Oral Fluids for the Early Detection of Classical Swine Fever in Commercial Level Pig Pens.

The early detection of classical swine fever (CSF) remains a key challenge, especially when outbreaks are caused by moderate and low-virulent CSF virus (CSFV) strains. Oral fluid is a reliable and cost-effective sample type that is regularly surveilled for endemic diseases in commercial pig herds in North America. Here, we explored the possibility of utilizing oral fluids for the early detection of CSFV incursions in commercial-size pig pens using two independent experiments.

Pulmonary aspiration of gastric contents in two patients taking semaglutide for weight loss.

Semaglutide is a new weight loss treatment that has received substantial media attention in recent years. Anaesthetists must be aware of a potentially dangerous side effect of the drug: decreased gastric emptying. This is caused by effects on gastric smooth muscle, mediated by the vagal afferent nerves.

Removal of Contaminated Personal Protective Equipment With and Without Supervision. A Randomized Crossover Simulation-Based Study.

Introduction: Personal protective equipment (PPE) reduces the risk of pathogens reaching the skin and clothing of health care personnel. We hypothesize that doffing PPE following verbal instructions by a supervisor is more effective in reducing contamination compared with doffing without verbal instructions. Our primary aim was to determine contamination rates with and without supervised doffing.

Comparison of Sense of Humor and Burnout in Surgeons and Internal Medicine Physicians.

Objectives: We aimed to evaluate humor styles in surgeons and internists and investigate the association between humor and burnout.

Methods: A cross-sectional survey of physicians in surgical and medicine departments was conducted, assessing sense of humor and burnout using the Humor Styles Questionnaire and the Emotional Exhaustion subscale of the Maslach Burnout Inventory-Human Services Survey for Medical Personnel.

Results: For 131 surgeons and 72 internists, no differences in humor styles were found.

Observing many researchers using the same data and hypothesis reveals a hidden universe of uncertainty.

This study explores how researchers' analytical choices affect the reliability of scientific findings. Most discussions of reliability problems in science focus on systematic biases. We broaden the lens to emphasize the idiosyncrasy of conscious and unconscious decisions that researchers make during data analysis.

The 4-hour target in the emergency department, in-hospital mortality, and length of hospitalization: A single center-retrospective study.

Background: The four-hour (4 h') rule in the emergency department (ED) is a performance-based measure introduced with the objective to improve the quality of care. We evaluated the association between time in the ED with in-hospital mortality and hospital length of stay (LOS).

Methods: This was a retrospective study performed in one public hospital with over 100,000 ED referrals per year.

[THE ROLE OF COMPREHENSIVE CONSERVATIVE MANAGEMENT IN ELDERLY PATIENTS WITH END STAGE RENAL DISEASE].

The number of dialysis patients is consistently growing and the dialysis population is aging. Of all age groups of dialysis patients, the higher prevalence rate is in the elderly group (aged 75 years and older). The elderly patients have a high rate of comorbidities.

[DIRECT ADMISSION OF STEMI PATIENTS TO THE CARDIAC CARE UNIT VERSUS ADMISSION VIA THE EMERGENCY DEPARTMENT FOR PRIMARY CORONARY INTERVENTION IMPROVES SHORT AND LONG-TERM SURVIVAL].

Introduction: Shortening door-to-balloon time intervals in ST-elevation myocardial infarction (STEMI) patients treated by primary percutaneous coronary intervention (PPCI) is necessary in order to limit myocardial damage. Direct admission to the cardiac care unit (CCU) facilitates this goal. We compared characteristics and short- and long-term mortality of PPCI-treated STEMI patients admitted directly to the CCU with those admitted via the emergency department (ED).

Adverse Drug Event Rate in Israeli Hospitals: Validation of an International Trigger Tool and an International Comparison Study.

Background: Adverse drug events (ADEs) are a major cause of morbidity and mortality worldwide. Hence, identifying and monitoring ADEs is of utmost importance. The Trigger Tool introduced by the Institute of Healthcare Improvement in the United States has been used in various countries worldwide, but has yet to be validated in Israel.

The Impact of Mental Health Reform on Mental Illness Stigmas in Israel.

This study examined public perception of stigmas relating to mental illness six months after a reform, which integrated mental health care into primary care in Israel. The results reveal that the public feels uncomfortable seeking referral to mental health services through the public health system, with Arab Israelis and men expressing lower levels of comfort than did Jewish Israelis. The current reform has not solved the issue of public stigma regarding mental health care.

Associative stigma related to psychiatric nursing within the nursing profession.

This study deals with stigmas towards mental illness, individuals with mental illness, psychiatric nurses, and the role of psychiatric nursing within the nursing profession. Responses from 108 psychiatric nurses and 108 non-psychiatric nurses indicated that stigmas towards mental illness, individuals with mental illness, and the role of psychiatric nursing, are more prevalent among non-psychiatric nurses; associations between these stigmas were found among both psychiatric and non-psychiatric nurses. The findings suggest that both psychiatric and non-psychiatric nurses harbor associative stigma related to the practice of psychiatric nursing.

A dynamic mass casualty incident at sea: lessons learned from the Mavi Marmara.

Background: Mass casualty incidents (MCIs) represent one of the most difficult prehospital challenges faced by medical personnel. When they occur at sea, this challenge may be further complicated by isolation, distance, vessel structure, number of passengers, and limited evacuation means.

Methods: We describe our experience and lessons learned from a dynamic MCI in an austere environment at sea.

The relation between good communication skills on the part of the physician and patient satisfaction in a military setting.

Objective: The objective of this study was to assess the correlation between patients' view of the consultation and the assessment of an auditing physician on the same consultation.

Methods: A prospective study in military clinics was conducted. A board-certified family physician made a real-time semistructured assessment of the medical consultation.