Publications by authors named "T F Nikiforova"

Medical education continues to evolve with technologic advances, cultural changes, and progress in the application of learning theories. One example is Cutrer's concept of the Master Adaptive Learner (MAL), where the trainee self-directs learning and innovates to maintain a level of expertise in a domain. We suggest that this concept can be applied alongside ideas of adaptive and teacher expertise to represent the medical educator of the future-the Master Adaptive Clinician Educator (MACE).

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Aim: To estimate the prevalence of amyloid cardiomyopathy (CM) caused by transthyretin amyloidosis (ATTR) and immunoglobulin light chain (AL) amyloidosis among patients aged >65 years with interventricular septal (IVS) hypertrophy of ≥14 mm.

Material And Methods: From January through August 2023, 60 patients (mean age 7.2±7.

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Article Synopsis
  • The study aimed to investigate how different patterns of blood flow in the kidneys, assessed through Doppler ultrasound, can indicate the severity of venous congestion and predict kidney function impairment in patients suffering from acute decompensated chronic heart failure (ADCHF).
  • Conducted on 75 ICU patients, the study analyzed the blood flow patterns (normal, biphasic, monophasic) and measured sodium concentration in urine after diuretic treatment to monitor kidney injury and other complications.
  • Results revealed that patients with a monophasic blood flow pattern had a significantly higher incidence of acute kidney injury (100%) and were more likely to experience in-hospital death and diuretic resistance compared to those with normal or biphasic patterns
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Objectives: Internal Medicine (IM) residents have reported dissatisfaction with continuity clinic (CC) training, which may contribute to the increasing shortage of primary care physicians. Studies show balancing inpatient and outpatient duties as a driver of dissatisfaction, but few studies have compared CC with inpatient (IP) training, following transition to an X + Y model, or assessed the impact of show rates, continuity, and telemedicine use on resident perceptions. The aim of this study was to adapt a validated survey to compare residents' perceptions of their CC with their inpatient medicine training and examine the impact of objective clinic measures on training.

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