71,665 results match your criteria article written

A section identification tool: Towards HL7 CDA/CCR standardization in Spanish discharge summaries.

J Biomed Inform 2021 Jul 26:103875. Epub 2021 Jul 26.

HiTZ Basque Center for Language Technology, University of the Basque Country (UPV/EHU), Spain(1); School of Engineering, Paseo Rafael Moreno Pitxitxi, 3 - 48013 Bilbao, Spain. Electronic address:

Background: Nowadays, with the digitalization of healthcare systems, huge amounts of clinical narratives are available. However, despite the wealth of information contained in them, interoperability and extraction of relevant information from documents remains a challenge.

Objective: This work presents an approach towards automatically standardizing Spanish Electronic Discharge Summaries (EDS) following the HL7 Clinical Document Architecture. Read More

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A qualitative analysis of vertical leadership development amongst NHS health-care workers in low to middle income country settings.

Leadersh Health Serv (Bradf Engl) 2021 Jul;ahead-of-print(ahead-of-print)

Head of Faculty, Global Health Partnerships Directorate, Health Education England, Manchester, UK.

Purpose: The improving global health (IGH) programme is a leadership development programme that aims to develop leadership skills and behaviours alongside quality improvement methodology in National Health Service (NHS) employees in a global health setting. Through collaboration, experiential learning and mentorship, the programme aims to produce both vertical and horizontal leadership development in its participants. This paper aims to describe the programme and its impact, in terms of leadership development, in a sample of participants. Read More

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Association between perceived birth trauma and postpartum depression: A prospective cohort study in China.

Int J Gynaecol Obstet 2021 Jul 29. Epub 2021 Jul 29.

Department of Nursing, The Seventh Affiliated Hospital of Southern Medical University, Lishui, Foshan, Guangdong, China.

Objective: To assess the association between women's perceived birth trauma and risk of postpartum depression (PPD).

Methods: We conducted a prospective cohort study in China between December 2018 and November 2019. Women aged 18-45 years who gave a singleton live birth at a university teaching hospital were enrolled after written consent was obtained. Read More

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A systematic review of waterborne and water-related disease in animal populations of Florida from 1999-2019.

PLoS One 2021 29;16(7):e0255025. Epub 2021 Jul 29.

Department of Public Health, University of North Florida, Jacksonville, Florida, United States of America.

Background: Florida's waters are a reservoir for a host of pathogens and toxins. Many of these microorganisms cause water-related diseases in people that are reportable to the Florida Department of Health. Our objective in this review was to ascertain which water-related pathogens and toxins of public health importance have been found in animal populations in Florida over the last twenty years. Read More

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Health worries, life satisfaction, and social well-being concerns during the COVID-19 pandemic: Insights from Lebanon.

PLoS One 2021 29;16(7):e0254989. Epub 2021 Jul 29.

Department of Information Technology and Operations Management, Adnan Kassar School of Business, Lebanese American University, Beirut, Lebanon.

The COVID-19 outbreak has struck Lebanon in its worst period of instability, not only impacting physical health, but also increasing psychological distress. Using an online survey enhanced by response time measurement, this study describes the overall patterns in mental well-being outcomes and examines their association with sociodemographic characteristics during the COVID-19 pandemic. Furthermore, it identifies significant predictors for COVID-19 good practices. Read More

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1.5 vs 3 Tesla Magnetic Resonance Imaging: A Review of Favorite Clinical Applications for Both Field Strengths-Part 1.

Invest Radiol 2021 Jul 26. Epub 2021 Jul 26.

From the Section of Experimental Radiology, Department of Radiology, Diagnostic, and Interventional Radiology, University of Tübingen, Tübingen Clinic for Diagnostic and Interventional Radiology, University Hospital Bonn, Bonn Department of Radiology, Diagnostic, and Interventional Radiology, University of Tübingen, Tübingen, Germany.

Abstract: Whole-body magnetic resonance imaging (MRI) systems with a field strength of 3 T have been offered by all leading manufacturers for approximately 2 decades and are increasingly used in clinical diagnostics despite higher costs. Technologically, MRI systems operating at 3 T have reached a high standard in recent years, as well as the 1.5-T devices that have been in use for a longer time. Read More

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The LGBTQ+ communities and the COVID-19 pandemic: a call to break the cycle of structural barriers.

J Infect Dis 2021 Jul 29. Epub 2021 Jul 29.

Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY; USA.

The COVID-19 pandemic has disproportionately impacted LGBTQ+ communities. Many disparities mirror those of the HIV/AIDS epidemic. These health inequities have repeated throughout history due to the structural oppression of LGBTQ+ people. Read More

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Presumed SARS-CoV-2 Viral Particles in the Human Retina of Patients With COVID-19.

JAMA Ophthalmol 2021 Jul 29. Epub 2021 Jul 29.

São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.

Importance: The presence of the SARS-CoV-2 virus in the retina of deceased patients with COVID-19 has been suggested through real-time reverse polymerase chain reaction and immunological methods to detect its main proteins. The eye has shown abnormalities associated with COVID-19 infection, and retinal changes were presumed to be associated with secondary microvascular and immunological changes.

Objective: To demonstrate the presence of presumed SARS-CoV-2 viral particles and its relevant proteins in the eyes of patients with COVID-19. Read More

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When Faculty Tell Tales: How Faculty Members' Reflective Narratives Impact Residents' Professional Identity Formation.

Acad Med 2021 Jul 27. Epub 2021 Jul 27.

S.M. Khoo is currently a senior consultant, Department of Medicine, Chronic Program, Alexandra Hospital, Queenstown, and Division of Respiratory Medicine and Critical Care, National University Hospital, Kent Ridge, Singapore, and associate professor, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore. When this research was conducted, he was program director, Internal Medicine Residency Program, National University Health System, Kent Ridge, Singapore. X.L.S. Wong is a consultant, Department of Medicine, Chronic Program, Alexandra Hospital, Queenstown, and Division of Respiratory Medicine and Critical Care, National University Hospital, Kent Ridge, Singapore.

Problem: Most training programs have focused on the explicit teaching of professionalism, an approach that has seen limited success, to transform trainees into physicians. It is possible that faculty members' reflective narratives, if appropriately shared with trainees, can facilitate the processes of reflection and socialization and help shift the training paradigm toward supporting professional identity formation.

Approach: In May 2010, an online forum, where faculty could share personal reflective narratives with all residents and faculty via email, was created for the National University Health System's internal medicine residency program. Read More

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Evaluation of the Attitudes of Midwifery Students Towards Gender Roles.

Soc Work Public Health 2021 Jul 29:1-9. Epub 2021 Jul 29.

Faculty of Health Sciences, Department of Midwifery, Istanbul University-Cerrahpaşa, Istanbul, Turkey.

Gender is the whole of behaviors, responsibilities, and roles that society expects from women and men. This study was conducted to evaluate the attitudes of midwifery students studying at a university toward gender roles. This is a cross-sectional and descriptive study. Read More

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Survey of the Written Child Protection Policies of the 32 U.S. Archdioceses.

J Child Sex Abus 2021 Jul 29:1-21. Epub 2021 Jul 29.

Private Attorney, Philadelphia, United States.

Amid considerable public scrutiny, Roman Catholic institutions in the United States have been called upon to address underlying organizational conditions that may facilitate child sex abuse and establish effective policies for early intervention and prevention. The development of child protection policies has largely been left to the discretion of local dioceses with little in the way of central oversight. This study examined the 32 U. Read More

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Rules of engagement: A content analysis of accepted and rejected marriage proposals.

J Fam Psychol 2021 Jul 29. Epub 2021 Jul 29.

Department of Psychology.

Little research exists concerning the Western marriage proposal ritual, and rejected proposals are particularly understudied. The current research used the lens of life script theory to quantitatively and qualitatively analyze 374 first-person written accounts of accepted and rejected marriage proposals between men and women that were sampled from online forums. Rejected proposals were more likely than accepted proposals to violate the proposal script. Read More

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Cycles of development in learning about identities, diversity, and equity.

Christy M Byrd

Cultur Divers Ethnic Minor Psychol 2021 Jul 29. Epub 2021 Jul 29.

North Carolina State University.

Objectives: Many scholars and educators have written about how to approach teaching about social identities, diversity, and societal inequity in classrooms and beyond. The current article adds to this literature by considering the developmental trajectories of individuals as they engage in learning opportunities about identities, diversity, and equity.

Results: This article details the specific aspects of knowledge that are essential to develop cultural competence and critical consciousness as well as a sequence in which they should be acquired. Read More

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A localization method for extraction of foreign matter in the myometrium.

Int J Gynaecol Obstet 2021 Jul 29. Epub 2021 Jul 29.

Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Chengdu, China.

In the present study, a 32-year-old woman presented to our hospital with foreign matter in her uterus. The patient had undergone intrauterine device (IUD)removal 10 days before admission to our hospital. Although the 'ring' IUD was removed, a small part of its extractive hook remained in the uterus. Read More

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Using Vignette-B ased Methodology to Examine Study Recruitment in Older African American Adults: A Methods Paper.

J Urban Health 2021 Jul 28. Epub 2021 Jul 28.

University of California, Irvine, Sue & Bill Gross School of Nursing, California, CA, USA.

This study's objective was to assess which caring recruitment behaviors correlate with the successful recruitment of older African-American adults-a two-step cross-sectional design employing a vignette-based survey methodology. Kristen Swanson's middle-range theory of caring was used to guide the examination of African-American adults' (65 years of age and older) perceptions of research-study-recruiter recruitment behaviors. This study's main findings are twofold: Step 1: Seven of ten invited experts identified major revisions of the two core vignettes, written at an eighth-grade reading level and high school comprehension. Read More

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COVID-19 seropositivity among non-medical frontline office staff from two cities in Rajasthan, India.

J Family Med Prim Care 2021 Jun 2;10(6):2400-2404. Epub 2021 Jul 2.

Department of Surgical Oncology, All India Institute of Medical Sciences, Phase II, Basni, Jodhpur, Rajasthan, India.

Aims: The indigenously developed Indian Council of Medical Research (ICMR)-NIV COVID Kavach IgG enzyme linked immunosorbent assay (ELISA) has been recommended for seroprevalence among vulnerable populations in India, which provided essential services throughout the lockdown. The staff working in the High Court was one such group. We compared anti-SARS-CoV-2 IgG seropositivity among the staff of Jodhpur and Jaipur High Courts, Rajasthan, India. Read More

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Prognostic molecular biomarkers in endometrial cancer: A review.

J Cancer Res Ther (Manch) 2019 Dec 3;7(3):17-28. Epub 2019 Dec 3.

Unit of Biomedical Research, National Cancer Institute- Biomedical Research Institute, National Autonomous University of Mexico. San Fernando 22, Colonia Sección XVI, Delegatión Tlalpan, Mexico City, Mexico, 14080.

Background: Endometrial cancer (EC) is the fourth most common malignancy in women worldwide and the most common gynecological cancer in developed countries. The endometrioid subtype has an excellent prognosis with conventional treatment; however, recurrence reduces overall survival.

Objective: Describe the most relevant evidence regarding selected potential molecular biomarkers that may predict overall survival (OS), relapse-free survival (RFS), and cancer-specific survival (CSS) in EC. Read More

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December 2019

Laparoscopic liver resection for colorectal liver metastases - short- and long-term outcomes: A systematic review.

World J Gastrointest Oncol 2021 Jul;13(7):732-757

Department of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge, Kortrijk 8500, Belgium.

Background: For well-selected patients and procedures, laparoscopic liver resection (LLR) has become the gold standard for the treatment of colorectal liver metastases (CRLM) when performed in specialized centers. However, little is currently known concerning patient-related and peri-operative factors that could play a role in survival outcomes associated with LLR for CRLM.

Aim: To provide an extensive summary of reported outcomes and prognostic factors associated with LLR for CRLM. Read More

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Selective Functional Network Changes Following tDCS-Augmented Language Treatment in Primary Progressive Aphasia.

Front Aging Neurosci 2021 12;13:681043. Epub 2021 Jul 12.

Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD, United States.

Objective: Transcranial direct current stimulation (tDCS) has shown promising results when used as an adjunct to behavioral training in neurodegenerative diseases. However, the underlying neural mechanisms are not understood and neuroimaging evidence from pre/post treatment has been sparse. In this study, we examined tDCS-induced neural changes in a language intervention study for primary progressive aphasia (PPA), a neurodegenerative syndrome with language impairment as the primary clinical presentation. Read More

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Analysis-rcs-data: Open-Source Toolbox for the Ingestion, Time-Alignment, and Visualization of Sense and Stimulation Data From the Medtronic Summit RC+S System.

Front Hum Neurosci 2021 12;15:714256. Epub 2021 Jul 12.

Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States.

Closed-loop neurostimulation is a promising therapy being tested and clinically implemented in a growing number of neurological and psychiatric indications. This therapy is enabled by chronically implanted, bidirectional devices including the Medtronic Summit RC+S system. In order to successfully optimize therapy for patients implanted with these devices, analyses must be conducted offline on the recorded neural data, in order to inform optimal sense and stimulation parameters. Read More

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Reply to Letter to Editor Written by Ramesh Babu and VVS.

J Indian Assoc Pediatr Surg 2021 May-Jun;26(3):208-209

Visiting Pediatric Surgeon Park Clinic, Gorky Terrace, Kolkata, West Bengal, India.

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A day in the life: a qualitative study of clinical decision-making and uptake of neurorehabilitation technology.

J Neuroeng Rehabil 2021 Jul 28;18(1):121. Epub 2021 Jul 28.

Shirley Ryan AbilityLab, 355 E Erie St., Chicago, IL, 60611, USA.

Background: Neurorehabilitation engineering faces numerous challenges to translating new technologies, but it is unclear which of these challenges are most limiting. Our aim is to improve understanding of rehabilitation therapists' real-time decision-making processes on the use of rehabilitation technology (RT) in clinical treatment.

Methods: We used a phenomenological qualitative approach, in which three OTs and two PTs employed at a major, technology-encouraging rehabilitation hospital wrote vignettes from a written prompt describing their RT use decisions during treatment sessions with nine patients (4 with stroke, 2 traumatic brain injury, 1 spinal cord injury, 1 with multiple sclerosis). Read More

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Teaching plain language to medical students: improving communication with disadvantaged patients.

BMC Med Educ 2021 Jul 28;21(1):407. Epub 2021 Jul 28.

Department of Population Health, Azrieli Faculty of Medicine, Bar-Ilan University, 8 Henrietta Szold, 1311502, Safed, Israel.

Background: Low health literacy underpins health inequality and leads to poor adherence to medical care and higher risk of adverse events and rehospitalization. Communication in plain language, therefore, is an essential skill for health professionals to acquire. Most medical education communication skill programs focus on verbal communication, while written communication training is scarce. Read More

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How semantic knowledge enhances word recognition? New evidence from struggling readers performances.

Haitham Taha

Appl Neuropsychol Child 2021 Jul 29:1-6. Epub 2021 Jul 29.

The Department of Education and Learning Disabilities, The Academic College of Western Galilee, Akko, Israel.

The current study examined the contribution of semantic knowledge to the process of reading aloud unfamiliar words among thirty non-typical readers from third grade. The performances of reading aloud were tested by using three lists of pseudowords: semantic, phonological, and un-trained. For each pseudoword in the list of semantic condition, an invented meaning was matched, and the participants orally trained to learn such invented meaning. Read More

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Impact of pharmacist involvement on medication safety in interprofessional transfer of care activity.

N Z Med J 2021 Jul 30;134(1539):9-20. Epub 2021 Jul 30.

Associate Dean Medical Education, University of Otago, Christchurch, Specialist Respiratory Physician, Canterbury District Health Board.

Aim: Any transition of patient care is a high-risk time for communication error. This paper explores whether the presence of a pharmacist as part of an interprofessional group provides additional benefit and safety in transitions of care.

Method: Six pharmacy interns and newly qualified pharmacists joined participants from seven other health professional training programmes to take part in an interprofessional education activity. Read More

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Distal Gracilis Tear in an Equestrian: A Case Report.

Am J Phys Med Rehabil 2021 Jul 27. Epub 2021 Jul 27.

Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA.

Abstract: A 61-year-old female equestrian presented after two weeks of left medial thigh pain which developed suddenly while exiting a car. She denied any history of recent trauma or falls. On examination she was found to have tenderness at the left distal medial thigh with a palpable region of decreased tissue volume at the gracilis myotendinous junction. Read More

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The Effect of Written and Video Discharge Instructions After Mild Traumatic Brain Injury on Healthcare Costs and Productivity Costs.

J Head Trauma Rehabil 2021 Jul 26. Epub 2021 Jul 26.

Departments of Emergency Medicine (Drs Hoek, Rood, Joosten, and Haagsma), Public Health (Drs Geraerds, van Beeck, Burdorf, Haagsma and Polinder), Neurology (Drs Dippel), and Internal Medicine (Dr Schuit), Erasmus Medical Center, Rotterdam, the Netherlands; Department of Emergency Medicine, Franciscus Gasthuis, Rotterdam, the Netherlands (Dr van den Hengel); Department of Emergency Medicine, Dijklanderziekenhuis, Hoorn, the Netherlands (Dr Dijkstra); Department of Emergency Medicine, Haaglanden Medical Center, the Hague, the Netherlands (Dr Papathanasiou); Department of Emergency Medicine, Reinier de Graaf, Delft, the Netherlands (Dr van Rijssel); and Department of Emergency Medicine, Admiraal de Ruyter Hospital, Goesthe Netherlands (Dr van den Hamer).

Objective: To compare healthcare and productivity costs between patients with mild traumatic brain injury (mTBI) who received verbal discharge instructions only and patients who received an additional flyer with or without video instructions.

Setting: Emergency departments (EDs) of 6 hospitals in the Netherlands.

Participants: In total, 1155 adult patients with mTBI (384 with verbal instructions; 771 with additional flyer with or without video instructions) were included. Read More

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Complications of a congenital iris cyst in a newborn.

JAAPA 2021 Aug;34(8):40-42

At the time this article was written, Catherine Nelson was a student in the PA program at Marietta (Ohio) College. She now is a hospitalist PA at Genesis Healthcare System in Zanesville, Ohio. Bradley Pierce is an associate professor in the PA program at Marietta College and practices in the Department of Medical Oncology at Memorial Health System in Belpre, Ohio. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Congenital iris cysts are a rare condition in infants that can lead to multiple complications. This report describes an infant born with an iris cyst who developed complications including secondary glaucoma, cataracts, and visual impairment, requiring management with multiple surgical interventions and medications. Read More

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Small cell neuroendocrine carcinoma disguised as an external hemorrhoid.

JAAPA 2021 Aug;34(8):35-39

At the time this article was written, Amelia Allmark was a student in the PA program at Northern Arizona University in Phoenix. She now practices in oncology/hematology with Utah Cancer Specialists at the Jordan Valley Hospital in West Jordan, Utah. Mary L. Brubaker is an associate clinical professor in the PA program at Northern Arizona University. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: This article describes a patient who presented to the ED with persistent nausea and vomiting, constipation, weight loss, and a new complaint of an external hemorrhoid and hematochezia with stooling. Comprehensive diagnostic evaluation included imaging studies that showed extensive metastatic disease but did not identify a primary neoplasm. Biopsy of the external hemorrhoid revealed small cell neuroendocrine carcinoma of the anal canal. Read More

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Probing machine-learning classifiers using noise, bubbles, and reverse correlation.

J Neurosci Methods 2021 Jul 25:109297. Epub 2021 Jul 25.

Laboratoire des systèmes perceptifs, Département d'études cognitives, École normale supérieure, PSL University, CNRS, 75005 Paris, France.

Background: Many scientific fields now use machine-learning tools to assist with complex classification tasks. In neuroscience, automatic classifiers may be useful to diagnose medical images, monitor electrophysiological signals, or decode perceptual and cognitive states from neural signals. However, such tools often remain black-boxes: they lack interpretability. Read More

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