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JOURNAL ARTICLE
Zaba Valtuille, Eric Acquaviva, Vincent Trebossen, Naim Ouldali, Aurelie Bourmaud, Stéphane Sclison, Alexandre Gomez, Alexis Revet, Hugo Peyre, Richard Delorme, Florentia Kaguelidou
IMPORTANCE: Numerous studies have provided evidence for the negative associations of the COVID-19 pandemic with mental health, but data on the use of psychotropic medication in children and adolescents after the onset of the COVID-19 pandemic are lacking. OBJECTIVE: To assess the rates and trends of psychotropic medication prescribing before and over the 2 years after the onset of the COVID-19 pandemic in children and adolescents in France. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used nationwide interrupted time-series analysis of outpatient drug dispensing data from the IQVIA X-ponent database...
April 1, 2024: JAMA Network Open
#2
REVIEW
Junji Hatakeyama, Kensuke Nakamura, Hidenori Sumita, Daisuke Kawakami, Nobuto Nakanishi, Shizuka Kashiwagi, Keibun Liu, Yutaka Kondo
The importance of ongoing post-discharge follow-up to prevent functional impairment in patients discharged from intensive care units (ICUs) is being increasingly recognized. Therefore, we conducted a scoping review, which included existing ICU follow-up clinic methodologies using the CENTRAL, MEDLINE, and CINAHL databases from their inception to December 2022. Data were examined for country or region, outpatient name, location, opening days, lead profession, eligible patients, timing of the follow-up, and assessment tools...
April 23, 2024: Journal of Anesthesia
#3
JOURNAL ARTICLE
Jalin A Jordan, Ebenezer Daniel, Yineng Chen, Rebecca J Salowe, Yan Zhu, Eydie Miller-Ellis, Victoria Addis, Prithvi S Sankar, Di Zhu, Eli J Smith, Roy Lee, Gui-Shuang Ying, Joan M O'Brien
There are scarce data regarding the rate of the occurrence of primary open-angle glaucoma (POAG) and visible lamina cribrosa pores (LCPs) in the eyes of individuals with African ancestry; the potential impact of these features on disease burden remains unknown. We recruited subjects with POAG to the Primary Open-Angle African American Glaucoma Genetics (POAAGG) study. Through regression models, we evaluated the association between the presence of LCPs and various phenotypic features. In a multivariable analysis of 1187 glaucomatous eyes, LCPs were found to be more likely to be present in eyes with cup-to-disc ratios (CDR) of ≥0...
April 18, 2024: Vision
#4
JOURNAL ARTICLE
Martin Stillman, Erin E Sullivan, Kriti Prasad, Christine Sinsky, Jordyn Deubel, Jill O Jin, Roger Brown, Nancy Nankivil, Mark Linzer
AIM: Feeling valued is a striking mitigator of burnout yet how to facilitate healthcare workers (HCWs) feeling valued has not been adequately studied. This study discovered factors relating to HCWs feeling valued so leaders can mitigate burnout and retain their workforce. METHOD: The Coping with COVID-19 survey, initiated in March 2020 by the American Medical Association, was distributed to 208 US healthcare organisations. Of the respondents, 37 685 physicians, advanced practice clinicians, nurses, and other clinical staff answered questions that assessed burnout, intent to leave and whether they felt valued...
April 22, 2024: BMJ leader
#5
JOURNAL ARTICLE
Alfredo Echarri Sucunza, Patricia Fernández Del Valle, Jose Antonio Iglesias Vázquez, Youcef Azeli, Jose María Navalpotro Pascual, Juan Valenciano Rodriguez, Cristian Fernández Barreras, Sonia Royo Embid, Carmen Gutiérrez-García, María Isabel Ceniceros Rozalén, Cesar Manuel Guerra García, Carmen Del Pozo Pérez, María José Luque-Hernández, Silvia Sola Muñoz, Ana Belén Forner Canos, María Isabel Herrera Maíllo, Marcos Juanes García, Natividad Ramos García, Belén Muñoz Isabel, Junior Jose García Mendoza, José Antonio Cortés Ramas, Faustino Redondo Revilla, Inmaculada Mateo-Rodríguez, Félix Rivera Sanz, Emily Knox, Antonio Daponte Codina, José Ignacio Ruiz Azpiazu, Fernando Rosell Ortiz
INTRODUCTION: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine their survival to hospital discharge with good neurological status. METHODS: An observational study based on a registry of out-of-hospital cardiac arrests attended to by emergency services with an onboard physician...
June 2024: Resuscitation plus
#6
JOURNAL ARTICLE
Hollis R O'Neal, Roya Sheybani, Chadd K Kraus, Wesley H Self, Ajay M Shah, Christopher B Thomas, Henry T K Tse, Robert Scoggins
OBJECTIVES: Sepsis is one of the most common, costly, and misdiagnosed conditions in U.S. emergency departments (EDs). ED providers often treat on nonspecific signs, subjective suspicion, or presumption of infection, resulting in over- and undertreatment. An increased understanding of host response has opened a new direction for sepsis diagnostics. The IntelliSep test is a U.S. Food and Drug Administration-cleared cellular host response diagnostic that could help distinguish sepsis in ED settings...
April 21, 2024: Academic Emergency Medicine
#7
JOURNAL ARTICLE
Understanding How Clinicians Personalize Fluid and Vasopressor Decisions in Early Sepsis Management.
Elizabeth S Munroe, Julien Weinstein, Hayley B Gershengorn, Kevin J Karlic, Sarah Seelye, Michael W Sjoding, Thomas S Valley, Hallie C Prescott
IMPORTANCE: Recent sepsis trials suggest that fluid-liberal vs fluid-restrictive resuscitation has similar outcomes. These trials used generalized approaches to resuscitation, and little is known about how clinicians personalize fluid and vasopressor administration in practice. OBJECTIVE: To understand how clinicians personalize decisions about resuscitation in practice. DESIGN, SETTING, AND PARTICIPANTS: This survey study of US clinicians in the Society of Critical Care Medicine membership roster was conducted from November 2022 to January 2023...
April 1, 2024: JAMA Network Open
#8
JOURNAL ARTICLE
Emily Fitzgerald, Shelby Parker, Sarah Hancock, Courtney Marie-Cora Jones, Julie Kittel, John DeAngelis, Maia Dorsett
OBJECTIVES: Patients with chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) exacerbations present with similar history and physical examination findings. This complicates both the diagnostic process and the creation of appropriate treatment plans for patients presenting in respiratory distress, particularly in the prehospital setting. Thoracic point-of-care-ultrasound (POCUS) may increase diagnostic accuracy; however, its potential to improve patient management by emergency medical services clinicians is unknown...
April 2024: Journal of the American College of Emergency Physicians open
#9
JOURNAL ARTICLE
Miliaan L Zeelenberg, Paulieke C Oosterwijk, Hanna C Willems, Taco Gosens, Dennis Den Hartog, Pieter Joosse, Sverre A I Loggers, Thomas Mp Nijdam, Ruth E Pel-Littel, Suzanne Polinder, Henk Jan Schuijt, Hugo H Wijnen, Detlef Van der Velde, Esther M M Van Lieshout, Michael H J Verhofstad
BACKGROUND AND PURPOSE: Recent research has highlighted non-operative management (NOM) as a viable alternative for frail older adults with hip fractures in the final phase of life. This study aims to guide Dutch physicians and hospitals nationwide in a standardised implementation of shared decision-making regarding surgery or NOM in selected frail older adults with a hip fracture. METHODS AND ANALYSIS: The patient population for implementation includes frail older adults aged ≥70 years with an acute proximal femoral fracture, nursing home care or a similar level of care elsewhere and at least one additional criterion (ie, malnutrition, severe mobility impairment or ASA≥4)...
April 17, 2024: BMJ Open
#10
JOURNAL ARTICLE
Nina A Sayer, Adam Kaplan, David B Nelson, Shannon Wiltsey Stirman, Craig S Rosen
IMPORTANCE: Clinician burnout has been associated with clinician outcomes, but the association with patient outcomes remains unclear. OBJECTIVE: To evaluate the association between clinician burnout and the outcomes of patients receiving of guideline-recommended trauma-focused psychotherapies for posttraumatic stress disorder (PTSD). DESIGN, SETTING, AND PARTICIPANTS: This cohort study was set at the US Veterans Affairs Health Care System and included licensed therapists who provided trauma-focused psychotherapies and responded to an online survey between May 2 and October 8, 2019, and their patients who initiated a trauma-focused therapy during the following year...
April 1, 2024: JAMA Network Open
#11
JOURNAL ARTICLE
Masahiro Takeshima, Kazuhisa Yoshizawa, Masaya Ogasawara, Mizuki Kudo, Yu Itoh, Naoko Ayabe, Kazuo Mishima
IMPORTANCE: Although insomnia guidelines recommend the use of several individual hypnotics, the most useful hypnotic for treating insomnia in a clinical setting remains unclear. OBJECTIVE: To determine which guideline-recommended hypnotics have lower risks of monotherapy failure and which hypnotics have a higher risk of long-term prescription for insomnia treatment. DESIGN, SETTING, AND PARTICIPANTS: This retrospective observational cohort study used data from the Japan Medical Data Center Claims Database from April 1, 2005, to March 31, 2021...
April 1, 2024: JAMA Network Open
#12
JOURNAL ARTICLE
Azra Daei, Mohammad Reza Soleymani, Ali Zargham-Boroujeni, Roya Kelishadi, Hasan Ashrafi-Rizi
OBJECTIVES: Exploring clinical information-seeking behaviour (CISB) and its associated factors contributes to its theoretical advancement and offers a valuable framework for addressing physicians' information needs. This study delved into the dimensions, interactions, strategies and determinants of CISB among physicians at the point of care. DESIGN: A grounded theory study was developed based on Strauss and Corbin's approach. Data were collected by semistructured interviews and then analysed through open, axial and selective coding...
April 16, 2024: BMJ Open
#13
JOURNAL ARTICLE
Netsanet Belete, Sebsibe Tadesse, Mulugeta Hailu
BACKGROUND: Respiratory diseases disproportionately affect people living in resource-limited settings. However, obtaining information that explains respiratory-related deaths has been difficult, mainly due to a lack of medical certification of death and the fact that most deaths occur outside of health institutions. This study aimed to determine the proportion of respiratory-related deaths and identify associated factors in Alicho-Weriro district, southern Ethiopia, using the verbal autopsy method...
April 15, 2024: BMJ Open Respiratory Research
#14
JOURNAL ARTICLE
Schroder Sattar, Kristen R Haase, Martine Puts, Mohammed Iddrisu, Haji Chalchal, Osama Souied, Shabbir M H Alibhai, Shahid Ahmed
INTRODUCTION: Geriatric assessment (GA) is currently not a standard of cancer care across Canada. In the Canadian province of Saskatchewan, there are no known formal geriatric teams in outpatient oncology settings. Therefore, it is not known whether, how, and to what extent GA is performed in oncology clinics, or what supports are needed to carry out a GA. The objective of this study was to explore Saskatchewan oncology care providers' knowledge, perceptions, and practices regarding GA, and their perceived barriers to implementing formal GA...
April 15, 2024: Journal of Geriatric Oncology
#15
JOURNAL ARTICLE
Luca H Debs, Seena Mansouri, W Luke Ledford, William Woodall, Fernando L Vale
OBJECTIVE: The Open Payments Program (OPP) was a database started in 2013 by the US government to report payments made by the medical device and pharmaceutical industry to physicians. Neurosurgery is a technologically advanced field that relies heavily on the latest innovations for complex treatment of its patient population. This study sought to explore the financial relationship between academic neurosurgeons and the industry. METHODS: OPP data were reviewed for the year 2021 of all faculty neurosurgeons affiliated with a neurosurgery residency program...
April 19, 2024: Journal of Neurosurgery
#16
JOURNAL ARTICLE
Salih Oflioğlu, Anıl Özyurt, Candan Efeoğlu
Temporomandibular joint internal disorders commonly present with limited mouth opening and pain. Treatment options range from invasive surgical procedures to minimally invasive interventions. This technical note aims to introduce a modification to the arthrocentesis technique in which a pressure infusion cuff (VBM Classic Infusor, Medizintechnik GmbH, Germany) is used for irrigation instead of syringes or peristaltic pumps. A pressure infusion cuff (bag) is an inflatable bag with a hand pump and a sphygmomanometer that allows monitorization of the pressure, and it is intended to apply pressure on IV fluid bags to assist with rapid infusion of fluids...
March 28, 2024: Journal of Oral and Maxillofacial Surgery
#17
JOURNAL ARTICLE
Ming Tai-Seale, Sally L Baxter, Florin Vaida, Amanda Walker, Amy M Sitapati, Chad Osborne, Joseph Diaz, Nimit Desai, Sophie Webb, Gregory Polston, Teresa Helsten, Erin Gross, Jessica Thackaberry, Ammar Mandvi, Dustin Lillie, Steve Li, Geneen Gin, Suraj Achar, Heather Hofflich, Christopher Sharp, Marlene Millen, Christopher A Longhurst
IMPORTANCE: Timely tests are warranted to assess the association between generative artificial intelligence (GenAI) use and physicians' work efforts. OBJECTIVE: To investigate the association between GenAI-drafted replies for patient messages and physician time spent on answering messages and the length of replies. DESIGN, SETTING, AND PARTICIPANTS: Randomized waiting list quality improvement (QI) study from June to August 2023 in an academic health system...
April 1, 2024: JAMA Network Open
#18
JOURNAL ARTICLE
Stephanie B Kiser, J David Sterns, Po Ying Lai, Nora K Horick, Kerri Palamara
IMPORTANCE: Physician burnout is problematic despite existing interventions. More evidence-based approaches are needed. OBJECTIVE: To explore the effect of individualized coaching by professionally trained peers on burnout and well-being in physicians. DESIGN, SETTING, AND PARTICIPANTS: This randomized clinical trial involved Mass General Physician Organization physicians who volunteered for coaching from August 5 through December 1, 2021...
April 1, 2024: JAMA Network Open
#19
JOURNAL ARTICLE
Bobby Daly, Otis W Brawley, Mary K Gospodarowicz, Olufunmilayo I Olopade, Lola Fashoyin-Aje, Victoria Wolodzko Smart, I-Fen Chang, Craig L Tendler, Geoffrey Kim, Charles S Fuchs, Muhammad Shaalan Beg, Lianshan Zhang, Jeffrey J Legos, Cristina Ortega Duran, Chitkala Kalidas, Jing Qian, Justin Finnegan, Piotr Pilarski, Harriet Keane, Johanna Shen, Amy Silverstein, Yi-Long Wu, Richard Pazdur, Bob T Li
IMPORTANCE: Less than 5% of patients with cancer enroll in a clinical trial, partly due to financial and logistic burdens, especially among underserved populations. The COVID-19 pandemic marked a substantial shift in the adoption of decentralized trial operations by pharmaceutical companies. OBJECTIVE: To assess the current global state of adoption of decentralized trial technologies, understand factors that may be driving or preventing adoption, and highlight aspirations and direction for industry to enable more patient-centric trials...
April 1, 2024: JAMA Network Open
#20
JOURNAL ARTICLE
Mingyang Zang, Pooja Mukund, Britney Forsyth, Andrew F Laine, Kaveri A Thakoor
Goal: To predict physician fixations specifically on ophthalmology optical coherence tomography (OCT) reports from eye tracking data using CNN based saliency prediction methods in order to aid in the education of ophthalmologists and ophthalmologists-in-training. Methods: Fifteen ophthalmologists were recruited to each examine 20 randomly selected OCT reports and evaluate the likelihood of glaucoma for each report on a scale of 0-100. Eye movements were collected using a Pupil Labs Core eye-tracker. Fixation heat maps were generated using fixation data...
2024: IEEE open journal of engineering in medicine and biology
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