@J_Cruz2279 Profile picture

John (Juan) Cruz

@J_Cruz2279

NJ paramedic, simulation specialist & educator @NYCHealthSystem #Simulation Center. Team player & problem solver thru creative thinkering. Views are my own.

Joined October 2014
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John (Juan) Cruz Reposted

#H5N1 virus sequenced from critical Canadian teenager has PB2 E627X mutation. This mutation is known to be associated with viral infectivity and lethality in humans. This mutation however can develop in a single host during the course of an infection. This is why it is important…

Very important to watch closely. Also to get info on when the virus sample was collected from the teen. Was the virus adapting before or after they got infected? These are crucial markers of human adaptation that we’ve been concerned about with #H5N1. Hope this can be cleared…



John (Juan) Cruz Reposted

10 years ago today I walked out of the hospital after surviving Ebola. Back then I begged the world to strengthen our response to that crisis and prepare for others. I’ve been reflecting on what we’ve learned over the last decade. And the role of the U.S. in global health🧵

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John (Juan) Cruz Reposted

CDC Expands Guidance to Better Protect Farm Workers and Livestock Owners to Lower the Risk of Becoming infected with Bird Flu cdc.gov/bird-flu/spotl…


John (Juan) Cruz Reposted

Great news: Rwanda has discharged the last Marburg virus disease patient, kicking off the mandatory 42-day countdown to declare the end of the outbreak. The country has reported no new confirmed cases since 30 October 2024. afro.who.int/countries/rwan…


John (Juan) Cruz Reposted

WILDFIRE UPDATE: Cannonball 3 Wildfire - Pompton Lakes, Passaic County @NJDEPForestFire has made significant progress containing a wildfire burning in the area of Cannonball Road in Pompton Lakes, Passaic County. SIZE & CONTAINMENT 🔥 162 acres 🔥 50% contained

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John (Juan) Cruz Reposted

WILDFIRE UPDATE: Jennings Creek Wildfire - West Milford, Passaic County @NJDEPForestFire remains on scene of a wildfire burning in the area of Greenwood Lake Turnpike and East Shore Road in West Milford. The fire is also burning in Orange County, New York.

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John (Juan) Cruz Reposted

The current air quality index in some monitors has now reached 201 (Very Unhealthy). @NYSDEC has issued an Air Quality Health Advisory that remains in effect through tomorrow. Where it’s showing Very Unhealthy levels, everyone is at risk. Serious health effects are possible.…

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John (Juan) Cruz Reposted

I hope these figures will be helpful if your new ultrasound device ordered by @GEHealthCare takes FOREVER to be delivered and you have to place your central line in the IJv with a landmark technique... 😩

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John (Juan) Cruz Reposted

Megan Augustine & I are onsite and ready to go for Smooth-On Med Sim & FX Masterclass tomorrow. Who will will be see there?

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John (Juan) Cruz Reposted

The @NewJerseyDEP Forest Fire Service is working to contain a major wildfire in Jackson, Ocean County. Precautionary evacuations and road closures underway. Stay alert and informed to keep safe as prolonged drought conditions continue to increase wildfire incidents statewide.

WILDFIRE ALERT: Jackson Twp., Ocean County The New Jersey Forest Fire Service is on scene of a wildfire burning in the area of South Stump Tavern Road in Jackson Twp., Ocean County. The evacuation of 15 structures is in progress on South Stump Tavern Road.

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John (Juan) Cruz Reposted

The Marburg virus outbreak in Rwanda has disproportionately affected healthcare workers treating patients of the virus. On @NYASciences blog, CEID Director @BhadeliaMD & affiliate faculty @syramadad outline recommendations for protecting this workforce. spr.ly/6013SPtaT


PPE, BSI, and hand hygiene are not just tag lines. They are critical to your and your teams health and well being. “…with 80% of cases among healthcare workers.”

The Marburg virus outbreak in Rwanda, now with 66 cases, highlights urgent gaps in healthcare worker safety, with over 80% of cases among healthcare workers. In this @NYASciences publication @BhadeliaMD and I discuss several recommendations to strengthen the protection of…



John (Juan) Cruz Reposted

Big day for desktops. Advanced Voice is now available in the macOS and Windows desktop apps. openai.com/chatgpt/downlo…


John (Juan) Cruz Reposted

California's confirmed #H5N1 #birdflu human cases are up to 15, per the CA Dept of Public Health. @CDCgov hasn't updated its table yet today to include CA's 2 new cases or the 4 from Washington state. They will bring the national total to 33 so far this year.…

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John (Juan) Cruz Reposted

Here are 5 things that I use to help prognosticate patients in the ICU 📉 Most importantly, prognostication reminds me of the quote "prediction is difficult, especially about the future". Stay humble and don't be afraid to express uncertainty to pts. and families (Note: #5 is…

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John (Juan) Cruz Reposted

This is Thomas Seyfried. He's a scientist who's dedicated 30+ years to researching cancer. His message? Cancer IS preventable. It's caused by lifestyle factors, not genetics. Here are Seyfried's 7 MOST important rules for preventing cancer:

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John (Juan) Cruz Reposted

7. Maintain stable blood sugar levels. Glucose & insulin spikes can feed cancer cells. Seyfried emphasizes the importance of keeping blood sugar levels stable by avoiding: • Sugar • Refined carbs • Processed foods Diets high in sugar can also lead to chronic inflammation &…


John (Juan) Cruz Reposted

6. Ketogenic Diet. Seyfried advocates for a ketogenic diet: • High-fat • Moderate-protein • Low-carbohydrate This diet shifts the body from using glucose as its primary energy source to burning fat & ketones. Since cancer cells primarily rely on glucose for growth...…


John (Juan) Cruz Reposted

5. Reduce Inflammation. Chronic inflammation is linked to cancer. Seyfried advises adopting an anti-inflammatory lifestyle, which includes: • Avoiding processed foods & sugar • Consuming anti-inflammatory foods (turmeric, fatty fish, green tea, etc) • Reducing stress…

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John (Juan) Cruz Reposted

4. Fasting. Seyfried is a big advocate for both intermittent fasting & longer-term fasting. Fasting reduces blood glucose & enhances ketone production... Which cancer cells cannot efficiently use. This helps inhibit their growth & promotes autophagy (the body’s process of…


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