What is the evidence for efficacy of advance care planning in improving patient outcomes? A systematic review of randomised controlled trials by Chetna Malhotra, Mahham Shafiq, Ada Portia Macarubbo Batcagan-Abueg

“…However, we found more consistent evidence that ACP interventions improve proximal patient outcomes including quality of patient–physician communication (68%; 13/19), preference for comfort care (70%; 16/23), decisional conflict (64%; 9/14) and patient-caregiver congruence in preference (82%; 18/22) and that it improved ACP documentation (a process outcome; 63%; 34/54).Conclusion This review provides the most comprehensive evidence to date regarding the efficacy of ACP on key patient outcomes and healthcare use/costs. …”
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Can a low-threshold check-up motivate older adults to schedule a dental visit? Study protocol for a randomized controlled trial by Aster De Vleeschauwer, Louise Poppe, Roos Colman, Barbara Janssens

“…They will also be informed about the importance of regular dental visits and will be provided with referral letters for the dental professional and the family physician and a list of nearby dentists. In the control group, the oral examination including tailored information will not be performed. …”
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Dengue Infection and Its Relationship with Evans Syndrome: A Pediatric Case by Ivan Jose Ardila Gomez, Pilar Pérez López, Mónika Rocío Hernández Carreño, Juan Camilo Barrios Torres

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Relative Importance of Mode of Administration in Treatment Preferences among Plaque Psoriasis Patients in the United States by Steven R. Feldman, Anders Holmen Moeller, Sandra T. Erntoft Idemyr, Juan Marcos González

“…**Methods:** Adult patients in the United States with a self-reported physician diagnosis of psoriasis completed an online discrete-choice experiment survey. …”
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Abnormal Esophageal Scintigraphy Associates With a Distinct Clinical Phenotype in Patients With Systemic Sclerosis by Antonio D. Salas, Lisa R. Yanek, Laura K. Hummers, Ami A. Shah, Zsuzsanna H. McMahan

“…University of California Los Angeles Scleroderma Clinical Trials Consortium Gastrointestinal Tract (GIT) 2.0 scores measured GI symptoms, Medsger scores measured physician‐assessed SSc disease severity, and the Composite Autonomic Symptom Score 31 survey evaluated dysautonomia symptoms. …”
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Elevated troponin levels in an athlete: Myocardial infarction or a physiological reaction? by Janković Tamara, Đorđević Stefan

“…Any type of chest pain or other symptoms that may point to a possible acute coronary syndrome require special attention from the emergency physician. Emergency physicians must also be acquainted with the vast pathology of potential consequences of strenuous physical activity, both in professional and non-professional athletes.…”
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Lipodystrophy among HIV-Infected Patients Attending Care and Treatment Clinics in Dar es Salaam by Marina Njelekela, Rose Mpembeni, Alfa Muhihi, Nzovu Ulenga, Eric Aris, Deodatus Kakoko

“…Diagnosis of lipodystrophy was based on physician clinical assessment. Results. Lipodystrophy was present in 95 (20.4%) of the study participants, with lipoatrophy being the most common (49.5%) followed by mixed lipodystrophy (37.9%), and lipohypertrophy was the least prevalent (12.6%). …”
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A Retrospective Claims-Based Study Evaluating Clinical and Economic Burden Among Patients With Moderate to Severe Osteoarthritis Pain in the United States by Patricia B. Schepman, Sheena Thakkar, Rebecca L. Robinson, Craig G. Beck, Deepa Malhotra, Birol Emir, Ryan N. Hansen

“…Eligible patients were aged ≥45 years with ≥12 months pre-index (baseline) and ≥24 months (follow-up) of continuous enrollment; index date was defined as a physician diagnosis of hip or knee OA. An algorithm was employed to identify MTS OA pain patients, who were propensity score matched with patients having non-MTS OA pain. …”
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An atypical case of infective endocarditis initially diagnosed as myopericarditis by Negin Ceraolo, Rachel Dietz, Spencer Prete, Erin L Simon

“…Why should an emergency physician be aware of this?: In the ED setting, it is crucial to broaden differential diagnoses. …”
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Physiotherapists’ perspectives on the implementation of direct access to physiotherapy services in Saudi Arabia: a cross-sectional study by Hosam Alzahrani, Razaz Shaheen, Osama Mohammed, Elaf Marouf

“…The primary barriers to DAPT identified were laws and regulations (mean=3.69, SD=1.21), physician support (mean=3.59, SD=0.99), entry-level education (mean=3.45, SD=1.17), patient beliefs (mean=3.38, SD=1.24), self-confidence (mean=3.35, SD=1.15) and professional autonomy (mean=3.34, SD=1.22).Conclusion Physiotherapists in Saudi Arabia demonstrate substantial awareness of direct access. …”
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Quality of Life and Events in the First Year of Life. Results from the Prospective Copenhagen Birth Cohort 1959?61 by Søren Ventegodt, Trine Flensborg-Madsen, Niels Jørgen Andersen, Mohammed Morad, Joav Merrick

“…The design was a prospective cohort study based on material from the Copenhagen Birth Cohort 1959–61 with 7,222 participants and two sets of questionnaires used: one by a physician during the child's first year and one by the ?…”
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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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