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Identification of confounders and estimating the causal effect of place of birth on age-specific childhood vaccination.
BMC Med Inform Decis Mak
December 2024
School of Mathematics, Statistics & Computer Science, University of KwaZulu Natal, Durban, South Africa.
Background: In causal analyses, some third factor may distort the relationship between the exposure and the outcome variables under study, which gives spurious results. In this case, treatment groups and control groups that receive and do not receive the exposure are different from one another in some other essential variables, called confounders.
Method: Place of birth was used as exposure variable and age-specific childhood vaccination status was used as outcome variables.
"The mannequins have been pink for a very long time." Navigating whiteness and realness in simulation.
Soc Sci Med
December 2024
Department of Medical Education, University of Illinois College of Medicine, United States.
Simulation training provides health professions learners access to training not readily available to them and in a manner that does not harm patients. Simulation also supports learners to develop dispositions and professional communication and reflect on their biases. This study examines how learners, clinical education faculty, and simulation professionals reflect on diversity and antiracism in simulation and contextualize these reflections with their lived experience.
View Article and Find Full Text PDFEffects of two different dexamethasone dosing regimens on ventilator-free days and long-term mortality in COVID-19 patients with moderate-to-severe ARDS: the REMED randomized clinical trial.
Eur J Med Res
December 2024
Bloomsbury Institute of Intensive Care Medicine, Division of Medicine, University College London, London, UK.
Background: Dexamethasone 6 mg in patients with severe COVID-19 has been shown to decrease mortality and morbidity. The effects of higher doses of corticosteroid, that would further increase anti-inflammatory effects, are uncertain. The objective of our study was to assess the effect of 20 mg dexamethasone vs.
View Article and Find Full Text PDFOptimization of abdominal CT based on a model of total risk minimization by putting radiation risk in perspective with imaging benefit.
Commun Med (Lond)
December 2024
Carl E. Ravin Advanced Imaging Labs, Center for Virtual Imaging Trials, Department of Radiology, Duke University Health System, Durham, NC, USA.
Background: Risk-versus-benefit optimization required a quantitative comparison of the two. The latter, directly related to effective diagnosis, can be associated to clinical risk. While many strategies have been developed to ascertain radiation risk, there has been a paucity of studies assessing clinical risk, thus limiting the optimization reach to achieve a minimum total risk to patients undergoing imaging examinations.
View Article and Find Full Text PDFVirtual On-Call: Use of Low-Fidelity Simulation to Improve Preparedness for Practice.
Cureus
November 2024
Medical Education and Simulation, Maidstone and Tunbridge Wells National Health Service (NHS) Trust, Kent, GBR.
Background Many newly qualified doctors feel unprepared for clinical practice. The literature identifies themes including difficulties with clinical reasoning, emergency management, handover, and prioritization of tasks. Although there is an expected level of anxiety for newly qualified doctors, this appears to be amplified with respect to the first on-call shifts that encompass these themes.
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