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Br Dent J ; 232(12): 852, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35750822

Medicine , Specialization
J Pak Med Assoc ; 72(6): 1101-1105, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35751317


OBJECTIVE: To measure the empathy levels of undergraduate medical students, and to explore whether the empathy level has any significant association with gender, academic year and academic achievement. METHODS: The cross-sectional study was conducted at the College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, from January to March 2020, and comprised medical students. Data was collected using the pre-validated student version of the Jefferson Scale of Empathy. Data was analysed using SPSS 23. RESULTS: Of the 391 students, 251(64.19%) were females, and 140(35.8%) were males. The overall mean empathy score was 105.18±12.51. Second year medical students showed the highest empathy score 108.59±13.33. There was minor but significant decline in empathy as the students progressed through their academic studies (p<0.05). Empathy scores were significantly higher in female students (p<0.05), and students with higher grade point average scores (p<0.05). CONCLUSIONS: The gradual reduction in empathy is alarming and demands due attention.

Medicine , Students, Medical , Cross-Sectional Studies , Empathy , Female , Humans , Male , Universities
Swiss Med Wkly ; 152: w30179, 2022 May 09.
Article in English | MEDLINE | ID: mdl-35758341
Fam Med ; 54(6): 427-430, 2022 06.
Article in English | MEDLINE | ID: mdl-35675455


The use of race remains common at all levels of medical science and practice, including education, research, and care delivery. There are ongoing vigorous debates about the validity of the manner in which race is used. Unfortunately, when one looks closely at the manner in which race is used, what one often finds is in fact racism. This article explores some of the ways in which the development of the concept of race as a biological construct, was used to justify racism, and shaped the early development of scientific thought. This historical perspective is used to elaborate the ways in which those seminal ideas continue to distort medical research, education, and care delivery, and perpetuate health disparities.

Biomedical Research , Medicine , Racism , Delivery of Health Care , Humans , Knowledge
BMC Med Educ ; 22(1): 474, 2022 Jun 20.
Article in English | MEDLINE | ID: mdl-35718765


INTRODUCTION: A validated instrument to assess the motivating factors influencing junior doctors' medical specialist career choices is not available. The Motivators for Medical Specialist Career Choice Questionnaire (MMSCCQ) was developed and validated in the present study. METHODS: An exploratory sequential mixed-methods study was conducted among house officers (HO) of a tertiary care hospital. A literature review was used to construct an interview guide. Seven HOs participated in an online, one-on-one audio-recorded in-depth interview (IDI). Seven sub-themes and 33 codes identified by thematic analyses were used to develop the MMSCCQ. The importance of each motivator was rated on a five-point Likert scale. The MMSCCQ was pretested, and a random sample of 262 house officers was invited to participate in an online survey. Psychometric evaluation was done using reliability statistics, and exploratory and confirmatory factor analyses. RESULTS: The seven main themes identified by thematic analyses were labeled as factors related to 'work schedule and personal life,' 'training opportunities', 'past work experiences', 'specialty characteristics', 'career prospects', 'patient care characteristics', and 'social factors.' The highest ratings were given to "previous job experience" and "patient care traits. "The response rate was 71%, the mean age of the 185 HOs was 26.7 years (SD = 1.6). Females made up 63.8% of the population. The internal consistency for the overall questionnaire measured by Cronbach's alpha was 0.85. Each construct demonstrated an acceptable internal consistency. Twenty-six of 33 items were maintained after an exploratory factor analysis was conducted, yielding 7 constructs with a 64.9% variance. Confirmatory factor analyses established the construct validity. CONCLUSION: The MMSCCQ has acceptable reliability and construct validity. Further studies are needed to test psychometric properties in different settings.

Career Choice , Medicine , Motivation , Surveys and Questionnaires , Adult , Female , Humans , Male , Psychometrics , Reproducibility of Results
Eur Rev Med Pharmacol Sci ; 26(11): 3927-3932, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35731062


OBJECTIVE: To investigate the long-term effects of botulinum toxin-A (BTX-A) nerve block on relaxation of spasticity in cerebral palsy. PATIENTS AND METHODS: From June 2015 to December 2018, 52 children, aged 20-56 months, with spastic cerebral palsy were treated with BTX-A. The dose of BTX-A was selected based on the weight of the child and the modified Ashworth scale (MAS). The injection dose ranged from 45 IU to 150 IU (average 68.0±31.6 IIU). The muscle tone and motor functions of all children were evaluated before the block. The spasticity was measured using the MAS, and the motor function was measured using the Physician Rating Scale (PRS) and the gross motor function measure (GMFM). After two years, all children were re-evaluated. RESULTS: No significant difference was observed between the trial and control groups in terms of age, weight, MAS, PRS, and GMFM measurements before the block (p>0.05). The PRS and GMFM improved significantly in both groups after two years (p<0.05). The PRS and GMFM in the trial group increased more significantly than those in the control group (p<0.05). CONCLUSIONS: The BTX-A block showed a long-term positive effect. Rehabilitation training after the block could help children to improve their motor functions.

Botulinum Toxins, Type A , Cerebral Palsy , Medicine , Neuromuscular Agents , Botulinum Toxins, Type A/therapeutic use , Cerebral Palsy/drug therapy , Child , Family , Humans , Muscle Spasticity/drug therapy , Neuromuscular Agents/therapeutic use
Ann Intern Med ; 175(6): W67-W68, 2022 06.
Article in English | MEDLINE | ID: mdl-35696688

Medicine , Humans
Molecules ; 27(11)2022 Jun 06.
Article in English | MEDLINE | ID: mdl-35684571


It is beyond doubt that short peptides hold significant promise in bio-medicine, as the most versatile molecules, both structurally and functionally [...].

Medicine , Peptides , Peptides/chemistry
Acute Med ; 21(2): 74-79, 2022.
Article in English | MEDLINE | ID: mdl-35681180


INTRODUCTION: The SAM Quality Improvement Committee (SAM-QI), set up in 2016, has worked over the last year to determine the priority Acute Medicine QI topics. They have also discussed and put forward proposals to improve QI training for Acute Medicine professionals. METHODS: A modified Delphi process was completed over four rounds to determine priority QI topics. Online meetings were also used to develop proposals for QI training. RESULTS: Same Day Emergency Care (SDEC) was chosen as the priority topic for QI work within Acute Medicine. CONCLUSION: The SAM-QI group settled on SDEC being the priority topic for Acute Medicine QI development. Throughout the Delphi process SAM-QI has also developed proposals for QI training that will help Acute Medicine professionals deliver coordinated meaningful improvements in care.

Medicine , Quality Improvement , Consensus , Delphi Technique , Humans
BMJ ; 377: o1508, 2022 Jun 22.
Article in English | MEDLINE | ID: mdl-35738658

Medicine , Humans
Harefuah ; 161(6): 395-399, 2022 Jun.
Article in Hebrew | MEDLINE | ID: mdl-35734798


INTRODUCTION: Issuing postal stamps is the main sign of a nation's independence. The first stamps series of Israel were issued a mere two days after the declaration of Israel's independence. Since then, almost 1750 postal stamps were issued as a single unit or different stamps series. These stamps delineate and emphasize innovations, military and civilian technological developments, the high holidays and nature as well as respecting important national figures and holidays. The aim of our historical search of philately (stamps collection) through the 20th century till today was to find out the frequency of the interweaving of medicine, medical developments and the tribute to outstanding figures, in all medical fields, and their contribution during peace and war periods in Israeli stamps. The thorough research study revealed only 16 stamps that were issued perpetuating medical disciplines - 0.9% of all stamps. Despite their national and worldwide significance there were no stamps commemorating many medical and surgical fields. I did not find reminiscence of our military medical developments that have become a competent authority for numerous armies all over the world. Organ transplantation, surgical innovations and the large group of women physicians and surgeons that took leadership in several medical fields have no presence in our postal stamps. Nowadays, philately has lost its importance as a financial value for the prompt e-mails. I believe philately should be encouraged to issue current postal stamps dedicated to "blue and white" medicine, a thing that is even more adequate these days in which all the medical community was enlisted to battle the new corona pandemic.

Medicine , Philately , Female , History, 19th Century , History, 20th Century , Humans , Israel , Leadership , Philately/history
Isr Med Assoc J ; 24(6): 347-349, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35734829

Medicine , Humans
Ulster Med J ; 91(2): 65-66, 2022 May.
Article in English | MEDLINE | ID: mdl-35722209

Medicine , Humans , Occupations
Ulster Med J ; 91(2): 111-114, 2022 May.
Article in English | MEDLINE | ID: mdl-35722212
Artif Intell Med ; 129: 102313, 2022 07.
Article in English | MEDLINE | ID: mdl-35659392


Machine learning and artificial intelligence (AI)-driven technologies are contributing significantly to various facets of medicine and care management. It is likely that the next generation of healthcare professionals will be confronted with a series of innovations that are powered by AI, and they may not have sufficient time during their professional tenure to learn about the underlying machine learning frameworks that are driving these systems. Educating the aspiring clinicians and care providers with the right foundational courses in machine learning as part of postsecondary education will likely transform them as high-tech physicians and care providers of the future.

Education, Medical , Medicine , Physicians , Artificial Intelligence , Humans , Machine Learning
Laryngorhinootologie ; 101(7): 601-617, 2022 Jul.
Article in German | MEDLINE | ID: mdl-35738274


Emergencies in ear, nose and throat medicine in the preclinical setting are common. Due to the narrow anatomical conditions, relocation or bleeding in this area can quickly lead to an emergency situation. In this article, the most important causes of bleeding, shortness of breath and trauma are to be presented and the corresponding treatment briefly outlined.

Emergencies , Medicine , Humans , Neck , Nose/injuries , Pharynx