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Evidencing the challenges of care delivery for people with intellectual disability and epilepsy in England by using the Step Together toolkit.
BJPsych Open
October 2024
Cornwall Intellectual Disability Equitable Research (CIDER), University of Plymouth Peninsula School of Medicine, UK; School of Nursing and Midwifery (Faculty of Health), University of Plymouth, UK; and Cornwall Intellectual Disability Equitable Research (CIDER), Cornwall Partnership NHS Foundation Trust, UK.
Background: People with intellectual disability (PwID) and epilepsy have increased premature and potentially preventable mortality. This is related to a lack of equitable access to appropriate care. The Step Together guidance and toolkit, developed with patient, clinical, charity and commissioning stakeholders, allows evaluation and benchmarking of essential epilepsy service provision for PwID in eight key domains, at a care system level.
View Article and Find Full Text PDFClass in Session: Analysis of GPT-4-created Plastic Surgery In-service Examination Questions.
Plast Reconstr Surg Glob Open
September 2024
Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany.
Background: The Plastic Surgery In-Service Training Examination (PSITE) remains a critical milestone in residency training. Successful preparation requires extensive studying during an individual's residency. This study focuses on the capacity of Generative Pre-trained Transformer 4 (GPT-4) to generate PSITE practice questions.
View Article and Find Full Text PDFWhy are we doing this Staff? Justification and implications of aerobic fitness testing in the military.
Work
August 2024
Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand.
Background: Physical fitness is a key tenet of military organisations worldwide. Specifically, many consider aerobic fitness (AF) an essential physical attribute for ensuring optimal military performance and readiness. However, the intricate relationship between AF and various facets of military job performance necessitates comprehensive review to ascertain the appropriateness and effectiveness of its assessment.
View Article and Find Full Text PDFCommon Data Elements and Databases Essential for the Study of Musculoskeletal Injuries in Military Personnel.
Mil Med
August 2024
Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Introduction: Injuries are the leading cause of medical encounters with over 2 million medical encounters for musculoskeletal (MSK) conditions and over 700,000 acute injuries per year. Musculoskeletal injuries (MSKIs) are by far the leading health and readiness problem of the U.S.
View Article and Find Full Text PDFWhite Matter Alterations in Military Service Members With Remote Mild Traumatic Brain Injury.
JAMA Netw Open
April 2024
National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, Maryland.
Importance: Mild traumatic brain injury (mTBI) is the signature injury experienced by military service members and is associated with poor neuropsychiatric outcomes. Yet, there is a lack of reliable clinical tools for mTBI diagnosis and prognosis.
Objective: To examine the white matter microstructure and neuropsychiatric outcomes of service members with a remote history of mTBI (ie, mTBI that occurred over 2 years ago) using diffusion tensor imaging (DTI) and neurite orientation dispersion and density imaging (NODDI).
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