keyword
https://read.qxmd.com/read/38535101/updated-clinical-classification-and-hemodynamic-definitions-of-pulmonary-hypertension-and-its-clinical-implications
#21
REVIEW
Mithum Kularatne, Christian Gerges, Mitja Jevnikar, Marc Humbert, David Montani
Pulmonary hypertension (PH) refers to a pathologic elevation of the mean pulmonary artery pressure (mPAP) and is associated with increased morbidity and mortality in a wide range of medical conditions. These conditions are classified according to similarities in pathophysiology and management in addition to their invasive hemodynamic profiles. The 2022 ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension present the newest clinical classification system and includes significant updates to the hemodynamic definitions...
February 27, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38534906/artificial-intelligence-based-clinical-decision-support-systems-in-primary-care-a-scoping-review-of-current-clinical-implementations
#22
REVIEW
Cesar A Gomez-Cabello, Sahar Borna, Sophia Pressman, Syed Ali Haider, Clifton R Haider, Antonio J Forte
Primary Care Physicians (PCPs) are the first point of contact in healthcare. Because PCPs face the challenge of managing diverse patient populations while maintaining up-to-date medical knowledge and updated health records, this study explores the current outcomes and effectiveness of implementing Artificial Intelligence-based Clinical Decision Support Systems (AI-CDSSs) in Primary Healthcare (PHC). Following the PRISMA-ScR guidelines, we systematically searched five databases, PubMed, Scopus, CINAHL, IEEE, and Google Scholar, and manually searched related articles...
March 13, 2024: European journal of investigation in health, psychology and education
https://read.qxmd.com/read/38534539/brain-age-prediction-using-multi-hop-graph-attention-combined-with-convolutional-neural-network
#23
JOURNAL ARTICLE
Heejoo Lim, Yoonji Joo, Eunji Ha, Yumi Song, Sujung Yoon, Taehoon Shin
Convolutional neural networks (CNNs) have been used widely to predict biological brain age based on brain magnetic resonance (MR) images. However, CNNs focus mainly on spatially local features and their aggregates and barely on the connective information between distant regions. To overcome this issue, we propose a novel multi-hop graph attention (MGA) module that exploits both the local and global connections of image features when combined with CNNs. After insertion between convolutional layers, MGA first converts the convolution-derived feature map into graph-structured data by using patch embedding and embedding-distance-based scoring...
March 8, 2024: Bioengineering
https://read.qxmd.com/read/38534406/reply-to-soldo-a-lipej-l-comment-on-bal%C3%A3-ka-et-al-updated-checklist-of-chondrichthyan-species-in-croatia-central-mediterranean-sea-biology-2023-12-952
#24
JOURNAL ARTICLE
Pia F Balàka, Pero Ugarković, Julia Türtscher, Jürgen Kriwet, Simone Niedermüller, Patrik Krstinić, Patrick L Jambura
Balàka et al [...].
February 21, 2024: Biology
https://read.qxmd.com/read/38534405/comment-on-bal%C3%A3-ka-et-al-updated-checklist-of-chondrichthyan-species-in-croatia-central-mediterranean-sea-biology-2023-12-952
#25
JOURNAL ARTICLE
Alen Soldo, Lovrenc Lipej
The authors write that the last checklist for Croatia was carried out in 2009 and that 52 chondrichthyan species were reported in Croatian waters [...].
February 21, 2024: Biology
https://read.qxmd.com/read/38534290/pediatric-sedation-in-dutch-dental-clinics-the-influence-of-guideline-modifications-on-adverse-events
#26
JOURNAL ARTICLE
Jonah M Hill, Daphne Y S Vogel, Bea Spek, Catharine J de Jong, Janneke B Krikken, Jaap S J Veerkamp
Background : Dental fear and uncooperative behavior can hinder dental treatment quality. Pediatric Procedural Sedation and Analgesia (PPSA) is used to facilitate treatment when the coping capacity is exceeded. Out-of-hospital PPSA has been associated with more adverse outcomes compared to when it is used in hospital-based settings. The updated Dutch PPSA guidelines have increased costs and raised concerns about the accessibility of specialized high-quality dental care for children in the Netherlands. This study aimed to investigate the impact of the updated 2017 guidelines on the occurrence rate of adverse events during PPSA in twelve Dutch dental clinics...
March 5, 2024: Dentistry Journal
https://read.qxmd.com/read/38534216/the-epidemiology-and-management-of-clostridioides-difficile-infection-a-clinical-update
#27
REVIEW
Lindsay M Clarke, Jessica R Allegretti
BACKGROUND: Clostridioides difficile is the most common cause of healthcare-associated infection, and severe cases can result in significant complications. While anti-microbial therapy is central to infection management, adjunctive therapies may be utilised as preventative strategies. AIM: This article aims to review updates in the epidemiology, diagnosis, and management, including treatment and prevention, of C. difficile infections. METHODS: A narrative review was performed to evaluate the current literature between 1986 and 2023...
March 27, 2024: Alimentary Pharmacology & Therapeutics
https://read.qxmd.com/read/38534135/chronic-rhinosinusitis-with-nasal-polyposis-and-biological-agents-the-aria-italy-survey
#28
JOURNAL ARTICLE
C Lombardi, G Passalacqua, F Menzella, R F Mauritz Canevari, G Danesi, A M Pusateri, M Carone, C Vancheri, F Di Marco, C Micheletto, G Manzotti, M Di Gioacchino, M B Bilò, M Gelardi, G Senna, G W Canonica
Background. Chronic rhinosinusitis (CRS) is an inflammatory disease that affects the nasal mucosa and the paranasal sinuses. CRS can be associated by nasal polyposis (CRSwNP phenotype) in up to 30% of patients and it is frequently associated with bronchial asthma. CRSwNP shows predominantly an underlying activation of type 2 inflammatory pathways with the involvement of eosinophils, IgE, interleukin (IL)-4, IL-5 and IL-13. Biological drugs that target these inflammatory cytokines are currently a therapeutic option recognized by guidelines for the treatment of uncontrolled form of the disease...
March 27, 2024: European Annals of Allergy and Clinical Immunology
https://read.qxmd.com/read/38534085/lasting-impact-of-the-covid-19-pandemic-on-care-and-prevention-of-sexually-transmitted-infections-in-the-midwest
#29
JOURNAL ARTICLE
Maya Patel, Nicholas Cardoza, Lawrence Weingarten, Nebu Kolenchery, Anne Trolard, Benjamin Cooper, Hilary Reno
BACKGROUND: The COVID-19 pandemic reduced the general accessibility of health services. Many sexually transmitted infection (STI) testing and treatment sites modified services (e.g., reduced hours, limited walk-in availability, decreased testing capacity), changes that may result in permanent change in STI service availability. At the same time, systems were driven to innovate in ways that could benefit patients. This study aimed to describe how the COVID-19 pandemic changed STI clinical services, with a focus on long-term impacts...
April 1, 2024: Sexually Transmitted Diseases
https://read.qxmd.com/read/38534079/updates-in-diagnostic-tools-for-diagnosing-nerve-injury-and-compressions
#30
REVIEW
Gráinne Bourke, Ryckie G Wade, Nens van Alfen
Predicting prognosis after nerve injury and compression can be challenging, even for the experienced clinician. Although thorough clinical assessment can aid diagnosis, we cannot always be precise about long-term functional recovery of either motor or sensory nerves. To evaluate the severity of nerve injury, surgical exploration remains the gold standard, particularly after iatrogenic injury and major nerve injury from trauma, such as brachial plexus injury. Recently, advances in imaging techniques (ultrasound, magnetic resonance imaging [MRI] and MR neurography) along with multimodality assessment, including electrodiagnostic testing, have allowed us to have a better preoperative understanding of nerve continuity and prediction of nerve health and possible recovery...
March 27, 2024: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38533994/mobile-phone-text-messaging-for-medication-adherence-in-secondary-prevention-of-cardiovascular-disease
#31
REVIEW
Julie Redfern, Qiang Tu, Karice Hyun, Matthew A Hollings, Nashid Hafiz, Clara Zwack, Caroline Free, Pablo Perel, Clara K Chow
BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of death globally, accounting for almost 18 million deaths annually. People with CVDs have a five times greater chance of suffering a recurrent cardiovascular event than people without known CVDs. Although drug interventions have been shown to be cost-effective in reducing the risk of recurrent cardiovascular events, adherence to medication remains suboptimal. As a scalable and cost-effective approach, mobile phone text messaging presents an opportunity to convey health information, deliver electronic reminders, and encourage behaviour change...
March 27, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38533872/-not-available
#32
JOURNAL ARTICLE
Hoda Khorasani, Tove Holst Filtenborg Tvedskov, Tine Engberg Damsgaard
Patients requesting breast reconstruction after mastectomy is an increasing group at plastic- and breast surgery departments in Denmark. This review summarises the present surgical techniques for reconstruction with/without postoperative chemotherapy and/or radiation therapy. These surgical techniques are continuously updated. The most determining factor when selecting a reconstructive technique, is postoperative radiation therapy. Each patient is unique, and an individual assessment is made when planning surgery...
March 18, 2024: Ugeskrift for Laeger
https://read.qxmd.com/read/38533835/a-meta-analysis-of-electronic-media-use-and-sleep-quality-an-updated-systematic-review
#33
JOURNAL ARTICLE
Xiaoning Han, Enze Zhou, Dong Liu
BACKGROUND: This paper explores the widely discussed relationship between electronic media use and sleep quality, indicating negative effects due to various factors. However, existing meta-analyses on the topic have some limitations. OBJECTIVE: The study aims to analyze and compare the impacts of different digital media types, such as smartphones, online games, and social media, on sleep quality. METHODS: Adhering to PRISMA guidelines, the study performed a systematic meta-analysis of literature across multiple databases, including Web of Science, MEDLINE, PsycINFO, PubMed, Science Direct, Scopus, and Google Scholar, from January 2018 to October 2023...
March 26, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38533802/an-update-of-palliative-care-in-lung-transplantation-with-a-focus-on-symptoms-quality-of-life-and-functional-outcomes
#34
JOURNAL ARTICLE
Dmitry Rozenberg, Rogih Riad Andrawes, Kirsten Wentlandt
PURPOSE OF REVIEW: Palliative care (PC) in lung transplantation is increasingly acknowledged for its important role in addressing symptoms, enhancing functionality, and facilitating advance care planning for patients, families, and caregivers. The present review provides an update in PC management in lung transplantation. RECENT FINDINGS: Research confirms the effectiveness of PC for patients with advanced lung disease who are undergoing transplantation, showing improvements in symptoms and reduced healthcare utilization...
March 28, 2024: Current Opinion in Pulmonary Medicine
https://read.qxmd.com/read/38533699/business-continuity-plan-in-the-management-and-operations-of-hospitals-first-experience-to-certify-the-pdta-processes-with-the-requirements-defined-by-iso-22301-2019-in-emergency-medical-services
#35
JOURNAL ARTICLE
Lucio Dell'Atti, Roberto Papa, Leonardo Incicchitti, Maria Katia Zanni, Andrea Zampa, Michele Caporossi
BACKGROUND: A business continuity plan (BCP) facilitates the performance of primary functions during emergencies or other situations that can disrupt normal operations. If risk management is done analytically, a business impact analysis (BIA), according to ISO 22301 certification, makes it possible to define the best strategy for supporting the company's assets and image, optimizing the operational efficiency of service recovery and redesigning spaces for health. Since 2015, our healthcare company has embarked on a certification process for all sectors and activities through the implementation and development of diagnostic and therapeutic paths for operational diagnos-tic-therapeutic-assistance pathways (PDTAs)...
2024: Journal of Emergency Management: JEM
https://read.qxmd.com/read/38533564/training-in-substance-use-disorders-part-2-updated-curriculum-guidelines
#36
JOURNAL ARTICLE
David Crockford, Anees Bahji, Christian Schutz, Jennifer Brasch, Leslie Buckley, Marlon Danilewitz, Simon Dubreucq, Michael Mak, Tony P George
No abstract text is available yet for this article.
March 27, 2024: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/38533458/translating-knowledge-on-placebo-and-nocebo-effects-into-clinical-practice
#37
JOURNAL ARTICLE
Elif Buse Caliskan, Ulrike Bingel, Angelika Kunkel
INTRODUCTION: Positive and negative treatment expectations are powerful modulators of health and treatment outcomes. A substantial part of treatment success is due to contextual factors modulating patient's expectations towards a treatment. Consequently, treatment expectations should be a target of therapeutic interventions themselves. OBJECTIVES: This article highlights the neurobiological underpinnings of treatment expectations as well as strategies to modulate contextual factors to optimize treatment outcomes in daily clinical settings...
April 2024: Pain Reports
https://read.qxmd.com/read/38533444/small-size-big-problems-insights-and-difficulties-in-prenatal-diagnosis-of-fetal-microcephaly
#38
REVIEW
Leila Haddad, Efrat Hadi, Zvi Leibovitz, Dorit Lev, Yoseph Shalev, Liat Gindes, Tally Lerman-Sagie
Microcephaly is a sign, not a diagnosis. Its incidence varies widely due to the differences in the definition and the population being studied. It is strongly related to neurodevelopmental disorders. Differences in definitions and measurement techniques between fetuses and newborns pose a great challenge for the diagnosis and prognostication of fetal microcephaly. A false positive diagnosis can result (in countries where it is legal) in erroneous termination of pregnancy, where a false negative diagnosis might lead to the birth of a microcephalic newborn...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38533266/the-regulation-role-of-the-gut-islets-axis-in-diabetes
#39
REVIEW
Songtao Yang, Jie Cao, Chuan Sun, Li Yuan
The gut-islets axis is an important endocrine signaling axis that regulates the function of islets by modulating the gut micro-environment and its endocrine metabolism. The discovery of intestinal hormones, such as GLP-1 and GIP, has established a preliminary link between the gut and the islet, paving the way for the development of GLP-1 receptor agonists based on the regulation theory of the gut-islets axis for diabetes treatment. This discovery has created a new paradigm for diabetes management and rapidly made the regulation theory of the gut-islets axis a focal point of research attention...
2024: Diabetes, Metabolic Syndrome and Obesity
https://read.qxmd.com/read/38533198/an-updated-review-on-guillain-barr%C3%A3-syndrome-challenges-in-infection-prevention-and-control-in-low-and-middle-income-countries
#40
REVIEW
Sakif Ahamed Khan, Proma Rani Das, Zabun Nahar, Syed Masudur Rahman Dewan
Guillain-Barré syndrome is a rare condition that can be potentially life-threatening. Guillain-Barré syndrome does not have a definitive etiological agent. It is a syndrome that can arise from multiple factors, including various infectious diseases and immunizations. The severity of Guillain-Barré syndrome is exacerbated by these variables, especially in low-income and middle-income countries where healthcare systems are already constrained and struggle to meet the demands of other diseases. The primary aim of our article is to comprehensively examine the life-threatening nature and intensity of Guillain-Barré syndrome by assessing its etiology, progression, and prevalence in low- and middle-income nations while also considering global trends...
2024: SAGE Open Medicine
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