Plasma exchange as a rescue therapy for treatment-resistant thyroid storm with concurrent heart failure: a literature review based on a case report.

Introduction: Thyroid storm or severe hyperthyroidism can present with various signs and symptoms. They are mostly controlled by general treatment, such as anti-thyroid drugs and other medications to control clinical features. However, in rare cases, they are more severe, and they only respond to more aggressive treatments, such as plasmapheresis and total thyroidectomy.

Risk of mortality between warfarin and direct oral anticoagulants: population-based cohort studies.

Background: Direct oral anticoagulants (DOACs) have been reported to be associated with a higher risk of mortality compared with an older alternative, warfarin using primary care data in the United Kingdom (UK). However, other studies observed contradictory findings. We therefore aimed to investigate the association between mortality and warfarin, compared with DOACs.

Building the Community Mental Health Nursing Workforce Through a Supported Transition Programme: An Evaluation of a Competency Framework Implementation.

There is a growing focus in the Australian healthcare system of providing mental health care in a community setting. A key feature of the Royal Commission into Victoria's mental health system was to prioritise community-based care 'a system with community at its core'. Developing a skilled, flexible and competent nursing workforce is a key objective for any community-based mental health service as nurses provide a vital role in healthcare delivery.

RHCE genotyping using next generation sequencing: Allele specific reference sequences.

Background: The Rh blood group system (ISBT004) is encoded by two homologous genes, RHD and RHCE. Polymorphism in these two genes gives rise to 56 antigens, which are highly immunogenic and clinically significant. This study extended previous work on the establishment of RHD allele specific reference sequences using next generation sequencing (NGS) with the Ion Personal Genome Machine (Ion PGM) to sequence the complete RHCE gene.

Ethical aspects of utilising Artificial Intelligence in clinical settings.

In response to recent proposals to utilize artificial intelligence (AI) to automate ethics consultations in healthcare, we raise two main problems for the prospect of having healthcare professionals rely on AI-driven programs to provide ethical guidance in clinical matters. The first cause for concern is that, because these programs would effectively function like black boxes, this approach seems to preclude the kind of transparency that would allow clinical staff to explain and justify treatment decisions to patients, fellow caregivers, and those tasked with providing oversight. The other main problem is that the kind of authority that would need to be given to the guidance issuing from these programs in order to do the work set out for them would mean that clinical staff would not be empowered to provide meaningful safeguards against it in those cases when its recommendations are morally problematic.

Effectiveness of Postoperative Dietary Intervention in Patients with Gastric Cancer who Underwent Gastrectomy: Quasi-Experimental Study Design.

Objectives: This article aims to investigate the effects of a postoperative dietary intervention on fatigue, self-efficacy in managing gastrointestinal side effects, self-efficacy for nutritional management, self-care activity, and unmet nursing needs among patients with gastric cancer who have undergone gastrectomy.

Methods: We used a quasi-experimental study design (nonequivalent control group pretest-posttest). Data were collected from 59 patients with gastric cancer (30 in the experimental group and 29 in the control patients) hospitalized for gastrectomy in Daegu, South Korea.

Prevalence of prediabetes according to sleep apnea status.

Aim: The association between obstructive sleep apnea (OSA) and prediabetes using the STOP-Bang questionnaire remains unknown. We aimed to investigate the prevalence of prediabetes among people based on their sleep apnea status.

Methods: This cross-sectional study included 10131 Korean adults without diabetes with information of STOP-Bang scores, drawn from the dataset of the Korea National Health and Nutrition Examination Survey 2019-2021.

Is ipsilateral systematic biopsy combined with targeted biopsy the optimal substitute for bilateral systematic biopsy combined with targeted biopsy: A systematic review and meta-analysis.

Background: The current standard prostate biopsy method, which combine systematic biopsy (SB) with targeted biopsy (TB), has shortcomings such as overdiagnosis and overtreatment. To evaluate the effectiveness of ipsilateral systematic biopsy (ips-SB) combined with targeted biopsy (ips-SB+TB) and contralateral SB (con-SB) combined with TB (con-SB+TB) as potential alternatives to SB+TB.

Methods: A comprehensive literature search was conducted in Cochrane, Embase, Ovid, and PubMed databases until September 2024.

End-to-end multi-scale residual network with parallel attention mechanism for fault diagnosis under noise and small samples.

When the fault diagnosis datasets contains noise disturbances, small samples, compound faults, and mixed conditions, the feature extraction capability of the neural network will face significant challenges. This paper proposes an end-to-end multi-scale residual network with parallel attention mechanism to address the above complex problems. Firstly, the adaptive mixing pooling method is employed to facilitate the model's ability to retain effective feature information present within the timing signal.

A generalized maximum correntropy based constraint adaptive filtering: Constraint-forcing and performance analyses.

The quadratic cost functions, exemplified by mean-square-error, often exhibit limited robustness and flexibility when confronted with impulsive noise contamination. In contrast, the generalized maximum correntropy (GMC) criterion, serving as a robust nonlinear similarity measure, offers superior performance in such scenarios. In this paper, we develop a recursive constrained adaptive filtering algorithm named recursive generalized maximum correntropy with a forgetting factor (FF-RCGMC).

Auto-tuning of filtered proportional-integral-derivative controller for industrial processes under routine operating conditions.

In general, auto-tuning implementation of PID controllers relies on dual controllers, exciting/identification experiments or some prior knowledge on the process and hence the considerable cost on auto-tuning implementation occurs. To deal with such a problem, a new auto-tuning scheme of the FPID controller is developed for minimum variance tasks under routine operating conditions in which the closed-loop system is running without any external excitation other than natural disturbances. This paper reveals that the stochastic disturbance model can be uniquely determined from the first several terms of the impulse response coefficients of the closed-loop system when the precondition on the time delay and the order of the disturbance model is satisfied.

[Identification and antibiotic susceptibility of Aeromonas spp. in a University Hospital in the city of Buenos Aires].

Aeromonas spp. are opportunistic pathogens that cause both intra- and extraintestinal infections. The objective of this work was the phenotypic and genotypic characterization of a collection of Aeromonas strains, in addition to determining their sensitivity to different antimicrobials.

Retrospective validation of the STUMBL score in a Level 1 trauma centre.

Unlabelled: Chest trauma is a common presentation to major trauma centres. Risk assessment tools have proven useful to support decision making in this group and the STUMBL (STUdy of the Management of BLunt chest wall trauma) score is one such measure that has been increasingly utilised. The aim of this study was to retrospectively validate the STUMBL score in an Australian population of patients admitted following chest trauma.

Internal Medicine Student Chief Elective.

Background: With increasing patient care responsibilities, administrative work and education demands, physicians may find it challenging to provide high-quality and engaging clinical education to third-year medical students on clerkships. Fourth-year students in the role of near-peer teachers can help fill this role, but they often also have competing responsibilities.

Approach: A 4-week Internal Medicine Student Chief (Student Chief) elective was created, designed such that fourth-year students would apply for dedicated time to serve as student leaders, coaches and educators for the third-year students on the Internal Medicine clerkship.

Subjective health complaints and life satisfaction in older adults: the predictive role of geriatric depression.

Background: Given the growing number of older adults, it is crucial to understand geriatric depression and to determine the impact of depression on well-being and health. The aim of this study was to examine the predictive effect of geriatric depression on subjective health complaints and life satisfaction in older adults.

Methods: This cross-sectional study was carried out in two family health centres in a city centre in the northwest of Türkiye.

[Current situation and demand for specialized development of allergy nursing in eighty-eight hospitals in Guangdong Province].

To investigate the current situation and demand for specialized development of allergy nursing in 88 hospitals in Guangdong Province, as well as to provide evidence for the management of allergy nursing. From August to December 2023, a cross-sectional study was conducted to analyze the core managers of allergy nursing-related work in eighty-eight hospitals in Guangdong Province supported by the Allergy Nursing Branch of the Guangdong Nurses Association and the Nursing Group of the Allergy Branch of the Guangdong Medical Association. An online survey was conducted using the Delphi method to compile a questionnaire on the current status and demand for specialized development of allergy nursing in Guangdong Province.

[Several problems needing attention in the diagnosis and treatment of common perianal benign diseases].

Hemorrhoids, anal fissure, anal fistula and perianal abscess are the most common benign diseases around the anus, which obviously affect people's life and work, and need to be well diagnosed and treated. Based on damage control, the treatment principle is to eliminate relevant disease symptoms and protect the anal function at the same time. Perianal benign diseases are common and frequently occurring, which can be diagnosed and treated in many non-specialist hospitals.

Mixed methods systematic review: Using a cultural validity assessment to evaluate prevention programs for Indigenous students.

Implementing culturally appropriate school-based prevention programs with Indigenous students that leverage culture as a protective factor has the potential to revitalize and sustain cultural connections that have historically and systematically been destroyed in the United States. However, there is a dearth of literature synthesizing the effectiveness of school-based prevention programs that have been implemented with Indigenous students across contexts. As such, we conducted a mixed method systematic review to (a) evaluate school-based prevention programs with quantitative and/or qualitative data, (b) assess the use of Indigenous research methods, and (c) examine cultural and community validity.

Activities of the Research Group for Comprehensive Research of Gene Mutation-related Rare and Intractable Diseases of the Skin within the Project for Research on Intractable Diseases of the Ministry of Health, Labor, and Welfare of Japan.

The Hashimoto Research Group for Comprehensive Research of Gene Mutation-related Rare and Intractable Diseases of the Skin is a contributor to the Project for Research on Intractable Diseases of the Ministry of Health, Labor, and Welfare (MHLW) of Japan. Our research group performs clinical research on 23 rare intractable genetic skin diseases that are classified into eight disease groups. Among the 23 diseases, 17 are mainly studied by our research group, and 6 diseases are studied in collaboration with other research groups.

[Effect of the combination of "weight gain of more than 10 kg since age 20" and obesity on the new onset of diabetes mellitus].

Objective　Few reports have examined the association between "weight gain since the past combined with the presence of obesity" and diabetes mellitus (DM). Therefore, we longitudinally examined the influence of the combination of "weight gain of ≥10 kg since the age of 20 years" and the presence of obesity on the new onset of DM.Methods　We identified 8,704 National Health Insurance enrollees in Habikino City, Osaka Prefecture, who underwent specific health checkups in 2013.

Foster parent support and needs of public health nurses, pediatric nurses, and childcare workers: A survey of three municipalities with high foster parent placement rates in Japan.

Objective　This study aimed to elucidate foster parent support afforded by and the related needs of public health nurses, pediatric nurses, and childcare workers in Japan.Methods　We conducted a quantitative study involving 95 public health nurses, 450 pediatric nurses, and 360 childcare workers in three municipalities with foster parent placement rates higher than the national average in Japan. The participants were questioned regarding their experiences in supporting foster parents at work; participation in foster parent support training; awareness and perceptions of foster parents; knowledge about foster parents, foster children, and the foster care system; and confidence in supporting foster parents.

[Current status of relocation among terminally ill older residents of nursing facilities: Observational study using anonymous long-term care receipt information].

Objectives　In Japan, efforts to provide "end-of-life care" in nursing homes are increasing and its introduction through long-term care insurance in 2006 is a major step forward. However, previous studies have shown that relocating older adults to their end-of-life care affects their burden. This study examined individuals' end-of-life care use under long-term care insurance in older care facilities and investigated the relocation frequency among terminally ill older residents of nursing facilities using receipt data.