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Total 16631 results found since Jan 2013.

Opportunities and challenges for decentralised clinical trials in sub-Saharan Africa: a qualitative study
Conclusion The transformation from a site to a patient-centric model with an increased responsibility of participants should be context adapted. The transformation requires substantial investment, training of the various stakeholders and an efficient communication. Additionally, commitment of sponsors, investigators, ethics and regulatory authorities and the buy-in of the communities are essential for this change.
Source: BMJ Open - September 22, 2023 Category: General Medicine Authors: Nebie, E. I., Sawadogo, H. N., van Eeuwijk, P., Signorell, A., Reus, E., Utzinger, J., Burri, C. Tags: Open access, Public health Source Type: research

Remote ultrasound diagnostics disrupting traditional military frontline healthcare delivery
This report discusses the first use of a consultant radiologist guiding a clinician, untrained in ultrasound, to perform an ultrasound scan via a live tele-guidance feed in the deployed environment using the Butterfly iQ+ tele-guidance system. Distance scanning provided a diagnostic quality report when compared with locally performed imaging to improve patient care and maintain operational output. This example demonstrates feasibility of remote point-of-care imaging systems in provision of location-agnostic high-quality diagnostic capability. Future opportunities to develop care pathways using bedside tele-diagnostics will...
Source: Journal of the Royal Army Medical Corps - September 22, 2023 Category: General Medicine Authors: Blenkinsop, G., Heller, R. A., Carter, N. J., Burkett, A., Ballard, M., Tai, N. Tags: Personal view Source Type: research

Health data ecosystem in Pakistan: a multisectoral qualitative assessment of needs and opportunities
Conclusions Our study identified key areas of focus that can contribute to orient a national health data roadmap and ecosystem in Pakistan.
Source: BMJ Open - September 21, 2023 Category: General Medicine Authors: Mahmood, S., Noorali, A. A., Manji, A., Afzal, N., Abbas, S., Qamar, J. B., Siddiqi, S., Hoodbhoy, Z., Virani, S. S., Bhutta, Z. A., Samad, Z. Tags: Open access, Public health Source Type: research

Psychosocial patient perspectives following major lower-limb amputation due to vascular aetiology: a protocol for a systematic meta-aggregation study
Introduction Persistent psychosocial problems in people with lower-limb amputation due to vascular aetiology indicate a great need for long-lasting holistic rehabilitation. An in-depth understanding of the psychosocial problems is essential for the guidance of health professionals in meeting and normalising patients’ experiences and emotions. Furthermore, identifying the psychological problems may help develop effective rehabilitation and counselling programmes. This meta-aggregation study aims to explore the psychosocial perspectives of individuals who have undergone a major lower-limb amputation due to vascular aet...
Source: BMJ Open - September 21, 2023 Category: General Medicine Authors: Laursen, S. H., Rasmussen, H. L., Seidelin, D., Pedersen, P. H., Chraemmer, T. M. Tags: Open access, Rehabilitation medicine Source Type: research

The Evolving Practice of Hospital at Home in the United States
Annu Rev Med. 2023 Sep 20. doi: 10.1146/annurev-med-051022-042210. Online ahead of print.ABSTRACTHospital at Home (HaH) provides hospital-level services in the home to eligible patients who would otherwise require facility-based hospitalization. In the last two decades, studies have shown that HaH can improve patient outcomes and satisfaction and reduce hospital readmissions. Improved technology and greater experience with the model have led to expansion in the scope of patients served and services provided by the model, but dissemination in the United States has been hampered by lack of insurance coverage until recently. ...
Source: Annual Review of Medicine - September 20, 2023 Category: General Medicine Authors: Tuyet-Trinh Truong Albert L Siu Source Type: research

Obstetric referrals, complications and health outcomes in maternity wards of large hospitals during the COVID-19 pandemic: a mixed methods study of six hospitals in Guinea, Nigeria, Uganda and Tanzania
Conclusions Maternal and perinatal survival was negatively affected in referral hospitals in sub-Saharan Africa during COVID-19. Routine data systems in referral hospitals must be fully used as they hold potential in informing adaptations of maternal care services. If combined with information on women’s and care providers’ needs, this can contribute to ensuring continuation of essential care provision during emergency.
Source: BMJ Open - September 20, 2023 Category: General Medicine Authors: Benova, L., Semaan, A., Afolabi, B. B., Amongin, D., Babah, O. A., Dioubate, N., Harissatou, N., Kikula, A. I., Nakubulwa, S., Ogein, O., Adroma, M., Anzo Adiga, W., Diallo, A., Diallo, I. S., Diallo, L., Cellou Diallo, M., Maomou, C., Mtinangi, N., Sy, T Tags: Open access, Health services research, COVID-19 Source Type: research

Heterogeneity of the tumor immune microenvironment and clinical interventions
AbstractThe tumor immune microenvironment (TIME) is broadly composed of various immune cells, and its heterogeneity is characterized by both immune cells and stromal cells. During the course of tumor formation and progression and anti-tumor treatment, the composition of the TIME becomes heterogeneous. Such immunological heterogeneity is not only present between populations but also exists on temporal and spatial scales. Owing to the existence of TIME, clinical outcomes can differ when a similar treatment strategy is provided to patients. Therefore, a comprehensive assessment of TIME heterogeneity is essential for developin...
Source: Frontiers of Medicine - September 20, 2023 Category: General Medicine Source Type: research

Dental care and prevention possibilities for the mentally disabled currently
CONCLUSION: Enhanced oral hygiene (advancing towards "normal oral hygiene" from the neglected oral hygiene of the patients) can bring about considerable improvement in the case of patients needing special medical care. To attain positive results, a proper approach and regular motivation are essential for both patients and caregivers. Orv Hetil. 2023; 164(37): 1456-1461.PMID:37717238 | DOI:10.1556/650.2023.32853
Source: Orvosi Hetilap - September 17, 2023 Category: General Medicine Authors: Ilona Szmirnova Gy örgy Szmirnov N ándor Haba Kriszti án Csomó Zsolt N émeth Gy örgy Szabó Source Type: research

Electrochemotherapy for multiple cutaneous tumors in immunosuppressed patients
CONCLUSION: In immunocompromised patients, electrochemotherapy is an effective and safe therapeutic option for non-melanoma skin tumors. In order to provide more ideal management for this special sub-group, prevention, multidisciplinary approach and optimized immunosuppressive therapy is essential. Orv Hetil. 2023; 164(37): 1462-1468.PMID:37717236 | DOI:10.1556/650.2023.32852
Source: Orvosi Hetilap - September 17, 2023 Category: General Medicine Authors: Petra R ózsa D óra Ágoston Edit Szederk ényi Henriette Ócsai Eszter Balt ás G ábor Vass Lajos Kem ény Judit Ol áh Erika Kis Source Type: research

Dental care and prevention possibilities for the mentally disabled currently
CONCLUSION: Enhanced oral hygiene (advancing towards "normal oral hygiene" from the neglected oral hygiene of the patients) can bring about considerable improvement in the case of patients needing special medical care. To attain positive results, a proper approach and regular motivation are essential for both patients and caregivers. Orv Hetil. 2023; 164(37): 1456-1461.PMID:37717238 | DOI:10.1556/650.2023.32853
Source: Orvosi Hetilap - September 17, 2023 Category: General Medicine Authors: Ilona Szmirnova Gy örgy Szmirnov N ándor Haba Kriszti án Csomó Zsolt N émeth Gy örgy Szabó Source Type: research

Electrochemotherapy for multiple cutaneous tumors in immunosuppressed patients
CONCLUSION: In immunocompromised patients, electrochemotherapy is an effective and safe therapeutic option for non-melanoma skin tumors. In order to provide more ideal management for this special sub-group, prevention, multidisciplinary approach and optimized immunosuppressive therapy is essential. Orv Hetil. 2023; 164(37): 1462-1468.PMID:37717236 | DOI:10.1556/650.2023.32852
Source: Orvosi Hetilap - September 17, 2023 Category: General Medicine Authors: Petra R ózsa D óra Ágoston Edit Szederk ényi Henriette Ócsai Eszter Balt ás G ábor Vass Lajos Kem ény Judit Ol áh Erika Kis Source Type: research

General practitioner residents experiences and perceptions of outpatient training in primary care settings in China: a qualitative study
Conclusions The outpatient training in primary care settings provides constructive opportunities for GP residents to improve their professional competencies. Although the current training sessions and the abilities of community preceptors largely satisfy the needs of GP residents, further research is needed to evaluate the effectiveness of training and explore approaches to improve its quality.
Source: BMJ Open - September 15, 2023 Category: General Medicine Authors: Wu, L., Tong, Y., Yu, Y., Yu, X., Zhou, Y., Xu, M., Guo, Y., Song, Z., Xu, Z. Tags: Open access, Medical education and training Source Type: research

I want to be a doctor who can provide care for women: What states must I rule out for my medical education?
The major implications of the Dobbs v. Jackson Women’s Health Organization decision, overturning Roe v. Wade, have centered on state-based rulings to remove a person’s right to abortion, thus preventing clinicians from supplying lifesaving health care and undermining an individual’s autonomy over their body. Further, as states eliminate this essential option in providing reproductive care, Read more… I want to be a doctor who can provide care for women: What states must I rule out for my medical education? originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - September 14, 2023 Category: General Medicine Authors: Tags: Education OB/GYN Source Type: blogs

Physician mental health: a guide for BIPOC physicians
In the world of medicine, the challenges faced by BIPOC physicians are multifaceted. Not only do they contend with the rigor and demands of the profession, but they also navigate unique societal pressures and systemic inequalities. Prioritizing mental health, fostering a strong sense of purpose, and nurturing empowerment become essential tools for maintaining well-being. In Read more… Physician mental health: a guide for BIPOC physicians originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - September 14, 2023 Category: General Medicine Authors: Tags: Conditions Psychiatry Source Type: blogs

Coexistence of cerebral venous thrombosis and dural arteriovenous fistula in an adolescent: A case report
Bilateral hypodensity on the area of the transverse sinus. Key Clinical MessageClinicians should consider central venous thrombosis (CVT) as a differential diagnosis in young adolescents with persistent headaches. It is essential to assess for concurrent CVT and dural arteriovenous fistula (DAVF), particularly in those with a history of CVT.AbstractCerebral venous thrombosis (CVT) and dural arteriovenous fistula (DAVF) are uncommon vascular disorders with diverse clinical presentations. The coexistence of CVT and DAVF is a rare but important association that may impact the management and prognosis of affected patients. Pro...
Source: Clinical Case Reports - September 14, 2023 Category: General Medicine Authors: Man Bahadur Paudyal, Madhur Bhattarai, Neha Mehta, Niraj Gautam, Bikas Baral, Niraj Kumar Sharma, Rashika Basnet, Bardan Ghimire Tags: CASE REPORT Source Type: research