.

Presents the prose poem "In Memoriam, the Happiness of Breezy Point," by Tina Kelley.

The poem "Expose for the Flame" by Tina Kelley is presented. We believe nothing; Last Line: knows why.

The prose poem "The Last Christmas My Daughter Won't Know About Sex" by Tina Kelley is presented. First Line: She says she doesn't want a boyfriend "because you have to pay him too much." Last Line: And I think, damn, she could tame alligators, but not boys, with those eyes.

The poem "First Flight Just the Two of Us" by Tina Kelley is presented. First Line: Little happy dirt ghosts shining— Last Line: your tiny hands, send them clapping.

Presents the poem "How God and the Baby are Essentially the Same," by Tina Kelley. First Line: It can be so difficult to tell them apart in this skim light. Last Line: And they are just beginning.

Presents the poem "Last Meditation on My First Husband," by Tina Kelley. First Line: Maybe, in a third-floor closet, Last Line: for you, now, from here.

Presents the poem "The First Two," by Tina Kelley.