journal
https://read.qxmd.com/read/39017593/using-chatgpt-to-generate-multiple-choice-questions-in-medical-education-may-have-potential-adverse-effects-on-medical-educators-and-medical-students
#1
JOURNAL ARTICLE
Hongnan Ye
No abstract text is available yet for this article.
July 17, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/39017589/implications-of-the-shift-from-gp-centred-to-multidisciplinary-models-on-postgraduate-gp-training-in-the-uk
#2
JOURNAL ARTICLE
Waseem Jerjes
No abstract text is available yet for this article.
July 17, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/39012212/letter-to-the-editor-preventing-the-exodus-of-british-doctors
#3
JOURNAL ARTICLE
Vincenza Scannella, Pirapanchen Arulnanthy
No abstract text is available yet for this article.
July 16, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/39005056/clinical-reasoning-in-real-world-practice-a-primer-for-medical-trainees-and-practitioners
#4
JOURNAL ARTICLE
Isaac K S Ng, Wilson G W Goh, Desmond B Teo, Kar Mun Chong, Li Feng Tan, Chia Meng Teoh
Clinical reasoning is a crucial skill and defining characteristic of the medical profession, which relates to intricate cognitive and decision-making processes that are needed to solve real-world clinical problems. However, much of our current competency-based medical education systems have focused on imparting swathes of content knowledge and skills to our medical trainees, without an adequate emphasis on strengthening the cognitive schema and psychological processes that govern actual decision-making in clinical environments...
July 15, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/39001659/association-of-tyg-index-with-aortic-valve-calcification-in-valvular-heart-disease-patients
#5
JOURNAL ARTICLE
Peiyu Wang, Yiyao Zeng, Li Wang, Yufeng Jiang, Jinsheng Shen, Fulu Jin, Yafeng Zhou, Liangping Zhao
BACKGROUND: In recent years, triglyceride glucose (TyG) index, as a popular metabolic index, has been proposed as an alternative index of insulin resistance, and it has been proved to be associated with many cardiovascular diseases, but the relationship between it and aortic valve calcification is still unknown. METHODS: A total of 450 aortic valve disease patients were enrolled in this study, including 361 patients with aortic valve calcification (AVC) (calcification group) and 89 patients without (control group)...
July 13, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/39005047/development-of-a-major-amputation-prediction-model-and-nomogram-in-patients-with-diabetic-foot
#6
JOURNAL ARTICLE
Yi Chen, Jun Zhuang, Caizhe Yang
BACKGROUND: Diabetes mellitus, as one of the world's fastest-growing diseases, is a chronic metabolic disease that has now become a public health problem worldwide. The purpose of this research was to develop a predictive nomogram model to demonstrate the risk of major amputation in patients with diabetic foot. METHODS: A total of 634 Type 2 Diabetes Mellitus (T2DM) patients with diabetic foot ulcer hospitalized at the Air Force Medical Center between January 2018 and December 2023 were included in our retrospective study...
July 12, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38994748/the-alternative-fairytale-how-personal-history-shapes-identity-and-resilience-in-medicine
#7
JOURNAL ARTICLE
Hibba Kurdi
In "The Alternative Fairytale," I explore my journey as a cardiology registrar/fellow, a path influenced deeply by my early displacement from war-torn Sudan. This piece reflects on the interplay between my professional choices and personal identity amidst the backdrop of a male-dominated field and societal expectations. It examines how my roots in a family that once fled conflict have shaped my approach to medicine-emphasizing community, empathy, and a leadership style that diverges from traditional norms. Through this narrative, I aim to redefine and help others to reflect on what success looks like in cardiology and medicine; advocating for diversity in leadership styles and highlight the importance of personal background in shaping professional paths...
July 12, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38984643/evaluating-research-waste-and-traits-among-randomized-controlled-trials-of-scars-over-the-past-20%C3%A2-years-a-cross-sectional-study
#8
JOURNAL ARTICLE
Hongrui Chen, Zening Huang, Bin Sun, Chen Hua, Xiaoxi Lin
PURPOSE: To analyze the changes in the characteristics of randomized controlled trials (RCTs) in the field of scarring over the last two decades, unveil the components of research waste (RW) within these RCTs, and identify targets for improvement. METHODS: A search was conducted on ClinicalTrials.gov for RCTs registered from January 2000 to December 2023, using "scar" as the keyword. The search was carried out in January 2024. RESULTS: 391 RCTs were included in this analysis...
July 10, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38980186/a-new-era-in-malaria-prevention-a-comparative-look-at-rts-s-as01-and-r21-matrix-m-vaccines
#9
JOURNAL ARTICLE
Mustafa Al-Obeidee, Esraa Al-Obeidee
No abstract text is available yet for this article.
July 9, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38972066/temporal-relationship-between-sarcoidosis-and-malignancies-in-a-nationwide-cohort-of-1942-patients
#10
JOURNAL ARTICLE
Pilar Brito-Zerón, Alejandra Flores-Chávez, Lluís González-de-Paz, Carles Feijoo-Massó, Begoña de Escalante, Andrés González-García, Ricardo Gómez-de-la-Torre, Guillem Policarpo-Torres, Ana Alguacil, José Salvador García-Morillo, Miguel López-Dupla, Ángel Robles, Mariona Bonet, Albert Gómez-Lozano, Neera Toledo, Antonio Chamorro, César Morcillo, Gracia Cruz-Caparrós, Borja de Miguel-Campo, Miriam Akasbi, Eva Fonseca-Aizpuru, José Francisco Gómez-Cerezo, Laia Mas-Maresma, Juan Vallejo-Grijalba, Grisell Starita-Fajardo, Raúl Sánchez-Niño, Manuel Ramos-Casals
PURPOSE: To investigate the phenotype of sarcoidosis according to the time when a malignancy is diagnosed (preexisting to the diagnosis of sarcoidosis, concomitant, or sequential) and to identify prognostic factors associated with malignancies in a large cohort of patients with sarcoidosis. METHODS: We searched for malignancies in the SARCOGEAS cohort, a multicenter nationwide database of consecutive patients diagnosed with sarcoidosis according to the ATS/ESC/WASOG criteria...
July 8, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38970829/comparative-outcomes-of-ai-assisted-chatgpt-and-face-to-face-consultations-in-infertility-patients-a-cross-sectional-study
#11
JOURNAL ARTICLE
Shaolong Cheng, Yuping Xiao, Ling Liu, Xingyu Sun
BACKGROUND: With the advent of artificial intelligence (AI) in healthcare, digital platforms like ChatGPT offer innovative alternatives to traditional medical consultations. This study seeks to understand the comparative outcomes of AI-assisted ChatGPT consultations and conventional face-to-face interactions among infertility patients. METHODS: A cross-sectional study was conducted involving 120 infertility patients, split evenly between those consulting via ChatGPT and traditional face-to-face methods...
July 7, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38967230/developing-comprehensive-reporting-guidelines-for-machine-learning-models-using-tabular-data-in-medical-research
#12
JOURNAL ARTICLE
Omid K Gargari
No abstract text is available yet for this article.
July 5, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38967224/the-essential-role-of-religion-and-spirituality-in-the-promotion-of-public-health
#13
JOURNAL ARTICLE
Dalmacito A Cordero
No abstract text is available yet for this article.
July 5, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38924725/prevalence-of-tight-glycemic-control-based-on-frailty-status-and-associated-factors-in-community-dwelling-older-adults
#14
JOURNAL ARTICLE
Li Feng Tan, Reshma Aziz Merchant
BACKGROUND: Tight control of type 2 diabetes (T2DM) in frail older adults has shown to be associated with adverse outcomes. The objective of this study is to determine the prevalence of tight glycemic control based on underlying frailty status and its association with functional and cognitive measures in community-dwelling older adults. METHODOLOGY: Ancillary study of the Singapore Population Health Studies on older adults aged ≥65 years with T2DM. Tight glycemic control cut-offs were based on the 2019 Endocrine Society guideline using HbA1c target range based on a patient's overall health status measured by the FRAIL scale...
June 27, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38932434/a-systematic-review-and-meta-analysis-of-acupuncture-for-de-quervain-s-tenosynovitis-treatment
#15
JOURNAL ARTICLE
Yuxi Qin, Dan Luo, Heng Qiu, Jingyu Zhang, Huang Yong, Shuguang Yu
BACKGROUND: De Quervain's tenosynovitis (DQt) is a prevalent chronic inflammatory musculoskeletal disorder predominantly affecting the radial aspect of the wrist. This study conducted a comprehensive review of the efficacy of acupuncture in treating De Quervain's tenosynovitis (DQt). Although there is evidence suggesting that acupuncture can alleviate symptoms of DQt-characterized by pain, swelling, and functional impairment-higher-level evidence is still required to further substantiate its efficacy and safety...
June 26, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38913019/influence-of-familial-forms-of-inflammatory-bowel-disease-on-the-use-of-immunosuppressants-biological-agents-and-surgery-in-the-era-of-biological-therapies-results-from-the-eneida-project
#16
JOURNAL ARTICLE
Carlos González-Muñoza, Margalida Calafat, Javier P Gisbert, Eva Iglesias, Miguel Mínguez, Beatriz Sicilia, Montserrat Aceituno, Fernando Gomollón, Xavier Calvet, Elena Ricart, Luisa De Castro, Montserrat Rivero, Francisco Mesonero, Lucía Márquez, Pilar Nos, Ainhoa Rodríguez-Pescador, Jordi Guardiola, MarianaFe García-Sepulcre, Santiago García-López, Rufo H Lorente-Poyatos, Cristina Alba, Ramon Sánchez-Ocaña, Isabel Vera, Lucía Madero, Sabino Riestra, Mercedes Navarro-Llavat, Jose L Pérez-Calle, Blau Camps, Manuel Van Domselaar, Alfredo J Lucendo, Maria Dolores Martín-Arranz, Miguel A Montoro-Huguet, Mónica Sierra-Ausín, Jordina Llaó, Daniel Carpio, Pilar Varela, Olga Merino, Luis I Fernández-Salazar, Marta Piqueras, Eva Sesé, David Busquets, Carlos Tardillo, Nuria Maroto, Joan Riera, Carlos Martínez-Flores, Fernando Muñoz, Jordi Gordillo-Ábalos, Federico Bertoletti, Esther Garcia-Planella, Eugeni Domènech
BACKGROUND AND AIMS: Familial inflammatory bowel disease (IBD) history is a controversial prognostic factor in IBD. We aimed to evaluate the impact of a familial history of IBD on the use of medical and surgical treatments in the biological era. METHODS: Patients included in the prospectively maintained ENEIDA database and diagnosed with IBD after 2005 were included. Familial forms were defined as those cases with at least one first-degree relative diagnosed with IBD...
June 24, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38899828/postdilatation-after-stent-deployment-during-primary-percutaneous-coronary-intervention-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Teuku Muhammad Haykal Putra, Wishnu Aditya Widodo, Bayushi Eka Putra, Sunarya Soerianata, Achmad Fauzi Yahya, Jack Wei Chieh Tan
BACKGROUND: The utilization of postdilatation in primary percutaneous coronary intervention (PCI) is feared to induce suboptimal coronary blood flow and compromise the outcome of the patients. This meta-analysis sought to verify whether postdilatation during primary PCI is associated with worse angiographic or long-term clinical outcomes. METHODS: Systematic literature searches were conducted on PubMed, The Cochrane Library, ClinicalTrials.gov, EBSCO, and Europe PMC on 10 March 2024...
June 20, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38899812/left-ventricular-ejection-fraction-time-to-revise-the-metric
#18
JOURNAL ARTICLE
Avik Ray, Dan Zlotoff, Ichiro Kawachi
In this paper, we highlight the prevalent misconception among patients regarding the normal value of left ventricular ejection fraction in cardiac function assessment. This misconception arises from the proportion dominance effect, wherein individuals tend to judge based on proportions rather than absolute values. We explain how this misunderstanding impacts patient demoralization and medical adherence, leading to worse clinical outcomes. To address this, the concept of "Left Ventricular Ejection Fraction - Proportion of Normal" is introduced, which adjusts left ventricular ejection fraction to a patient-specific normal range...
June 20, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38899808/many-faces-of-cutaneous-leishmaniasis
#19
JOURNAL ARTICLE
İsa An, Nebiye Yentur Doni
BACKGROUND: Our objective in this study is to determine the atypical clinical presentations of cutaneous leishmaniasis (CL) patients diagnosed in Şanlıurfa province. METHODS: This retrospective study included 213 patients with atypical clinical presentations among 1751 patients diagnosed with CL between October 2019 and August 2022 in Şanlıurfa Oriental Boil Diagnosis and Treatment Center located in an endemic region for CL. RESULTS: We found the prevalence of atypical CL to be 12...
June 20, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38881511/is-the-nhs-really-cost-effective-a-junior-doctor-s-experience
#20
JOURNAL ARTICLE
Alfred Ball
No abstract text is available yet for this article.
June 17, 2024: Postgraduate Medical Journal
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