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Staffing Up: The Nursing Home Minimum Staffing Rule.
J Gen Intern Med
January 2025
Brown University, 222 Richmond St., Providence, RI, 02903, USA.
On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) announced new staffing mandates for long-term care (LTC) facilities in an effort to improve care quality in nursing homes (NHs). The guidelines require a minimum of 3.48 h of daily care per resident, including 0.
View Article and Find Full Text PDFPrivacy-ensuring Open-weights Large Language Models Are Competitive with Closed-weights GPT-4o in Extracting Chest Radiography Findings from Free-Text Reports.
Radiology
January 2025
From the Department of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Background Large-scale secondary use of clinical databases requires automated tools for retrospective extraction of structured content from free-text radiology reports. Purpose To share data and insights on the application of privacy-preserving open-weights large language models (LLMs) for reporting content extraction with comparison to standard rule-based systems and the closed-weights LLMs from OpenAI. Materials and Methods In this retrospective exploratory study conducted between May 2024 and September 2024, zero-shot prompting of 17 open-weights LLMs was preformed.
View Article and Find Full Text PDFThe supply of branched-chain amino acids and branched-chain keto acids alter lipid metabolism, oxidative stress, and apoptosis in primary bovine hepatocytes.
J Nutr Biochem
January 2025
Department of Animal Science, Michigan State University, East Lansing, 48824, USA. Electronic address:
Fatty liver impairs liver function and reduces productivity in dairy cows. Our previous in vivo findings demonstrated that branched-chain amino acids (BCAA) or branched-chain ketoacid (BCKA) improved liver function and lactation performance in dairy cows; however, the underlying mechanisms remain unclear. This study aimed to assess the impact of BCAA or BCKA supplementation on intracellular triglyceride (TG) accumulation, lipid metabolism, antioxidant response, and apoptosis in hepatocytes.
View Article and Find Full Text PDFUsing evidence from civil society in national and subnational health policy processes: a qualitative evidence synthesis.
Cochrane Database Syst Rev
June 2024
Centre for Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway.
This is a protocol for a Cochrane Review (qualitative). The objectives are as follows: To explore the use of evidence from civil society in national and subnational health policy processes. The specific research questions will include the following.
View Article and Find Full Text PDFSphere transgressions: reflecting on the risks of Big Tech expansionism.
Inf Commun Soc
June 2024
Department of Ethics and Political Philosophy and Interdisciplinary Hub for Digitalization and Society, Radboud University Nijmegen, Nijmegen, Netherlands.
The rapid expansion of Big Tech companies into various societal domains (e.g., health, education, and agriculture) over the past decade has led to increasing concerns among governments, regulators, scholars, and civil society.
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