keyword
https://read.qxmd.com/read/38532849/multimodal-imaging-in-a-case-of-presumed-secondary-vitreoretinal-lymphoma-presenting-with-inner-retina-and-optic-nerve-head-infiltration
#21
Emily S Levine, Nikhil N Batra
PURPOSE: To report the findings supported by multimodal imaging in a case of secondary vitreoretinal lymphoma presenting with inner retina and optic nerve head infiltration. OBSERVATIONS: A 64-year-old man with systemic diffuse large B-cell lymphoma presented with reduced visual acuity. Moderate anterior chamber and vitreous cell were present. Fundus exam showed bilateral disc edema and diffuse opaque macular infiltrates with a pseudo cherry-red spot in the left eye...
June 2024: American Journal of Ophthalmology Case Reports
https://read.qxmd.com/read/38532417/implementing-mind-mapping-in-small-group-learning-to-promote-student-engagement-in-the-medical-diagnostic-curriculum-a-pilot-study
#22
JOURNAL ARTICLE
Jieyu He, Bei Wu, Haiying Zhong, Junkun Zhan, Lanyan Zhu, Jie Zhang, Yi Zeng, Zhihong Li
BACKGROUND: Medical diagnostics is a pivotal bridge curriculum that receives much less attention from undergraduates in non-clinical medicine health profession programs with less student engagement and poor performance. Mind mapping is an active learning strategy for graphically presenting radiant thinking to culture clinical reasoning. The purpose of this study was to explore whether students' comprehensive diagnostic skills are enhanced through increased student engagement by employing mind mapping...
March 26, 2024: BMC Medical Education
https://read.qxmd.com/read/38532372/core-and-cluster-or-head-to-toe-a-comparison-of-two-types-of-curricula-for-teaching-physical-examination-skills-to-preclinical-medical-students
#23
JOURNAL ARTICLE
LilyAnne Jewett, Samuel Clarke, Erin Griffin, Aaron Danielson
BACKGROUND: Despite the central importance of physical examination (PE) skills to patient evaluation, early trainees struggle with its correct application and interpretation. This struggle may reflect the instructional strategies of PE courses which have largely ignored the clinical reasoning necessary to accurately apply these skills. The "core + cluster" (C + C) is a recent approach to teaching PE to clerkship-level medical students that combines a basic 'core' exam with 'cluster' based on the student's hypothesis about their patient's clinical presentation...
March 26, 2024: BMC Medical Education
https://read.qxmd.com/read/38530362/staining-blindly-%C3%A2-an-update-on-coloring-techniques-for-fecal-smears-in-parasitology-a-scoping-review
#24
REVIEW
Saulo Hudson Nery Loiola, Vitória Castilho Stéfano, Stefany Laryssa Rosa, Letícia Rodrigues Proença, Bianca Martins Dos Santos, Felipe Augusto Soares, Katia Denise Saraiva Bresciani, Alexandre Xavier Falcão, Jancarlo Ferreira Gomes
Dye application for parasite highlighting in the Ova and Parasite exam is a common practice in parasitology diagnosis. Methods: A scoping review investigated how staining solutions interact with parasite structures. After screening 1334 papers, 35 met eligibility criteria. Results: Differentiating background from foreground in the fecal smear under light microscopy is the core of the research on this topic. Refractivity, unevenness of staining, size and temperature were explored to enhance staining protocols...
March 26, 2024: Future Microbiology
https://read.qxmd.com/read/38529442/internship-preparatory-clinical-course-a-timed-station-approach-to-bridging-the-theory-to-practice-gap
#25
JOURNAL ARTICLE
Ahmad Alrahmani, Fayez G Aldarsouni, Ghada I Alothman, Norah M Alsubaie
BACKGROUND: Medical students' transition to internship has a discernible gap in structured preparation, particularly in practical skill application. We introduced the internship preparatory clinical course (IPCC) to address this gap.  Methods: The course was conducted at the clinical skills and simulation center at King Saud University Medical City and included a total of eight skills distributed across four stations. It employs a timed-station methodology, inspired by the Observed Structured Clinical Examination, but innovatively adapted as a teaching method...
February 2024: Curēus
https://read.qxmd.com/read/38529337/chatgpt-yields-a-passing-score-on-a-pediatric-board-preparatory-exam-but-raises-red-flags
#26
JOURNAL ARTICLE
Mindy Le, Michael Davis
OBJECTIVES: We aimed to evaluate the performance of a publicly-available online artificial intelligence program (OpenAI's ChatGPT-3.5 and -4.0, August 3 versions) on a pediatric board preparatory examination, 2021 and 2022 PREP® Self-Assessment, American Academy of Pediatrics (AAP). METHODS: We entered 245 questions and answer choices from the Pediatrics 2021 PREP® Self-Assessment and 247 questions and answer choices from the Pediatrics 2022 PREP® Self-Assessment into OpenAI's ChatGPT-3...
2024: Global Pediatric Health
https://read.qxmd.com/read/38529002/superior-oblique-muscle-extramedullary-plasmacytoma-in-a-patient-with-multiple-myeloma-and-a-review-of-literature
#27
Amirreza Veisi, Kimia Daneshvar, Sadid Hooshmandi, Maryam Najafi, Peyman Mohammadi Torbati, Kiana Hassanpour
INTRODUCTION: Multiple myeloma (MM), a plasma cell malignancy, is a systemic disease affecting various body organs. Plasmacytoma of bone and extramedullary disease (EMD) are presentations of MM. EMD is usually the sign of a more aggressive form of the disease. Herein, we report a patient with refractory MM presenting with extramedullary plasmacytoma in the superior oblique (SO) muscle. CASE PRESENTATION: A 51-year-old female presented complaining of gradual protrusion of the left eye and ocular pain from 20 days prior...
2024: Case Reports in Ophthalmology
https://read.qxmd.com/read/38528892/the-impact-of-the-medical-school-admissions-interview-a-systematic-review
#28
REVIEW
John C Lin, Christopher Shin, Paul B Greenberg
BACKGROUND: Interviews are considered an important part of the medical school admissions process but have been critiqued based on bias and reliability concerns since the 1950s. To determine the impact of the interview, this systematic review investigated the characteristics and outcomes of medical students admitted with and without interviews. METHODS: We searched four literature databases from inception through August 2022; all studies comparing medical students admitted with and without interviews were included...
February 2024: Canadian Medical Education Journal
https://read.qxmd.com/read/38527621/electrodiagnostic-severity-does-not-predict-short-to-mid-term-outcomes-of-cubital-tunnel-release-surgery
#29
JOURNAL ARTICLE
Nicholas Pohl, Parker Brush, Meghan Foos, Samuel Alfonsi, Pedro Beredjiklian, Daniel Fletcher
HYPOTHESIS: This study aimed to explore the prognostic value of electrodiagnostic studies (EDS) to clarify their utility in clinical practice prior to cubital tunnel release surgery as well as identify patient factors associated with patient-reported functional improvement after surgery. Our hypothesis is that patients with severe preoperative findings on EDS will tend to experience less functional improvement after surgery given the extent of ulnar nerve compressive injury. METHODS: Patients with cubital tunnel syndrome and preoperative electrodiagnostic data treated from 2012-2022 with cubital tunnel release were assessed regarding demographic information, preoperative physical exam findings, EDS findings, postoperative complications, and patient-reported outcomes...
March 23, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38526424/program-directors-perspectives-on-residency-applications-in-the-post%C3%A2-united-states-medical-licensing-examination-step-1-era-a-case-for-standardized-letters-of-recommendation
#30
JOURNAL ARTICLE
Angeline Johny, Patrick J Shenot, Charles Green, Leah Chisholm, Steve Riggs, Stephen V Jackman, Aqsa A Khan, Peter N Kolettis, Brian K McNeil, Wesley A Mayer
INTRODUCTION: The United States Medical Licensing Examination (USMLE) Step 1 test evolved into a key metric utilized by program directors (PDs) in assessing candidates for residency. The transition to a USMLE Step 1 binary pass/fail scoring system has resulted in a loss of an important objective assessment. With national movements toward pass/fail systems for clerkship grading and trends toward abandonment of class ranking, assessing residency applications has become increasingly challenging...
March 23, 2024: Urology Practice
https://read.qxmd.com/read/38526000/well-being-of-undergraduate-dental-students-questionnaire-design-findings-and-future-directions
#31
JOURNAL ARTICLE
Charlotte Cheuk Kwan Chan, Elise Hoi Wan Fok, Yan Ting Rosealeen Lo, Wing Yan Ng, Michael George Botelho
INTRODUCTION: The recent pandemic has highlighted the importance of addressing well-being in the overall health of students. There is a need for support systems within dental schools to help students demonstrate resilience, adapt to learning environments and thrive in their professional careers. OBJECTIVES: The main aim of the study was to evaluate Bachelor of Dental Surgery (BDS) students' understanding and experience of well-being. The objectives were to create a suitable survey to assess students' well-being, investigate the factors affecting dental students' well-being and develop a student well-being action plan based on the analysis of the survey...
March 25, 2024: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://read.qxmd.com/read/38525847/russell-body-esophagitis-and-barrett-s-esophagus
#32
JOURNAL ARTICLE
Carlota Rodríguez de Vera Guardiola, Lucía Alejandra Reina Licona, David Alberca Corominas, José Joaquín Paricio
85-year-old woman being studied for anemia, an endoscopy is performed where there is evidence of two areas with metaplastic appearance in the distal portion of the esophagus, which are biopsied. Histologic exam reveals a lymphoplasmacytic infiltrate with the presence of Russell cells and foci of intestinal metaplasia without evidence of dysplasia. Although not the usual location, it must be acknowledged that there is a possibility of recognizing Russell bodies in the context of esophageal inflammation and its possible association with Barrett's esophagus...
March 25, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38525721/exogenous-melatonin-use-in-university-students-a-cross-sectional-survey
#33
JOURNAL ARTICLE
Sulafa T Alqutub, Faris A Alzahrani, Abdulrahman S Hassan, Abdullah H Alirbidi, Osama A Alraddadi, Omar A AlSadah, Mohammad B Yamani, Mansour Tobaiqy
To assess the prevalence of melatonin use and its perceived benefits among university students in different specialties in Saudi Arabia, a cross-sectional survey was conducted between March and June 2023. Data about demographics, time of melatonin use, perceived reasons for exogenous melatonin use, melatonin use in relation to exam periods, perceived safety, and adverse effects was gathered. Of 380 students, ~52% reported using exogenous melatonin for sleep disorders. Most participants reported using melatonin during and after exam periods...
February 23, 2024: Pharmacy (Basel, Switzerland)
https://read.qxmd.com/read/38524956/efficacy-of-psychosocial-care-training-programme-for-the-staff-working-in-old-age-homes
#34
JOURNAL ARTICLE
Manjunatha Shivarudraiah, Thirumoorthy Ammapattian, Sojan Antony, Binu Vs, Palanimuthu Thangaraju Sivakumar
BACKGROUND: Training the old-age home staff is essential in raising geriatric mental health care standards in India. Inadequate knowledge on ageing and psychosocial interventions is a significant issue in old-age homes. Old-age home staff must know how to provide individualized psychosocial care and support for older adults. Hence this study aimed to test the feasibility of the psychosocial care training program for the staff working in old-age homes. METHODS: A quasi-experimental research design (pre-post without a control group) was used...
January 2024: Indian Journal of Psychological Medicine
https://read.qxmd.com/read/38524708/transtibial-femoral-tunnel-technique-in-acl-reconstruction-and-osteoarthritis-incidence
#35
JOURNAL ARTICLE
Marcus Vinicius Danieli, Allan Viktor Pires Molinari, João Vitor Guedes Suzze, Victoria de Abreu, João Paulo Fernandes Guerreiro
Objective : Evaluate osteoarthritis incidence in patients that undergone ACL reconstruction using the transtibial technique, with a minimum of 5 years of follow up, with isolated ACL injury. Methods : Patients who underwent ACL reconstruction by the same surgeon using the transtibial technique with hamstrings graft and with a minimum of 5 years of follow-up, without other injuries during the surgical procedure, were selected to undergo imaging exams of the operated knee to assess the incidence of osteoarthritis...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38524673/anabolic-steroids-and-the-evaluation-of-patients-with-acute-pm-tendon-rupture-using-microscopy-and-mri
#36
Alberto de Castro Pochini, Benno Ejnisman, Carlos V Andreoli, Paulo H S Lara, Ivan R B Godoy, Leandro M Ribeiro, Maria T Seixas, Paulo S Belangero, Debora C Hipolide
This study presented a pioneering investigation of the changes in the magnetic resonance imaging images of pectoralis major muscle (PMM) tendon rupture. In all, 26 men were evaluated with acute total PMM rupture (<3 months since injury) with a mean age of 37.3 years (SD = 9.7 years) and 10 control patients with a mean age of 32.6 years (SD = 4.2 years). The evaluation of the tendon PMM injuries was based on the magnetic resonance imaging exam and the histological analysis...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38524636/semaglutide-as-a-potential-therapeutic-alternative-for-hnf1b-mody-a-case-study
#37
Angham Almutair, Beshaier Almulhem
Maturity-onset diabetes of the young (MODY) is a grouping of monogenic disorders. It is characterized by dominantly inherited, non-insulin-dependent diabetes. MODY is relatively rare, encompassing up to 3.5% in those diagnosed under 30 years of age. Specific types are most commonly treated with sulfonylurea, particularly those identified as HNF4A-MODY and HNF1A-MODY. HNF1B-MODY is another type that is most frequently managed with insulin therapy but lacks a defined precision treatment. We present an 18-year-old, non-obese female patient diagnosed with HNF1B-MODY...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38524109/-the-timeline-of-the-screening-and-treatment-strategy-of-intraepithelial-neoplasia-of-the-uterine-cervix-adopted-in-morocco
#38
JOURNAL ARTICLE
Mohamed Zraidi, Mohammed Ibriz
In Morocco, the purpose of the National Cancer Prevention and Control Plan (PNPCC) is to decrease the incidence, mortality, and morbidity attributable to cervical cancer (CC), including the general objective which is to improve women´s care by setting up an organized system for screening, early diagnosis and treatment of this disease, and as operational objectives an: 1) achievement of at least 30% of the annual coverage rate by cervical cancer (CC) screening; 2) achievement of at least 80% of the rate of participation in CC screening per screening cycle; 3) achievement of 100% of the treatment rate for precancerous lesions screened within the framework of the program...
2024: Pan African Medical Journal
https://read.qxmd.com/read/38524070/mycobacterium-gordonae-infection-in-a-patient-with-non-small-cell-lung-cancer
#39
Alissa I Elanjian, Jason P Law, Borys Hrinczenko
Mycobacterium gordonae (MG) is one of the least pathogenic nontuberculous mycobacteria (NTM). We report an unusual case of MG infection in a patient with newly diagnosed lung cancer. A 61-year-old woman presented with shortness of breath and weight loss. Six months prior to admission, she was diagnosed with MG infection based on positive sputum cultures and bronchioalveolar lavage. Despite anti-mycobacterial therapy, her symptoms worsened and she lost approximately 100 pounds. A transbronchial biopsy obtained one week prior to admission revealed adenocarcinoma of the lung...
February 2024: Curēus
https://read.qxmd.com/read/38523999/filling-in-the-gaps-ethylene-glycol-poisoning-presenting-with-isolated-lactate-and-osmolar-gaps
#40
Caden Quintanilla, Justin Panthappattu, Davood Hosseini, Karan Omidvari
Ethylene glycol (EG) is an organic compound used in antifreeze. In 2020 alone, there were 5,277 EG exposures, with only 617 reported as intentional ingestions. Therefore, encountering EG toxicity is rare; however, it is essential to identify it promptly based on a focused history, exam, and rapid identification of commonly associated EG-induced metabolic derangements. If the diagnosis is not made within 12 hours of ingestion or exposure, severe morbidity and mortality can occur. Previous reports of EG poisoning have occurred in the setting of a lactate gap (LG) and osmolar gap (OG); however, they also had commonly associated findings of EG toxicity such as high anion gap acidosis (HAGMA), acute kidney injury (AKI), hypocalcemia, calcium oxalate stones, and suggestive histories of EG ingestion...
February 2024: Curēus
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