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Equitable and effective clinical guidance development and dissemination: trauma aims to lead the way.
Trauma Surg Acute Care Open
December 2024
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Thirty-four per cent of deaths among Americans aged 1-46 are due to injury, and many of these deaths could be prevented if all hospitals performed as well as the highest-performing hospitals. The Institute of Medicine and the National Academies of Science, Engineering and Medicine have called for learning health systems, with emphasis on clinical practice guidelines (CPGs) as a means of limiting preventable deaths. Reduction in mortality has been demonstrated when evidence-based trauma CPGs are adhered to; however, guidelines are variably updated, redundant, absent, inaccessible, or perceived as irrelevant.
View Article and Find Full Text PDFDamage Index for Antiphospholipid Syndrome (DIAPS): An Antiphospholipid Syndrome Alliance for Clinical Trials and International Networking (APS ACTION) "Damage" working group report on strengths and limitations.
Semin Arthritis Rheum
December 2024
Discipline of Rheumatology, University of São Paulo (USP), Av Dr. Arnaldo 455, Third Floor, LIM 17, São Paulo, São Paulo 01246-903, Brazil. Electronic address:
Objectives: To gather the perspectives of APS ACTION members regarding the strengths and limitations of Damage Index for Antiphospholipid Syndrome (DIAPS); and establish recommendations for the improvement of DIAPS.
Methods: APS ACTION members were invited to answer a survey regarding their satisfaction with DIAPS scoring system and individual items. The level of agreement (LoA) among members with the inclusion of individual items in DIAPS was calculated (LoA of <75% was considered disagreement).
The monophyly of Magelona F. Müller, 1858 (Polychaeta, Magelonidae): Comments on Meißner et al.'s (2023) reinstatement of Octomagelona Aguirrezabalaga, Ceberio & Fiege, 2001.
Zootaxa
August 2024
Departamento de Biologia Animal; Instituto de Ciências Biológicas e da Saúde; Universidade Federal Rural do Rio de Janeiro; Seropédica; Rio de Janeiro; Brazil.
The first published phylogenetic hypotheses involving members of the polychaete taxon Magelonidae Cunningham & Ramage, 1888, were reported by Mortimer et al. (2021), wherein results showed that for the two genera in the family, Magelona F. Müller, 1858, was paraphyletic relative to Octomagelona Aguirrezabalaga, Ceberio & Fiege, 2001.
View Article and Find Full Text PDFChallenges in managing duodenal intussusception: A rare cause of gastric outlet obstruction in adults.
Turk J Surg
June 2024
Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Article Synopsis
- - Intussusception in adults is rare, with ileocolic being the most common type and duodenal intussusception (DI) being the rarest; this study discusses five adult cases of DI, highlighting their presentation, diagnosis, and treatment.
- - The patients, primarily women aged 18-45, mainly presented with gastric outlet obstruction (GOO) and weight loss, all diagnosed via contrast-enhanced CT scans with benign polyps identified as lead points requiring surgical intervention.
- - Surgical treatment varied, with some patients receiving local excision and others undergoing more extensive procedures like pancreaticoduodenectomy; post-operative recovery was generally smooth, emphasizing the importance of anatomical knowledge for managing this complex condition.
Estimating the impact of the first 2 years of the COVID-19 pandemic on tuberculosis diagnosis and treatment outcomes in Southeastern City in Iran: an interrupted time series analysis of the preceding 10 years of ecological data.
BMC Health Serv Res
November 2024
Social Determinants in Health Promotion Research Center, Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Background: With shared modes of transmission and clinical symptoms the convergence of COVID-19 and tuberculosis (TB) might lead to reduced diagnosis and detection of TB, which is challenging for healthcare systems already strained by the pandemic's reach.
Methods: This ecological study investigated the impact of the COVID-19 pandemic on TB surveillance over the first 2 years of the pandemic (March 2020 to February 2022) in southeastern Iran. Interrupted Time Series (ITS) analysis with the quasi-Poisson regression models was used to estimate the relative risk (RR) of TB diagnosis and treatment outcome counts, stratified by gender, case definition, involvement type, and treatment outcomes.
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