keyword
https://read.qxmd.com/read/38547494/the-trial-of-david-ferrier-november-1881-context-proceedings-and-aftermath
#1
JOURNAL ARTICLE
Ian Bone, Andrew J Larner
In November 1881, the eminent physiologist and physician David Ferrier was prosecuted under the Cruelty to Animals Act 1876. The prosecution was raised by the Victoria Street Society, formerly known as the Society for the Protection of Animals Liable to Vivisection, through its activist founder, Frances Power Cobbe. This article examines the legislative context prior to Ferrier's trial, the personalities involved in the prosecution, and its course and outcome. The resultant impact, both personal, on Cobbe and Ferrier, and professional, on experimental neurophysiology, is discussed, in particular the foundation of the Association for the Advancement of Medicine by Research (AAMR) and the provision of legal support for medical practitioners subject to litigation...
March 28, 2024: Journal of the History of the Neurosciences
https://read.qxmd.com/read/38547395/a-rare-mutation-in-thrb-gene-of-resistance-to-thyroid-hormone-a-case-report-of-a-chinese-pedigree
#2
JOURNAL ARTICLE
Jia Guo, Tongjun Xiang, Yingju Wang, Geheng Yuan
No abstract text is available yet for this article.
March 28, 2024: QJM: Monthly Journal of the Association of Physicians
https://read.qxmd.com/read/38547317/analysis-of-temporal-artery-biopsy-by-provider-across-a-large-multi-state-health-care-network
#3
JOURNAL ARTICLE
Karling Gravenstein, Mikalah Maury, Priya Arya, Robert Liebman
Temporal artery biopsy (TAB) is the standard test for diagnosing giant cell arteritis. Our objective was to determine which specialists perform TABs and if there is variation across the United States. We performed a cross-sectional analysis in a multi-state health care system, evaluating differences between observed counts of surgical specialty by region, positive diagnoses by region, and positive diagnoses by specialty. Temporal arterial biopsy was performed on 3825 patients with the proportion of specialties performing TAB differing between regions...
March 28, 2024: American Surgeon
https://read.qxmd.com/read/38547099/etonogestrel-releasing-subdermal-contraceptive-implant-budget-impact-analysis-based-on-the-brazilian-private-healthcare-system
#4
JOURNAL ARTICLE
Agnaldo Lopes da Silva Filho, Ricardo Luis Pereira Bueno, Yohanna Ramires, Lara Marina Cruz Lino
High rates of unplanned pregnancies persist despite pharmacological developments and advancements in contraceptive methods. Here, we demonstrate that the etonogestrel-releasing subdermal contraceptive implant (IMP-ETN) may be an appropriate and cost-effective alternative to levonorgestrel-releasing intrauterine systems (LNG-IUSs) for women in Brazil. For our pharmacoeconomic analysis, we reviewed the literature on IMP-ETN regarding its acceptance, eligibility criteria, choice, relations with age, adverse events and, finally, the unmet need in the fee-for-service private healthcare sector...
2024: PloS One
https://read.qxmd.com/read/38547079/developing-medical-simulations-for-opioid-overdose-response-training-a-qualitative-analysis-of-narratives-from-responders-to-overdoses
#5
JOURNAL ARTICLE
G Franklin Edwards, Cassandra Mierisch, Brock Mutcheson, Allison Strauss, Keel Coleman, Kimberly Horn, Sarah Henrickson Parker
Medical simulation offers a controlled environment for studying challenging clinical care situations that are difficult to observe directly. Overdose education and naloxone distribution (OEND) programs aim to train potential rescuers in responding to opioid overdoses, but assessing rescuer performance in real-life situations before emergency medical services arrive is exceedingly complex. There is an opportunity to incorporate individuals with firsthand experience in treating out-of-hospital overdoses into the development of simulation scenarios...
2024: PloS One
https://read.qxmd.com/read/38547078/using-the-electronic-medical-record-to-address-code-status-documentation-a-quality-improvement-project
#6
JOURNAL ARTICLE
John Sorge, Susan Szpunar, Theodore Daniel, Louis Saravolatz
Code status (CS) is often overlooked while admitting patients to the hospital. This is important for patients with end-stage disease. This quality improvement project investigated whether a CS pop-up alert in the electronic medical record, combined with provider education, improved addressing CS. The project consisted of a baseline chart review, implementation of the alert and physician education, and a postintervention chart review. We reviewed 1828 charts at baseline and 1,775 at postintervention. From univariable analysis, there were improvements in addressing CS, being full code, cardiopulmonary resuscitation, intubation, use of vasopressors, and cardioversion technique categories (all p < ...
March 28, 2024: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://read.qxmd.com/read/38546964/chronic-obstructive-pulmonary-disease-in-heart-failure-challenges-in-diagnosis-and-treatment-for-hfpef-and-hfref
#7
REVIEW
Sergio Henrique Rodolpho Ramalho, André Luiz Pereira de Albuquerque
PURPOSE OF REVIEW: Chronic obstructive pulmonary disease (COPD) is common in heart failure (HF), and it has a significant impact on the prognosis and quality of life of patients. Additionally, COPD is independently associated with lower adherence to first-line HF therapies. In this review, we outline the challenges of identifying and managing HF with preserved (HFpEF) and reduced (HFrEF) ejection fraction with coexisting COPD. RECENT FINDINGS: Spirometry is necessary for COPD diagnosis and prognosis but is underused in HF...
March 28, 2024: Current Heart Failure Reports
https://read.qxmd.com/read/38546881/creating-a-framework-for-physician-app-leader-development-and-peer-collaboration
#8
JOURNAL ARTICLE
Mary Claire C Jenkins, Samuel C Thomas, Emily Stirling, Timothy Fowles, Rajendu Srivastava, Anne Pendo
No abstract text is available yet for this article.
April 2024: Quality Management in Health Care
https://read.qxmd.com/read/38546867/prosecuting-cases-of-abusive-head-trauma-in-switzerland-a-descriptive-study-of-the-impact-of-medical-documentation-and-delay-of-reporting-on-judicial-outcome
#9
JOURNAL ARTICLE
Sarah Held, Jean-Jacques Cheseaux, Jean-François Tolsa, Sarah Depallens
Abusive head trauma (AHT) is a criminal offence that is prosecuted ex officio, following report to the police from physicians or child protection services. The aim of this study was to assess whether the judicial outcome (dismissal vs indictment) was influenced by the quality of the medical documentation and/or the time span between AHT diagnosis and reporting child abuse to the police. The cohort was divided in two groups: 13/23 dismissals (57%) and 10/23 indictments (43%). The diagnostic probability of the AHT cases was certain for both groups...
March 28, 2024: International Journal of Legal Medicine
https://read.qxmd.com/read/38546863/-evaluation-of-the-role-of-an-advanced-practice-dietitian-in-the-intensive-care-unit
#10
JOURNAL ARTICLE
Gioia Vinci, Reto Stocker
BACKGROUND: In Swiss intensive care units (ICUs), nutritional management is hardly or not at all supported or supervised by dietitians. Nutritional management in the ICU is mainly performed by ICU nursing staff and intensive care specialists. In 2022, the role of an advanced practice dietitian (APD) was newly defined, created, and implemented in a Swiss ICU as part of a pilot project. In contrast to other countries, APDs are still scarce in Switzerland. Evaluation of the APD role is essential to further define the position and adapt it to needs...
March 28, 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38546860/cat-bite-injuries-to-the-hand-and-forearm-the-impact-of-antibiotic-treatment-on-microbiological-findings-and-clinical-outcome
#11
JOURNAL ARTICLE
Sebastian Wangler, Miriam Elias, Linus Schoepke, Dominique N Merky, Rahel Meier, Esther Vögelin
INTRODUCTION: Patients and physicians often underestimate cat bite injuries. The deep and narrow wound seals quickly and provides an environment for the inoculated saliva and bacteria. Interestingly, the literature reports no bacterial growth in the microbiological workup of wound swaps in up to 43%. The time between bite injury and the first clinical presentation, the start of antibiotic treatment and surgical debridement might affect these findings. Therefore, the current project examines if (1) these factors impact the outcome of microbiological results following cat bite injuries and (2) the detection of bacterial growth leads to higher complication rates, longer hospital stays, longer total treatment time, or higher total treatment costs...
March 28, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38546842/-the-new-medical-licensing-regulations-%C3%A3-appro-status-and-expected-challenges
#12
REVIEW
Mohamed Ghanem, Ricarda Seemann, Susanne Fröhlich, Christoph-E Heyde, Andreas Roth
BackgroundThe amendment to the medical licensing regulations (ÄApprO) was decided at the federal level in the version of the "Master Plan for Medical Studies 2020" passed in 2017. In addition to the organizational effort involved in redesigning the curricular teaching, the expected costs associated with the implementation of the new licensing regulations due to the necessary additional time and, therefore, personnel expenditure are of particular importance. Taking into account the different forms of study and the 20% scope for study-design provided to the individual faculties, the process of transferring the teaching content to the new modules confronts us with an enormous organizational challenge...
March 28, 2024: Orthopadie (Heidelb)
https://read.qxmd.com/read/38546832/effects-of-different-neuraxial-analgesia-modalities-on-the-need-for-physician-interventions-in-labour-a-network-meta-analysis
#13
JOURNAL ARTICLE
Lizhong Wang, Jiayue Huang, Xiangyang Chang, Feng Xia
BACKGROUND: Neuraxial labour analgesia can be initiated with epidural (EPL), combined spinal epidural (CSE) or dural puncture epidural (DPE) and maintained with continuous epidural infusion (CEI), patient-controlled epidural analgesia (PCEA) or programmed intermittent epidural bolus (PIEB), but the optimal analgesia modality is still controversial. OBJECTIVE: To compare the effects of commonly used neuraxial analgesia modalities on the proportion of women needing physician interventions, as defined by the need for physician-administered epidural top-ups for inadequate analgesia in labour...
March 29, 2024: European Journal of Anaesthesiology
https://read.qxmd.com/read/38546819/pe-ynet-a-novel-attention-based-multi-task-model-for-pulmonary-embolism-detection-using-ct-pulmonary-angiography-ctpa-scan-images
#14
JOURNAL ARTICLE
G R Hemalakshmi, M Murugappan, Mohamed Yacin Sikkandar, D Santhi, N B Prakash, A Mohanarathinam
Pulmonary Embolism (PE) has diverse manifestations with different etiologies such as venous thromboembolism, septic embolism, and paradoxical embolism. In this study, a novel attention-based multi-task model is proposed for PE segmentation and detection from Computed Tomography Pulmonary Angiography (CTPA) images. A Y-Net architecture is used to implement this model, which facilitates segmentation and classification jointly, improving performance and efficiency. It is leveraged with Multi Head Attention (MHA), which allows the model to focus on important regions of the image while suppressing irrelevant information, improving the accuracy of the segmentation and detection tasks...
March 28, 2024: Physical and engineering sciences in medicine
https://read.qxmd.com/read/38546714/social-media-use-in-dermatology-in-turkey-challenges-and-tips-for-patient-health
#15
JOURNAL ARTICLE
Ayse Serap Karadag, Basak Kandi, Berna Sanlı, Hande Ulusal, Hasan Basusta, Seray Sener, Sinem Calıka
Social media has established its place in our daily lives, especially with the advent of the COVID-19 pandemic. It has become the leading source of information for dermatological literacy on various topics, ranging from skin diseases to everyday skincare and cosmetic purposes in the present digital era. Accumulated evidence indicates that accurate medical content constitutes only a tiny fraction of the exponentially growing dermatological information on digital platforms, highlighting an unmet patient need for access to evidence-based information on social media...
March 28, 2024: JMIR dermatology
https://read.qxmd.com/read/38546644/perspectives-of-oncologists-on-the-ethical-implications-of-using-artificial-intelligence-for-cancer-care
#16
JOURNAL ARTICLE
Andrew Hantel, Thomas P Walsh, Jonathan M Marron, Kenneth L Kehl, Richard Sharp, Eliezer Van Allen, Gregory A Abel
IMPORTANCE: Artificial intelligence (AI) tools are rapidly integrating into cancer care. Understanding stakeholder views on ethical issues associated with the implementation of AI in oncology is critical to optimal deployment. OBJECTIVE: To evaluate oncologists' views on the ethical domains of the use of AI in clinical care, including familiarity, predictions, explainability (the ability to explain how a result was determined), bias, deference, and responsibilities...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38546577/industry-payments-to-us-physicians-by-specialty-and-product-type
#17
JOURNAL ARTICLE
Ahmed Sayed, Joseph S Ross, John Mandrola, Lisa Soleymani Lehmann, Andrew J Foy
No abstract text is available yet for this article.
March 28, 2024: JAMA
https://read.qxmd.com/read/38546481/lacrimal-history-part-iv-doyens-of-dacryology-series-the-contributions-of-graeco-roman-physicians
#18
EDITORIAL
Mrittika Sen, Mohammad Javed Ali
No abstract text is available yet for this article.
March 28, 2024: Seminars in Ophthalmology
https://read.qxmd.com/read/38546382/a-discussion-with-dr-natasha-kekre-hematologist-and-clinician-scientist
#19
JOURNAL ARTICLE
Amelia T Yuan, Natasha Kekre
[Figure: see text] Dr. Natasha Kekre has been appointed to the Department of Medicine in the Division of Hematology, within the Transplant and Cellular Therapy Program at The Ottawa Hospital since 2015. She is also a scientist within the Ottawa Hospital Research Institute and an associate professor of medicine at the University of Ottawa. She completed her Bachelor's in Science at the University of Windsor then obtained her medical degree from the University of Ottawa. She trained at the University of Ottawa in Internal Medicine and Hematology, then did fellowship in stem cell transplantation at Dana Farber Cancer Institute in Boston, MA with a Masters in Public Health from Harvard University...
March 1, 2024: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://read.qxmd.com/read/38546319/insidious-manifestations-of-cutaneous-t-cell-lymphoma
#20
JOURNAL ARTICLE
Alexis L Cates, Heather P Kahn
CASE PRESENTATION: A 66-year-old gentleman presented with several months of a generalized pruritic skin eruption along his face, thorax, and extremities. Although he had been seen previously, no diagnosis was made until he presented to the emergency department (ED) with worsening lesions. The patient was ultimately diagnosed with cutaneous T-cell lymphoma. DISCUSSION: Accurately diagnosing a rash in the ED is not always possible as more invasive studies may be needed...
February 2024: Clinical Practice and Cases in Emergency Medicine
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