49,898 results match your criteria medical residents


Concentrations and health risks of heavy metals in five major marketed marine bivalves from three coastal cities in Guangxi, China.

Ecotoxicol Environ Saf 2021 Jul 28;223:112562. Epub 2021 Jul 28.

Department of Cell Biology, School of Life Sciences, and School of Medicine, Guangxi University, Nanning 530004, China. Electronic address:

Seafood consumption provides essential elements to humans while also posing risks to human health. A total of 2610 individuals of five edible marine bivalve species (Ruditapes philippinarum, Paphia undulata, Meretrix meretrix, Sinonovacula constricta and Meretrix lyrata) were randomly sampled from six farmer markets in three cities (Beihai, Qinzhou and Fangchenggang) in the southernmost coastal region of China. The concentrations of heavy metals (Cu, Pb, Zn, Cd, Cr, Hg and As) were determined by inductively coupled plasma mass spectrometry (ICP-MS). Read More

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Manikins versus simulated patients in emergency medicine training: a comparative analysis.

Eur J Trauma Emerg Surg 2021 Jul 30. Epub 2021 Jul 30.

Department for Trauma-, Hand- and Reconstructive Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, Frankfurt, Germany.

Purpose: Every physician must be able to sufficiently master medical emergencies, especially in medical areas where emergencies occur frequently such as in the emergency room or emergency surgery. This contrasts with the observation that medical students and young residents often feel insufficiently prepared to handle medical emergencies. It is therefore necessary to train them in the treatment of emergency patients. Read More

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Does the advanced training in laparoscopic suturing enhance laparoscopic suturing skill beyond fundamentals of laparoscopic surgery?

Surgery 2021 Jul 27. Epub 2021 Jul 27.

Department of Surgery, Indiana University School of Medicine, Indianapolis, IN. Electronic address:

Background: Laparoscopic suturing is associated with a steep learning curve. Hence, many general surgery graduate residents entering fellowship have reportedly not been able to proficiently suture laparoscopically despite achieving Fundamentals of Laparoscopic Surgery certification. To address this deficiency, the Advanced Training in Laparoscopic Suturing curriculum was developed. Read More

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Public Perceptions of Physician Attire and Professionalism in the US.

JAMA Netw Open 2021 Jul 1;4(7):e2117779. Epub 2021 Jul 1.

Department of Plastic & Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Importance: In recent years, casual physician attire (fleece jackets and softshell jackets) has become increasingly popular, but to our knowledge, public perceptions of these garments have not been studied. Furthermore, gender biases may result in differing expectations and perceptions of female and male physicians and may be associated with patient rapport and trust building.

Objective: To characterize public perceptions of casual physician attire and implicit gender biases in public assessment of physicians' professional attire. Read More

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Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application.

J Med Internet Res 2021 Jul 30;23(7):e27861. Epub 2021 Jul 30.

Patient-Centered Outcomes Research, Health Economics Clinical Trial Unit, Hospital Hotel-Dieu, AP-HP, University de Paris, Paris, France.

Background: The consideration of health-related quality of life (HRQL) is a hallmark of best practice in HIV care. Information technology offers an opportunity to more closely engage patients with chronic HIV infection in their long-term management and support a focus on HRQL. However, the implementation of patient-reported outcome (PRO) measures, such as HRQL in routine care, is challenged by the need to synthesize data generated by questionnaires, the complexity of collecting data between patient visits, and the integration of results into clinical decision-making processes. Read More

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[PERSONS WITH DISABILITIES IN TERMS OF THE SPREAD OF THE NEW CORONAVIRUS INFECTION COVID-19].

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2021 Jun;29(Special Issue):774-778

Committee for social policy of St. Petersburg, 191060, St. Petersburg, Russia.

One of the vulnerable categories of the population during a pandemic of coronavirus infection is the disabled, both from the point of view of the high risk of a severe course of the disease, and from the point of view of the possibility of significantly limiting everyday, professional and social activities. The article discusses the regulatory and organizational measures taken to ensure the rights of people with disabilities in Russia to prevent the spread of coronavirus infection. The epidemiological situation and features of the spread of coronavirus in long-term care facilities have been analyzed. Read More

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An unmet need for paediatric LGBTQ training.

Clin Teach 2021 Jul 29. Epub 2021 Jul 29.

Department of Pediatrics, Population and Family Health, Columbia University Irving Medical Center, New York City, New York, USA.

Background: Lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) youth have increased health risks, exacerbated by discrimination and lack of provider training. Currently, no graduate medical education requirements address the need for LGBTQ health training, particularly for paediatric providers. We aimed to perform a needs assessment of provider knowledge, comfort and awareness of community resources regarding LGBTQ youth. Read More

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A Conference-Friendly, Hands-on Introduction to Deep Learning for Radiology Trainees.

J Digit Imaging 2021 Jul 29. Epub 2021 Jul 29.

Department of Radiology, Brigham & Women's Hospital/Harvard Medical School, Boston, MA, USA.

Artificial or augmented intelligence, machine learning, and deep learning will be an increasingly important part of clinical practice for the next generation of radiologists. It is therefore critical that radiology residents develop a practical understanding of deep learning in medical imaging. Certain aspects of deep learning are not intuitive and may be better understood through hands-on experience; however, the technical requirements for setting up a programming and computing environment for deep learning can pose a high barrier to entry for individuals with limited experience in computer programming and limited access to GPU-accelerated computing. Read More

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County-level phenomapping to identify disparities in cardiovascular outcomes: An unsupervised clustering analysis: Short title: Unsupervised clustering of counties and risk of cardiovascular mortality.

Am J Prev Cardiol 2020 Dec 20;4:100118. Epub 2020 Nov 20.

Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Introduction: Significant heterogeneity in cardiovascular disease (CVD) risk and healthcare resource allocation has been demonstrated in the United States, but optimal methods to capture heterogeneity in county-level characteristics that contribute to CVD mortality differences are unclear. We evaluated the feasibility of unsupervised machine learning (ML)-based phenomapping in identifying subgroups of county-level social and demographic risk factors with differential CVD outcomes.

Methods: We performed a cross-sectional study using county-level data from 2008 to 2018 from the Centers for Disease Control (CDC) WONDER platform and the 2020 Robert Wood Johnson County Health Rankings program. Read More

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December 2020

Effects of housing value and medical subsidy on treatment and outcomes of breast cancer patients in Singapore: A retrospective cohort study.

Lancet Reg Health West Pac 2021 Jan 8;6:100065. Epub 2020 Dec 8.

Singapore General Hospital, Outram Rd, Singapore, 169608, Singapore.

Background: Socioeconomic status (SES) is likely to affect survival in breast cancer patients. Housing value is a reasonable surrogate for SES in Singapore where most residents own their own homes, which could be public (subsidised) or private housing. We evaluated effects of housing value and enhanced medical subsidies on patients' presentation, treatment choices, compliance and survival in a setting of good access to healthcare. Read More

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January 2021

Incidence of multiple sclerosis in China: A nationwide hospital-based study.

Lancet Reg Health West Pac 2020 Aug 6;1:100010. Epub 2020 Aug 6.

China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China.

Background: Multiple sclerosis (MS) is a leading cause of disability among young adults and effects considerable social and economic burdens. Data of MS incidence in China at the national level is lacking. We conducted the first nationwide hospital-based study to estimate the incidence and hospitalization burden of MS in China. Read More

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Impact of Pediatric Dentistry Residents Posted in Pediatrics Department: A Retrospective Assessment of 6 Years.

Int J Clin Pediatr Dent 2021 Jan-Feb;14(1):84-87

Department of Pedodontics and Preventive Dentistry, Pushpagiri College of Dental Sciences, Thiruvalla, Kerala, India.

Aim: To measure the influence of rotatory pediatrics postings for dental residents on the outpatient census of the pediatric dentistry department. The secondary aims were to assess the change in trend toward the number of preschool children visiting the department before and after the initiation of pediatrics posting and also to find the percentage of children affected with caries among children visiting the pediatricians.

Materials And Methods: Retrospectively, the census of the pediatric dentistry department was calculated from 2010 to 2016. Read More

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Impact of indoor temperature instability on diurnal and day-by-day variability of home blood pressure in winter: a nationwide Smart Wellness Housing survey in Japan.

Hypertens Res 2021 Jul 29. Epub 2021 Jul 29.

Institute for Building Environment and Energy Conservation, Kojimachi, Chiyoda-ku, Tokyo, Japan.

Home blood pressure (HBP) variability is an important factor for cardiovascular events. While several studies have examined the effects of individual attributes and lifestyle factors on reducing HBP variability, the effects of living environment remain unknown. We hypothesized that a stable home thermal environment contributes to reducing HBP variability. Read More

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An outbreak of serotype 19A pneumococcal pneumonia in a relief facility in Japan.

Infect Control Hosp Epidemiol 2021 Jul 30:1-3. Epub 2021 Jul 30.

Department of Respiratory Medicine and Infectious Diseases, Niigata Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata, Japan.

An outbreak of serotype 19A Streptococcus pneumoniae occurred among the residents of a relief facility. Pneumonia developed in 5 of 99 residents (attack rate, 5.1%). Read More

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Medical errors during training: how do residents cope?: a descriptive study.

BMC Med Educ 2021 Jul 29;21(1):408. Epub 2021 Jul 29.

Department of Pediatrics and Adolescent Medicine, Einstein Medical Center, Philadelphia, USA.

Background: Physicians' self-perceived medical errors lead to substantial emotional distress, which has been termed the "second victim phenomenon." Medical errors during residency are associated with increased burnout and depression. It is important to know how residents cope with self-perceived medical errors and how they gain personal and emotional support in order to develop effective interventions. Read More

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Health care ethics programs in U.S. Hospitals: results from a National Survey.

BMC Med Ethics 2021 Jul 29;22(1):107. Epub 2021 Jul 29.

Altarum Institute, 3520 Green Ct., Suite 300, Ann Arbor, MI, 48105, USA.

Background: As hospitals have grown more complex, the ethical concerns they confront have grown correspondingly complicated. Many hospitals have consequently developed health care ethics programs (HCEPs) that include far more than ethics consultation services alone. Yet systematic research on these programs is lacking. Read More

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Using a self-directed workbook to support advance care planning with long term care home residents.

BMC Palliat Care 2021 Jul 29;20(1):121. Epub 2021 Jul 29.

Department of Family Medicine, David Braley Health Sciences Centre, McMaster University, 100 Main Street West, 5th floor, Hamilton, On, L8P 1H6, Canada.

Background: While advance care planning (ACP) has been shown to improve the quality of end-of-life (EOL) communication and palliative care, it is rarely practiced in long term care (LTC) homes, where staff time to support the process is limited. This study examines the potential of a publicly available self-directed ACP workbook distributed to LTC residents to encourage ACP reflection and communication.

Methods: Recruitment took place across three LTC homes, between June 2018 and July 2019. Read More

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Reducing clinician inefficiency and restoring meaning in practice: A professional coaching approach for family medicine residents.

Int J Psychiatry Med 2021 Jul 29:912174211034624. Epub 2021 Jul 29.

JPS Family Medicine Residency Program, Fort Worth, TX, USA.

Burnout is widespread among primary care physicians (PCPs). Several key drivers of burnout in this specialty that have been increasingly recognized are the growing complexity and work demands placed on PCPs by outpatient clinical work environments. These high demands, from the perspective of the physician, detract from other valued tasks which provide meaning in daily work such as relationship-building and fellowship with the medical team. Read More

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Changes in characteristics of drug overdose death trends during the COVID-19 pandemic.

Int J Drug Policy 2021 Jul 20;98:103392. Epub 2021 Jul 20.

Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States. Electronic address:

Background: Reports analyzing drug overdose (OD) mortality data during the COVID-19 pandemic are limited. Outcomes across states are heterogenous, necessitating assessments of associations between COVID-19 and OD deaths on a state-by-state level. This report aims to analyze trends in OD deaths in Massachusetts during COVID-19. Read More

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The role of depression and anxiety in the relationship between poor sleep quality and subjective cognitive decline in Chinese elderly: Exploring parallel, serial, and moderated mediation.

J Affect Disord 2021 Jul 19;294:464-471. Epub 2021 Jul 19.

Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, China. Electronic address:

Background: Poor sleep quality exacerbates subjective cognitive decline (SCD). Mental health may play an important role in the relationship, but the potential underlying mechanisms remain unknown.

Methods: A cross-sectional study was conducted on older adult residents in Guangdong province, south China from November 2020 to March 2021. Read More

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Reducing particulates in indoor air can improve the circulation and cardiorespiratory health of old people: A randomized, double-blind crossover trial of air filtration.

Sci Total Environ 2021 Jul 23;798:149248. Epub 2021 Jul 23.

Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing 400045, China; National Centre for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, China. Electronic address:

Exposure to indoor air particulate pollution increases respiratory and cardiovascular morbidity and mortality, especially in the elderly. To assess a short-term, indoor air filtration's potential benefit on circulatory and cardiopulmonary health among healthy older people, a randomized, double-blind crossover trial was conducted with 24 healthy residents of an aged-care center in Chongqing, China in 2020. Each room received a high-efficiency particulate air filter air purifier and a placebo air purifier for two days. Read More

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Identifying and preventing burnout in young oncologists, an overwhelming challenge in the COVID-19 era: a study of the Spanish Society of Medical Oncology (SEOM).

ESMO Open 2021 Jul 26;6(4):100215. Epub 2021 Jul 26.

Department of Medical Oncology, Vall d'Hebron University Hospital & Institute of Oncology (VHIO), Vall d'Hebron Hospital Campus, Barcelona, Catalunya, Spain. Electronic address:

Background: Young oncologists are at particular risk of professional burnout, and this could have a significant impact on their health and care of their patients. The coronavirus disease 2019 (COVID-19) pandemic has forced rapid changes in professionals' jobs and training, with the consequent physical and psychological effects. We aimed to characterize burnout levels and determinants in young oncologists, and the effects of the pandemic on their training and health. Read More

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Characteristics and scope of humanitarian relief forensic medical evaluations for immigrant children in the US.

J Forensic Leg Med 2021 Jul 23;82:102221. Epub 2021 Jul 23.

Department of General Pediatrics, University of Colorado School of Medicine and Denver Health and Hospitals, 777 Bannock St, Denver, CO, 80204, USA.

According to US Customs and Border Protection, over 473,000 family units and 76,000 unaccompanied children were apprehended in 2019, a multi-fold increase from previous years. Thus, the number of children who may be eligible for humanitarian relief has increased significantly. For those claiming humanitarian relief, forensic medical evaluations performed by health professionals can provide critical evidence to bolster claims. Read More

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Impact of COVID-19 on Saudi neurosurgery residency: trainers' and trainees' perspectives.

World Neurosurg 2021 Jul 26. Epub 2021 Jul 26.

Neurosurgery Department, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia.

Introduction: Following the official announcement of the COVID-19 pandemic on the 11 of March 2020, the disease impacted most aspects of health care delivery, especially postgraduate education and training.

Method: A cross-sectional, online questionnaire-based assessment was performed. The study participants involved neurosurgery residents and program directors (PDs) across the country between 16 and 27 of May 2020. Read More

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Association between cirrhosis and herpes zoster in a cohort study in Taiwan.

Int J Clin Pract 2021 Jul 29:e14677. Epub 2021 Jul 29.

Department of Occupational Safety and Health, College of Public Health, China Medical University, Taichung, Taiwan.

Objectives: The aim of the study was to assess if an association exists between cirrhosis and herpes zoster in Taiwan.

Methods: A retrospective cohort study was designed to analyze the 2000-2013 claims dataset of 1 million insured residents who were randomly sampled from the Taiwan National Health Insurance Program. Totally, 16190 subjects ages 20-84 years old with newly diagnosed cirrhosis since 2000 to 2012 were identified as the cirrhosis group and 16190 sex- and age-matched subjects without cirrhosis were selected as the non-cirrhosis group. Read More

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Disparities in COVID-19 Vaccination Coverage Among Health Care Personnel Working in Long-Term Care Facilities, by Job Category, National Healthcare Safety Network - United States, March 2021.

MMWR Morb Mortal Wkly Rep 2021 Jul 30;70(30):1036-1039. Epub 2021 Jul 30.

Residents of long-term care facilities (LTCFs) and health care personnel (HCP) working in these facilities are at high risk for COVID-19-associated mortality. As of March 2021, deaths among LTCF residents and HCP have accounted for almost one third (approximately 182,000) of COVID-19-associated deaths in the United States (1). Accordingly, LTCF residents and HCP were prioritized for early receipt of COVID-19 vaccination and were targeted for on-site vaccination through the federal Pharmacy Partnership for Long-Term Care Program (2). Read More

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The Effect of Ultrahigh Altitude on the Mental Health of Civil Servants in Western China Based on Propensity Score Matching.

High Alt Med Biol 2021 Jul 29. Epub 2021 Jul 29.

Sichuan Provincial Center for Mental Health, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China.

Wang, Luyao, Bo Zhou, Chenghui Yang, Shuya Pan, Yulan Huang, and Jinyu Wang. The effect of ultrahigh altitude on the mental health of civil servants in western China based on propensity score matching. 00:000-000, 2021. Read More

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Evaluation of Sudden Cardiac Arrest by Race/Ethnicity Among Residents of Ventura County, California, 2015-2020.

JAMA Netw Open 2021 Jul 1;4(7):e2118537. Epub 2021 Jul 1.

Center for Cardiac Arrest Prevention, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California.

Importance: Sudden cardiac arrest (SCA) is a major public health problem. Owing to a lack of population-based studies in multiracial/multiethnic communities, little information is available regarding race/ethnicity-specific epidemiologic factors of SCA.

Objective: To evaluate the association of race/ethnicity with burden, outcomes, and clinical profile of individuals experiencing SCA. Read More

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Comparison of Resident and Faculty Screening for Social Determinants of Health in an Academic Pediatric Primary Care Practice.

R I Med J (2013) 2021 Aug 2;104(6):33-37. Epub 2021 Aug 2.

Department of Pediatrics, Rhode Island Hospital/Hasbro Children's Hospital; Alpert Medical School of Brown University, Providence, RI.

Background: Social determinants of health (SDH) have an important role in children's health and development and should be investigated in pediatric well child care.

Methods: A retrospective chart review of children aged 5-17 at well visits at an urban academic pediatric primary care practice was performed. Chi-square tests of independence and z-test for proportions were used to assess differences between residents and faculty SDH screening. Read More

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Implementing "chest pain pathway" using smartphone messaging application "WhatsApp" as a corrective action plan to improve ischemia time in "ST-Elevation myocardial Infarction" in primary PCI capable center "WhatsApp-STEMI Trial".

Authors:
Wesam A AlHejily

Crit Pathw Cardiol 2021 Jul 27. Epub 2021 Jul 27.

Department of Medicine (Division of Cardiology) Faculty of Medicine, King Abdelaziz University Hospital, Jeddah, Saudi Arabia Department of Cardiology division at Dr Sulaiman Alhabib medical group.

Background: ST-elevation myocardial infarction (STEMI) is a life-threatening medical emergency that requires immediate medical attention, each hospital should implement a clinical pathway with a main objective to reduce ischemia time from diagnosis to revascularization, as this has shown to save myocardial tissues and subsequently patients' lives, utilizing the most evidence-based approach and the most up to date management protocol. In this study we aimed to assess the utility of structuring chest pain pathway with instantaneous case by case feedback protocol using WhatsApp as a smartphones' messaging application and its impact on improving two major KPIs, the impact on initial ER door to ECG time, and door to balloon time, in a predefined 6-month corrective action period.

Methods: Prospective, quality improvement plan was set to reduce door to first ECG and door to balloon times to less than 10 and 90 minutes, respectively in all ACS cases including STEMI, from August 2020 to April 30th, 2021. Read More

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