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Hide and Seek: Detecting HCC with novel surveillance algorithms.
Hepatology
February 2025
Division of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Improving Lynch syndrome detection: a mixed-methods process evaluation of a hybrid type III effectiveness-implementation trial.
BMC Health Serv Res
December 2024
Implementation to Impact (i2i), School of Population Health, Faculty of Medicine, UNSW, Samuels Building, Sydney, NSW, 2052, Australia.
Introduction: Translating evidence-based practices into real-world healthcare settings is challenging, particularly in the rapidly evolving field of genomics. A pragmatic two-arm cluster-randomized clinical trial (Hide and Seek Project - HaSP) tested two implementation approaches for improving hereditary cancer referral practices with one key distinction: implementation strategies that were designed 1) explicitly using psychological theory, or 2) using healthcare professional intuition. This mixed-methods process evaluation aimed to provide insights into how and why change occurred by examining contextual determinants, identifying mechanisms of action, and exploring the role of theory.
View Article and Find Full Text PDFHide and Seek: Elmer Belt, Agnes, and the Battle over Castration in Transsexual Surgery, 1953-1962.
Bull Hist Med
November 2024
In the 1950s, the idea of sex change increasingly assumed the mainstay of public interest. As psychiatrists and psychologists developed new understandings of gender, the role of surgeons is often overlooked in the early history of sex reassignment. This article explores the work of one such doctor, Elmer Belt, a urologist based in Los Angeles.
View Article and Find Full Text PDFCompact Arterial Monitoring Device Use in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): A Simple Validation Study in Swine.
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Article Synopsis
- - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
- - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
- - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
Heterotopic pancreas - An expert in hide and seek.
Int J Surg Case Rep
November 2024
Department of Surgery, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia. Electronic address:
Article Synopsis
- Heterotopic pancreas is a rare condition often misdiagnosed before surgery, commonly found in the upper gastrointestinal tract, but can also occur in unusual locations such as the thorax and kidneys.
- A case study highlighted a patient with intermittent abdominal pain and weight loss, leading to the discovery of a heterotopic pancreas during surgery after imaging indicated a suspicious growth in the duodenum.
- Challenges in diagnosis include the lesion's site and characteristics; while biopsies can help, they are often non-diagnostic, and the only definitive treatment is surgical resection.
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