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Developing a New Paradigm for Healthcare Delivery: Lessons Learned from Same-Day Access.
J Healthc Manag
January 2025
Department of Radiation Oncology, University of California, Irvine, Chao Family Comprehensive Cancer Center, Orange, California.
Goal: Excessively lengthy wait times for appointments with clinicians are a major source of frustration for patients, and difficulties with access represent a public health problem facing populations across all societies. As delays in care have been associated with inferior outcomes, same-day appointments have been proposed as a patient-centric means of improving healthcare delivery. However, this paradigm represents a radical shift from conventional scheduling tactics, and skepticism has long existed regarding its feasibility and real-world applicability to clinical practice.
View Article and Find Full Text PDFGender analysis is not only about gender: reshaping the potato breeding priorities to increase varietal adoption in Kenya.
Front Sociol
December 2024
Genetics, Genomics and Crop Improvement Division, International Potato Center (CIP), Nairobi, Kenya.
Public breeding programs are pushing to implement demand-led breeding to increase variety adoption, while tackling multiple challenges for increased production under climate change. This has included the improvement of variety target product profiles involving multiple stakeholders. A special case involves the unexpected and rapid spread of the Shangi potato variety in Kenya.
View Article and Find Full Text PDFDelivering the News of an Intraoperative Death; Literature Based Guidance from the AATS Wellness Committee.
J Thorac Cardiovasc Surg
December 2024
Norton Thoracic Institute, Dignity Health, Phoenix, Arizona (nothing to disclose).
Objectives: Fortunately, operating room deaths and unexpected deaths are infrequent occurrences. However, when they occur, the surgeon is called upon to deliver this news to family and loved ones. There is a paucity of literature on this topic and little guidance preparing cardiothoracic surgeons for this important but difficult situation.
View Article and Find Full Text PDFRobert Wartenberg and the Hallervorden Affair, 1953: A Clash Between Medical Ethics and Cold War Politics.
Neurology
January 2025
Department of Neurology, Henry Ford Health, Detroit, MI; and.
Robert Wartenberg was an emigrant from Nazi Germany and an iconic pioneer in neurology, describing eponyms and helping to found and nurture the American Academy of Neurology. However, in 1953, ironically, he became embroiled in a controversial event regarding the German neuroscientist and Nazi collaborator Julius Hallervorden. Wartenberg attempted to convince the Dutch delegation to attend the International Neurological Congress in Lisbon from which they had withdrawn in response to Hallervorden's inclusion as a speaker.
View Article and Find Full Text PDFSimulation as a potential tool for successful clinical trial initiation.
J Clin Transl Sci
May 2024
Division of Neonatology, Department of Pediatrics, Golisano Children's Hospital, University of Rochester Medical Center, Rochester, NY, USA.
Conducting clinical trials is often complex and involves many individuals from a variety of services, each with a specific role in ensuring its successful implementation. Although an experienced clinical trialist may anticipate many of the challenges, others may be unexpected and detrimental to the successful completion of a study. We describe the use of simulation during preparation for initiation of a randomized clinical trial of a new preparation of antiseizure medication in neonates with seizures.
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