Search

Athletes' history of concussions is an important indicator of risk potential in organized sports. The purpose of this project was to explore differences by sport classification (contact vs. noncontact) and sex on concussion history among university club sports participants. This was a cross-sectional quality improvement study (n = 593). The outcomes were self-reported answers to: (1) How many times have you been diagnosed with a concussion? and (2) How many times have you had your "bell rung"/"dinged"? Multivariable logistic regression models examined the association of contact club sport participation and sex on the history of concussion and prior experience of having their bell rung. Models were adjusted for age, race, participation in multiple sports, and years of participation in sports, and years in college. When compared to those in non-contact club sports, the adjusted odds of reporting ever having a concussion were 2.29 times higher for those participating in contact club sports (OR = 2.29; 95% CI: 1.49, 3.53). In the model for having a bell rung, those participating in a contact sport had 1.90 times greater odds of reporting having their bell rung in the past compared to those in noncontact sports (OR = 1.90; 95% CI: 1.25, 2.88). Whereas males and females did not differ in their self-reported concussion history, females had significantly lower odds of reporting having their bell rung in the past than males (OR = 0.46; 95% CI: 0.30, 0.69). Female athletes have a higher reporting of concussion incidence than that of male athletes. The use of terminology and variance in slang versus medical terms has the potential to affect reporting outcomes. Reporting of concussion incidents has the potential to be influenced by the nature of sport culture and sport participation in contact versus noncontact sports. Club sport athletes could benefit from tailored education related to concussions based on these results. [ABSTRACT FROM AUTHOR]

Background: The objective is to analyze and review the clinical, laboratory, and neuroimaging characteristics of rheumatoid meningitis (RM) in six patients with known rheumatoid arthritis (RA). Methods: We performed a retrospective review of patients diagnosed with RM from August 2012 to June 2023. To identify the cases, we used medical term search engines and the hospital´s radiology case database. Clinical information and laboratory findings were gathered from the medical records. A neuroradiologist with five years of experience reviewed and analyzed the RM to determine the characteristics findings of RM. Results: Six patients with RM are included. Seizures along with headaches were among the clinical signs that were documented. All the patients had high levels of rheumatoid factor (RF) and anti-cyclic citrullinated peptides (ACPA) in the peripheral blood. Biopsy in two cases confirmed typical rheumatoid nodules. Leptomeningeal enhancement was found bilaterally in all cases and was predominantly found in the frontoparietal region. "Mismatch DWI/FLAIR" was found in five patients. Bilateral subdural collections could be found in two patients. Brain PET scan revealed increased metabolism in two cases. Conclusion: Rheumatoid meningitis is a rare complication of rheumatoid arthritis (RA) with challenging clinical diagnosis due to non-specific symptoms. This study highlights the importance of MR in detecting characteristic neuroimaging patterns, including "mismatch DWI/FLAIR", to aid in early diagnosis. Increased awareness of this condition may facilitate timely intervention and improve prognosis. These results still need to be verified by large studies. [ABSTRACT FROM AUTHOR]

agmus, optic neuritis, and visual field defects, in patients with MS. They found that these ocular manifestations were associated with specific clinical and demographic characteristics, such as younger age at MS onset and longer disease duration. The study highlights the importance of regular ophthalmic evaluations in patients with MS to detect and manage these ocular complications.The fifth study explored the association between retinal nerve fiber layer (RNFL) thickness and cognitive function in patients with MS. The authors found that thinner RNFL was associated with worse cognitive performance, particularly in processing speed and executive function. The study suggests that RNFL thickness could serve as a potential biomarker for cognitive impairment in MS.Overall, these articles provide valuable insights into various aspects of neuro-ophthalmology, including the diagnosis and treatment of retinal artery occlusion, the shortage of neuro-ophthalmologists, the use of atropine eye drops for myopia progression, the role of S-cones in blue cone monochromacy, the differentiation of sagging eye syndrome and trochlear nerve palsy, the non-specific nature of optic nerve T2-hyperintensity and atrophy in glaucomatous optic neuropathy, the surgical management of spheno-orbital meningiomas, and the risk factors and outcomes of ocular manifestations in MS. These findings can inform clinicians and researchers in their understanding and management of neuro-ophthalmological conditions. [Extracted from the article]

The World Health Organization (WHO) has released a report challenging the traditional understanding of respiratory droplets and aerosols in the transmission of respiratory pathogens. The report acknowledges that particle size is not the only factor in transmission and that infectious respiratory particles can be generated through activities like breathing, speaking, and singing. However, the report primarily focuses on proposing new terminology and does not provide specific guidance on infection control measures. The authors argue for the use of the term "aerosol" as it is already widely recognized and encompasses the complexity of particle size, composition, and transport properties. They also emphasize the need for further research to inform effective infection control strategies. [Extracted from the article]

Background: Preterm birth is a process that fundamentally alters parental or caregiver roles, particularly in the early weeks of childbirth. Caregiver experiences can be distressing due to struggles with an unfamiliar and potentially threatening environment of the Neonatal Intensive Care Unit (NICU). These experiences can affect the development of parenting or caregiving roles to a greater extent. Supporting caregivers of preterm infants through education and information sharing can significantly improve neonatal outcomes. This study sought to explore the experiences of caregivers with hospitalized preterm infants regarding the education and information they received from healthcare workers on the care of preterm infants. Method: An exploratory descriptive qualitative study that explored caregivers' experiences with the management of preterm infants hospitalized at the Level III Neonatal Intensive Care Unit (NICU) of a tertiary level facility with an annual delivery of almost 7500 and a bed capacity of 26. The study utilized a deductive approach and a purposive sampling technique to recruit 16 caregivers who participated in an in-depth interview using a piloted semi-structured interview guide. The interviews were audio-recorded, transcribed, and analyzed using thematic analysis. Findings: The study identified three major themes, which were (1) preterm infant feeding and keeping infants warm, (2) routine procedures and activities at the NICU, and (3) preparation towards homecare after discharge. Seven (7) sub-themes were generated. Caregivers were satisfied with the education and information they received on infant feeding and keeping the infant ward. They also had adequate education that prepared them for home care of the preterm infant. Caregivers did not receive timely information and education on the health status of their infants and the care processes of the NICU. They felt they were left out as they were not involved in decision-making. Regarding the care of the preterm infant. The inadequate flow of information and use of medical terminologies were a great source of worry and frustration for participants. The study showed that although the NICU staff were willing to offer health education to caregivers, information giving and education were not structured and hence did not address all the needs of the caregivers. Conclusion: Healthcare providers caring for preterm infants include caregiver education in their routine NICU activities and procedures. These processes start from the period of admission till discharge. Their education sessions primarily focus on breastfeeding, keeping the infant warm and adequate preparation of caregivers for preterm infant home care. This notwithstanding there are gaps in caregiver education and information on routine procedures in the NICU as well as information on the health needs of the infant. Participants are not fully involved in the decision-making processes and the use of medical terminologies compound caregivers' frustrations and anxieties. It is important to develop structured educational programs tailored to address the information needs faced by caregivers to ensure optimal health outcomes for their preterm infants. [ABSTRACT FROM AUTHOR]

Introduction and purpose Munchausen syndrome by proxy is a factitious disorder characterized by the search for and induction of somatic symptoms, the falsification of laboratory results, and even the mutilation of a loved one, usually a child, by a parent or caregiver. Paediatricians often only have information about the child's condition from an interview with the child's guardian, so it is very important to differentiate feigned disorders from real, sometimes difficult to diagnose, cases of illness. We may suspect them if the parent reports unusual symptoms in the child, insinuates further treatments and hospital stays, has above-average knowledge of medical terminology, and is aggressive towards the staff. Prominent among the causes of Munchausen syndrome by proxy are first and foremost the desire to focus the parent/carer's attention on themselves and the expectation of recognition for their care and concern for the child. Methods and materials The following review was based on articles from the PubMed and Google Scholar databases. Key search terms included munchausen syndrome, munchausen syndrome by proxy, treatment, diagnosis, paediatric condition falsification, factitious disorder. Conclusions Due to the nature of this disorder, physicians of different specialities may come across it during their practice. Increasing their knowledge on this topic and the effects of Munchausen syndrome by proxy will allow the correct diagnosis to be established and appropriate psychiatric therapy with psychological care to be introduced, as well as protecting children who are victims of the actions of their caregivers. [ABSTRACT FROM AUTHOR]

Real-world data (RWD) in the medical field, such as electronic health records (EHRs) and medication orders, are receiving increasing attention from researchers and practitioners. While structured data have played a vital role thus far, unstructured data represented by text (e.g., discharge summaries) are not effectively utilized because of the difficulty in extracting medical information. We evaluated the information gained by supplementing structured data with clinical concepts extracted from unstructured text by leveraging natural language processing techniques. Using a machine learning-based pretrained named entity recognition tool, we extracted disease and medication names from real discharge summaries in a Japanese hospital and linked them to medical concepts using medical term dictionaries. By comparing the diseases and medications mentioned in the text with medical codes in tabular diagnosis records, we found that: (1) the text data contained richer information on patient symptoms than tabular diagnosis records, whereas the medication-order table stored more injection data than text. In addition, (2) extractable information regarding specific diseases showed surprisingly small intersections among text, diagnosis records, and medication orders. Text data can thus be a useful supplement for RWD mining, which is further demonstrated by (3) our practical application system for drug safety evaluation, which exhaustively visualizes suspicious adverse drug effects caused by the simultaneous use of anticancer drug pairs. We conclude that proper use of textual information extraction can lead to better outcomes in medical RWD mining. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Poor comprehension of prostate cancer (PCa) medical terms can create barriers to PCa treatment discussions. The authors measured comprehension of PCa terms and its relationship to health literacy in a group of Black men who were newly diagnosed with PCa. They examined whether tailoring communication with alternative colloquial words would be helpful and acceptable.Patients were recruited from urology clinics (N = 152). After they met with their providers to discuss PCa treatment options, they participated in an educational supplement delivered as a structured interview. The supplement tailored PCa treatment information by allowing men to choose between colloquial and medical terms for genitourinary (GU) function. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine, and comprehension of common PCa terms was assessed using published methods. Pearson correlation was used to estimate the association between health literacy and comprehension of PCa terms. Spearman rank correlation (r) was used to assess the relation between the total number of medical terms preferred (range, 0–10) and Rapid Estimate of Adult Literacy in Medicine scores (range, 0–66).Most patients (62%) had low health literacy, which was strongly correlated with their understanding of PCa terms (r = 0.526; p < .001). Poor comprehension of many PCa terms established the need to use alternative language for GU function (only 20% knew the word incontinence). There was a statistically significant positive association between the number of medical terms preferred and health literacy (r = 0.358; p < .001). A majority of patients (91%) preferred a mixture of medical and colloquial terms.Tailoring communications with colloquial terms for GU function was preferred by most patients regardless of health literacy. [ABSTRACT FROM AUTHOR]

Student engagement while learning a new, unfamiliar vocabulary is challenging in health science courses. A group role-play activity was created to teach students medical terminology and learn why its correct usage is important. This activity brought engagement and relevance to a topic traditionally taught through lecture and rote memorization and led to the development of an undergraduate and a stand-alone introductory course to teach students medical terminology. The undergraduate course was designed to be a fully online medical terminology course for health science students and a face-to-face course for first-year dental students founded in active learning and group work. The course's centerpiece learning activity focused on using published case studies with role-play. In this group activity, students are challenged to interpret a published patient case study as one of the members of a healthcare team. This course models the group work inherent in modern health care to practice building community and practicing professional skills. This approach gives students the capacity to work asynchronously in a team-based approach using our learning management system's wiki tool and requires students to take responsibility for their learning and group dynamics. Students practice identification, writing, analyzing, and speaking medical terms while rotating through the roles. Students in both classes self-reported a 92% to 99% strong or somewhat agreement using a five-point Likert scale that the course pedagogy was valued and helpful in their learning of medical terminology. Overall, this method has proven to be an engaging way for students to learn medical terminology. NEW & NOTEWORTHY: Role-play can engage students and encourage learning in identification, pronouncing, writing, and understanding medical terminology in multiple course formats. [ABSTRACT FROM AUTHOR]

Cohort scheduling intentionally places students in the same sections of several classes (e.g., biology, algebra, and writing) with a consistent peer group and is typically done for small groups (<30 students) to enable better interaction among students. The goal of this study was to compare cohort scheduling to traditional scheduling methods among freshmen in a physiology-related program. Outcomes included retention to the university and major, semester grades, and institutional integration and perceived group cohesion. Incoming freshmen (n = 209) were randomized into control (n = 43; scheduled with traditional methods) and intervention (n = 166; coenrolled in first-year seminar course, biology, and medical terminology) groups. Outcomes were collected via surveys or requested from the university registrar. There was no significant difference in the likelihood of retention to the university or major and no differences between groups in pass/fail rates for the first-year seminar or biology courses. At the end of the semester, there were no differences between groups in Perceived Cohesion for Small Groups (P = 0.102) or the Institutional Integration Scale (P = 0.357). However, the intervention group scored higher on the Institutional Integration Scale's subscales related to social integration and faculty. Cohort scheduling did not impact retention to the university or major but improved secondary outcomes related to retention, specifically social integration and student perceptions of faculty. NEW & NOTEWORTHY: Compared with traditional scheduling methods, cohort scheduling freshman in physiology programs does not improve retention but improves students' social integration and perceptions of faculty. [ABSTRACT FROM AUTHOR]

This article explores the use of future imaginaries in medical markets, examining the framing of egg freezing on fertility clinic websites. Egg freezing is a recent example of what medical sociologists term anticipatory medicalization. It primarily promises a measure against the anticipated risk of female infertility due to reproductive aging. Economic sociologists, on the other hand, see a focus on a future full of risks and opportunities as a significant characteristic of capitalism. Accordingly, marketing activities aim to shape consumer imaginaries and expectations of the future to increase demand. Through a thematic analysis of all available textual data on egg freezing from fertility clinic websites in Turkey, I show how these websites depict the social context of egg freezing and its implications for the future. The websites define potential service users, their life circumstances, goals, and ethical concerns, portraying egg freezing as a strategy for time and risk management. By doing so, the websites can stir women's hopes and dreams of future relationships and childbearing, as well as their fears of future infertility and adverse pregnancy outcomes. The reproductive service of egg freezing is marketed as a means to achieve desirable imagined futures or to prevent undesirable ones. [ABSTRACT FROM AUTHOR]

This article discusses the historical and cultural significance of the term "Turkish saddle" in medical terminology. The term refers to a depression in the sphenoid bone of the skull, named after the saddle used by the Turks. The article explores the cultural importance of horses and mules in Turkish mythology and folklore, as well as the history of the Turkish saddle itself. It also discusses the anatomical features of the sella turcica and its clinical relevance. The article emphasizes the importance of understanding the social and historical context behind medical terms for medical professionals. [Extracted from the article]

The glans clitoris has a corona; however, unlike the corona of the glans penis, the corona of the glans clitoris is practically "nonexistent" as evidenced by the noteworthy absence of its mention and depiction in anatomical and clinical sciences. Accordingly, the corona of the glans clitoris has been neglected in anatomical education and clinical practice. This report details the history regarding the anatomical terminology of the glans and identifies that descriptions of the glans penis, corona of the glans penis, and other penile structures have preceded descriptions of the homologous anatomy of the clitoris by at least a century. Today, recognition of the corona of the glans clitoris, as well as the coronal sulcus and neck of the clitoris should be commonplace. Henceforth, the corona of the glans clitoris and its related anatomy including the sulcus of the glans clitoris and neck of the clitoris should be incorporated into anatomical and clinical language, illustrations, textbooks, education, and practice. Likewise, efforts should be made to propagate knowledge regarding the corona of the glans clitoris, coronal sulcus, and neck of the clitoris to the general public. Giving names to the anatomical structures of the clitoris will undoubtedly increase the awareness of their existence which, in turn, will encourage their clinical assessment and result in decreased morbidity and mortality. Likewise, improved self-awareness of clitoral anatomy will promote self-care which is important in the prevention of disease and the promotion of optimal sexual health. [ABSTRACT FROM AUTHOR]

Relatively more-apparent body parts are often used to name relatively less-apparent body parts. To explore this etymological phenomenon, this report assesses anatomical terminology derived from some of the most apparent structures of the human body—hairs. Hair-related anatomical terminology involves varied etymons, roots, and derivatives: calvus "bald," cilia "eyelashes," glaber "hairless," pilus "hair," pubes (historically referring to the developing beard), pudendum "modesty" (referring to hair growth that covers genitalia), tempus "time" (referring to the location where hair commonly grays, thus showing a person's age), and tragus "goat" (referring to the tuft of hair that resembles the beard of a goat). Also including lanugo, vibrissae, hirci, flocculus, and cauda equina, a systematic review of Terminologia Anatomica and Terminologia Neuroanatomica revealed 285 unique non-duplicate hair-related terms. Several anatomical terms allude to particular age groups or sexes, but are used indiscriminately (e.g., tragus alludes to the older male ear, though may describe the fetal female ear). Likewise, human-centric anatomical terminology influences non-human anatomical terminology— a turtle has a "temporal bone" only because some humans develop gray hair on the sides of their heads as they age. Accordingly, etymological recursion is common: The human ear has a tragus, named after the goat, and the goat ear has a tragus, named after the human tragus, that was named after the goat. The use of Latin as the foundation of anatomical and medical terminology may appear seriously supercilious; however, it is often simply super silly. After all, hundreds of body parts are formally named after hair. [ABSTRACT FROM AUTHOR]

As the title indicates, this article deals with the origins of anatomic terminology and its development up to the present day. The first attempt to name anatomical structures in animals and humans date back to Alkmaion, i.e. to the fifth century BC. Further work has been done at the same time by the Hippocratics and about 100 years later by Aristotle. As the Alexandrians Erasistratos and Herophilos first in history dissected human bodies, they expanded the anatomical terms. Until Celsus (around Christ's birth) and even later on, anatomical terminology was almost exclusively based on the Greek language. Thus, Celsus and not—as frequently done—Galenos has to be called the father of Latin-based anatomical terminology. Due to several translations including Arabic, first periods of proverbial Bable resulted. Return to systematic order was achieved finally by Andreas Vesal (1514/15–1564) and Caspar Bauhin (1560–1624). But again due to translations into several national languages, the uniformity of the anatomical nomenclature was undermined. Thus, by the end of the nineteenth century, in 1895 the newly founded Anatomische Gesellschaft created a uniform terminology, the Basle Nomina Anatomica (BNA). Although it has been revised several times, it is still the very basic of human anatomical terminology. Recently, an attempt was made to replace it by English translations of the original Latin (and also still Greek) terms to mainly get machine-readable denominations. As this will result again in non-uniformity of terminology, the Anatomische Gesellschaft proposes a version of the latest, generally accepted terminology, based on the Latin terms but incorporating recent developments. [ABSTRACT FROM AUTHOR]

This article discusses the use of large language models (LLMs) in diagnosing a historic case of pediatric leukemia. The authors selected a 19th-century case report of a child with unclassified leukemia and used four LLMs to analyze the clinical information and provide a diagnosis. Three out of the four LLMs diagnosed chronic lymphocytic leukemia (CLL), while one made an incorrect diagnosis of chronic myeloid leukemia (CML). The article highlights the limitations and potential biases of LLMs in diagnosing historical medical cases and emphasizes the importance of clinician expertise in making accurate diagnoses. [Extracted from the article]

Background: Fentanyl and lidocaine are two drugs that are often suggested to lower the reaction of the blood flow to laryngoscopy and endotracheal intubation. Aims and Objectives: The main goal of our study is to find out how the heart and blood vessels react when laryngoscopy and intubation are used. A comparison was made between fentanyl 2 mcg/kg and fentanyl 2 mcg/kg plus 15 mg of paracetamol per kg of body weight. The goal was to find the best and safest ways for these options to reduce stress during laryngoscopy and intubation. Materials and Methods: The anesthesiology department and the general surgery department at the medical college and hospital that is connected to it worked together on the study. The study included a total of 120 patients, covering a wide age range from 20 to 70 years, and including both males and females. The patients had physical statuses I and II, indicating their overall health. In Group A, patients were given a pre-medication of 0.02 mg/kg of glycopyrrolate and then 2 mg/kg of fentanyl through an intravenous (IV) 90 s before they were intubated. Fentanyl at a dose of 2 mcg/kg was given to patients in Group B 90 s before they were intubated. A dose of 15 mg/kg of paracetamol was also given 10 min before the operation. As a starting point, the medical team wrote down the patient's heart rate (HR), systolic and diastolic blood pressures, and mean artery pressure before they started intubation. Results: Large rise in HR was seen in Group A, while Group B's HR stayed close to the baseline. There was a clear rise in mean blood pressure in both groups after intubation. Group A, on the other hand, saw a rise that was clear and lasted for 6 min, while Group B did not. When compared to IV fentanyl alone, IV fentanyl and paracetamol work better at lowering the changes in blood flow that happen during laryngoscopy and airway intubation. Conclusion: This finding highlights the potential benefits of combining these two medications for improved patient outcomes. Endotracheal intubation, fentanyl, paracetamol, and laryngoscopy are all important medical terms that are commonly used in health-care settings. These procedures and medications play a crucial role in various medical interventions and treatments. Understanding the significance and proper usage of these terms is essential for health-care professionals to provide effective care to their patients. [ABSTRACT FROM AUTHOR]

This paper presents findings from a needs analysis survey to determine the extent to which the current English for Specific Purposes (ESP) course for healthcare students meets the needs of this population. A structured questionnaire was shared with the students (N=180) from different healthcare departments to examine the preferability of different aspects. Many participants gave great value to ESP courses whose importance was mainly to learn medical or pharmaceutical terminology and communicative skills. Yet, the participants preferred the conversational content over the grammatical one. Most participants perceived the four English skills as important. The overall conclusion shows that the main objective of an ESP course is language fluency to be able to communicate and achieve any requirement in their career. Moreover, the study shows that the conventional methods of assessment are less preferred and that students prefer assessments where teamwork is involved. They also preferred to receive the learning materials via online or technological methods, and they preferred class activities and audio/video aids. Yet, a great number did not prefer using an English Language Laboratory. Finally, most of them agreed that being in a mostly English-speaking community at the university is convenient to enhance their communication skills in English. [ABSTRACT FROM AUTHOR]

This document summarizes a study on the gastrointestinal side effects of a combination therapy for type 2 diabetes. The study found that when a glucose-dependent insulinotropic polypeptide receptor agonist (GIPRA) was used in conjunction with a glucagon-like peptide-1 receptor agonist (GLP-1 RA), there were fewer gastrointestinal adverse events compared to using the GLP-1 RA alone. The study suggests that the GIPRA component of the therapy may improve the tolerability of GLP-1 RA treatment, potentially leading to better effectiveness and adherence. The study acknowledges limitations such as a small number of female participants and limited ethnic diversity. [Extracted from the article]

Background: Anatomical terms in medical literature have been used with varying meanings, leading to confusion in clinical practice. This study aims to investigate the ambiguity of anatomical terms in clinical dentistry. Methods: Dentists who have undergone specialised training with at least one year of clinical experience were recruited to participate in the study. They were requested to localize specific terms on a skull and provide explanations based on their experience or opinion. All data were recorded, and then descriptive statistics were used for analysis. Results: Seventy-eight participating dentists gave their consent and were eligible to study. For each anatomical term presented to dentists at least two meanings were provided, with some terms having up to eight interpretations. While most meanings were consistent with medical or dental literature, some responses revealed new interpretations not documented in textbooks. Conclusions: Dentists expressed anatomical terms with diverse meanings, possibly influenced by their various subspecialties. It is crucial to acknowledge this variability to prevent confusion. Emphasizing the consistent use of anatomical terms among dental professionals in the future is essential. [ABSTRACT FROM AUTHOR]

The increasing volume of medical information available in digital format presents a significant challenge for researchers seeking to extract relevant information. Manually analyzing voluminous data is a time-consuming process that constrains researchers' productivity. In this context, innovative and intelligent computational approaches to information search, such as large language models (LLMs), offer a promising solution. LLMs understand natural language questions and respond accurately to complex queries, even in the specialized domain of medicine. This paper presents MédicoBERT, a medical language model in Spanish developed by adapting a general domain language model (BERT) to medical terminology and vocabulary related to diseases, treatments, symptoms, and medications. The model was pre-trained with 3 M medical texts containing 1.1 B words. Furthermore, with promising results, MédicoBERT was adapted and evaluated to answer medical questions in Spanish. The question-answering (QA) task was fine-tuned using a Spanish corpus of over 34,000 medical questions and answers. A search was then conducted to identify the optimal hyperparameter configuration using heuristic methods and nonlinear regression models. The evaluation of MédicoBERT was carried out using metrics such as perplexity to measure the adaptation of the language model to the medical vocabulary in Spanish, where it obtained a value of 4.28, and the average F1 metric for the task of answering medical questions, where it obtained a value of 62.35%. The objective of MédicoBERT is to provide support for research in the field of natural language processing (NLP) in Spanish, with a particular emphasis on applications within the medical domain. [ABSTRACT FROM AUTHOR]

Partial or complete imaging resolution of left ventricular (LV) systolic dysfunction in patients with heart failure with reduced ejection fraction (HFrEF) has gone by many names in the past few decades, including LV recovery, remission, reverse remodeling, and, most recently, improvement. This phenomenon has been described in a variety of clinical scenarios, including removal of an acute myocardial insult, unloading with durable LV assist devices, and treatment with various devices as well as pharmacotherapies, termed guideline-directed medical therapy (GDMT). Irrespective of definition, systolic improvement is associated with improved clinical outcomes compared to persistent systolic dysfunction. In the past few years, systolic improvement has been distinguished from HFrEF as a new clinical entity referred to as HF with improved EF (HFimpEF). Given the relative novelty of this condition, there is a paucity of data with regard to the clinical trajectory and management of this population. In this review, we describe the history of myocardial improvement terminology and explore notable findings that have led to the delineation of HFimpEF. Additionally, we highlight the importance of understanding LV trajectory and the potential opportunity for new GDMT management for clinicians when treating patients with HFimpEF. [ABSTRACT FROM AUTHOR]

Education and self-management plans enhance parents' self-efficacy in managing their child's asthma symptoms. By understanding how parents recognize and interpret acute asthma symptoms, we can compile patient information using terms that are familiar to parents. Semi-structured interviews were carried out with 27 parents of children with asthma aged 2–12 years. The interviewees were selected from three groups: parents of children admitted for acute asthma, parents of children receiving outpatient asthma care, and parents who had access to a self-management plan. Parents were invited to report symptoms they would associate with acute asthma. Subsequently, parents were queried about their recognition of symptoms from a predefined list and asked to explain how they would assess these symptoms in case their child would experience an attack of acute asthma. The most frequently reported symptoms for acute asthma were shortness of breath (77.8%) and coughing (63%). Other signs such as retractions, nasal flaring, and wheezing were reported by less than 25% of the parents. All parents recognized shortness of breath, wheezing and gasping for breath from a predefined list of medical terms. Retractions and nasal flaring were recognized by 81.5% and 66.7% of the parents, respectively. Recognizing the medical terms did not necessarily translate into parents being able to explain how to assess these symptoms. Parents and healthcare professionals do not always speak the same language concerning symptoms of acute asthma. This may hamper timely recognition and adequate self-management, highlighting the necessity to adjust current medical information about acute asthma. Education and self-management plans enhance parents' self-efficacy in managing their child's asthma symptoms. Parents may identify symptoms of acute asthma differently than healthcare providers Information material about acute asthma should be adjusted to empower parents to decide when to commence treatment and when to seek medical attention. [ABSTRACT FROM AUTHOR]

This document summarizes a study on the relationship between atopic dermatitis (AD) and IgE-mediated food allergy (FA) in children. The study found that children with AD were more likely to develop FA, and vice versa. However, the study had limitations, such as not assessing the severity of AD and having a small sample size for cases of FA. The findings suggest that AD and FA may be related and further research is needed to understand and address these conditions. [Extracted from the article]

Post-pulmonary embolism syndrome (post-PE syndrome) refers to a range of symptoms experienced by patients after being treated for blood clots in the lungs (pulmonary embolism). These symptoms can include shortness of breath, exercise limitation, and impaired quality of life. Chronic thromboembolic pulmonary disease (CTEPD) and chronic thromboembolic pulmonary hypertension (CTEPH) are more severe forms of post-PE syndrome, characterized by persistent blood clots in the pulmonary vasculature and elevated blood pressure in the pulmonary arteries. The exact cause of CTEPD and CTEPH is unknown, but risk factors include obesity, smoking, pregnancy, and certain medical conditions. Diagnosis of CTEPD and CTEPH can be challenging due to nonspecific symptoms, but tests such as echocardiograms, chest X-rays, and lung scans can help with diagnosis. Treatment options include blood thinners, supplemental oxygen, exercise, and specialized procedures such as pulmonary endarterectomy and balloon pulmonary angioplasty. It is important for patients to be evaluated by a multidisciplinary team for personalized evaluation and treatment. [Extracted from the article]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Stroke guideline statements are important references for clinicians due to the rapidly evolving nature of treatments. Guideline statements should be informed by up-to-date systematic reviews (SRs) and meta-analyses (MAs) because they provide the highest level of evidence. To investigate the utilization of SRs/MAs in stroke management guidelines, we conducted a literature review of guidelines and extracted relevant information regarding SRs/MAs. Methods: A literature review was conducted in PubMed with supplementation using the Trip medical database with the term "stroke" as the target population, followed by using the filter "guidelines". We extracted the number of included SRs/MAs, the years of publication, the country of origin, and other characteristics of interest. Descriptive statistics were generated using the R software version 4.2.1. Results: We included 27 guideline statements. The median number of overall SRs or MAs within the guidelines was 4.0 (interquartile range [IQR] = 2–9). For MAs only, the median number included in the guidelines was 3.0 (IQR = 2.0–5.5). Canadian guidelines had the oldest citations, with a median gap of 12.0 (IQR = 5.2–18.0) years for the oldest citation, followed by European (median = 12; IQR = 9.5–13.5) and US (median = 10.0; IQR = 5.2–16) guidelines. Conclusions: Stroke guideline writing groups and issuing bodies should devote greater effort to the inclusion of up-to-date SRs/MAs in their guideline statements so that clinicians can reference recent data with the highest level of evidence. [ABSTRACT FROM AUTHOR]

Summary: ChatGPT/GPT‐4 is a conversational large language model (LLM) based on artificial intelligence (AI). The potential application of LLM as a virtual assistant for bariatric healthcare professionals in education and practice may be promising if relevant and valid issues are actively examined and addressed. In general medical terms, it is possible that AI models like ChatGPT/GPT‐4 will be deeply integrated into medical scenarios, improving medical efficiency and quality, and allowing doctors more time to communicate with patients and implement personalized health management. Chatbots based on AI have great potential in bariatric healthcare and may play an important role in predicting and intervening in weight loss and obesity‐related complications. However, given its potential limitations, we should carefully consider the medical, legal, ethical, data security, privacy, and liability issues arising from medical errors caused by ChatGPT/GPT‐4. This concern also extends to ChatGPT/GPT ‐4's ability to justify wrong decisions, and there is an urgent need for appropriate guidelines and regulations to ensure the safe and responsible use of ChatGPT/GPT‐4. [ABSTRACT FROM AUTHOR]

The given text is a compilation of excerpts from various sources discussing the role and responsibilities of psychiatrists in assessing capacity and voluntariness in the context of Medical Assistance in Dying (MAiD) legislation in Canada. The sources emphasize the ethical considerations and the need for thorough evaluation and documentation of decisional capacity and voluntariness in MAiD assessments, particularly when mental illness is involved. They also highlight the importance of cultural sensitivity, recognizing and addressing moral and psychological distress, and ongoing research in this area. The sources provide guidelines for assessing decision-making capacity and discuss potential barriers to voluntariness. They also address the ethical challenges faced by psychiatrists and the importance of collaboration and support within the medical profession. [Extracted from the article]

Currently, there are no resources to support culturally and linguistically diverse (CALD) women with breast cancer to make decisions about undergoing breast reconstruction (BR). This study evaluated the usability and acceptability of decision aids (DAs) for Vietnamese- and Arabic-speaking women. This two-phase qualitative recruited Vietnamese- (Phase 1) and Arabic-speaking (Phase 2) adult (age ≥ 18 years) women who were diagnosed with breast cancer and could read Vietnamese/Arabic. Women participated in either think-aloud telephone interviews (Phase 1) or semi-structured telephone interviews (Phase 2) and provided feedback on the DA. Interviews were audio-recorded, translated, and transcribed from Vietnamese/Arabic to English, and inductive thematic analysis was undertaken. Additionally, Arabic-speaking women completed the Preparation for Decision Making (PrepDM) scale in Round 2. Twenty-five women were recruited in two phases (Phase 1: Vietnamese-speaking women, n = 14; Phase 2: Arabic-speaking, n = 11). Three themes were developed in Phase 1: (1) DA content and reception; (2) linguistic attributes and cultural appropriateness; and (3) factors that improve the DAs' impact. Three themes were developed in Phase 2: (1) varying perceptions of DA content; (2) linguistic and cultural suitability of information; and (3) impact of DA on decision making. Women from both phases identified areas for improvement: minimising the use of medical terminology, considering the cultural taboos associated with the word 'breast', and addressing remaining information gaps. Both language DAs were generally perceived as acceptable and useful in providing information about BR options and prompting women's reflections about the suitability of BR as part of their treatment. The mean PrepDM score for Arabic-speaking women in Round 2 was 4.8/5 (SD = 0.3). Further work is needed to ensure that culturally adapted DAs take into account the myriad of information needs and health literacy levels. The key role of healthcare professionals in shared decision making among CALD populations should also be considered. [ABSTRACT FROM AUTHOR]

This article evaluates the use of an artificial intelligence tool called ChatGPT in the field of respiratory medicine. ChatGPT is designed to provide human-like responses to a wide range of topics, including medical inquiries. However, there are concerns about its accuracy and reliability in the medical sector, as it has not been extensively trained with biomedical datasets or vetted by medical professionals. The study found that ChatGPT provided correct answers for 63.5% of respiratory medicine questions, with higher accuracy in basic medical knowledge and lower accuracy in treatment and management. It is important to note that ChatGPT should not replace professional medical advice and should be used with caution. The article highlights the limitations of ChatGPT and suggests that it can be used as a supplementary educational tool under expert guidance. Future research should focus on improving the model's accuracy and reliability in specialized domains like respiratory medicine. [Extracted from the article]

This article presents a comprehensive analysis of the advancements and impact of medical translation during the Golden Age of Translation. It focuses on the fundamental role that translators and scholars played in disseminating medical knowledge, shaping medical practices, and fostering intellectual and cultural exchange. It also discusses the significance of the House of Wisdom in Baghdad, key translators and their contributions, as well as the influence of translated medical texts such as Avicenna's Canon of Medicine, Al-Razi's Book of Healing, and Al-Zahrawi's Comprehensive Book on Medicine. Also examined is the impact of translation on the standardization of medical terminology and the transmission of medical knowledge across cultures and regions. The article concludes by highlighting the lasting legacy of translations in terms of their impact on global medical knowledge and suggests possible areas in which to conduct further research on medical translation history, as well as the role of modern technology in understanding and interpreting historical medical texts. [ABSTRACT FROM AUTHOR]

• The exclusionary term 'nonalcoholic fatty liver disease' (NAFLD) has been used since 1986 to denote an increasingly prevalent chronic liver condition. • To replace NAFLD and highlight pathophysiology, an expert group defined 'metabolic dysfunction-associated fatty liver disease' (MAFLD) in 2020. • A broad consensus effort proposed 'metabolic dysfunction-associated steatotic liver disease' (MASLD) as part of a new classification framework in 2023. • It is expected that MASLD will incorporate differing views on comorbidities, noninvasive biomarkers, disease outcomes, and patient perspectives. • Global acceptance of disease nomenclatures takes time while they evolve to reflect advances in medical knowledge and to better serve clinical practice. The medical term nonalcoholic fatty liver disease (NAFLD) was coined in 1986 for a condition that has since become the most prevalent liver disorder worldwide. In the last 3 years, the global professional community launched 2 consecutive efforts to purge NAFLD from the medical dictionary and recommended new terms based on disease pathophysiology rather than distinction from similar conditions featuring liver steatosis. A consensus by renowned clinical scholars primarily residing in the Asian-Pacific region introduced metabolic dysfunction-associated fatty liver disease (MAFLD) as a new name to replace NAFLD in 2020. In 2023, a nomenclature and classification resulting in the term metabolic dysfunction-associated steatotic liver disease (MASLD) was developed by a large expert panel under the auspices of leading liver societies from Europe and Americas. These marked and rapid shifts in nomenclature have garnered the attention of many researchers and clinicians across the globe due to the multilevel impact of a frequent and potentially progressive chronic liver disease in both adult and pediatric populations. The proposed terminologies differ in several ways but they have more in common than differences. They both capture key features of liver disease associated with cardiometabolic risk factors and with significant impact on all-cause and liver-related mortality. The framework of MASLD has incorporated many innovative aspects of MAFLD and while several conceptual disparities remain a work in progress, global efforts should focus on new insights into disease pathogenesis, outcome trajectories, prevention, and treatment. Here, some of these challenges are discussed to facilitate this process. [ABSTRACT FROM AUTHOR]

This document contains a collection of abstracts and summaries of various studies and audits related to rheumatic diseases and arthritis care. The topics covered include seasonal variations and footwear choices for people with inflammatory arthritis, patient satisfaction with physiotherapist-led clinics, lower limb strength characteristics of individuals with psoriatic arthritis, gout management through telehealth care, and the development of resources for Aboriginal and Torres Strait Islander people. Other studies explore the diagnosis of giant cell arteritis, the clinical utility of ANA testing, the prescribing patterns of biologics, and the cardiovascular risk of JAK inhibitors. These summaries provide valuable insights for researchers and healthcare professionals in the field of rheumatology. [Extracted from the article]

The plan of the paper is to study autism spectrum disorder (ASD) in children as complex conditions that affect cognitive, emotional, social, and physical health. Broadly tracing the medical journey of the condition, it addresses the challenges faced by parents as they make sense of, and navigate their way through the appearance of early symptoms, impediments in correct diagnosis, acceptance, and adapt to live with the condition. The paper attempts to understand autism in medical and neurological terms, as well as the challenges faced by children and parents through the case study of Kyari (meaning a flower bed), a lone centre providing accessible autism care in about 150 km around Moradabad (west UP, India), which has been instrumental in raising an awareness of autism and has a reach that is unprecedented in the city in bringing sensitive autism intervention. It further comprehensively studies the symptoms of ASD, and the role of augmentative and alternative communication, behaviour modification, and the work of organisations like the Centre for Autism, CBSE mandate for inclusive education as applied in the case and Indian government policy for autism. [ABSTRACT FROM AUTHOR]

Automatic radiology medical report generation is a necessary development of artificial intelligence technology in the health care. This technology serves to aid doctors in producing comprehensive diagnostic reports, alleviating the burdensome workloads of medical professionals. However, there are some challenges in generating radiological reports: (1) visual and textual data biases and (2) long-distance dependency problem. To tackle these issues, we design a visual recalibration and gating enhancement network (VRGE), which composes of the visual recalibration module and the gating enhancement module (gating enhancement module, GEM). Specifically, the visual recalibration module enhances the recognition of abnormal features in lesion areas of medical images. The GEM dynamically adjusts the contextual information in the report by introducing gating mechanisms, focusing on capturing professional medical terminology in medical text reports. We have conducted sufficient experiments on the public datasets of IU X-Ray to illustrate that the VRGE outperforms existing models. [ABSTRACT FROM AUTHOR]

Background & Aims: Chronic liver diseases belong to the most common diseases worldwide and are associated with increased morbidity and mortality. Although more than one in three adults are estimated to have metabolic dysfunction-associated steatotic liver disease (MASLD), awareness of this condition is low amongst the general public, health care professionals and policy makers. However, meaningful knowledge transfer is essential for raising awareness and improving prevention and treatment. This study set out to investigate the use of the major internet search engine to understand how knowledge transfer has evolved by analyzing liver-related searches trends. Methods: We investigated Google search trends by measuring the number of hits relating to liver diseases between 2004 and 2021 in seven languages and European countries but also worldwide. All analyses were performed in R using the R Google trends package gtrendsR. Results: We found that interest in MASLD [formerly non-alcoholic fatty liver disease (NAFLD)] has generally increased over time, but that interest in metabolic associated steatohepatitis (MASH) - the most severe form of MASLD - has decreased. Interest in viral hepatitis C has decreased, whereas the number of queries regarding viral hepatitis B have been stable but dominated by interest in vaccination for it. Recent medical developments (in viral hepatitis) did not lead to a noticeable change in overall search behavior. Users preferred searching using their native language and less complex medical terms and acronyms (e.g., fatty liver instead of NAFLD). Conclusions: In the last two decades, Google search trends have followed the general development in the field of hepatology. Searches were dominated by non-experts and are not being rapidly influenced by novel scientific developments. Also, users preferred search terms in their native languages rather than English and tended to avoid complex medical search terms. Awareness and communication strategies around MASLD should consider these preferences when addressing the general public. [ABSTRACT FROM AUTHOR]

The Chinese clinical natural language is rich in a large amount of medical record information. Naming entity recognition for electronic medical records can help establish medical auxiliary diagnostic systems, which is of great significance for the development of the medical field. At the same time, it is conducive to downstream tasks such as relationship extraction and the implementation of knowledge graphs. However, Chinese electronic medical records have problems with difficulty in Chinese word segmentation, numerous medical terminology, and special expressions, which can easily lead to incorrect expression of text features. Therefore, this paper proposes a medical named entity recognition research model based on enhanced word information and graph attention, which improves the performance of the network model by enhancing local and global features. Due to the fact that embedding a single word vector for Chinese entity recognition can easily ignore word information and semantics in the text, this paper embeds a highly correlated word vector in the word vector, which not only enhances text representation but also avoids word segmentation errors. Additionally, a Med- Bert model for learning medical knowledge is embedded in the word embedding layer, which can dynamically generate feature vectors according to different contexts, helps solve the problem of polysemy and specialized vocabulary in electronic medical records. At the same time, adding a graph attention module in the coding layer enhances the network's ability to learn text context relationships and enhances the model's learning of medical special grammar. Finally, F1 values of 86.38% and 84.76% are obtained on the cEHRNER and cMedQANER datasets, respectively, showing better robustness compared to other models. [ABSTRACT FROM AUTHOR]

This article examines the portrayal of Osvald's disease in Henrik Ibsen's play "Ghosts" and its connection to congenital syphilis. The author argues that Osvald's condition is likely a result of paternal transmission of the disease, rather than being acquired during his time in Paris or through maternal transmission. The article also discusses the historical understanding of syphilis and its different modes of transmission, as well as the societal anxieties surrounding the birth of syphilitic children. Overall, the article provides a nuanced analysis of Osvald's character and the broader implications of his condition in the context of the play and contemporary society. [Extracted from the article]

Objective: This study intended to examine whether the utilization of ChatGPT and Termbot enhances students' understanding of medical terminology. Method: ChatGPT, developed by OpenAI, is an AI chatbot designed to generate human-like text responses. Termbot is a chatbot-based learning model focused on improving the acquisition of medical terminology through gamified learning methods. A total of 60 participants participated in this exploratory study, with 40 nursing students assigned to the experimental group and 20 nursing students assigned to the control group. In the experimental group, participants were further divided into two groups of 20, one of which was trained with ChatGPT and the other with Termbot. The participants in the experimental group engaged with the assigned tools for a minimum of 2 hours per week following classroom instruction. The control group used a traditional textbook as their primary learning resource. The study lasted 2 months, after which participants' learning outcomes were evaluated using an online medical terminology exam post-test. Results: The study found that participants in the experimental group had significantly improved learning outcomes compared to participants in the control group. The results showed a substantial increase in post-test scores for both ChatGPT and Termbot groups, indicating that using these tools as learning assistants can assist students in the learning process. Conclusion: The study has important implications for educators and educational institutions, as it provides evidence for the potential benefits of using ChatGPT and Termbot as tools to improve students' learning outcomes. The findings intensifyt the importance of embracing new technologies in education and using them to supplement traditional teaching methods. [ABSTRACT FROM AUTHOR]

Background: A huge amount of research is carried out nowadays in Artificial Intelligence to propose automated ways to analyse medical data with the aim to support doctors in delivering medical diagnoses. However, a main issue of these approaches is the lack of transparency and interpretability of the achieved results, making it hard to employ such methods for educational purposes. It is therefore necessary to develop new frameworks to enhance explainability in these solutions. Results: In this paper, we present a novel full pipeline to generate automatically natural language explanations for medical diagnoses. The proposed solution starts from a clinical case description associated with a list of correct and incorrect diagnoses and, through the extraction of the relevant symptoms and findings, enriches the information contained in the description with verified medical knowledge from an ontology. Finally, the system returns a pattern-based explanation in natural language which elucidates why the correct (incorrect) diagnosis is the correct (incorrect) one. The main contribution of the paper is twofold: first, we propose two novel linguistic resources for the medical domain (i.e, a dataset of 314 clinical cases annotated with the medical entities from UMLS, and a database of biological boundaries for common findings), and second, a full Information Extraction pipeline to extract symptoms and findings from the clinical cases and match them with the terms in a medical ontology and to the biological boundaries. An extensive evaluation of the proposed approach shows the our method outperforms comparable approaches. Conclusions: Our goal is to offer AI-assisted educational support framework to form clinical residents to formulate sound and exhaustive explanations for their diagnoses to patients. [ABSTRACT FROM AUTHOR]

This article explores the historical shift in focus from sexual desire itself to the object of desire. It discusses how ancient sexual discourse valued the impulse of desire, while modern discourse emphasizes the sexual object. The article also examines the problematization of perverse images and objects in the early 19th century, as well as the medicalization of homosexuality. It delves into the categorization of unusual love objects and the compilation of anecdotes and lists of sexual oddities. The text emphasizes the importance of context and the evolving understanding of these desires throughout history, while also discussing the concept of statue lust and its historical development. [Extracted from the article]

The Terminologia Anatomica published in 2019 in English and 2001 in Spanish conTAIns the official names of anatomical structures. However, there are terms that are not included in this terminology, and are widely used, such as the term “hamstring muscles. The objective of this work was to analyze the use of the terms hamstring muscles, muscles of the posterior compartment of thigh and muscles of the flexor compartment of thigh. A narrative review was carried out that included 37 anatomy books, 3 dictionaries of medical and biological terminology, 10 databases and 15 digital resources. Results: In the books published after 2001, 55.6 % used the term hamstring muscles, 18.5 % muscles of the posterior compartment of thigh and 0 % muscles of the flexor compartment of thigh; In no dictionary was the use of the terms hamstring muscles, muscles of the posterior compartment of thigh or muscles of the flexor compartment of thigh found; In the databases, 12,104 articles were found with the term hamstring muscles, 5 with the term muscles of the posterior compartment of thigh and 1 with the term muscles of the flexor compartment of thigh; In the digital anatomy resources, 50 % used the term hamstring muscles, 37.5 % the term muscles of the posterior compartment of thigh and 12.5 % muscles of the flexor compartment of thigh. In conclusion, the use of the term hamstring muscles far exceeds the use of the terms indicated by the International Anatomical Terminology. Additionally, this term is anatomically descriptive and univocal. In this regard, it seems appropriate to assess the incorporation of the term hamstring muscles in Terminologia Anatomica. [ABSTRACT FROM AUTHOR]