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http://dx.doi.org/10.1097/JHM-D-19-00194 | DOI Listing |
Recent advancements in large language models (LLMs) like ChatGPT and LLaMA have shown significant potential in medical applications, but their effectiveness is limited by a lack of specialized medical knowledge due to general-domain training. In this study, we developed Me-LLaMA, a new family of open-source medical LLMs that uniquely integrate extensive domain-specific knowledge with robust instruction-following capabilities. Me-LLaMA comprises foundation models (Me-LLaMA 13B and 70B) and their chat-enhanced versions, developed through comprehensive continual pretraining and instruction tuning of LLaMA2 models using both biomedical literature and clinical notes.
View Article and Find Full Text PDFJBI Evid Synth
January 2025
School of Occupational Therapy, Touro University Nevada, Henderson, Nevada.
Objective: The proposed scoping review aims to explore the literature on the use of acceptance and commitment therapy (ACT) by occupational therapy (OT) practitioners, including how OT practitioners use ACT in the evaluation or intervention process, what types of client concerns they are addressing through ACT, in what settings they are using ACT, and what outcomes are being reported.
Introduction: ACT is a third-wave cognitive behavioral therapy that is effective across a wide range of diagnoses commonly seen by OT practitioners. Given the increased use of ACT by OT practitioners, a comprehensive understanding of its use in clinical practice would benefit OT practitioners, referring health care providers, and clients, as well as informing future research.
Int J Oral Sci
January 2025
Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth.
View Article and Find Full Text PDFThere has been a notable rise in the prevalence of cosmetic dermatology services worldwide, involving a diverse range of providers. Patients presenting with cosmetic concerns should be thoroughly assessed and require meticulous attention because subtle, unexpected clinical cues might necessitate the application of dermatologic expertise. In this study, we present a case series involving patients who sought cosmetic care at an academic cosmetic dermatology center, revealing subsequent diagnoses of significant medical conditions.
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
Department of Information Technology, Faculty of Information Technology, University of Moratuwa, Moratuwa, Sri Lanka.
The deployment of Health Information Systems (HIS) in Sri Lanka has been low in adoption compared to developed countries. There has been a dearth of studies to identify the factors that improve the adoption of HIS in developing countries. Thus, this study investigates the factors influencing the acceptance of HIS among public healthcare staff.
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