Publications by authors named "Jamil Samaan"

The integration of large language models (LLMs) into healthcare highlights the need to ensure their efficacy while mitigating potential harms, such as the perpetuation of biases. Current evidence on the existence of bias within LLMs remains inconclusive. In this study, we present an approach to investigate the presence of bias within an LLM designed for mental health support.

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Background And Aims: Fully covered self-expandable metal stents (FCSEMSs) are widely used in benign upper gastrointestinal (GI) conditions, but stent migration remains a limitation. An over-the-scope clip (OTSC) device (Stentfix {SF], Ovesco Endoscopy) for stent anchoring has recently been developed. The aim of this study was to evaluate the effect of OTSC fixation on FCSEMS migration rate.

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Esophageal self-expandable metal stents (SEMS) are an important endoscopic tool. These stents have now been adapted successfully to manage post-bariatric surgery complications such as anastomotic leaks and strictures. In centers of expertise, this has become the primary standard-of-care treatment given its minimally invasive nature, and that it results in early oral feeding, decreased hospitalization, and overall favorable outcomes.

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Background: The coronavirus disease 2019 (COVID-19) pandemic disrupted healthcare in the United States.

Aim: To investigate COVID-19-related and non-COVID-19-related death and characteristics associated with excess death among inflammatory bowel disease (IBD) decedents.

Methods: We performed a register-based study using data from the National Vital Statistics System, which reports death data from over 99% of the United States population, from January 1, 2006 through December 31, 2021.

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Background: Heart failure requires complex management, and increased patient knowledge has been shown to improve outcomes. This study assessed the knowledge of Chat Generative Pre-trained Transformer (ChatGPT) and its appropriateness as a supplemental resource of information for patients with heart failure.

Method: A total of 107 frequently asked heart failure-related questions were included in 3 categories: "basic knowledge" (49), "management" (41) and "other" (17).

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Background: Amyloidosis, a rare multisystem condition, often requires complex, multidisciplinary care. Its low prevalence underscores the importance of efforts to ensure the availability of high-quality patient education materials for better outcomes. ChatGPT (OpenAI) is a large language model powered by artificial intelligence that offers a potential avenue for disseminating accurate, reliable, and accessible educational resources for both patients and providers.

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Article Synopsis
  • The readability of online patient education materials (PEMs) for bariatric surgery is often too advanced, exceeding the recommended 6th-grade level, prompting a study on using large language models (LLMs) like ChatGPT to improve it.
  • The study analyzed 66 FAQ responses from top medical institutions and compared them with responses generated by LLMs, finding that both initial institutional and LLM responses typically ranged from 9th grade to college-level readability.
  • After LLMs simplified their initial responses, readability significantly improved, particularly with GPT-4, which produced responses suitable for 6th to 9th-grade reading levels, while Bard's simplified responses were less consistent in comprehensiveness.
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  • There is a lack of studies comparing the opinions of surgical and non-surgical program directors (PDs) on the recent change of the Step 1 exam scoring from a numerical score to a pass/fail system.
  • A systematic review conducted in May 2023 found that surgical PDs expressed higher levels of disagreement with the score change and believed it would complicate the comparison of applicants more than non-surgical PDs.
  • The review highlighted significant differences in perspectives between the two groups, particularly regarding the emphasis on Step 2 scores in evaluations, indicating a need for further research to create improved guidelines for the residency application process.
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The increasing need for mental health support and a shortage of therapists have led to the development of the eXtended-reality Artificial Intelligence Assistant (XAIA). This platform combines spatial computing, virtual reality (VR), and artificial intelligence (AI) to provide immersive mental health support. Utilizing GPT-4 for AI-driven therapy, XAIA engaged participants with mild-to-moderate anxiety or depression in biophilic VR environments.

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Bariatric surgery remains underutilized despite its proven efficacy in the management of obesity. Provider perceptions of bariatric surgery are important to consider when discussing utilization rates. PubMed, SCOPUS, and OVID databases were searched in April 2023, and 40 published studies discussing providers' knowledge and perceptions of bariatric surgery were included.

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  • Cirrhosis is increasingly common in Arab countries and requires complex care; this study evaluates the accuracy of ChatGPT in answering cirrhosis-related questions in both Arabic and English.
  • ChatGPT's responses were assessed by a hepatologist, revealing that 72.5% of Arabic responses were correct, but only 24.2% were comprehensive, indicating room for improvement.
  • Compared to English responses, Arabic responses were generally less accurate, with the model producing completely incorrect answers to 13.2% of questions; thus, it should be considered a supplemental resource rather than a substitute for professional medical advice.
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Objectives: The aim of this study was to assess the safety, feasibility, and reproducibility of endoscopic ultrasound shear wave elastography (EUS-SWE) in the pancreas.

Methods: This is a prospective registry of consecutive patients undergoing clinically indicated EUS. Ten readings of SWE velocities (Vs [distance/time, m/s]) were obtained in the head (HOP), body, and tail of pancreas to quantify tissue stiffness.

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Purpose: ChatGPT is a large language model trained on a large dataset covering a broad range of topics, including the medical literature. We aim to examine its accuracy and reproducibility in answering patient questions regarding bariatric surgery.

Materials And Methods: Questions were gathered from nationally regarded professional societies and health institutions as well as Facebook support groups.

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