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JOURNAL ARTICLE
Nathan Chang, Lauren Louderback, Heather Hammett, Kara Hildebrandt, Erica Prendergast, Amelia Sperber, May Casazza, Megan Landess, Aubree Little, Lindsey Rasmussen
BACKGROUND: Nurses are vital partners in the development of pediatric neurocritical care (PNCC) programs. Nursing expertise is acknowledged to be an integral component of high-quality specialty patient care in the field, but little guidance exists regarding educational requirements to build that expertise. We sought to obtain expert consensus from nursing professionals and physicians on curricular priorities for specialized PNCC nursing education in pediatric centers across the United States...
April 3, 2024: Neurocritical Care
#22
JOURNAL ARTICLE
Elisabetta Maida, Marcello Moccia, Raffaele Palladino, Giovanna Borriello, Giuseppina Affinito, Marinella Clerico, Anna Maria Repice, Alessia Di Sapio, Rosa Iodice, Antonio Luca Spiezia, Maddalena Sparaco, Giuseppina Miele, Floriana Bile, Cristiano Scandurra, Diana Ferraro, Maria Laura Stromillo, Renato Docimo, Antonio De Martino, Luca Mancinelli, Gianmarco Abbadessa, Krzysztof Smolik, Lorenzo Lorusso, Maurizio Leone, Elisa Leveraro, Francesca Lauro, Francesca Trojsi, Lidia Mislin Streito, Francesca Gabriele, Fabiana Marinelli, Antonio Ianniello, Federica De Santis, Matteo Foschi, Nicola De Stefano, Vincenzo Brescia Morra, Alvino Bisecco, Giancarlo Coghe, Eleonora Cocco, Michele Romoli, Francesco Corea, Letizia Leocani, Jessica Frau, Simona Sacco, Matilde Inglese, Antonio Carotenuto, Roberta Lanzillo, Alessandro Padovani, Maria Triassi, Simona Bonavita, Luigi Lavorgna
BACKGROUND: ChatGPT is an open-source natural language processing software that replies to users' queries. We conducted a cross-sectional study to assess people living with Multiple Sclerosis' (PwMS) preferences, satisfaction, and empathy toward two alternate responses to four frequently-asked questions, one authored by a group of neurologists, the other by ChatGPT. METHODS: An online form was sent through digital communication platforms. PwMS were blind to the author of each response and were asked to express their preference for each alternate response to the four questions...
April 3, 2024: Journal of Neurology
#23
RANDOMIZED CONTROLLED TRIAL
Pia Grabbe, Milena S Borchers, Kathrin M Gschwendtner, Sophia Strobel, Beate Wild, Marietta Kirchner, Katharina Kälber, Adriana Rendon, Julian Steininger, Friedegund Meier, Jessica C Hassel, Christiane Bieber
BACKGROUND: Treatment decisions in metastatic melanoma (MM) depend on patient preferences and require the patients' involvement in the decision-making process. Patients often feel overwhelmed by the complexity of treatment options with their individual advantages and disadvantages. We developed an online patient decision aid (PtDA) to facilitate shared decision making (SDM). METHODS: We conducted a two-center, two-armed, prospective, open randomized controlled trial with MM patients who were facing a decision about first-line treatment...
June 14, 2024: Deutsches Ärzteblatt International
#24
JOURNAL ARTICLE
EunKyo Kang, HyoRim Ju, Soojeong Kim, Juyoung Choi
BACKGROUND: Thyroid cancer overdiagnosis is a major public health issue in South Korea, which has the highest incidence rate. The accessibility of information through the Internet, particularly on YouTube, could potentially impact excessive screening. This study aimed to analyze the content of thyroid cancer-related YouTube videos, particularly those from 2016 onwards, to evaluate the potential spread of misinformation. METHODS: A total of 326 videos for analysis were collected using a video search protocol with the keyword "thyroid cancer" on YouTube...
April 2, 2024: BMC Public Health
#25
JOURNAL ARTICLE
Lara C Stroth, Franziska Jahns, Berit Bode, Maike Stender, Michelle Schmidt, Heiko Baschnegger, Nurith Epstein, Benedikt Sandmeyer, Carla Nau
BACKGROUND: As the COVID-19 pandemic swept across the globe at the beginning of 2020, healthcare systems were forced to rapidly adapt and expand to meet the sudden surge in demand for intensive care services. This study is the first systematic analysis of the strategies employed by German hospitals to recruit personnel and expand bed capacities during the first wave of the pandemic, and to evaluate the effectiveness of those recruitment measures. METHODS: 152 German hospitals with intensive care capacities were selected and invited to participate in an online-based retrospective survey...
April 1, 2024: BMC Health Services Research
#26
JOURNAL ARTICLE
Meleeka Akbarpour, Karen Tawk, Madelyn Frank, Alizah S Gomez, Navid Mostaghni, Mehdi Abouzari
OBJECTIVE: To assess and characterize online ratings and comments on laryngologists and determine factors that correlate with higher ratings. METHODS: All the American Laryngological Association (ALA) members were queried across several online platforms. Ratings were normalized for comparison on a five-point Likert scale. Ratings were categorized based on context and for positive/negative aspects. RESULTS: Of the 331 ALA members, 256 (77%) were rated on at least one online platform...
March 2024: World Journal of Otorhinolaryngology—Head and Neck Surgery
#27
JOURNAL ARTICLE
Mihaela Dranga, Stefan Chiriac, Carol Stanciu, Cristina Cijevschi Prelipcean, Sergiu Timofeiov, Anca Trifan
BACKGROUND AND AIMS: The burnout syndrome (BOS) is commonly seen in healthcare professionals, particularly in physicians who are exposed to a high level of stress at work and has a negative impact on the medical activity. Physicians with BOS manifest a negative attitude, a reduction in compassion at work, and suboptimal patient care experiences. These all can lead to absenteeism, poor performance and more frequent medical errors. We aimed to assess the level of BOS in a tertiary gastroenterology university center in Romania...
March 30, 2024: Journal of Gastrointestinal and Liver Diseases: JGLD
#28
JOURNAL ARTICLE
Jennifer Akl, Solam Lee, Hyun Jeong Ju, Rosa Parisi, Ji Yoon Kim, Jae Joon Jeon, Yeon-Woo Heo, Viktoria Eleftheriadou, Iltefat Hamzavi, Christopher E M Griffiths, Darren M Ashcroft, Venkataram Mysore, Somesh Gupta, Davinder Parsad, Henry Lim, Jung Min Bae, Khaled Ezzedine
BACKGROUND: Vitiligo is a chronic autoimmune disease characterised by depigmented skin patches, which can pose substantial psychosocial challenges particularly in individuals with dark skin tones. Despite its impact on quality of life, there is an absence of standardised global epidemiological data. We sought to address this gap with the present study. METHODS: In this study we did a systematic review and modelling analysis to estimate the global, regional, and national prevalence and incidence of vitiligo...
March 26, 2024: Lancet. Public Health
#29
JOURNAL ARTICLE
David R Hodge, Patricia R Turner
OBJECTIVE: This mixed methods study examined depictions of spirituality among people with psychosis in influential television programming. Spirituality is a central strength for many people with psychosis. Yet, despite the important role media plays in shaping perceptions, little research has examined the intersection between spirituality and psychosis in popular media. METHODS: To address this gap, we conducted a content analysis of the 50 most viewed primetime fictional television shows over a 10-year period as determined by the Nielsen rating organization...
March 27, 2024: International Journal of Psychiatry in Medicine
#30
JOURNAL ARTICLE
Eva Pfarrwaller, Pawan Prasad, Sylvain De Lucia, Dagmar M Haller
Mentoring plays a crucial role in increasing the attractiveness of primary care careers for medical students. Based on a literature review and structured group discussions, the authors developed a primary care mentoring platform centred on undergraduate medical students' needs. All second- to sixth-year students were invited to enrol into the programme by choosing a mentor from an online platform, which was pilot tested during one academic year (2021-2022) with 16 mentors. Fifteen mentees enrolled into the pilot programme...
March 27, 2024: Education for Primary Care
#31
JOURNAL ARTICLE
Marie A Chisholm-Burns, Christina A Spivey
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: To evaluate income trends among pharmacists and other select health professions (dentists, nurse practitioners, registered nurses, and physicians) in the US for the 10-year period of 2012 to 2021, with special attention given to the first 2 years of the COVID-19 pandemic (2020 and 2021)...
March 26, 2024: American Journal of Health-system Pharmacy: AJHP
#32
JOURNAL ARTICLE
Giselle Fernandes Taboada, Aline Barbosa Moraes, Leonardo Vieira
OBJECTIVE: Despite its recognized importance, primary hyperaldosteronism (PHA) remains an underdiagnosed condition in clinical practice. The objective of the present study was to evaluate PHA screening practices by general practitioners and specialists in endocrinology and cardiology. SUBJECTS AND METHODS: This cross-sectional, observational study invited physicians to respond voluntarily to an online survey. The survey collected the respondents' sociodemographic data and answers to five hypothetical clinical cases meeting Endocrine Society criteria for PHA screening...
March 15, 2024: Archives of Endocrinology and Metabolism
#33
JOURNAL ARTICLE
Sara A Hunter, Jennifer Bullen, Kyle J Hunter, Kavita Bhatt
OBJECTIVE: The purpose of this investigation was to assess gaps in radiologists' medical knowledge using abdominal subspecialty online longitudinal assessment (OLA)-type questions. Secondarily, we evaluated what question-centric factors influenced radiologists to pursue self-directed additional reading on topics presented. METHODS: A prospective OLA-type test was distributed nationally to radiologists over a four-month period. Questions were divided into multiple groupings, including arising from three different time periods of literature (≤ 5 years, 6-15 years and > 20 years), relating to common versus uncommon modalities, and guideline-based versus knowledge-based characterization...
March 23, 2024: Journal of the American College of Radiology: JACR
#34
JOURNAL ARTICLE
Cristina M Gonzalez, Tavinder K Ark, Marla R Fisher, Paul R Marantz, Diana J Burgess, Felise Milan, Malika T Samuel, Monica L Lypson, Carlos J Rodriguez, Adina L Kalet
IMPORTANCE: Racial implicit bias can contribute to health disparities through its negative influence on physician communication with Black patients. Interventions for physicians to address racial implicit bias in their clinical encounters are limited by a lack of high-fidelity (realistic) simulations to provide opportunities for skill development and practice. OBJECTIVE: To describe the development and initial evaluation of a high-fidelity simulation of conditions under which physicians might be influenced by implicit racial bias...
March 4, 2024: JAMA Network Open
#35
JOURNAL ARTICLE
Oluwatobiloba Ayo-Ajibola, Ryan J Davis, Claire Theriault, Christopher Lamb, Deborah Choe, Matthew E Lin, Trevor E Angell, Daniel I Kwon
OBJECTIVE: To understand the quality of informational Graves' disease (GD) videos on YouTube for treatment decision-making quality and inclusion of American Thyroid Association (ATA) treatment guidelines. STUDY DESIGN: Cross-sectional cohort. SETTING: Informational YouTube videos with subject matter "Graves' Disease treatment." METHOD: The top 50 videos based on our query were assessed using the DISCERN instrument. This validated algorithm discretely rates treatment-related information from excellent (≥4...
2024: OTO Open
#36
JOURNAL ARTICLE
Fahed A Albednah, Saad B Albishri, Raghad Y Alnader, Lulu Alwazzan
INTRODUCTION: Leadership is increasingly recognized as a crucial competency in medicine, with physicians expected to provide leadership skills throughout their careers. This study explores the perceptions, attitudes, and interests of medical students and interns in Saudi Arabia regarding medical leadership. Medical graduates are expected to "provide leadership skills that enhance team functioning, the learning environment, and the healthcare delivery system", according to the Association of American Medical Colleges (AAMC)...
2024: Journal of Healthcare Leadership
#37
REVIEW
Carter Patrice, Fuat Ahmet, Haas Sylvia, Smyth Elizabeth, Brotons Carlos, Cools Frank, Bauersachs Rupert, Hobbs F D Richard
BACKGROUND: Direct oral anticoagulants for the treatment of venous thromboembolism are supported by robust clinical trial evidence. Despite published guidance, general practitioners are faced with increasingly complex decisions and implementation remains sub-optimal in certain real-world scenarios. METHODS: A two stage formal consensus exercise was performed to formulate consensus statements and a summary guide, facilitating optimal management of direct oral anticoagulants in venous thromboembolism patients by generalist physicians across Europe...
March 18, 2024: BMC Prim Care
#38
JOURNAL ARTICLE
Amirah Fahad Alshammeri, Yousef A Alhamaid, Ali Mohammad Alshakhs, Zinab Hasan Bohulaigah, Ghaida Abdullah Eissa, Manahel Salem Almutairi, Wajd Alhadi, Hussain Amin Algafly
INTRODUCTION: Chest x-rays are widely used for diagnosing chest pathology worldwide. Pediatricians frequently interpret chest radiographs in the emergency department, guiding patient management. This study aims to assess the competency of non-radiologists in interpreting emergency chest x-rays and compare it with trainees of different levels to determine the necessity of radiologist input. METHODOLOGY: A cross-sectional online survey was conducted in Saudi Arabia from September to October 2023, involving 385 participants, including pediatricians and medical interns from various regions...
March 18, 2024: Emergency Radiology
#39
JOURNAL ARTICLE
Christian-Alexander Behrendt, Jörg Heckenkamp, Andrea Bergsträßer, Arend Billing, Dittmar Böckler, Arno Bücker, Livia Cotta, Konstantinos P Donas, Gerd Grözinger, Claus-Dieter Heidecke, Irene Hinterseher, Silvio Horn, Arnold Kaltwasser, Andrea Kiefer, Claudia Kirnich-Müller, Lars Kock, Tilo Kölbel, Martin Czerny, Christian Kralewski, Stephan Kurz, Axel Larena-Avellaneda, Haitham Mutlak, Alexander Oberhuber, Kyriakos Oikonomou, Manfred Pfeiffer, Karin Pfister, Christian Reeps, Andreas Schäfer, Thomas Schmitz-Rixen, Markus Steinbauer, Claudia Steinbauer, Daniel Strupp, Dietmar Stolecki, Matthias Trenner, Christof Veit, Eric Verhoeven, Christian Waydhas, Christian F Weber, Farzin Adili
INTRODUCTION: The medical development in the previous 15 years and the changes in treatment reality of the comprehensive elective treatment of abdominal aortic aneurysms necessitate a re-evaluation of the quality assurance guidelines of the Federal Joint Committee in Germany (QBAA-RL). In the current version this requires a specialist further training quota for nursing personnel in intensive care wards of 50%. The quota was determined in 2008 based on expert opinions, although a direct empirical evidence base for this does not exist...
March 18, 2024: Chirurgie (Heidelb)
#40
JOURNAL ARTICLE
Leveraging large language models for generating responses to patient messages-a subjective analysis.
Siru Liu, Allison B McCoy, Aileen P Wright, Babatunde Carew, Julian Z Genkins, Sean S Huang, Josh F Peterson, Bryan Steitz, Adam Wright
OBJECTIVE: This study aimed to develop and assess the performance of fine-tuned large language models for generating responses to patient messages sent via an electronic health record patient portal. MATERIALS AND METHODS: Utilizing a dataset of messages and responses extracted from the patient portal at a large academic medical center, we developed a model (CLAIR-Short) based on a pre-trained large language model (LLaMA-65B). In addition, we used the OpenAI API to update physician responses from an open-source dataset into a format with informative paragraphs that offered patient education while emphasizing empathy and professionalism...
March 18, 2024: Journal of the American Medical Informatics Association: JAMIA
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