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Comprehensive Perioperative Management of PFAPA Syndrome: Insights From Clinical Cases.
J Perianesth Nurs
January 2025
Department of Anesthesiology and Reanimation, University of Baskent, Ankara, Turkey.
Periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome, a common cause of recurrent fever in childhood, presents a challenge in both diagnosis and management. While initially considered a monogenic disorder, recent research has highlighted its complex genetic underpinnings, involving noncoding genome regions and immune-mediated cytokine dysregulation. This complexity underscores the need for comprehensive perioperative management strategies, particularly in surgical interventions such as tonsillectomy and adenoidectomy.
View Article and Find Full Text PDFSimulating success: Applying EPA assessments to simulation in surgical education.
Surgery
January 2025
Department of Surgery, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL. Electronic address:
Entrustable professional activities are a competency-based evaluation framework which was deployed by the American Board of Surgery in 2023 to evaluate general surgical residents and provide a path to independent practice. Entrustable professional activity microassessments are based on 18 conditions which are core to being a practicing general surgeon, and most include multiple phases of care, such as preoperative care, intraoperative care, and postoperative care. These evaluations are an amalgam of all the clinical competencies, including medical knowledge and patient care skills.
View Article and Find Full Text PDFLessons from COVID-19 in Taiwan's long-term care facilities: A narrative review.
J Formos Med Assoc
January 2025
Department of Internal Medicine, National Taiwan University Hospital, No.7, Chung Shan S. Rd.(Zhongshan S. Rd.), Zhongzheng Dist., Taipei City, 100225, Taiwan, ROC; College of Medicine, National Taiwan University, No.1 Jen Ai road section 1, Taipei 100, Taiwan, ROC. Electronic address:
The coronavirus Disease 2019 (COVID-19) pandemic has disproportionately impacted long-term care facilities (LTCFs), revealing vulnerabilities due to residents' advanced age, comorbidities, and facility infrastructures. In Taiwan, the Central Epidemic Control Center implemented a range of strategies to protect LTCF residents. These included early containment measures to allow time for preparing pharmaceutical intervention, the establishment of infection prevention and control guidelines, the implementation of comprehensive screening and testing protocols, the prioritization of vaccination for both residents and staff, and the expansion of the national stockpile of oral antiviral agents.
View Article and Find Full Text PDFPrehospital video triage of suspected stroke patients in Greater Manchester: pilot project report.
BMJ Open Qual
January 2025
Division of Cardiovascular Sciences, The University of Manchester, Manchester, UK.
Introduction: Stroke is a leading cause of mortality and morbidity, demanding prompt and accurate identification. However, prehospital diagnosis is challenging, with up to 50% of suspected strokes having other diagnoses. A prehospital video triage (PHVT) system was piloted in Greater Manchester to improve prehospital diagnostic accuracy and appropriate conveyance decisions.
View Article and Find Full Text PDFSelf-Intercalation as Origin of High-Temperature Ferromagnetism in Epitaxially Grown Fe_{5}GeTe_{2} Thin Films.
Phys Rev Lett
December 2024
Institute of Molecular Science, University of Valencia, Catedratico Jose Beltrán 2, 46980 Paterna, Spain.
The role of self-intercalation in 2D van der Waals materials is key to the understanding of many of their properties. Here we show that the magnetic ordering temperature of thin films of the 2D ferromagnet Fe_{5}GeTe_{2} is substantially increased by self-intercalated Fe that resides in the van der Waals gaps. The epitaxial films were prepared by molecular beam epitaxy and their magnetic properties explored by element-specific x-ray magnetic circular dichroism that showed ferromagnetic ordering up to 375 K.
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