Clinical Medicine最新文献_第6页

The medical licensing assessment (MLA) content map: A list is not a syllabus, and a syllabus is not a curriculum. 医学许可评估（MLA）内容图：列表不是教学大纲，教学大纲也不是课程。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1016/j.clinme.2025.100311

Isobel Walker, Rakesh Patel

引用次数: 0

Sarcoidosis: Key disease aspects and update on management. 结节病：主要疾病特征及管理进展。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-05-15 DOI: 10.1016/j.clinme.2025.100326

Robina K Coker, Kathy M Cullen

引用次数: 0

Implementation of SAMPL guidelines: Recommendations for improving statistical reporting in biomedical journals. SAMPL准则的实施：关于改进生物医学期刊统计报告的建议。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-27 DOI: 10.1016/j.clinme.2025.100304

Michal Ordak

引用次数: 0

Exploring prediabetes remission in public primary care in Mexico: A cascade analysis. 探索前驱糖尿病缓解在墨西哥的公共初级保健：级联分析。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1016/j.clinme.2025.100310

Rubén Silva-Tinoco, Lilia Castillo-Martínez, Alejandra Pérez-Galván, Viridiana de la Torre-Saldaña, Eileen Guzmán-Olvera, Christian Hinojosa-Segura, Alejandro Avalos-Bracho

{"title":"Exploring prediabetes remission in public primary care in Mexico: A cascade analysis.","authors":"Rubén Silva-Tinoco, Lilia Castillo-Martínez, Alejandra Pérez-Galván, Viridiana de la Torre-Saldaña, Eileen Guzmán-Olvera, Christian Hinojosa-Segura, Alejandro Avalos-Bracho","doi":"10.1016/j.clinme.2025.100310","DOIUrl":"10.1016/j.clinme.2025.100310","url":null,"abstract":"Introduction: Diabetes poses a significant global health challenge, with prediabetes serving as a critical phase for intervention to prevent or delay its progression. While evidence-based strategies have shown promise, their implementation within healthcare systems - particularly in low- and middle-income countries - remains a formidable challenge. This study shares preliminary findings from a regional quality improvement (QI) initiative aimed at identifying and managing prediabetes within Mexico's public healthcare framework.Materials and methods: The Diabetes Prevention Squad programme introduced a regional clinical service focusing on individuals at risk for diabetes or diagnosed with prediabetes in primary care settings. This QI initiative adopted a comprehensive approach, guiding participants from initial screening to engagement in a diabetes prevention programme emphasising lifestyle modifications. A cascade analysis was conducted, with results drawn from a pretest-posttest design comprising 14 visits over 1 year.Results: Of the 1,256 participants screened, 90 were diagnosed with prediabetes. Among those who completed the intensive phase, 57% achieved prediabetes remission, and 37% experienced significant weight loss.Conclusion: This QI initiative demonstrated a promising prediabetes remission rate among participants, underscoring the importance of a complete care pathway from screening to remission. Prediabetes remission and significant weight loss are vital outcomes in diabetes prevention. Integrating interventions focused on prediabetes remission into healthcare pathways is essential to reducing the diabetes burden.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":" ","pages":"100310"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation. 护理点超声减少对部门放射学和超声心动图服务的影响：1年服务评估结果。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1016/j.clinme.2025.100306

Abraham Simon, Maryam Nasim, Mohammad Chowdry, Shilpa Rajan, Ian Oldrieve, Nicholas Smallwood

{"title":"Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation.","authors":"Abraham Simon, Maryam Nasim, Mohammad Chowdry, Shilpa Rajan, Ian Oldrieve, Nicholas Smallwood","doi":"10.1016/j.clinme.2025.100306","DOIUrl":"10.1016/j.clinme.2025.100306","url":null,"abstract":"Point-of-care ultrasound (POCUS) is becoming an increasing part of the assessment and management of patients within internal medicine. There is ample evidence confirming the diagnostic accuracy of POCUS in acutely unwell patients, but very little focus has been placed on the resource implications of introducing a POCUS service to a department. We provide here a complete evaluation of 1 year of reported scans in a district general hospital acute internal medicine department, analysing the impact on departmental imaging requests following a POCUS scan. Between January and December 2023, a total of 467 scans yielded 572 individual reports, comprising thoracic, abdominal, urinary tract, deep vein thrombosis, echocardiogram and musculoskeletal scans. Of these reports, a departmental imaging request followed in only 154 (26.9%) of cases. Even when excluding thoracic ultrasound (which typically is not performed within radiology services), 188/321 cases (58.6%) did not require a subsequent departmental imaging request. For all individual scan types, in at least 45% of cases a departmental scan request did not follow. Where departmental requests were placed, in 34/154 (22.1%) cases they were for outpatient imaging rather than inpatient scans, meaning that, in total, in only 120 (20.1%) instances did a POCUS scan lead to a subsequent inpatient imaging request. These data show that a dedicated internal medicine POCUS service will lead to significant reductions in inpatient radiology and echocardiography requests, rather than increasing the burden as previously hypothesised. They provide support to those departments considering setting up such a service.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":" ","pages":"100306"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Collaborative care for pregnant women with eye conditions. 为患有眼病的孕妇提供协作护理。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-05 DOI: 10.1016/j.clinme.2025.100314

Ariel Yuhan Ong, Christine A Kiire, Samantha R de Silva, Charlotte Frise

引用次数: 0

Transforming transnasal endoscopy services: A multicentre service evaluation pilot project. 转型经鼻内窥镜服务：多中心服务评估试点项目。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-04 DOI: 10.1016/j.clinme.2025.100300

Mohamed Hussein, Jason Dunn, Farhana Sultana-Miah, Sami Hoque, Ahmed Albusoda, Esra Asilmaz, Laura Marelli, Regina Raymond, Mohsen Eldragini, Michael Grimes, Shraddha Gulati, Juriese Saramosing, Mayur Kumar, Eleanor Knights, Vinay Sehgal, Paul Maxwell, Arun Rajendran, Shamima Padaruth, Sophie Stevens, Sergio Coda, Edward Despott, Saswata Banerjee

{"title":"Transforming transnasal endoscopy services: A multicentre service evaluation pilot project.","authors":"Mohamed Hussein, Jason Dunn, Farhana Sultana-Miah, Sami Hoque, Ahmed Albusoda, Esra Asilmaz, Laura Marelli, Regina Raymond, Mohsen Eldragini, Michael Grimes, Shraddha Gulati, Juriese Saramosing, Mayur Kumar, Eleanor Knights, Vinay Sehgal, Paul Maxwell, Arun Rajendran, Shamima Padaruth, Sophie Stevens, Sergio Coda, Edward Despott, Saswata Banerjee","doi":"10.1016/j.clinme.2025.100300","DOIUrl":"10.1016/j.clinme.2025.100300","url":null,"abstract":"Objectives: To assess the impact of pilot transnasal endoscopy (TNE) services on workforce efficiency, allocated procedure times and patient tolerance of procedures. The aim was to also understand the challenges of setting up a TNE service.Methods: Six-month data were collected from ten sites. Data captured included productivity, performance, workforce numbers, facilities and quality metrics. A patient survey was done to capture patients' experience. An eight Likert-style and open question survey was designed and used. Pilot sites were visited using a semi-structured interview process.Results: About 30% of the pilot sites carried out the TNE service outside of the endoscopy unit. There is an overall 25% improvement in workforce efficiency with TNE. Of those patients who had both a TNE and an oesophagogastroduodenoscopy, 78% reported that having the TNE procedure was a better experience. All sites reported that they will continue providing TNE beyond the pilot period. Sites carrying out TNE reported a high satisfaction with the services. Overall satisfaction with the quality of TNE imaging was very high.Conclusions: This multicentre pilot project shows evidence that the integration of TNE services has a positive impact in increasing capacity and patient satisfaction. This should set the scene for scaling this up on a wider capacity. TNE services, particularly with an introduction into outpatients, will improve service capacity in endoscopy, patients will tolerate the procedures more, national 2-week wait and Faster Diagnosis Standard targets will improve, and it is potentially more cost efficient overall.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":" ","pages":"100300"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advanced therapy screening in inflammatory bowel disease and the impact of clinical nurse specialists: A retrospective analysis of electronic patient records. 炎性肠病的先进治疗筛选和临床护理专家的影响：电子病历的回顾性分析。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-23 DOI: 10.1016/j.clinme.2025.100317

Michael Colwill, Arin Ward, Kevin Jacob, Richard Hall, Dara Rasasingam, Sarah O'Neill, Fiona Donovan, Jennifer Clough, Richard Pollok, Andrew Poullis

{"title":"Advanced therapy screening in inflammatory bowel disease and the impact of clinical nurse specialists: A retrospective analysis of electronic patient records.","authors":"Michael Colwill, Arin Ward, Kevin Jacob, Richard Hall, Dara Rasasingam, Sarah O'Neill, Fiona Donovan, Jennifer Clough, Richard Pollok, Andrew Poullis","doi":"10.1016/j.clinme.2025.100317","DOIUrl":"10.1016/j.clinme.2025.100317","url":null,"abstract":"Advanced therapies (AT), encompassing biologics and small molecules, are a common and important treatment for inflammatory bowel disease (IBD). However, these treatments pose a risk of reactivating latent infections and therefore require pre-treatment infection screening, but compliance with this screening has previously been reported to be poor. Clinical nurse specialists (CNS) and pharmacists play a key role in facilitating this screening and safely initiating AT, but are understaffed compared to national standards. Through retrospective review of electronic patient records at St George's University Hospital, a tertiary IBD centre in London, UK, we evaluated the impact of staffing on rates of compliance with screening and time from prescription to administration of AT (TAT). 1,035 patients with IBD treated with an AT were identified, and we found a significant correlation between increased CNS staffing and improved screening compliance, as well as a numerical reduction in the TAT. Incidental findings were relatively low, with 8% of patients presenting positive results, all of whom had clinical risk factors. The study advocates for increased staffing and resources in IBD services to enhance patient safety and treatment efficacy.","PeriodicalId":10492,"journal":{"name":"Clinical Medicine","volume":"25 3","pages":"100317"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary ciliary dyskinesia: Aetiology, diagnosis and clinical management. 原发性纤毛运动障碍：病因、诊断和临床管理。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-30 DOI: 10.1016/j.clinme.2025.100319

Rachael Collison, Saara A Hyatali, Antoniya Kamenova, Adam Rashed, Dylan Riley, Kartik Kumar, Janet M Stowell, Michael R Loebinger

引用次数: 0

Beyond unconscious bias: A practical model for improving equality and inclusion. 超越无意识偏见：改善平等和包容的实用模式。

IF 3.6 4区医学

Clinical Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1016/j.clinme.2025.100309

David S Sanders, Suneil A Raju, Anton Emmanuel

引用次数: 0