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SPEED (SPlEnic Embolisation Decisions) study-Decision to treat acute traumatic splenic artery injury in the context of trauma protocol.
PLoS One
January 2025
Department of Diagnostic and Interventional Radiology, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Background: The spleen is commonly injured in trauma and this may be managed with a conservative approach, embolisation or splenectomy. There is uncertainty how splenic embolisation fits into the treatment paradigm and the delivery of IR services remains variable.
Aims And Objectives: The primary objectives are to determine if service design significantly affects splenic embolisation (SE) rates in AAST grade 2-5 acute traumatic splenic injuries (ATSI) across the Major Trauma Centres (MTCs) in England and to determine if variation in treatment affects SE outcomes in ATSI.
Annals On Call - Diagnostic Reasoning Part 1.
Ann Intern Med
January 2025
Tufts University School of Medicine, Wellesley, Massachusetts (J.P.K.).
Boosting integration of physical and mental health: The impact of increasing psychiatrists in general hospitals without psychiatric Ward.
J Psychosom Res
December 2024
Department of Neuropsychiatry, Tokyo Woman's Medical University, Tokyo, Japan.
Objective: It remains unclear whether general hospitals without psychiatric wards can provide sufficient services for both physical and mental health needs, as they often lack adequate psychiatrists, primarily due to cost constraints. This article explores the relationship between the number of full-time psychiatrists and functionality for integrating physical and mental health services in these settings.
Methods: The Medical Policy Committee of the Japanese Society of General Hospital Psychiatry conducted a nationwide survey in 2022 to evaluate the detailed scope and volume of service of psychiatric departments in general hospitals without a psychiatric ward.
Web Exclusive. Annals On Call - Transfusion Thresholds in Myocardial Infarction.
Ann Intern Med
December 2024
Department of Epidemiology and Department of Biostatistics, University of Pittsburgh, Pittsburgh, Pennsylvania (M.M.B.).
Annals On Call - Lifestyle Recommendations: Can They Really Improve Public Health?
Ann Intern Med
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Global Center for Sustainable Healthcare, Uddevalla, Sweden, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, and The Lisa Schwartz Foundation for Truth in Medicine, Hanover, New Hampshire (M.J.).
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