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Virtual 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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Feasibility of Alerting Systems and Family Care Partner Support for Postoperative Delirium Prevention.

J Neurosurg Anesthesiol

December 2024

Department of Internal Medicine, Division of Geriatric and Palliative Medicine, Michigan Medicine, Ann Arbor, MI.

Background: The objective of this study was to determine whether postoperative pager alerts to the Hospital Elder Life Program (HELP), a delirium prevention service, would accelerate program enrollment for older surgical patients. This study also tested feasibility of family care partner interventions for delirium prevention.

Methods: This single-center, pilot clinical trial factorially randomized 57 non-cardiac surgical patients ≥70 years of age to 4 arms: (1) standard care, (2) pager alerts to accelerate HELP enrollment, (3) family care partner-based delirium prevention interventions, or (4) a combined arm with both HELP and family interventions.

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Background: Perioperative messengers as tools for hospitals to communicate with patients' loved ones during surgery have been described in form of pagers, SMS, email, and apps. The approach of combining multiple means of communication to create a secure and reliable messenger promises several advantages and has not been investigated to date.

Objective: The aim was to develop and test the technical feasibility and acceptance of a remote hybrid SMS/web-based perioperative messenger that keeps patients' loved ones informed around the time of surgery.

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A scoping review of parents' disclosure of BRCA1/2 genetic alteration test results to underage children.

Patient Educ Couns

February 2025

Health Outcomes & Behavior Program, Moffitt Cancer Center, Tampa, FL, USA; Department of Communication, University of South Florida, Moffitt Cancer Center, Tampa, FL, USA.

Article Synopsis
  • - Parents with BRCA1/2 mutations face challenges in sharing their genetic risk information with their minor children, including uncertainty about timing, content, and approach.
  • - A scoping review analyzed 22 articles exploring strategies for parents and healthcare professionals regarding these conversations but found a lack of support interventions for parents during the disclosure process.
  • - The study highlights a need for healthcare professionals to create effective communication strategies and emphasizes the necessity for further research on how families navigate sharing genetic information.
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Pagers Explosion: Challenges of the Emergency Preparedness Plan.

Disaster Med Public Health Prep

November 2024

Division of Emergency Medicine, Department of Internal Medicine, Lebanese American University, Beirut, Lebanon.

On September 17, 2024, an unforeseen attack due to the Pagers Explosion targeting a military party in Lebanon left more than 2750 casualties. A total of 38 injured patients presented to the Lebanese American University Medical Center-Rizk Hospital (LAUMC-RH), a private university hospital. Most injuries were amputated fingers and eye injuries.

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