Training and validating a treatment recommender with partial verification evidence.

Background: Current clinical decision support systems (DSS) are trained and validated on observational data from the clinic in which the DSS is going to be applied. This is problematic for treatments that have already been validated in a randomized clinical trial (RCT), but have not yet been introduced in any clinic. In this work, we report on a method for training and validating the DSS core before introduction to a clinic, using the RCT data themselves.

Inter-Digit Low Level Force Coordination in a Complex Isometric Pinch Tracking Task.

This study examined whether target pursuit tracking by a performer-controlled computer cursor around a square diamond-shaped circuit, using isometric pinch grip force production, would show a significant difference in performance metrics dependent on the clockwise sense of the target movement along the trajectory path. The target template incorporated path segments requiring all four possible combinations of directional force modulation patterns (increasing and decreasing isometric pinch forces of the thumb and index finger). Overall, it was found that cursor positional accuracy was greater during counterclockwise pursuit, that steadiness was greater during clockwise pursuit, and that the cursor bearing angle with respect to target movement was biased toward cursor positioning being within the interior of the trajectory circuit regardless of clockwise sense.

Malignant Pericardial Effusion: A Systematic Review.

Background: Malignant pericardial effusion (Eff) is often asymptomatic and has an unknown prevalence, due to its occult presentation. The condition often is identified postmortem on autopsy, and it is associated with a poor prognosis. Given the late presentation of malignant pericardial Effs, a minimal volume of literature has examined the epidemiology, clinical characteristics, and outcomes of these complex patients.

A review of local global health education in post-graduate medical education.

Background: Global health (GH) education is offered in post-graduate medical education (PGME) programs and local experiences are desired by trainees and educators. This scoping review aimed to map the literature on local GH education in PGME, to describe curricular components, factors facilitating successes, and challenges to implementation using a validated education intervention checklist and inclusion of seven components of local GH programming.

Methods: A decolonization conceptual framework informed a 5-step scoping review.

Diaphragmatic palsy following lung transplantation.

Diaphragmatic palsy after lung transplantation has been reported infrequently. Given the role of the diaphragm in respiration, the palsy may play a significant role in the post-surgical recovery as well as morbidity and mortality. This review summarises the current literature to better understand diaphragmatic palsy in the post lung-transplant setting among adults.