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[The biliary ecosystem: a holistic perspective on critical scientific issues regarding biliary tract surgeries and diseases].
Zhonghua Wai Ke Za Zhi
January 2025
National Center for Liver Cancer, Naval Medical University, Shanghai201823, China.
The establishment of modern biliary surgery system, alongside pivotal scientific paradigm shifts, has heralded a new era featured by precision, personalization, life-cycle care, and multidisciplinary management in the treatment of both benign and malignant biliary diseases. However, two formidable challenges persist in haunting the treatment of biliary diseases: (1) The refinement of surgical techniques has reached a plateau in reducing the disability associated with benign biliary conditions and in improving survival outcomes in biliary tract cancers; (2) Traditional evidence-based clinical studies have shown limited power in addressing complex dilemmas, such as determining whether to excise or preserve pathological gallbladders or selecting the optimal biliary drainage strategy. Consequently, the authors propose the conceptual framework of "biliary ecosystem".
View Article and Find Full Text PDFTime to reframe the disease staging system for type 1 diabetes.
Lancet Diabetes Endocrinol
December 2024
Department of Paediatrics, Diabetes Center, University of California San Francisco, San Francisco, California, USA.
Article Synopsis
- A disease staging system introduced in 2015 helps identify and track progression to clinical type 1 diabetes based on islet autoantibodies and dysglycaemia, but it has significant limitations such as combining diverse individuals and lacking high specificity.
- Although the current model suggests a linear progression through stages, real-life progression is often more complex, and factors like age are not considered.
- With the recent FDA approval of teplizumab to delay type 1 diabetes at stage 2, there's a need to refine diabetes staging definitions and develop a risk calculator that considers a wider range of demographic, genetic, and metabolic data, especially in underrepresented groups.
Refining the recipe or spoiling the broth? Reframing perceptions of programme adaptation in sports injury prevention.
Br J Sports Med
January 2025
Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Iceberg Sensemaking: A Process Model for Critical Data Analysis.
IEEE Trans Vis Comput Graph
November 2024
We offer a new model of the sensemaking process for data analysis and visualization. Whereas past sensemaking models have been grounded in positivist assumptions about the nature of knowledge, we reframe data sensemaking in critical, humanistic terms by approaching it through an interpretivist lens. Our three-phase process model uses the analogy of an iceberg, where data is the visible tip of underlying schemas.
View Article and Find Full Text PDFReframing Burnout: Measuring "Altruistic Execution" to Understand Nurse Burnout.
West J Nurs Res
November 2024
Marquette University College of Nursing, Milwaukee, WI, USA.
Background: Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.
Objective: The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.
Methods: The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement.
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