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Surgical management of oligometastatic recurrence in primary esophageal melanoma: a feasible approach in resource-limited settings.
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Pathology Department, NPO "National Cancer Institute", 33/43 Yulii Zdanovskoi street, Holosiivskyi District, Kyiv 03022, Ukraine.
Primary esophageal melanoma (PEM) is a rare and aggressive malignancy with limited treatment options. Due to its rarity, no standardized guidelines exist for managing oligometastatic recurrence, particularly in resource-limited settings. We present a case of a 60-year-old male with PEM who underwent esophagectomy followed by surgical resection of an adrenal metastasis.
View Article and Find Full Text PDFProject-Based Approach as Methodology to Improve Academic Performance of Medical School Students Within the Research Line Teaching Course: A Quasi-Experimental Study.
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Petre Shotadze Tbilisi Medical Academy Tbilisi Georgia.
Background And Aims: Traditional teaching methods in medical education often fail to engage students or foster critical research skills required for evidence-based medicine. Project-based learning (PBL) is widely recognized for promoting active learning and improving academic performance, although its application in research-focused medical courses remains underexplored, especially in low-resource settings. This study aimed to evaluate the effectiveness of PBL in enhancing academic performance and originality compared to traditional literature review-based assessments.
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Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Clinical and epidemiological research is indispensable for improvements in evidence-based healthcare and health outcomes, but it also leaves important gaps in our understanding of health and illness. Qualitative research has been increasingly recognized as a key to addressing some of these gaps, using both exploratory (to gain a more complete and in-depth understanding of problems) and explanatory (to explain quantitative results) approaches. By finding out 'what's going on' and bringing people's stories to light, qualitative research is widely advocated as crucial in enhancing patient-centered research and healthcare.
View Article and Find Full Text PDFCore values and principles of general practice and family medicine: perspectives of German GP residents-a cross-sectional study.
Front Med (Lausanne)
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University Hospital Heidelberg, Department of Primary Care and Health Services Research, Heidelberg University, Heidelberg, Germany.
Background: The core values and principles of general practice (GP) and family medicine (FM) have been described by various international scientific societies, including the World Organization of National Colleges, Academies, and Academic Associations of General Practitioners/Family Physicians (WONCA). These values and principles, such as continuity of care, a bio-psycho-social approach, and hermeneutic case understanding, are also integrated into FM training programs. The aim of this study was to investigate the knowledge and perspectives of FM trainees regarding the core values and principles of FM.
View Article and Find Full Text PDFPost-stroke dysphagia: identifying the evidence missing.
Front Med (Lausanne)
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Atlantica Instituto Universitario, Gestao em Saude, Oeiras, Portugal.
Dysphagia is a high-profile dysfunction that often occurs after a stroke, with a prevalence of 50%-80%. Post-stroke dysphagia (PSD) often leads to serious complications such as pneumonia and malnutrition, reducing the quality of life and leading to poor prognosis or even death. PSD causes these adverse physical and psychological impairments to patients, which becomes a challenge for both patients and physicians.
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