Publications by authors named "Szostek J"

Peripheral arterial disease (PAD) is becoming an increasingly prevalent clinical issue, leading to a growing number of patients requiring surgical interventions. Consequently, there is an increasing occurrence of para-anastomotic aneurysms as late complications following primary treatment for PAD. These aneurysms typically arise at the sites of graft implantation and necessitate individualized management strategies based on factors such as location, size, and the patient's overall condition.

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Peripheral aneurysms, although known about for centuries, are challenging to monitor due to their asymptomatic nature. Advanced imaging has improved detection, which is crucial for preventing emergent complications. This five-year retrospective study from a single center aimed to evaluate the location, presentation, diagnosis, and management of 110 patients with aneurysms of the femoral and popliteal arteries of the lower limb.

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The expansive scope of internal medicine can make it challenging for clinicians to stay informed about new literature that changes practice. Guideline updates and synthesis of relevant evidence can facilitate incorporation of advancements into clinical practice. The titles and abstracts from the seven general medicine journals with highest impact factors and relevance to outpatient internal medicine were reviewed by six internal medicine physicians.

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It can be difficult for clinicians to stay updated on practice-changing articles.  Synthesis of relevant articles and guideline updates can facilitate staying informed on important new data impacting clinical practice.  The titles and abstracts from the 7 general internal medicine outpatient journals with highest impact factors and relevance were reviewed by 8 internal medicine physicians.

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It can be challenging to identify new evidence that may shift clinical practice within internal medicine. Synthesis of relevant articles and guideline updates can facilitate staying informed of these changes. The titles and abstracts from the 7 general internal medicine outpatient journals with highest impact factors and relevance were reviewed by 8 internal medicine physicians.

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Article Synopsis
  • A group of 7 internists analyzed high-impact medical journals to identify important research that affects outpatient internal medicine practices, intentionally excluding COVID-19 studies.
  • They reviewed publications from notable journals like NEJM, JAMA, and BMJ, as well as additional resources such as the American College of Physicians Journal Club.
  • Using a modified Delphi method, they reached a consensus on 7 key articles that significantly affect clinical practice based on their relevance, impact, and strength of evidence.
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Clinicians are challenged to stay informed of new and changing medical literature. To facilitate knowledge updates and synthesis of practice-changing information, a group of 6 internists reviewed the titles and abstracts in the 7 outpatient general internal medicine journals with the highest impact factors and relevance to outpatient internal medicine physicians: New England Journal of Medicine (NEJM), Lancet, Annals of Internal Medicine, Journal of the American Medical Association (JAMA), JAMA Internal Medicine, British Medical Journal (BMJ), and Public Library of Science (PLoS) Medicine. The following collections of article synopses and databases were also reviewed: American College of Physicians Journal Club, NEJM Journal Watch, BMJ Evidence-Based Medicine, McMaster/DynaMed Evidence Alerts, and Cochrane Reviews.

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Article Synopsis
  • The diverse nature of general internal medicine makes it challenging to pinpoint impactful medical literature.
  • A team of six physicians evaluated key medical journals and databases to identify relevant articles for outpatient internal medicine practice.
  • They used a modified Delphi method to reach agreement on the clinical relevance and evidence strength of the articles, ultimately selecting seven that could potentially change practice.
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Background: We conducted a prospective validation study to develop a physician assistant (PA) clinical rotation evaluation (PACRE) instrument. The specific aims of this study were to 1) develop a tool to evaluate PA clinical rotations, and 2) explore associations between validated rotation evaluation scores and characteristics of the students and rotations.

Methods: The PACRE was administered to rotating PA students at our institution in 2016.

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Article Synopsis
  • Clinicians face the challenge of finding impactful articles in medical literature that could change practices in outpatient general internal medicine.
  • Five internists reviewed top internal medicine journals, synopses of studies, and evidence databases to identify relevant articles published in 2017.
  • They selected 140 articles based on clinical relevance, potential for practice change, and strong evidence, ultimately using a modified Delphi method to agree on 7 key topics for further evaluation.
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Introduction: New teaching approaches for CME are needed. In flipped classrooms, coursework is completed beforehand and applied during class time. Studies of flipped classrooms and their potential benefits in CME have not been published.

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Teaching is challenging, and most clinicians have little-to-no formal training on how to teach. For many, the extent of their experience has been limited to teaching medical students during residency. Many clinicians would benefit from learning about effective teaching practices.

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Identifying new practice-changing articles is challenging. To determine the 2015 practice-changing articles most relevant to outpatient general internal medicine, 3 internists independently reviewed the titles and abstracts of original articles, synopses of single studies and syntheses, and databases of syntheses. For original articles, internal medicine journals with the 7 highest impact factors were reviewed: New England Journal of Medicine, Lancet, Journal of the American Medical Association (JAMA), British Medical Journal, Public Library of Science Medicine, Annals of Internal Medicine, and JAMA Internal Medicine.

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Objectives: Here we aim to describe in detail the logical procedure and philosophical approach to establish a minimally access aortic valve replacement programme in the current era.

Methods: A real example of a National Health Service Trust in the United Kingdom has been described in a step-wise manner.

Results: The outcomes of the new procedure established in this fashion are reported and the philosophical lessons learnt from the experiences are highlighted.

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The practice of outpatient general internal medicine requires a diverse and evolving knowledge base. General internists must identify practice-changing shifts in the literature and reflect on their impact. Accordingly, we conducted a review of practice-changing articles published in outpatient general internal medicine in 2014.

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Background: Breast and pelvic examinations are challenging intimate examinations. Technology-based simulation may help to overcome these challenges.

Objective: To synthesise the evidence regarding the effectiveness of technology-based simulation training for breast and pelvic examination.

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Objectives: To summarize current available data on simulation-based training in resuscitation for health care professionals.

Data Sources: MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Web of Science, Scopus and reference lists of published reviews.

Study Selection: Published studies of any language or date that enrolled health professions' learners to investigate the use of technology-enhanced simulation to teach resuscitation in comparison with no intervention or alternative training.

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