Seminoma of Testis Masquerading as Orchitis in an Adult with Paraplegia: Proposed Measures to Avoid Delay in Diagnosing Testicular Tumours in Spinal Cord Injury Patients by Subramanian Vaidyanathan, Peter L. Hughes, Paul Mansour, Bakul M. Soni

“…To prevent delay in the diagnosis of testicular tumours in SCI patients, we propose the following measures: (1) patients who develop swelling of the testis should consult a physician as soon as possible for clinical examination; blind antibiotic therapy should be avoided if possible; (2) if clinical examination reveals a hard swelling of the testis and the typical features of acute urinary infection are absent, an ultrasound scan of the scrotum should be performed as soon as possible; (3) in patients with equivocal ultrasound findings, ultrasound-guided, fine-needle aspiration cytology may allow an early diagnosis of testicular malignancy; (4) education of SCI patients and their caregivers is needed to implement these recommendations.…”
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Redesigning Death Rounds: Alleviating distress for residents in end-of-life care [version 2; peer review: 2 approved] by Lauren Baumgardner, Shannon Fang, Vidya Krishnan, Benjamin Schwan

“…Our goal was to implement and evaluate a newly structured DR curriculum to help residents further reflect on experiences of caring for dying patients, reduce emotional burnout, and improve physician well-being. Methods Using a mixed-methods design, we conducted a qualitative needs assessment using interviews of residents. …”
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Strategies to Improve Inpatients’ Quality of Bowel Preparation for Colonoscopy: A Systematic Review and Meta-Analysis by Paraskevas Gkolfakis, Georgios Tziatzios, Ioannis S. Papanikolaou, Konstantinos Triantafyllou

“…In six studies assessing the impact of educational interventions to patient/physician/nurse vs. no intervention, adequate bowel preparation was achieved in 77% (62-91%) vs. 50% (32-68%) of the patients (OR 95%CI=3.49 (1.67-7.28), P=0.0009; I2=74%; P=0.002). …”
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Anticoagulant Utilization and Cost Analysis among Cardiology Inpatients in a Tertiary Care Teaching Hospital of Western Nepal by Sabina Sankhi, Nirmal Raj Marasine, Parbati Thapa, Nim Bahadur Dangi

“…The performance of monitoring parameters such as international normalized ratio (INR), prothrombin time (PT), activated partial thromboplastin time (aPTT), and renal function test were consistent with the American College of Chest Physician (ACCP) guidelines. The average prescribed daily dose of anticoagulants was 1.3 (unfractionated heparin), 2.25 (enoxaparin), 0.5 (warfarin), and 1.0 (dabigatran). …”
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Perceived barriers and facilitators to breast-feeding support practices in hospitals and birthing facilities in the USA by Bee-Ah Kang, Sarah Gonzalez-Nahm, Sara E Benjamin-Neelon

“…Non-BFHI hospital administrators were more likely to report cost, nursing staff and physician resistance and hospital infrastructure as barriers to initiating practices. …”
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Foodborne Event Detection Based on Social Media Mining: A Systematic Review by Silvano Salaris, Honoria Ocagli, Alessandra Casamento, Corrado Lanera, Dario Gregori

“…Conventional surveillance methods, such as laboratory-based reporting and physician notifications, often fail to enable early detection, prompting the exploration of innovative solutions. …”
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Data Clustering Improves Siamese Neural Networks Classification of Parkinson’s Disease by Mohamed Shalaby, Nahla A. Belal, Yasser Omar

“…Diagnosis of PD relies on the expertise of the physician and depends on several established clinical criteria. …”
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Coexistence of Hodgkin’s Lymphoma and Castleman’s Disease: A Case Report with Successful Response to Chemotherapy and Radiotherapy by Amina Mohtaram, Mohammed Afif, Tanae Sghiri, Amal Rami, Rachida Latib, Fouad Kettani, Meryam Ben Ameur El Youbi, Saber Boutayeb, Tayeb Kebdani, Noureddine Benjaafar, Imane Aaribi, Hassan Errihani

“…A 43-year-old man admitted in July 2009 for a right cervical pain with lymph node at the physician examination. He underwent a right adenectomy and histological studies showed typical features of Castleman’s disease. …”
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Diagnosis of Splenic Lymphoma by Endoscopic Ultrasound Guided Fine Needle Aspiration: A Case Report and Review of the Literature by Umar Darr, Zubair Khan, Muhammad Ali Khan, Anas Renno, Turki Alkully, Sehrish Kamal, Tariq Hammad, Yaseen Alastal, Muhammad Imran Khan, Ali Nawras

“…Case Report. 58-year-old female presented to her primary care physician for left upper quadrant abdominal pain for one week. …”
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Parkinson’s disease and other movement disorders in the context of the SARS-COV-2 pandemic by R. Kaladytė Lokominienė

“…The compulsory limitations of contacts with physicians and relatives make cognitively impaired patients more prone to violations of medication regimen. …”
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Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study by Qiansong Xiao, Yingying Yang, Yinbin Zhou, Yan Guo, Xing Ao, Ran Han, Jiali Hu, Dongfeng Chen, Chunhui Lan

“…Satisfaction of the physician and anesthetist was greater in Group A; the groups were similar in patient satisfaction. …”
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Successful task shifting: a mixed-methods cross-sectional evaluation of an emergency obstetric care program to increase access to cesarean sections in rural Nepal by Rita Thapa Budhathoki, Abigail G. Knoble, Suresh Tamang, Bal Sundar Chansi Shrestha, Arpana BC Kalaunee, Indra Rai, Bikash Shrestha, Pravin Paudel, Ruma Rajbhandari, Archana Amatya

“…ASBAs were significantly more likely to be performing CSs with a family physician or another ASBA present (p < 0.001; p < 0.001). …”
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Self-Assessment of Medical Ethics and Professionalism: Comparison Between Preclinical and Clinical Medical Students by Saima Naz Shaikh, Uzair Abbas, Tazeen Shah, Arsalan Ahmad Uqaili, Hudebia Allah Buksh, Mehreen Fatima

“…BACKGROUND Ethics and professionalism are fundamental elements in the practice of medicine consisting of a set of values, behaviors, and relationships that reinforce the trust and respect for the physician in a society. It consists of several key elements that are learnt during their formative years of study. …”
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Insights into prescribing patterns for antidepressants: an evidence-based analysis by Hua Min, Farrokh Alemi

“…This study aimed to analyze prescribing patterns for antidepressants across healthcare providers, including physicians, physician assistants, nurse practitioners, and pharmacists, to better understand the complex factors influencing these patterns in the management of depression. …”
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Perceptions of healthcare workers on implementing the 2022 WHO verbal autopsy instrument in rural India through the existing public health system by Stuti Tripathi, Shefali Gupta, Sandeep Sharma, Saritha Nair, Geetha Menon, Bal Kishan Gulati, Jeetendra Yadav, Manjeet Singh Chalga, Chalapati Rao, Saurabh Sharma

“…MOs have been trained to assign the CoD via Physician-Certified VA (PCVA). In-depth interviews (IDIs) were conducted with FHWs involved in conducting VA and physicians involved in conducting PCVA within the field practice area. …”
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Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations by Patricia A. Poulin, Jennifer Nelli, Steven Tremblay, Rebecca Small, Myka B. Caluyong, Jeffrey Freeman, Heather Romanow, Yehudis Stokes, Tia Carpino, Amanda Carson, Yaadwinder Shergill, Ian G. Stiell, Monica Taljaard, Howard Nathan, Catherine E. Smyth

“…Although most participants had a primary care physician, the ED was seen as the only or best option when pain became unmanageable. …”
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Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospital... by Lielt Mersha Woldekirkos, Tilahun Jiru, Heyria Hussien, Belayneh Shetie

“…Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, application, and removal of PR on patients in the ICU setting. …”
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Unexpected acute appendicitis found at laparoscopic surgery for a right ovarian teratoma: A case report by Rie Okuya, Hiroshi Ishikawa, Nozomi Sakai, Eri Katayama, Kaori Kuroda, Kaori Koga

“…Gynecologists and an emergency physician specializing in gastroenterology who attended the patient suspected an acute abdomen caused by adnexal torsion or tumor leakage associated with a right ovarian teratoma 5 cm across. …”
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Impact of a Novel Insulin Management Service on Non-insulin Pharmaceutical Expenses by John E. Schneider, Anjani Parikh, Ivana Stojanovic

“…Cost savings may be achieved through reduced complications and hospitalizations, as well as reduced outpatient, physician, and clinic costs. This study quantified the reduction in pharmaceutical expenses related to the use of an enhanced insulin management service to improve glycemic control. …”
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Reliability and Validity of Longshi Scale in Assessing the Activities of Daily Living of Patients with Spinal Cord Injury by Miaoling CHEN, Fubing ZHA, Fang LIU, Mingchao ZHOU, Yulong WANG, Jianjun LONG

“…Objective:To evaluate the reliability and validity of Longshi daily living ability rating scale(Longshi scale)in patients with spinal cord injury, and to provide objective basis for its wide application.Methods:A total of 412 patients with spinal cord injury(SCI)were selected from 60 medical institutions in China for the activities of daily living(ADL)assessment.Each patient was evaluated twice by both professionals(rehabilitation physician or therapist)and non-professionals(family member or companion of the patient).The Longshi scale and Barthel index were used for each assessment, and all assessments were required to be completed within the same day.The intraclass correlation coefficient(ICC)was used to analyze the correlation of scores on Longshi scale in different evaluators; the Kappa test was used to analyze the consistency of ADL rating in different evaluators; Barthel index was used as the criterion, and Pearson correlation analysis was used to evaluate the criterion validity of Longshi scale;and compare the time spent in the evaluation of the two scales.Results:A total of 406 patients completed the scale evaluation effectively, with an effective rate of 98.5%.①The results of reliability test: Kappa test was used to evaluate the ADL level of the Longshi scale by professionals and non-professionals, with k value of 0.878 and 95%confidence interval(<italic>CI</italic>)of 0.839-0.917, with statistically significant difference(<italic>P</italic>&lt;0.01).Intraclass correlation coefficient analysis was used to analyse the different of the scores of Longshi scale in different evaluators, with ICC value was 0.836, 95%<italic>CI</italic> was 0.805-0.863, with statistically significant difference(<italic>P</italic>&lt;0.01).②The results of validity inspection: the Pearson correlation coefficient r value between the total scores on Longshi scale of the bedridden, domestic, and community groups and Barthel index was 0.711, 0.596 and 0.610, respectively, with statistically significant difference(<italic>P</italic>&lt;0.001).③The results of time spent evaluation: compared with Barthel index(BI), both professionals and non-professionals took less time to evaluate Longshi scale than Barthel index, with statistically significant difference(<italic>P</italic>&lt;0.05).Conclusion:The Longshi scale has the advantages of being easy to understand and less time to evaluate.It is good reliability and standard validity in the evaluation of ADL for SCI patients, and it has better feasibility and can be popularized and applied in clinical practice.…”
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