Evaluating ChatGPT's Utility in Medicine Guidelines Through Web Search Analysis
CONCLUSION: Google Search and ChatGPT present varied questions and answers for both broad and specific queries. Both patients and doctors should exercise prudence when considering ChatGPT as a digital health adviser. It's essential for medical professionals to assist patients in accurately communicating their online discoveries and ensuing inquiries for a comprehensive discussion.PMID:38665043 | DOI:10.7812/TPP/23.126 (Source: The Permanente journal)
Source: The Permanente journal - April 26, 2024 Category: General Medicine Authors: Jeremy A Dubin Sandeep S Bains Daniel Hameed Zhongming Chen Erica Gaertner James Nace Michael A Mont Ronald E Delanois Source Type: research
Return to Sports After Anterior Cruciate Ligament Reconstruction
Perm J. 2024 Apr 25:1-7. doi: 10.7812/TPP/23.132. Online ahead of print.ABSTRACTAnterior cruciate ligament (ACL) tears are one of the most common orthopedic injuries among athletes. Although a small proportion of patients with isolated tears can return to sports after completing a nonsurgical rehabilitation program, ACL reconstruction is frequently recommended for young athletes, especially those with concomitant knee injuries or symptomatic knee instability. Alongside emerging evidence for the effect of prehabilitation, the current standard of care for postoperative ACL physical therapy includes pain control, range of mot...
Source: The Permanente journal - April 25, 2024 Category: General Medicine Authors: Aditya Manoharan Andrew Fithian Virginia Xie Kurt Hartman William Schairer Najeeb Khan Source Type: research
The Added Value of Prostate Magnetic Resonance Imaging to Patient Selection
CONCLUSIONS: Increased utilization of prostate MRI has been associated with a higher proportion of biopsies with high PI-RADS and Gleason scores consistent with improved patient selection in this integrated health system.PMID:38654626 | DOI:10.7812/TPP/23.178 (Source: The Permanente journal)
Source: The Permanente journal - April 24, 2024 Category: General Medicine Authors: Erin M Jyo Hyo-Chun Yoon Bradford Burton Source Type: research
Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016-2018
CONCLUSION: Efforts to ameliorate rural-urban differences in maternal care access and quality should explicitly adopt multilevel, systemic approaches to policy and program implementation and evaluation. Policymakers and practitioners should consider telehealth as a potential complementary tool to minimize gaps in quality of care which disproportionately impact rural-dwelling birthing people.PMID:38650474 | DOI:10.7812/TPP/23.067 (Source: The Permanente journal)
Source: The Permanente journal - April 23, 2024 Category: General Medicine Authors: Burcu Bozkurt Arrianna Marie Planey Monisa Aijaz Joshua M Weinstein Dorothy Cilenti Christopher M Shea Saif Khairat Source Type: research
Prophylactic Biosynthetic Retrorectus Mesh Placement During Stoma Reversal Reduces the Rate of Stoma Site Incisional Hernia
The objective of this study was to assess the use of prophylactic biosynthetic mesh at the time of stoma reversal on the overall SSIH rate.METHODS: This is an observational retrospective cohort study. A review of 101 consecutive patients who underwent PMR in the retrorectus plane from 2015 to 2020 was compared to 73 consecutive patients who underwent primary stoma closure without mesh from 2011 to 2014. The primary endpoint was the presence of SSIH on clinical examination or computed tomography after ostomy takedown.RESULTS: In total, 174 cases were analyzed with 101 patients in the treatment group (median follow-up 45.2 m...
Source: The Permanente journal - April 23, 2024 Category: General Medicine Authors: Brandon K Vu Jessica Lam Matthew J Sherman Michael S Tam Source Type: research
Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016-2018
CONCLUSION: Efforts to ameliorate rural-urban differences in maternal care access and quality should explicitly adopt multilevel, systemic approaches to policy and program implementation and evaluation. Policymakers and practitioners should consider telehealth as a potential complementary tool to minimize gaps in quality of care which disproportionately impact rural-dwelling birthing people.PMID:38650474 | DOI:10.7812/TPP/23.067 (Source: The Permanente journal)
Source: The Permanente journal - April 23, 2024 Category: General Medicine Authors: Burcu Bozkurt Arrianna Marie Planey Monisa Aijaz Joshua M Weinstein Dorothy Cilenti Christopher M Shea Saif Khairat Source Type: research
Prophylactic Biosynthetic Retrorectus Mesh Placement During Stoma Reversal Reduces the Rate of Stoma Site Incisional Hernia
The objective of this study was to assess the use of prophylactic biosynthetic mesh at the time of stoma reversal on the overall SSIH rate.METHODS: This is an observational retrospective cohort study. A review of 101 consecutive patients who underwent PMR in the retrorectus plane from 2015 to 2020 was compared to 73 consecutive patients who underwent primary stoma closure without mesh from 2011 to 2014. The primary endpoint was the presence of SSIH on clinical examination or computed tomography after ostomy takedown.RESULTS: In total, 174 cases were analyzed with 101 patients in the treatment group (median follow-up 45.2 m...
Source: The Permanente journal - April 23, 2024 Category: General Medicine Authors: Brandon K Vu Jessica Lam Matthew J Sherman Michael S Tam Source Type: research
Combined Rupture of the Diaphragm and Urinary Bladder in Blunt Trauma Abdomen
Perm J. 2024 Apr 17:1-7. doi: 10.7812/TPP/23.156. Online ahead of print.ABSTRACTThe authors examined a 25-year-old man with a combined rupture of the diaphragm and urinary bladder following blunt trauma to the abdomen. The presence of hematuria, suprapubic tenderness, and elevated serum urea and creatinine levels in this patient raised suspicion of urinary bladder rupture. Documentation of bowel gas shadows on the chest x-ray suggested underlying diaphragm injury. A computed tomogram of the thorax and abdomen confirmed the tear in the left hemidiaphragm with intrathoracic herniation of abdominal contents; however, it faile...
Source: The Permanente journal - April 17, 2024 Category: General Medicine Authors: Dharmendra Dugar Debajyoti Mohanty Suhail Muhammed Source Type: research
Managing Patients With Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Using the SCAPE Treatment Protocol: A Case Series
Perm J. 2023 Mar 29:1-5. doi: 10.7812/TPP/23.149. Online ahead of print.ABSTRACTPulmonary edema refers to the accumulation of excessive fluid in the alveolar walls and alveolar spaces of the lungs. It is a life-threatening condition with a high mortality rate and requires immediate assessment and management. Use of intravenous nitroglycerin has been advocated for such cases. The authors present a case series of 3 patients who presented to the emergency department with sympathetic crashing acute pulmonary edema (SCAPE) and were managed with high-dose intravenous nitroglycerin and bilevel positive airway pressure support usi...
Source: The Permanente journal - March 29, 2024 Category: General Medicine Authors: Ankur Verma Sanjay Jaiswal Anubhooti Mahawar Maheshwar Lal Saumya Gupta Ruhima Begum Source Type: research
