This is the first in an occasional series of articles describing innovations, successful and unsuccessful, in medical education. I t is hoped that they may encourage others to attempt similar experiments4r warn them away from unprofitable avenues of development. The new Clinical Medical School at the University of Cambridge, UK, has established a project to monitor and evaluate its new, shorter course. The background to this unusual decision is described in this article, which then reviews possible evaluation methods, problems, and the planned strategy. The activities include measures of the school's 'ethos', the teaching/learning process, aspects of its cost, and the quality of its 'product'-the medical graduate. Experiences during the first 18 months of the project are reported.
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http://dx.doi.org/10.3109/01421597909014343 | DOI Listing |
Int J Surg
January 2025
Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Background: Acute kidney injury (AKI) is a common postoperative complication, and hypotension may contribute. We therefore tested the primary hypothesis that individualized intraoperative blood pressure regulation reduces postoperative AKI in older surgical patients.
Methods: We enrolled patients ≥60 years old scheduled for elective major abdominal surgery with invasive arterial pressure monitoring.
Int J Gynecol Cancer
January 2025
The NHMRC Clinical Trials Centre, The University of Sydney, Sydney, NSW, Australia; Macarthur Cancer Therapy Centre, Sydney, NSW, Australia; Western Sydney University, Department of Medicine, Sydney, NSW, Australia. Electronic address:
Objective: We evaluated the accuracy of oncologists' estimates of expected survival time in recurrent ovarian cancer.
Methods: Oncologists estimated expected survival time at baseline for each patient, who were then followed up for survival time. We hypothesized that oncologists' estimates of expected survival time would be independently significant predictors of survival, unbiased (approximately equal proportions [50%] living longer versus shorter than their expected survival time), or imprecise (<30% within 0.
Front Plant Sci
January 2025
College of Agriculture, Shanxi Agricultural University, Taigu, Shanxi, China.
Chlorophyll density (ChD) can reflect the photosynthetic capacity of the winter wheat population, therefore achieving real-time non-destructive monitoring of ChD in winter wheat is of great significance for evaluating the growth status of winter wheat. Derivative preprocessing has a wide range of applications in the hyperspectral monitoring of winter wheat chlorophyll. In order to research the role of fractional-order derivative (FOD) in the hyperspectral monitoring model of ChD, this study based on an irrigation experiment of winter wheat to obtain ChD and canopy hyperspectral reflectance.
View Article and Find Full Text PDFJHEP Rep
February 2025
Division of Hematology/Oncology, Department of Medicine, Tisch Cancer Institute, Mount Sinai Hospital, New York, NY, USA.
Background & Aims: Atezolizumab/bevacizumab (A/B) is now a standard first-line treatment for advanced hepatocellular carcinoma (HCC), but the optimal second-line regimen is not known. We evaluated real-world treatment patterns and outcomes to investigate factors associated with post-progression survival (PPS).
Methods: In this multicenter, international, retrospective study, we examined clinical characteristics and outcomes of patients with advanced HCC who progressed on first-line A/B.
Cancer Metab
January 2025
Department of Dermatology, Venereology and Allergology, University Medical Center and Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, Mannheim, 68167, Germany.
Background: In malignant melanoma, liver metastases significantly reduce survival, even despite highly effective new therapies. Given the increase in metabolic liver diseases such as metabolic dysfunction-associated steatotic liver disease (MASLD) and metabolic dysfunction-associated steatohepatitis (MASH), this study investigated the impact of liver sinusoidal endothelial cell (LSEC)-specific alterations in MASLD/MASH on hepatic melanoma metastasis.
Methods: Mice were fed a choline-deficient L-amino acid-defined (CDAA) diet for ten weeks to induce MASH-associated liver fibrosis, or a CDAA diet or a high fat diet (HFD) for shorter periods of time to induce early steatosis-associated alterations.
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