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Challenges of Contemporary Practice: Internists Maintaining Competency in Multiple Specialties.
J Contin Educ Health Prof
January 2025
Dr. Jason J. Weiner: Assistant Professor, Department of Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD; Chair, Department of Medicine, Naval Medical Center San Diego, San Diego, CA.
Introduction: Despite increasing physician specialization, high-quality continuing professional development is needed for continual mastery learning, especially focused on multiple specialties. Board certification is considered a surrogate for competency, and some stakeholders consider it suboptimally aligned with its primary purpose. We set to explore the motivation for continued education and competence in physicians who are board certified in multiple specialties.
View Article and Find Full Text PDFAssociation between individual occupational noise exposure and overweight/obesity among automotive manufacturing workers in South China.
BMC Public Health
January 2025
Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, 510620, China.
Background: Occupational noise has been associated with numerous adverse health outcomes. However, limited evidence exists regarding its association with obesity. We aim to investigate the effect of occupational noise exposure on the risk of overweight/obesity among workers, providing scientific evidence for the prevention and management of overweight/obesity in the occupational population.
View Article and Find Full Text PDFEnvironmental Issues in Global Pediatric Health: Policy Statement.
Pediatrics
January 2025
Program for Global Public Health and the Common Good, Boston College, Chestnut Hill, Massachusetts; Centre Scientifique de Monaco, Monaco, MC.
Pediatricians and pediatric trainees in North America are increasingly involved in caring for children and adolescents in or from low- and middle-income countries (LMICs). In many LMICs, hazardous environmental exposures-notably outdoor and household air pollution, water pollution, lead, pesticides, and other manufactured chemicals-are highly prevalent and account for twice the proportion of disease and deaths among young children as in North America. Climate change will likely worsen these exposures.
View Article and Find Full Text PDFA National Physician Survey Examining Switching From Sulfonylureas or Insulin to Newer Diabetes Medications.
Clin Diabetes
September 2024
Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
This study was a national survey of U.S. physicians in general medicine, geriatrics, or endocrinology who were asked what medication change they would make for adults with type 2 diabetes taking sulfonylureas or insulin with an A1C below their individualized goal.
View Article and Find Full Text PDFIntegrating the ADS Score with 24-Hour ASPECTS and red cell distribution width for enhanced prediction of stroke-associated pneumonia following intravenous thrombolysis: model development and internal validation.
Eur J Med Res
January 2025
Division of Radiology, Saraburi Hospital, Saraburi, Thailand.
Introduction: Stroke-associated pneumonia (SAP) is a major cause of mortality during the acute phase of stroke. The ADS score is widely used to predict SAP risk but does not include 24-h non-contrast computed tomography-Alberta Stroke Program Early CT Score (NCCT-ASPECTS) or red cell distribution width (RDW). We aim to evaluate the added prognostic value of incorporating 24-h NCCT-ASPECTS and RDW into the ADS score and to develop a novel prediction model for SAP following thrombolysis.
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