Baylor University Medical Center Proceedings最新文献_第2页

Helping patients with cancer address their social needs.

Baylor University Medical Center Proceedings Pub Date : 2024-10-25 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2419296

Linda Highfield, Michael Volk

引用次数: 0

Effect of a lower dose of intrathecal morphine on postoperative opioid consumption following cesarean delivery at a Texas level IV maternal care center.

Baylor University Medical Center Proceedings Pub Date : 2024-10-22 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2418692

Shahbaz Saad, Madeline Vacula, Joanna K Stacey, Michael P Hofkamp

{"title":"Effect of a lower dose of intrathecal morphine on postoperative opioid consumption following cesarean delivery at a Texas level IV maternal care center.","authors":"Shahbaz Saad, Madeline Vacula, Joanna K Stacey, Michael P Hofkamp","doi":"10.1080/08998280.2024.2418692","DOIUrl":"10.1080/08998280.2024.2418692","url":null,"abstract":"Background: We hypothesized that patients who received a lower dose of intrathecal morphine (ITM) would have higher postoperative opioid consumption following cesarean delivery.Methods: Patients who had cesarean deliveries from February 15, 2022, through February 14, 2024 at Baylor Scott & White Medical Center - Temple with single injection spinal or combined spinal epidural anesthesia who did not have labor epidural anesthesia were included. Morphine milligram equivalent (MME) opioid consumption in the first 24 postoperative hours was recorded along with patient demographic, physical, and clinical characteristics.Results: A total of 535 and 502 patients received 0.2 and 0.15 mg ITM, respectively. Patients who received 0.15 mg ITM had higher rates of depression, scheduled cesarean deliveries, and acetaminophen administration compared to patients who received 0.2 mg ITM. Patients who received 0.2 mg ITM and 0.15 mg ITM had median (interquartile range) 24-hour MME consumption of 10.0 mg (0-30.0 mg) and 10.0 mg (0-40.0 mg), respectively (P = 0.97).Discussion: MME consumption for 24 hours following cesarean delivery was similar between patients who received 0.2 and 0.15 mg ITM.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can ChatGPT generate surgical multiple-choice questions comparable to those written by a surgeon?

Baylor University Medical Center Proceedings Pub Date : 2024-10-22 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2418752

Yavuz Selim Kıyak, Ali Kağan Coşkun, Şahin Kaymak, Özlem Coşkun, Işıl İrem Budakoğlu

{"title":"Can ChatGPT generate surgical multiple-choice questions comparable to those written by a surgeon?","authors":"Yavuz Selim Kıyak, Ali Kağan Coşkun, Şahin Kaymak, Özlem Coşkun, Işıl İrem Budakoğlu","doi":"10.1080/08998280.2024.2418752","DOIUrl":"10.1080/08998280.2024.2418752","url":null,"abstract":"Background: This study aimed to determine whether surgical multiple-choice questions generated by ChatGPT are comparable to those written by human experts (surgeons).Methods: The study was conducted at a medical school and involved 112 fourth-year medical students. Based on five learning objectives in general surgery (colorectal, gastric, trauma, breast, thyroid), ChatGPT and surgeons generated five multiple-choice questions. No change was made to the ChatGPT-generated questions. The statistical properties of these questions, including correlations between two group of questions and correlations with total scores (item discrimination) in a general surgery clerkship exam, were reported.Results: There was a significant positive correlation between the ChatGPT-generated and human-written questions for one learning objective (colorectal). More importantly, only one ChatGPT-generated question (colorectal) achieved an acceptable discrimination level, while other four failed to achieve it. In contrast, human-written questions showed acceptable discrimination levels.Conclusion: While ChatGPT has the potential to generate multiple-choice questions comparable to human-written ones in specific contexts, the variability across surgical topics points to the need for human oversight and review before their use in exams. It is important to integrate artificial intelligence tools like ChatGPT with human expertise to enhance efficiency and quality.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring social determinants and hepatocellular carcinoma: a scoping review of evidence and implications.

Baylor University Medical Center Proceedings Pub Date : 2024-10-17 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2406030

Tomas Escobar Gil, Gicel Jacklin Aguilar

{"title":"Exploring social determinants and hepatocellular carcinoma: a scoping review of evidence and implications.","authors":"Tomas Escobar Gil, Gicel Jacklin Aguilar","doi":"10.1080/08998280.2024.2406030","DOIUrl":"10.1080/08998280.2024.2406030","url":null,"abstract":"Background: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related deaths worldwide. Social determinants of health (SDH) significantly impact HCC outcomes, yet comprehensive insights into these effects are lacking. This scoping review aimed to examine the influence of SDH on HCC outcomes.Methods: Following PRISMA-ScR guidelines, we searched 10 databases, including PubMed and Scopus, using terms related to HCC and SDH. We included studies published between 1994 and 2024, focusing on human participants and various study designs. A total of 20 studies were selected, including cross-sectional, cohort, and case-control studies.Results: The review identified disparities in HCC outcomes linked to socioeconomic status, health care access, and racial and ethnic differences. Patients in disadvantaged socioeconomic conditions and marginalized racial groups faced delays in treatment and worse outcomes. United States-based studies highlighted pronounced disparities compared to studies in Argentina, France, and Australia. Various SDH metrics provided inconsistent results, illustrating a need for standardized measures.Conclusions: SDH significantly shapes HCC outcomes, revealing gaps in current research. Future studies should integrate various SDH factors using consistent metrics to improve HCC care and reduce health disparities.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 1","pages":"53-60"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intragastric balloon adverse events: a comprehensive MAUDE database review.

Baylor University Medical Center Proceedings Pub Date : 2024-10-10 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2406710

Islam Mohamed, Jagadish Koyi, Husam Abu Suilik, Hazem Abosheiashaa, Fouad Jaber, Syed Hamaad Rahman, Dushyant Singh Dahiya, Ahmed Telbany, Omar T Ahmed, Yusuke Hashimoto

{"title":"Intragastric balloon adverse events: a comprehensive MAUDE database review.","authors":"Islam Mohamed, Jagadish Koyi, Husam Abu Suilik, Hazem Abosheiashaa, Fouad Jaber, Syed Hamaad Rahman, Dushyant Singh Dahiya, Ahmed Telbany, Omar T Ahmed, Yusuke Hashimoto","doi":"10.1080/08998280.2024.2406710","DOIUrl":"10.1080/08998280.2024.2406710","url":null,"abstract":"Background: Endoscopic bariatric interventions are viable alternatives to traditional weight loss surgeries for patients with a body mass index between 30 and 40 kg/m2. While studies have explored the impact of intragastric balloons on obesity and weight reduction, comprehensive data on real-world device-related complications and failures are limited. This study aimed to investigate mechanical failures leading to patient adverse events reported to the US Food and Drug Administration.Methods: A retrospective analysis using the Manufacturer and User Facility Device Experience (MAUDE) database examined device-related events and patient outcomes associated with various intragastric balloons from July 2017 to October 2023. Data analysis was performed using SPSS software to assess the reported events and their associations with specific types of intragastric balloons.Results: Our review included 1393 cases, revealing 1758 device malfunctions and 1760 patient complications. Deflation problems (25.31%) and balloon leakage or rupture (21.90%) were the most common device-related complications. Patient complications were primarily linked to the Orbera balloon, with implant failure (24.30%), abdominal pain (21.92%), and vomiting (21.26%) as leading adverse events.Conclusion: Our findings highlight the need for continuous surveillance, rigorous monitoring, and enhanced safety protocols for intragastric balloons.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to "a standardized algorithm for assessing labor analgesia".

Baylor University Medical Center Proceedings Pub Date : 2024-10-09 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2411923

Jack Zeitz, Michael P Hofkamp

引用次数: 0

The importance of screening and surveillance: Barrett's esophagus and esophageal cancer. 筛查和监测的重要性：巴雷特食管和食管癌。

Baylor University Medical Center Proceedings Pub Date : 2024-10-01 eCollection Date: 2024-01-01 DOI: 10.1080/08998280.2024.2405949

Chanakyaram A Reddy

引用次数: 0

Sentinel lymph node biopsy for early stage vulvar squamous cell carcinoma.

Baylor University Medical Center Proceedings Pub Date : 2024-09-30 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2406696

Aaron J Dinerman, Rachel F Thompson, Gerald O Ogola, John T Preskitt, Monique A Spillman, Christine S Landry

{"title":"Sentinel lymph node biopsy for early stage vulvar squamous cell carcinoma.","authors":"Aaron J Dinerman, Rachel F Thompson, Gerald O Ogola, John T Preskitt, Monique A Spillman, Christine S Landry","doi":"10.1080/08998280.2024.2406696","DOIUrl":"10.1080/08998280.2024.2406696","url":null,"abstract":"Background: Patients with regional lymph node involvement from squamous cell carcinoma (SCC) of the vulva have a 48% 5-year relative survival. Recently, sentinel lymph node (SLN) biopsy has become a viable alternative to inguinofemoral lymphadenectomy. We sought to identify risk factors for predicting a positive SLN in patients with vulvar SCC.Methods: A retrospective review of 29 patients with vulvar SCC was performed from 2016 to 2021 at a tertiary care center. Clinicopathologic data were collected in addition to SLN status, including number of lymph nodes removed.Results: The average depth of invasion was 7.9 mm, average tumor size was 1.8 cm, 3 of 23 patients had perineural invasion, and 4 of 23 patients had lymphovascular invasion. One patient who did not map on lymphoscintigraphy and five patients with recurrent vulvar SCC were excluded from final analysis. The average number of SLNs removed was two. One patient had a positive SLN: the depth of invasion was 17 mm, tumor size was 5.1 cm, and lymphovascular invasion was present.Conclusions: Most patients with early stage vulvar SCC had a negative SLN biopsy. Further study is needed to determine the patient subset that could avoid SLN biopsy altogether.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 1","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A brief descriptive analysis of a pilot study of peer support training and supervision for Texas firefighters. 对德克萨斯州消防员同伴支持培训和监督试点研究的简要描述性分析。

Baylor University Medical Center Proceedings Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.1080/08998280.2024.2402169

Alexia Maness, Denise Roper, Fatima Dobani, Michelle Pennington, Frank Leto, Elaine Viccora, Suzy B Gulliver

{"title":"A brief descriptive analysis of a pilot study of peer support training and supervision for Texas firefighters.","authors":"Alexia Maness, Denise Roper, Fatima Dobani, Michelle Pennington, Frank Leto, Elaine Viccora, Suzy B Gulliver","doi":"10.1080/08998280.2024.2402169","DOIUrl":"https://doi.org/10.1080/08998280.2024.2402169","url":null,"abstract":"Background: Peer support has been shown to reduce the incidence and severity of mental health disorders among firefighters. This pilot project had two aims: (1) to assess training satisfaction and knowledge, self-efficacy, and skills development of Texas firefighters participating in the International Association of Fire Fighters (IAFF) Peer Support Training, and (2) to determine if newly trained peer support specialists would use monthly phone supervision.Methods: The study included 14 Texas firefighters who enrolled in the IAFF Peer Support Training. Pre- and post-tests were administered to evaluate training satisfaction, skills development, self-efficacy, and behavioral health knowledge of participants. Use of phone supervision over 6 months following the training was also recorded.Results: Overall, participants reported high satisfaction with the training provided. While self-efficacy regarding detection of mental health issues and therapeutic empathy skills significantly improved following the training, participants did not show a significant improvement in knowledge regarding mental health. Attendance of participants to supervision calls was less than expected, although 71% attended at least one supervision call.Conclusions: This project was successful in increasing firefighters' self-efficacy and therapeutic empathy skills, and participants were highly satisfied with the training. However, further research on follow-up supervision of peer support trainees is needed.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"37 6","pages":"934-937"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contrast-associated acute kidney injury: How can we do better? 对比度相关急性肾损伤：如何才能做得更好？

Baylor University Medical Center Proceedings Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.1080/08998280.2024.2405950

Joseph R Berger, Miguel A Vazquez

引用次数: 0