Article
Orthopedics
Jordan E. Handcox, James M. Saucedo, Ryan A. Rose, Fred G. Corley, Christina Brady
Summary: The implementation of the Affordable Care Act in the United States has increased the number of people with health insurance. However, there is still a significant portion of the population that is underserved, including those without insurance, underinsured, and enrolled in Medicaid. These patients often face access-to-care issues, affected by various social determinants of health. Surgeons must have a deep understanding of caring for the underserved and there are many opportunities for engagement. Providing care to the indigent can be rewarding for both the vulnerable underserved patients and their surgeons.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
News Item
Medicine, General & Internal
Rebecca Voelker
Summary: This article features an interview with Dr. Michael Howell, discussing the applications of large language models in medicine.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Oncology
Sheng-Yu Fan, Wei-Chun Lin
Summary: An educational bereavement program showed positive effects on reducing emotional and cognitive barriers, increasing self-efficacy, and improving professional quality of life among clinicians in hospice care. The program included lectures, role-play, and group discussion, leading to significant improvements in various aspects of the participants' well-being.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Multidisciplinary Sciences
Alexander Thomas Schade, Foster Mbowuwa, Paul Chidothi, Peter MacPherson, Simon Matthew Graham, Claude Martin, William James Harrison, Linda Chokotho
Summary: Injuries result in more deaths than HIV, TB, and malaria combined, hence a fracture care registry was established in Malawi to improve fracture care. The study showed that most fractures were treated by orthopaedic clinical officers with non-operative methods, and further studies are needed to assess outcomes of both operative and non-operative treatments.
Article
Orthopedics
Janina Kaarre, Robert Feldt, Laura E. Keeling, Sahil Dadoo, Balint Zsidai, Jonathan D. Hughes, Kristian Samuelsson, Volker Musahl
Summary: This study investigated the potential use of large language models (LLMs) in orthopaedics by presenting queries related to ACL surgery to a generative pre-trained transformer (ChatGPT). The findings suggest that ChatGPT can generate correct responses in approximately 65% of the cases related to ACL surgery. While LLMs offer potential as a supplementary tool for acquiring orthopaedic knowledge, they cannot replace the expertise of orthopaedic sports medicine surgeons in diagnostic and treatment planning endeavours.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Health Care Sciences & Services
Ivo Abraham, Kai-Uwe Lewandrowski, John C. Elfar, Zong-Ming Li, Rossano Kepler Alvim Fiorelli, Mauricio G. Pereira, Morgan P. Lorio, Benedikt W. Burkhardt, Joachim M. Oertel, Peter A. Winkler, Huilin Yang, Jorge Felipe Ramirez Leon, Albert E. Telfeian, Alvaro Dowling, Roth A. A. Vargas, Ricardo Ramina, Marjan Asefi, Paulo Sergio Teixeira de Carvalho, Helton Defino, Jaime Moyano, Nicola Montemurro, Anthony Yeung, Pietro Novellino
Summary: Proving the clinical superiority of personalized care models in interventional and surgical pain management is difficult due to the inability to standardize complex surgical procedures, confounding factors, small sample sizes, and the impracticality of concealing the surgical treatment. Other challenges include restrictive inclusion and exclusion criteria, biased patient allocation, ethical concerns, and high costs. However, high-quality evidence is necessary for protocol changes in personalized surgical pain management treatments.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Editorial Material
Medicine, General & Internal
Christy Mallory, Madeline G. Chin, Justine C. C. Lee
Summary: This article explains the legal dilemma that physicians may face, as they are caught between state laws that prohibit gender-affirming care and federal nondiscrimination laws, both of which are unclear due to ongoing legal challenges.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Pediatrics
Alyssa Shapiro, Jessica Anderson, Prince Mtenthaonga, Watson Kumwenda, Meaghan Bond, Richard Schwarz, Jennifer Carns, Ryan Johnston, Queen Dube, Msandeni Chiume, Rebecca Richards-Kortum
Summary: This study evaluated the use of BiliSpec in two neonatal wards in Malawi. The results showed that BiliSpec provided accurate bilirubin measurements with low cost and portability. Compared to other transcutaneous bilirubinometers, BiliSpec had measurements more similar to the reference standard.
Review
Medicine, General & Internal
Amir Qaseem, Catherine H. MacLean, Samantha Tierney, J. Thomas Cross, Scott T. MacDonald, Caroline L. Goldzweig, Nick Fitterman
Summary: The use of telemedicine services has grown exponentially due to the COVID-19 pandemic, leading to it becoming a major method of healthcare for many patients. However, there is a need to understand the quality of clinical care provided in the telemedicine environment. This position paper by the American College of Physicians presents 6 recommendations to ensure the appropriate use of performance measures in evaluating the quality of clinical care in telemedicine.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Prakrit Raj Kumar, Thomas Stubley, Yousuf Hashmi, Usman Ahmed
Summary: COTS demonstrates the effectiveness of using a near-peer teaching style to teach orthopaedic examinations, benefiting both students and tutors. Students showed increased confidence and improved scores, while tutors perceived enhanced teaching skills and confidence. The findings of this pilot study encourage the adoption of similar teaching programmes in other universities.
POSTGRADUATE MEDICAL JOURNAL
(2021)
Article
Obstetrics & Gynecology
Katheleen Hawes, Justin Goldstein, Sharon Vessella, Richard Tucker, Beatrice E. Lechner
Summary: This study aimed to evaluate the effectiveness of formal bereavement debriefing sessions for neonatal intensive care unit (NICU) staff after infant death. The results showed that more staff attended and participated in the sessions after the intervention compared to before. The stress levels associated with the death of a patient whom the caregivers had developed a close relationship with decreased. The number of participants in the debriefing sessions was related to the age of the infant at the time of death. The themes discussed during the sessions included family and provider relationships, evaluation of the death, team cohesion, caring for one another, and emotional impact. These bereavement debriefing sessions were found to reduce the stress of caring for dying infants and contribute to the well-being of the staff.
AMERICAN JOURNAL OF PERINATOLOGY
(2022)
Article
Orthopedics
Abdel-Salam Abdel-Aleem Ahmed, Sherif Eltregy, Mahmoud Ibrahim Kandil
Summary: This study evaluated the efficacy of using honey for care of orthopedic-related wounds with limited resources, and found that honey was an effective, simple, and affordable method of wound care in different orthopedic conditions, even with exposed bone or tendons.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Prakash Jayakumar, Vincent P. Galea, Michael Geng, Meredith G. Moore, Kevin J. Bozic, Karl M. Koenig
Summary: The study evaluated the outcomes of hip osteoarthritis (OA) management in integrated practice units (IPUs). The results showed that IPU care can significantly improve patient outcomes, with a majority of patients achieving minimal clinically important difference (MCID) and substantial clinical benefit (SCB) within 1 year. Baseline HOOS JR scores, undergoing total hip arthroplasty (THA), and lower levels of anxiety were associated with achieving MCID and SCB.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Public, Environmental & Occupational Health
Lisa Mills, Jennifer Watermeyer
Summary: By describing the experiences of providing abortion care, this meta-ethnography study provides insights into the psychosocial coping and well-being of abortion providers. It highlights the importance of supportive interventions and strengthening health systems to address the unique challenges faced in abortion care.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Nursing
Clare Gardiner, Madeleine Harrison, Sarah Hargreaves, Beth Taylor
Summary: This study explores the role of Mesothelioma UK clinical nurse specialists (CNSs) in providing palliative care for patients with mesothelioma and their families. The findings reveal significant palliative care needs of patients and their families throughout the course of mesothelioma, from diagnosis to the end of life. Mesothelioma UK CNSs play a crucial role in supporting patients' and families' palliative care needs and are highly skilled in providing this care.
JOURNAL OF ADVANCED NURSING
(2022)