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Socio-Demographic and Clinical Characteristics of Patients with Substance Intoxication Receiving a Psychiatric Assessment in the Emergency Department of the Maggiore Della Carita Hospital, Novara, Italy.
Int J Environ Res Public Health
December 2024
Psychiatry Unit, Maggiore della Carità Hospital, 28100 Novara, Italy.
Patients intoxicated with alcohol or other substances are often assessed and assisted in the context of the Emergency Department (ED) by emergency physicians, who usually require a psychiatric assessment. This study aims to analyse the characteristics of a sample of patients receiving a psychiatric consultation in the ED setting of the Maggiore della Carità University Hospital in Novara, Italy, in the period from 1 January 2021 to 31 December 2023, to find out whether and how patients screening positive for alcohol/drugs differ from those screening negative. Socio-demographic and clinical history information and clinical data related to the ED psychiatric consultations were extracted from the PsNet database, a collection of data extracted from the application that serves as the electronic medical record for patients accessing the ED.
View Article and Find Full Text PDFVirtual patients using large language models: Scalable, contextualized simulation of clinician-patient dialog with feedback.
J Med Internet Res
January 2025
Division of General Internal Medicine, Mayo Clinic College of Medicine and Science, 200 First St SW, Rochester, US.
Background: Virtual patients (VPs) are computer screen-based simulations of patient-clinician encounters. VP use is limited by cost and low scalability.
Objective: Show proof-of-concept that VPs powered by large language models (LLMs) generate authentic dialogs, accurate representations of patient preferences, and personalized feedback on clinical performance; and explore LLMs for rating dialog and feedback quality.
Management of Anterior Choroidal Artery Aneurysms: A Retrospective Cohort Study.
Brain Sci
December 2024
Division of Neurointerventional Radiology, UMass-Chan Lahey Department of Radiology, Lahey Hospital and Medical Centre-Beth Israel Lahey Health, Burlington, MA 01805, USA.
Anterior choroidal artery (AChoA) aneurysms pose a challenge for both endovascular and clipping procedures. The eloquent territory supplied by the parent vessel has limited collateralization and its compromise can lead to significant morbidity. This study aims to analyze the clinical outcomes and procedure-related complications of clipping and endovascular treatment of AChoA aneurysms to aid physician decision making.
View Article and Find Full Text PDFPatterns of beta-blocker use and dose optimization among ambulatory heart failure patients with reduced ejection fraction (HFrEF) attending public hospitals in Northeast Ethiopia: a multi-center cross-sectional study.
BMC Cardiovasc Disord
January 2025
Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Background: Evidence-based beta-blockers are essential in managing heart failure with reduced ejection fraction (HFrEF) and are known to improve cardiovascular outcomes. Despite robust nascent guideline recommendations, studies indicate that beta-blockers are often underutilized or administered below target doses. This shivery issue is particularly relevant in Ethiopia, where comprehensive evaluations of beta-blocker utilization and dosing practices are limited.
View Article and Find Full Text PDFOutcomes of a PA/APRN grand rounds pilot: A novel model for increasing engagement.
JAAPA
February 2025
Elizabeth C. Pinyan is a junior research associate in the UNC Highway Safety Research Center in Chapel Hill, N.C. She previously served as the program assistant for the Center for Advanced Practice at Atrium Health Wake Forest Baptist. Elizabeth Tysinger is an NP and educator in internal medicine in the Multi-Specialty Infusion Clinic at Atrium Health Wake Forest Baptist in Winston-Salem, N.C. Rachel Zimmer is an assistant professor in the Department of Implementation Science, Division of Public Health Sciences at Atrium Health Wake Forest Baptist. Kathleen Wetherell Griffin is a pediatric neurology NP at Atrium Health Wake Forest Baptist. Eileen Ronsheim is an orthopedic NP at Atrium Health Wake Forest Baptist. Andrea McKinnond is an assistant professor and director of clinical education in the PA program at Wake Forest University in Winston-Salem, N.C., and practices in the Department of Otolaryngology/Head and Neck Cancer at Atrium Health Wake Forest Baptist in Winston-Salem, N.C. Chisom Okoye is program coordinator of the Center for Advanced Practice at Atrium Health Wake Forest Baptist. Alisha T. DeTroye is regional director of advanced practice at Atrium Health Wake Forest Baptist and practices in hematology and oncology at Atrium Health Wake Forest Baptist. The authors have disclosed no potential conflicts of interest, financial or otherwise.
This article describes a framework for the development, implementation, and effect of advanced practice provider (APP) grand rounds. A team of certified registered nurse anesthetists (CRNAs), NPs, and physician associates/assistants (PAs) developed and operationalized a grand rounds initiative in 2019. Since January 2020, 34 live monthly learning sessions have been held in person and virtually.
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