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[Cancer Care in a Super-Aged Society-Perspectives from a Medical Oncologist].
Gan To Kagaku Ryoho
February 2025
Dept. of Medical Oncology, Kyorin University Faculty of Medicine.
Aging is a risk factor for cancer, and the number of older adults with cancer is rising. When delivering cancer care for this population, it is essential to assess not only the cancer but also the individual as an older adult. Accurate evaluation requires understanding the biological, physiological, and social characteristics associated with aging.
View Article and Find Full Text PDFFrequency of Culture-proven Bacterial Infection and Radiographic Pneumonia in Pediatric Heart Transplant Recipients.
Pediatr Infect Dis J
March 2025
Divisions of Pediatric Emergency Medicine and Pediatric Infectious Diseases, Baylor College of Medicine, Houston, Texas.
Background: Infection is a leading cause of death after pediatric heart transplants (PHTs). Understanding of common pathogens is needed to guide testing strategies and empiric antibiotic use.
Methods: We conducted a 3-center retrospective study of PHT recipients ≤18 years old presenting to cardiology clinics or emergency departments (EDs) from 2010 to 2018 for evaluation of suspected infections within 2 years of transplant.
Using Large Language Models in the Diagnosis of Acute Cholecystitis: Assessing Accuracy and Guidelines Compliance.
Am Surg
March 2025
Department of Surgery, Sapienza University of Rome, Rome, Italy.
BackgroundLarge language models (LLMs) are advanced tools capable of understanding and generating human-like text. This study evaluated the accuracy of several commercial LLMs in addressing clinical questions related to diagnosis and management of acute cholecystitis, as outlined in the Tokyo Guidelines 2018 (TG18). We assessed their congruence with the expert panel discussions presented in the guidelines.
View Article and Find Full Text PDFRumination Syndrome, Supragastric Belching, and Abdominophrenic Dyssynergia: How to Diagnose and Treat?
Curr Gastroenterol Rep
March 2025
Division of Digestive and Liver Disease, Columbia University Irving Medical Center, 630 West 168th St, Physician and Scientist Floor 3, Box 83, New York, NY, 10032, USA.
Purpose Of Review: Supragastric belching (SGB), rumination syndrome (RS), and abdominophrenic dyssynergia are often misunderstood and underdiagnosed syndromes. Better understanding of these conditions is needed to increase recognition and guide treatment.
Recent Findings: Diagnosis is typically made by history and physical examination though supplementary evaluations can be considered in difficult to diagnose cases.
Understanding post-operative opioid use across multiple surgical specialties.
J Opioid Manag
March 2025
Department of Surgery, Baylor University Medical Center, Dallas, Texas.
Background: The United States (US) is facing an opioid epidemic. Prescribed opioids are a contributor to this national issue. Strategies to reduce opioid prescriptions are a high priority.
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