Clinical Medicine最新文献

Letter to the Editor: 'Don't work more than 3 days straight': Working conditions as learning conditions in general practice. 给编辑的信：“连续工作不超过3天”：工作条件作为一般实践的学习条件。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-18 DOI: 10.1016/j.clinme.2026.100658

Sam Houston, Devon Ward

引用次数: 0

Investigating Barriers to Clinical Academic Careers Amongst Undergraduate Medical Students. 调查本科医学生临床学术生涯的障碍。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-18 DOI: 10.1016/j.clinme.2026.100657

Ranya V Kumar, Caleb Cole, Jacob Vincent, Prakrit R Kumar, Nicholas R Evans

{"title":"Investigating Barriers to Clinical Academic Careers Amongst Undergraduate Medical Students.","authors":"Ranya V Kumar, Caleb Cole, Jacob Vincent, Prakrit R Kumar, Nicholas R Evans","doi":"10.1016/j.clinme.2026.100657","DOIUrl":"https://doi.org/10.1016/j.clinme.2026.100657","url":null,"abstract":"Introduction: There is a critical shortage of academic clinicians in the UK, particularly amongst minority ethnic groups. This study aimed to identify students' perceived barriers to engagement in research, and evaluate whether demographic characteristics influenced these perceptions, in order to identify opportunities to improve training and promote clinical academic careers.Methods: A 59-item structured survey was distributed between November 2023-January 2024 to medical students at the University of Cambridge. It incorporated 45 questions using a five-point Likert scale to measure knowledge of research types, confidence with research skills, and understanding of academic careers, producing a total (global) score of 45-225.Results: One hundred and twenty-six students responded. One in four students reported a poor understanding of the clinical academic career pathway. Few students felt confident performing core research steps, such as designing a study (n=23, 18.3%), analysing data (n=27, 21.4%), and writing it as a full research manuscript (n=16, 12.7%). On multivariable analysis, Caucasian ethnicity and year of study were independently associated with increased global scores (betas of 26.4 and 12.5 respectively, both p<0.05), but not sex (beta -0.92, p=0.88). Consequently, students from non-Caucasian backgrounds reported 11.8% less confidence in their understanding of research and clinical academic careers.Conclusion: Students perceive that insufficient understanding, skills and opportunities inhibit their engagement in research. These feelings are heightened in those at early stages of their training and those of non-Caucasian ethnicity. Thus, there is a need for dedicated training delivered early in medical training to increase representation and inclusivity in clinical academia.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":" ","pages":"100657"},"PeriodicalIF":3.9,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to Letter to the Editor: 'Don't work more than 3 days straight': Working conditions as learning conditions in general practice. 给编辑的回信：“连续工作不超过3天”：工作条件作为一般实践中的学习条件。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-17 DOI: 10.1016/j.clinme.2026.100659

Leonard Grant

引用次数: 0

Response to Letter to the Editor: Prognostic value of left atrial diameter in chronic kidney disease: The KNOW-CKD study. 对编辑的回复：慢性肾脏疾病左房径的预后价值：KNOW-CKD研究。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-15 DOI: 10.1016/j.clinme.2026.100660

Sang Heon Suh, Hong Sang Choi, Chang Seong Kim, Eun Hui Bae, Seong Kwon Ma, Kook-Hwan Oh, Soo Wan Kim

引用次数: 0

Left Atrial Enlargement in Chronic Kidney Disease: A Marker of Risk or a Target for Intervention? 慢性肾病左房扩大：危险标志还是干预目标？

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-15 DOI: 10.1016/j.clinme.2026.100661

Muhammad Nauman Hashmi, Pankaj Garg

引用次数: 0

Pathophysiology, Workup and Treatment of Cancer-Related Ischaemic Stroke. 癌症相关性缺血性脑卒中的病理生理、检查和治疗。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-15 DOI: 10.1016/j.clinme.2026.100656

Shivam Patel, Soma Sengupta, Wuwei Feng, Dylan Ryan

引用次数: 0

The Current Landscape of Neuro-Oncology Clinical Trials. 神经肿瘤学临床试验的现状。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-12 DOI: 10.1016/j.clinme.2026.100655

Neelia Abadi, Alissa Thomas, Oluwatosin Akintola

引用次数: 0

Barriers and facilitators to engagement in fall interventions among older adults from ethnic backgrounds: A systematic review. 来自不同种族背景的老年人参与跌倒干预的障碍和促进因素：一项系统综述。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-07 DOI: 10.1016/j.clinme.2026.100654

Shopeitha Ravithas, Samantha Jane Meredith, Abolanle Lawal, Sarah Wallace, Stephen Lim

{"title":"Barriers and facilitators to engagement in fall interventions among older adults from ethnic backgrounds: A systematic review.","authors":"Shopeitha Ravithas, Samantha Jane Meredith, Abolanle Lawal, Sarah Wallace, Stephen Lim","doi":"10.1016/j.clinme.2026.100654","DOIUrl":"10.1016/j.clinme.2026.100654","url":null,"abstract":"Background: Falls prevention interventions among older adults can reduce falls risk but low engagement and adherence, especially amongst ethnic minority groups, remains a challenge.Aims: To identify the facilitators and barriers influencing uptake of fall prevention programmes among older adults from ethnic minority backgrounds.Methods: A literature search was conducted on three electronic databases included English language studies involving older adults aged ≥65 years from ethnic minority backgrounds. Study quality was assessed using the Joanna Briggs Institute's tool. Data were extracted and analysed using the Capability, Opportunity, Motivation (COM-B) model.Results: 11 studies were included (eight qualitative, three mixed method). Study participants (n = 1176) included Hispanics, South Asians, Chinese and African American ethnic groups. Main themes included language barriers, cultural beliefs and inadequate support from healthcare professionals.Conclusion: Falls prevention interventions should incorporate culturally tailored, multi-lingual content and foster stronger partnership with healthcare professionals to enhance uptake among ethnic minority populations.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":" ","pages":"100654"},"PeriodicalIF":3.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuro-oncological emergencies requiring critical care intervention. 需要重症监护干预的神经肿瘤急症。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-06 DOI: 10.1016/j.clinme.2026.100653

Joshua A Kornbluth, Jessica Wallace, David Y Hwang

引用次数: 0

Modern multidisciplinary management of brain metastasis. 脑转移的现代多学科管理。

IF 3.9 4区医学

Clinical Medicine Pub Date : 2026-10-04 DOI: 10.1016/j.clinme.2026.100652

Melyda, Ahmad Ozair, Sean E H Lau, Irene S Guterman, Faisal Fa'ak, Manmeet S Ahluwalia, Laura Alder, Paul M Brennan, Mahua Dey, Samuel Emerson, Vinton W T Cheng

{"title":"Modern multidisciplinary management of brain metastasis.","authors":"Melyda, Ahmad Ozair, Sean E H Lau, Irene S Guterman, Faisal Fa'ak, Manmeet S Ahluwalia, Laura Alder, Paul M Brennan, Mahua Dey, Samuel Emerson, Vinton W T Cheng","doi":"10.1016/j.clinme.2026.100652","DOIUrl":"10.1016/j.clinme.2026.100652","url":null,"abstract":"Brain metastases (BrM) are no longer considered to be a uniform end-stage complication of cancer, but as a biologically and clinically heterogeneous disease requiring coordinated management. This article synthesises the fundamentals of BrM diagnosis and treatment, relevant to primary and urgent care settings. Treatment sequencing should account for acuity of neurologic symptoms, anticipated intracranial response, extracranial disease tempo, steroid requirements, and risks of local therapy. Focal radiotherapy is now the dominant local modality for limited BrM. Surgery remains central for large, symptomatic, diagnostically uncertain, or mass-effect-producing lesions. Postoperative stereotactic radiosurgery is favoured over whole-brain radiotherapy. Novel CNS-active targeted agents and immune checkpoint inhibitors can permit deferral of radiotherapy in carefully selected asymptomatic patients with certain molecularly defined cancers. Follow-up, based on longitudinal MRI, requires multidisciplinary surveillance and decision-making. Optimal care combines integrated multidisciplinary management and risk-adapted sequencing to jointly achieve preservation of neurologic function while maintaining durable systemic control.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":" ","pages":"100652"},"PeriodicalIF":3.9,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0