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Objectives: Despite early evidence of effectiveness, cost-savings, and resource optimization, mobile integrated health (MIH) programs have not been widely implemented in the United States. System, community, and organizational-level barriers often hinder evidence-based public health interventions, such as MIH programs, from being broadly adopted into real-world clinical practice. The objective of this study is to identify solutions to the barriers impeding the implementation of MIH through interviews with multilevel stakeholders.

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Partial capitate shortening osteotomy represents a feasible surgical approach to reduce load distribution to the lunate in Kienböck disease, with preservation of the scaphoid-capitate articular surface. A surgical procedure, presented here, entails arthroscopic partial resection of the proximal capitate articular surface to alleviate pressure on the lunate.

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HarDNet-based deep learning model for osteoporosis screening and bone mineral density inference from hand radiographs.

Bone

January 2025

Master of Science Degree Program in Innovation for Smart Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Rheumatology, Allergy and Immunology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Center for Artificial Intelligence in Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:

Purpose: Osteoporosis, affecting over 200 million individuals, often remains unrecognized and untreated, increasing the risk of fractures in older adults. Osteoporosis is typically diagnosed with bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA). This study aims to develop DeepDXA-Hand, a deep learning model using the efficient CNN-based deep learning architecture, for opportunistic osteoporosis screening from hand radiographs.

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Traumatic Avascular Necrosis of the Capitate Bone in a 23-Year-Old Man: A Case Report.

Cureus

September 2024

Faculty of Health Sciences, Universidad Catolica Santiago de Guayaquil, Guayaquil, ECU.

Avascular necrosis (AVN) of the capitate bone is an infrequent condition, mostly secondary to trauma, that causes persistent pain and immobility of the wrist. The following case report presents a 23-year-old male college student with AVN of the capitate bone type 2, according to the Milliez classification. As a treatment, the patient received an intra-articular injection of methylprednisolone and a wrist stabilizer, resulting in a gradual improvement through conservative treatment and not necessitating surgical intervention.

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There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the 'responsiveness of expenditure to need' and estimate it using national person-level data on use of acute hospital and secondary mental health services in England.

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