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Establishing a Deaf and American Sign Language Inclusive Residency Training Program.

Acad Med 2021 Oct 19. Epub 2021 Oct 19.

C. Hill is a radiation oncology resident, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. C. Deville Jr is associate professor, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. A. Kiess is assistant professor, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. A. Narang is assistant professor, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. T. Ratnanather is associate research professor, Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland. J. Bienstock is associate dean of graduate medical education, Office of the Vice Dean for Education, Johns Hopkins University School of Medicine, Baltimore, Maryland. L. Brinckerhoff is a disability and learning consultant, Learning Resources and Support Student Affairs, Harvard, Boston, Massachusetts. A. Hodukavich is an Americans with Disabilities Act compliance officer, Office of Institutional Equity, Johns Hopkins University, Baltimore, Maryland. R. Anderson is director of nursing, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. S. Alcorn is assistant professor, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. T. DeWeese is vice dean for clinical affairs and president of the clinical practice association, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. A. Viswanathan is professor and director, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. B.R. Page is assistant professor, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Improving diversity in residency programs has been increasingly emphasized as a means to address gender, racial, and ethnic disparities in medicine. However, limited attention has been given to the potential benefits of training physicians with differences other than gender or race and ethnicity. Americans with a disability represent about 27% of the U. Read More

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October 2021

A scoping review of literature using speech recognition technologies by individuals with disabilities in multiple contexts.

Disabil Rehabil Assist Technol 2021 Oct 20:1-7. Epub 2021 Oct 20.

Department of Occupational Therapy, Boston University, Boston, MA, USA.

Purpose: Speech recognition technology (SRT) is increasingly available and may provide opportunities for individuals with disabilities to participate in necessary activities and meaningful occupations. This inquiry methodically collects and reports on research related to SRT for individuals with disabilities and impairments.

Materials And Methods: Using the Arksey and O'Malley framework and PRISMA guidelines, five databases were queried and indexes of 11 journals were hand-searched for relevant articles. Read More

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October 2021

Land use and land cover change and its impacts on dengue dynamics in China: A systematic review.

PLoS Negl Trop Dis 2021 Oct 20;15(10):e0009879. Epub 2021 Oct 20.

State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

Background: Dengue is a prioritized public health concern in China. Because of the larger scale, more frequent and wider spatial distribution, the challenge for dengue prevention and control has increased in recent years. While land use and land cover (LULC) change was suggested to be associated with dengue, relevant research has been quite limited. Read More

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October 2021

Eating experiences and quality of life in patients with larynx cancer in Spain. A qualitative study.

Int J Qual Stud Health Well-being 2021 Dec;16(1):1967262

Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Spain.

Purpose: This paper aims at describing the eating experience of people diagnosed with and treated for laryngeal cancer. Going beyond the mere conceptualization of "after-effect" or the quantification of the disease's impact on the basis of standardized questionnaires, we present a qualitative analysis of the narratives of such experiences.

Methods: Ethnographic study. Read More

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December 2021

COVID-19: The South African experience.

Interv Neuroradiol 2021 Oct 20:15910199211035905. Epub 2021 Oct 20.

Groote Schuur Hospital, COVID 19 Medical Volunteer.

The coronavirus disease-2019 pandemic affected the countries differently. South Africa is a middle-income country with a struggling economy and a resource-constrained public healthcare system. Three aspects of the pandemic in South Africa are examined, the lockdown and its effect on personal freedoms, how health care resources were used and the novel stratification of health workers into vulnerability categories. Read More

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October 2021

Types of acquired dyslexia in Spanish-speaking patients with aphasia.

Cogn Neuropsychol 2021 Oct 20:1-19. Epub 2021 Oct 20.

Instituto de Investigaciones, Facultad de Psicología, Universidad de Buenos Aires, Buenos Aires, Argentina.

The different types of acquired dyslexia described by cognitive neuropsychology have been observed in single-case and case series studies in different languages. However, no multipatient study of Spanish-speaking individuals has been reported that uses the same criteria and tasks to identify each participant's acquired dyslexia pattern. In this study, we analyzed participants' performance in three tasks (oral reading of words and nonwords, visual lexical decision with pseudohomophones, and written homophone comprehension) among 16 Spanish-speaking patients with aphasia. Read More

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October 2021

Return to sport after shoulder arthroplasty: a systematic review.

EFORT Open Rev 2021 Sep 14;6(9):771-778. Epub 2021 Sep 14.

Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Switzerland.

The main goal of this study was to determine the rate of return to sport (RTS) after shoulder arthroplasty.A systematic review of the literature was performed using the PRISMA guidelines. All clinical studies written in English, French or German, with a level of evidence of 1 to 4, and evaluating return to sport after shoulder arthroplasty, were included. Read More

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September 2021

Wide-Awake Approach for Flexor Digitorum Superficialis Tendon Transfer Followed by Early Active Mobilization.

Indian J Plast Surg 2021 Sep 16;54(3):338-343. Epub 2021 Sep 16.

Niigata Hand Surgery Foundation, Niigata, Japan.

The standard clinical practice to treat closed ruptures of the flexor digitorum profundus (FDP) tendons includes free tendon grafting; however, it is not suitable when the muscle amplitude of the ruptured FDP is not sufficient. We report outcomes of six patients who underwent flexor digitorum superficialis (FDS) tendon transfer of the ring finger using the wide-awake approach to repair the closed rupture of the FDP tendon of the little finger in zone 3 or 4. The patients were identified by reviewing our institutional billing records from January 2012 to October 2019 for the International Classification of Disease 10 code M66. Read More

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September 2021

Nuances of Arteriovenous Fistula Creation for Vascular Access in Hemodialysis.

Indian J Plast Surg 2021 Sep 8;54(3):257-263. Epub 2021 Sep 8.

Depatment of Plastic Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.

With rising incidence and increased life expectancy of patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD), the number of patients requiring hemodialysis has increased substantially. Vascular access is the lifeline for a patient on hemodialysis (HD), and an arteriovenous fistula (AVF) is the undisputed gold standard for HD access. An effective and long-lasting fistula serves to increase the life expectancy of ESRD patients and improves their quality of life. Read More

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September 2021

Type 1 diabetes incidence trends in children and adolescents aged 0-14 years in Europe: a systematic review and meta-analysis protocol.

BMJ Open 2021 Oct 19;11(10):e054962. Epub 2021 Oct 19.

Social and Health Care Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.

Introduction: Monitoring type 1 diabetes (T1D) trends across most European countries using objectively measured data and how this incidence has evolved over the past three decades should be considered a public health priority. This study protocol provides a standardised and transparent methodology to assess TD1 trends among 0-14-year-old children and adolescents across Europe from 1994 to 2021.

Methods And Analysis: This protocol is guided by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols and the Cochrane Collaboration Handbook. Read More

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October 2021

Keshav Desiraju: Mental health matters.

Authors:
Soumitra Pathare

Indian J Med Ethics 2021 Oct-Dec;VI(4):341-342

Director, Centre for Mental Health Law & Policy, Indian Law Society (ILS), Pune 411 004, INDIA.

Keshav Desiraju (1955-2021) former Union Health Secretary, who passed away on September 5, 2021, was an uncommon bureaucrat and extraordinary human being. Many obituaries and eulogies have been written about his contribution to public health in India and his personal qualities in helping those in need. Here I will focus specifically on his contribution to the mental health sector in India, to which he contributed significantly in his last few years as a health bureaucrat, and even after his retirement. Read More

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October 2021

The effectiveness of mouthwash against SARS-CoV-2 infection: A review of scientific and clinical evidence.

J Formos Med Assoc 2021 Oct 8. Epub 2021 Oct 8.

Graduate Institute of Clinical Dentistry, School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan; School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Background/purpose: The COVID-19 pandemic, caused by the spread of SARS-CoV-2 infection that is mainly through the airborne transmission, is a worldwide health concern. This review seeks to assess the potential effectiveness of mouthwash in reducing the oropharyngeal load of SARS-CoV-2 based on the available evidence.

Methods: Articles related to mouthwash and COVID-19 in PubMed were electronically searched in July, 2021. Read More

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October 2021

Assessment of patient satisfaction towards auditable pharmaceutical transactions and services implemented in outpatient hospital pharmacy in Ethiopia.

J Pharm Policy Pract 2021 Oct 19;14(1):83. Epub 2021 Oct 19.

Pharmaceutical and Medical Equipment Directorate, Federal Ministry of Health-Ethiopia (PMED/FMoH), Addis Ababa, Ethiopia.

Background: Patient satisfaction is a widely used indicator to measure quality of pharmacy services. Currently, a transformational pharmacy service called auditable pharmaceutical transactions and services is being implemented nationally in Ethiopia. However, there is a dearth of evidence regarding the national impact of this system on patient satisfaction. Read More

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October 2021

Australian hospital staff perceptions of barriers and enablers of domestic and family violence screening and response.

BMC Health Serv Res 2021 Oct 19;21(1):1121. Epub 2021 Oct 19.

Gold Coast University Hospital, Parklands Drive, Meadowbrook, 4215, Australia.

Background: Hospital presentations provide unique opportunities to detect DFV. However, up to 70% of women experiencing Domestic and Family Violence (DFV) go undetected by hospital staff. While routine DFV screening is internationally encouraged, there is still much debate surrounding its implementation. Read More

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October 2021

The implementation of colorectal cancer screening interventions in low-and middle-income countries: a scoping review.

BMC Cancer 2021 Oct 19;21(1):1125. Epub 2021 Oct 19.

Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen's University Belfast, Belfast, UK.

Background: Low- and middle-income countries (LMICs) experienced increasing rates of colorectal cancer (CRC) incidence in the last decade and lower 5-year survival rates compared to high-income countries (HICs) where the implementation of screening and treatment services have advanced. This review scoped and mapped the literature regarding the content, implementation and uptake of CRC screening interventions as well as opportunities and challenges for the implementation of CRC screening interventions in LMICs.

Methods: We systematically followed a five-step scoping review framework to identify and review relevant literature about CRC screening in LMICs, written in the English language before February 2020. Read More

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October 2021

The profile of real-time competition in spoken and written word recognition: more similar than different.

Q J Exp Psychol (Hove) 2021 Oct 19:17470218211056842. Epub 2021 Oct 19.

Dept. of Psychological and Brain Sciences.

Word recognition occurs across two sensory modalities: auditory (spoken words) and visual (written words). While each faces different challenges, they are often described in similar terms as a competition process by which multiple lexical candidates are activated and compete for recognition. While there is a general consensus regarding the types of words that compete during spoken word recognition, there is less consensus for written word recognition. Read More

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October 2021

Cross-cultural adaptation and validation of the SARC-F to assess sarcopenia: methodological report from European Union Geriatric Medicine Society Sarcopenia Special Interest Group.

Eur Geriatr Med 2018 Feb 21;9(1):23-28. Epub 2017 Dec 21.

Department of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.

Sarcopenia is a well-identified process of aging known to cause functional deterioration, falls, fractures, frailty and mortality. Considering the global aging population, sarcopenia assessment has become a public health priority because its early detection is expected to prevent or decrease adverse outcomes through commencement of therapeutic measures. Therefore, the diagnosis of sarcopenia mediated by effective screening is expected to become particularly important. Read More

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February 2018

A Practical Guide to Implementing SMART in asthma management.

J Allergy Clin Immunol Pract 2021 Oct 16. Epub 2021 Oct 16.

University of Connecticut School of Medicine, Farmington, CT.

The use of a Single inhaler containing the combination of an inhaled corticosteroid (ICS) and formoterol, a specific long-acting bronchodilator (LABA), for both Maintenance And quick Relief Therapy (SMART, or MART) is recommended by both the Global Initiative for Asthma (GINA) and the National Asthma Education and Prevention Program (NAEPP) Coordinating Committee in Steps 3 and 4 of asthma management. This article provides practical advice about implementation of SMART in clinical practice based on evidence and clinical experience. Fundamental to SMART is that ICS-formoterol provides similarly quick relief of asthma symptoms as short-acting beta2-agonist (SABA) such as albuterol, while reducing the risk of severe asthma exacerbations, at an overall lower ICS exposure. Read More

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October 2021

Assessing How Students Value Learning Communication Skills in an Undergraduate Anatomy and Physiology Course.

Anat Sci Educ 2021 Oct 19. Epub 2021 Oct 19.

Department of Biological Sciences, College of Liberal Arts and Sciences, Northern Illinois University, DeKalb, Illinois, USA.

Students, particularly those in STEM (science, technology, engineering and mathematics) and healthcare-related programs, should develop proficient interpersonal skills, including communication. To help students develop effective communication skills, instructors need to consider the value students give to learning these skills. The Student Attitudes Toward Communication Skills Survey (SATCSS) was developed to measure how undergraduate students value learning communication skills based on Expectancy-Value Theory across three modes of communication (verbal, written, non-verbal). Read More

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October 2021

Protective Roles of Xijiao Dihuang Tang on Coronary Artery Injury in Kawasaki Disease.

Cardiovasc Drugs Ther 2021 Oct 19. Epub 2021 Oct 19.

Pediatric Research Institute, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.

Purpose: Xijiao Dihuang Tang (XJDHT) is a classical formula of traditional Chinese medicine constituted of Cornu Bubali, Rehmannia glutinosa (Gaertn.) DC., Paeonia lactiflora Pall. Read More

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October 2021

Decompressive craniectomy: A salvage treatment for patients with central nervous system tumors.

Cir Cir 2021 ;89(5):603-610

Department of Surgical Neuro-Oncology, National Institute of Neurology and Neurosurgery.

Background: Decompressive craniectomy (DC) has been used for the treatment of refractory increased intracranial pressure (ICP) in patients with brain trauma and stroke; its beneficial role is still a matter of debate. Little has been written on the role of DC in the setting of patients with intracranial tumors.

Methods: We retrospectively reviewed our institutional tumor registry for all adult patients treated with a DC as an emergency treatment between January 2012 and June 2019. Read More

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October 2021

Rationale and design of the preserved versus reduced ejection fraction biomarker registry and precision medicine database for ambulatory patients with heart failure (PREFER-HF) study.

Open Heart 2021 Oct;8(2)

Harvard Medical School, Boston, Massachusetts, USA

Introduction: Patients with heart failure (HF) are classically categorised by left ventricular ejection fraction (LVEF). Efforts to predict outcomes and response to specific therapy among LVEF-based groups may be suboptimal, in part due to the underlying heterogeneity within clinical HF phenotypes. A multidimensional characterisation of ambulatory patients with and without HF across LVEF groups is needed to better understand and manage patients with HF in a more precise manner. Read More

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October 2021

Coronary CT angiography for improved assessment of patients with acute chest pain and low-range positive high-sensitivity troponins: study protocol for a prospective, observational, multicentre study (COURSE trial).

BMJ Open 2021 Oct 18;11(10):e049349. Epub 2021 Oct 18.

Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.

Introduction: Current evaluation of patients suspected of a non-ST-elevation acute coronary syndrome (NSTE-ACS) involves the use of algorithms that incorporate clinical information, electrocardiogram (ECG) and high-sensitivity cardiac troponins (hs-troponins). While primarily designed to rule out NSTE-ACS safely, these algorithms can also be used for rule in of NSTE-ACS in some patients. Still, in a substantial number of patients, these algorithms do not provide a conclusive work-up. Read More

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October 2021

COVID-19 vaccination hesitancy among Americans with disabilities aged 18-65: An exploratory analysis.

Disabil Health J 2021 Oct 9:101223. Epub 2021 Oct 9.

University of Montana, Rural Institute for Inclusive Communities, Missoula, MT, 59812, USA.

Background: It is important for people with disabilities to be vaccinated against COVID-19 because, as a group, they are at increased risk of severe outcomes. While there are multiple vaccines available to prevent COVID-19, a considerable proportion of Americans report some hesitancy to becoming vaccinated, including people with disabilities.

Objective: We conducted a study to explore what factors may contribute to COVID-19 vaccination hesitancy among Americans with disabilities. Read More

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October 2021

"It's like being involved in a car crash": teen pregnancy narratives of adolescents and young adults in Jos, Nigeria.

Int Health 2021 Oct 18. Epub 2021 Oct 18.

School of International Development and Global Studies, Faculty of Social Sciences, University of Ottawa, 120 rue Université privée, Ottawa, ON K1N 6N5, Canada.

Background: Adolescent pregnancy has serious public health implications, with far-reaching outcomes extending past the mother and child and affecting society. The purpose of this study was to explore the lived experience of adolescent pregnancy in Jos, Nigeria.

Methods: We conducted in-depth interviews with 17 adolescents and young women ages 16-24 y in Jos, Nigeria who had experienced at least one teenage pregnancy. Read More

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October 2021

Seeking recognition through carceral health care bureaucracy: Analysis of medical care request forms in a County Jail.

Soc Sci Med 2021 Oct 13;291:114485. Epub 2021 Oct 13.

Johns Hopkins School of Medicine, Department of Gynecology and Obstetrics; And Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior and Society, 4940 Eastern Ave, A121, Baltimore, MD, 21224, USA. Electronic address:

People experiencing incarceration in the U.S. have a constitutional right to have access to health care. Read More

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October 2021

High Schools' Adoption of Evidence-Based Practices for the Management of Exertional Heat Stroke.

J Athl Train 2021 Oct;56(10):1142-1153

Department of Kinesiology, University of Connecticut, Storrs.

Context: Exertional heat stroke (EHS) deaths can be prevented by adhering to best practices.

Objective: To investigate high schools' adoption of policies and procedures for recognizing and treating patients with EHS and the factors influencing the adoption of a comprehensive policy.

Design: Cross-sectional study. Read More

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October 2021

Optically Modulated HfS-Based Synapses for Artificial Vision Systems.

ACS Appl Mater Interfaces 2021 Oct 18. Epub 2021 Oct 18.

Technical Center for Multifunctional Magneto-Optical Spectroscopy (Shanghai), Engineering Research Center of Nanophotonics & Advanced Instrument (Ministry of Education), Department of Materials, School of Physics and Electronic Science, East China Normal University, Shanghai 200241, China.

The simulation of human brain neurons by synaptic devices could be an effective strategy to break through the notorious "von Neumann Bottleneck" and "Memory Wall". Herein, opto-electronic synapses based on layered hafnium disulfide (HfS) transistors have been investigated. The basic functions of biological synapses are realized and optimized by modifying pulsed light conditions. Read More

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October 2021

Fate and transport in environmental quality.

J Environ Qual 2021 Oct 18. Epub 2021 Oct 18.

Department of Plant, Soil and Microbial Sciences; Environmental Science, and Policy Program, Michigan State University, East Lansing, Michigan, 48824, USA.

Changes in pollutant concentrations in environmental media occur both due to pollutant transport in water or air and due to local processes, such as adsorption, degradation, precipitation, straining, etc. The terms "fate and transport" and "transport and fate" reflect the coupling of moving with the carrier media and biogeochemical processes describing local transformations or interactions. Journal of Environmental Quality (JEQ) was one of the first to publish papers on fate and transport (F&T). Read More

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October 2021

A Human, Organization, and Technology Perspective on Patients' Experiences of a Chat-Based and Automated Medical History-Taking Service in Primary Health Care: Interview Study Among Primary Care Patients.

J Med Internet Res 2021 Oct 18;23(10):e29868. Epub 2021 Oct 18.

Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Background: The use of e-visits in health care is progressing rapidly worldwide. To date, studies on the advantages and disadvantages of e-consultations in the form of chat services for all inquiries in primary care have focused on the perspective of health care professionals (HCPs) rather than those of end users (patients).

Objective: This study aims to explore patients' experiences using a chat-based and automated medical history-taking service in regular, tax-based, not-for-profit primary care in Sweden. Read More

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October 2021