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Le Honore posted an update 2 months ago
001). For cases of grade 1-2 disease, older patients had a higher proportion of the luminal B subtype (49% vs. 30%, p=0.014). Age≥75 predicted for inferior OS (HR=3.06, p<0.001). The luminal B subtype predicted for inferior OS (HR=2.12, p=0.014), RFi (HR 5.02, p<0.001), and LRR (HR=3.12, p=0.045). There were no significant differences in individual gene expression between the two groups.
Women with ER+/HER2- breast cancer ≥75years old had higher rates of the more aggressive luminal B subtype and inferior outcomes. Genomic testing of these patients should be strongly considered, and treatment should be intensified when appropriate.
Women with ER+/HER2- breast cancer ≥75 years old had higher rates of the more aggressive luminal B subtype and inferior outcomes. Genomic testing of these patients should be strongly considered, and treatment should be intensified when appropriate.
Operating theatres are a unique learning environment that some learners find daunting. By employing orientations some of these fears can be reduced but these require operating theatre space and personnel and are not standardized.
We utilized a 360° camera to generate a “virtual” 360° video orientation. It was filmed in first-person perspective to improve engagement and to make it more experiential.
It was shown to 34 medical students in a tutorial setting before their first operating theatre experience. We analyzed their knowledge gain with use of a questionnaire and change in self-reported confidence using a 7-point Likert scale. The students’ knowledge improved from 38.4% to 78.2% (p < 0.01) as well as self-reported confidence from 4.3 to 6.1 (p < 0.01).
The use of 360° video for a virtual operating theatre orientation improved knowledge and confidence of learners which suggests its expanded use in medical education.
The use of 360° video for a virtual operating theatre orientation improved knowledge and confidence of learners which suggests its expanded use in medical education.
By comparison with other countries of the European Union Germany is only middle-ranking in terms of telemedicine usage. There is a relevant gap between the legal framework and the actual state of implementation. Healthcare providers play an important role in this implementation process as they are increasingly confronted with the application of telemedical scenarios. Therefore, the aim of this survey was to determine attitudes towards telemedicine of postgraduate trainees in Family Medicine (FM) in Germany.
A cross-sectional survey was conducted between July and October 2016 among postgraduate trainees in FM throughout Germany. The questionnaire covered four topics attitudes towards telemedicine, barriers for the implementation of telemedicine, assessment of useful telemedical applications and telemedicine scenarios. selleck compound A descriptive approach was used to analyze the data in order to derive determinants for the implementation of telemedicine.
In total, 388 postgraduate trainees from 13 of the 16 federal stafor telemedicine is not yet fully exploited. Based on the results of this survey the next steps to be taken for the implementation of telemedicine applications can be addressed.
Global warming is a fundamental threat to human civilization. Urgent and comprehensive actions are needed to achieve the Paris Climate Convention goals. This work aims to provide a systematic overview of global warming and its linkages to public healthcare.
In a narrative review, we outline causes, consequences, and necessary measures regarding global warming and the implications for public healthcare.
Closely linked to our resource behaviours and economic systems, greenhouse gas emissions play a central role in global warming. We are seeing an increase in temperature records and heat waves as well as droughts with crop losses, rising sea levels and, ultimately, effects on the human body and mind. Despite these threats, there is a gap between awareness and action. Measures are urgently needed at a political, innovative, economic and individual level. As a significant greenhouse gas emitter, the public health sector bears responsibility. Healthcare professionals are directly confronted with the impact of global warming through the treatment of people suffering from its effects; they can serve as role models in tackling it. Necessary changes in life (style) do not only involve a more conscious use of our resources, but also hold the chance of creating a new form of social solidarity.
Healthcare institutions and professionals play a significant role as emitters, practitioners, and role models in global warming.
Healthcare institutions and professionals play a significant role as emitters, practitioners, and role models in global warming.
The COVID-19 pandemic is an emergency worldwide. In Italy, liver transplant activity was carried on, but despite all efforts, a 25% reduction of procured organs has already been observed during the first 4 weeks of the outbreak.
To analyze if our strategy and organization of LT pathway during the first two months of the COVID-19 emergency succeeded in keeping a high level of LT activity, comparing the number of LT in the first two months with the same period of time in 2019.
We compared the liver transplants performed in our Center between February 24th and April 17th, 2020 with liver transplants performed in the same period in 2019.
In 2020, 21 patients underwent liver transplantation from deceased donors, exactly as the year before, without statistically significant difference. All patients survived in both groups, and the rate of early graft dysfunction was 24% in 2020 and 33% in 2019. In 2020 Median MELD was higher (17 vs 13). We were able to perform 3 multiorgan transplants and one acute liver failure. Nobody died on waiting list. The performance of our Center, despite the maxi-emergency situation, was steady and this was the result of a tremendous team working within the hospital and in our region.
Team working allowed our Center to maintain its activity level, taking care of patients before and after liver transplantation. Sharing our experience, we hope to be helpful to other Centers that are facing the pandemic and, if another pandemic comes, to be more prepared to deal with it.
Team working allowed our Center to maintain its activity level, taking care of patients before and after liver transplantation. Sharing our experience, we hope to be helpful to other Centers that are facing the pandemic and, if another pandemic comes, to be more prepared to deal with it.
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Start with a huge, uncovered box, or even a kiddie pool, and fill with a thick layer (about 6 inches) of unscented clay or fine sand-like particulate clumping/scoopable litter. For Ollie, you may need to play around with the substrate types to make it more natural. Try using soil or peat.