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Total 7633 results found since Jan 2013.

“It saved me from the emergency department”: A qualitative study of patient experience of virtual urgent care in Ontario
ConclusionVirtual care options are valued by patients and families; however, the nature of care needed by those accessing VUC and who can best provide that care needs to be evaluated to position it for sustainability. Understanding how virtual care performs from both a provider and patient perspective during the current crisis has implications for designing alternative care options beyond the COVID-19 pandemic.
Source: PLoS One - September 22, 2023 Category: Biomedical Science Authors: Katie N. Dainty Source Type: research

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith. Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A 50-something with Regular Wide Complex Tachycardiaa: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith. Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Efficacy of transcutaneous auricular vagus nerve stimulation on radiotherapy-related neuropathic pain in patients with head and neck cancers (RELAX): protocol for a multicentre, randomised, double-blind, sham-controlled trial
This study has been approved by the Medical Research Ethics Committee of Sun Yat-sen University (SYSKY-2022-109-01) and will be conducted in strict accordance with the Declaration of Helsinki. Ethical approvals will be obtained separately for all centres involved in the study. Study results will be published in peer-reviewed academic journals. The database of the study will be available from the corresponding author on reasonable request. Trial registration number NCT05543239
Source: BMJ Open - September 20, 2023 Category: General Medicine Authors: Zuo, X., Li, Y., Rong, X., Yang, X., Zhu, Y., Pan, D., Li, H., Shen, Q.-Y., Tang, Y. Tags: Open access, Neurology Source Type: research

Prevalence of neck pain and its associated factors in Africa: a systematic review and meta-analysis protocol
Discussion This will be the first systematic review and meta-analysis to systematically identify and synthesise available literature on the prevalence of neck pain and its associated factors in Africa. The results of this review may assist health professionals and policymakers to plan and implement evidence-based strategies that will lessen the burden of neck pain. Ethics and dissemination Data from previously published studies will be collected and analysed and hence ethical approval will not be sought for this study. The results of this review will be disseminated through publication in a peer-reviewed academic journal ...
Source: BMJ Open - September 18, 2023 Category: General Medicine Authors: Mukhtar, N. B., Ibrahim, A. A., Mohammed, J. Tags: Open access, Epidemiology Source Type: research

The Anesthesiology Physician-Scientist Pipeline: Current Status and Recommendations for Future Growth-An Initiative of the Anesthesia Research Council
Anesth Analg. 2023 Oct 1;137(4):728-742. doi: 10.1213/ANE.0000000000006520. Epub 2023 Sep 5.ABSTRACTThe limited number and diversity of resident physicians pursuing careers as physician-scientists in medicine has been a concern for many decades. The Anesthesia Research Council aimed to address the status of the anesthesiology physician-scientist pipeline, benchmarked against other medical specialties, and to develop strategic recommendations to sustain and expand the number and diversity of anesthesiology physician-scientists. The working group analyzed data from the Association of American Medical Colleges and the Nationa...
Source: Pain Physician - September 15, 2023 Category: Anesthesiology Authors: Charles W Emala Vivianne L Tawfik Meghan B Lane-Fall Paloma Toledo Cynthia A Wong Monica S Vavilala Lee A Fleisher Margaret Wood Source Type: research

The Tailored Opioid Reduction Strategy (TORS): A Quality Improvement Initiative to Reduce Opioid Prescription Following Hysterectomy
CONCLUSION: TORS implementation was successful in reducing the rate of discharge opioid prescriptions and the total amount of opiates prescribed in patients undergoing hysterectomy with no decrease in patient satisfaction or change in postoperative pain scores. We believe it can be applied more broadly across different surgical patient populations to prevent opioid abuse.PMID:37709142 | DOI:10.1016/j.jogc.2023.102214
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - September 14, 2023 Category: OBGYN Authors: Samantha Benlolo Alysha Nensi Anna Shishkina Deborah Robertson Sari Kives Source Type: research

Reporting of Rehabilitation Outcomes in the Traumatic Lower Limb Amputation Literature: A Systematic Review
CONCLUSION: The study provides a list of outcome indicators explicitly published for adults with traumatic LLA, highlighting inconsistent reporting of outcome indicators. The lack of a standardized set of outcome measures is a barrier to performing meta-analyses on interventions, preventing the identification of effective care models and clinical pathways. Developing a core outcome set (COS) consisting of minimum outcome measures deemed necessary for clinical decision-making may address this issue.PMID:37708929 | DOI:10.1016/j.apmr.2023.08.028
Source: Health Physics - September 14, 2023 Category: Physics Authors: Shashank Ghai Sander L Hitzig Lindsay Eberlin Joshua Melo Amanda L Mayo Virginie Blanchette Natalie Habra Audrey Zucker-Levin Diana Zidarov Source Type: research

Number of patients with interstitial cystitis/bladder pain syndrome seen before versus during the COVID ‐19 pandemic at an academic, urban, multisite urogynecology practice
ConclusionsAlthough more patients were diagnosed with IC/BPS during versus before the pandemic, the difference in diagnosis rates was not different between these periods.
Source: LUTS: Lower Urinary Tract Symptoms - September 13, 2023 Category: Urology & Nephrology Authors: Tahireh Markert, Alexa Courtepatte, Subrina Farah, Jeannine M. Miranne Tags: ORIGINAL ARTICLE Source Type: research

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