Development and validation of a prediction model of hospital mortality for patients with cardiac arrest survived 24 hours after cardiopulmonary resuscitation by Renwei Zhang, Zhenxing Liu, Yumin Liu, Li Peng

“…We aim to explore the factors associated with hospital mortality in these patients and develop a predictive model to aid clinical decision-making and enhance the survival rates of patients post-resuscitation.MethodsWe sourced the data from a retrospective study within the Dryad dataset, dividing patients who suffered cardiac arrest following CPR into a training set and a validation set at a 7:3 ratio. …”
Get full text

Subtalar arthroereisis for simultaneous treatment of flexible pes planus during surgical correction of hallux valgus by Fan Yang, Chenglin Wu, Jiazheng Wang, Guohua Mei, Jian Zou, Jianfeng Xue, Yan Su, Xin Ma, Jieyuan Zhang, Zhongmin Shi

“…Subtalar arthroereisis using a HyProCure implant (SOH) was performed to correct hindfoot valgus based on shared decision-making. We collected and compared pre- and at least 2 year postoperative clinical outcomes (American Orthopaedic Foot & Ankle Society (AOFAS) forefoot, hindfoot score, Visual Analog Scale (VAS) pain intensity) and radiographic outcomes (hallux valgus angle (HVA), intermetatarsal angle (IMA), Meary’s angle, talonavicular coverage angle (TNCA), and calcaneal pitch (CP) angle in both groups. …”
Get full text

Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension by Priscilla Fernandes Nogueira, Gustavo Coelho Caiado, Carolina P. B. Gracitelli, Fernando Meister Martins, Felipe Chaves Duarte Barros, Sandro Luis De Andrade Matas, Sérgio Henrique Teixeira, Luciana da Cruz Noia, Danilo Andriatti Paulo

“…This might suggest a role for OCT parameters when the structural changes that occur in IIH are investigated, possibly guiding clinical decision making.…”
Get full text

Association of Pneumatosis Intestinalis With Surgical Outcomes and Mortality: A Matched, Retrospective Cohort Study and Literature Review by Kyle D. Klingbeil, MD, MS, Hila Zelicha, PhD, RD, Yijun Chen, MD, Douglas S. Bell, MD, Edward H. Livingston, MD, FACS, AGAF

“…To determine the clinical importance of pneumatosis intestinalis (PI) on surgical decision-making and patient outcomes. Methods:. A matched cohort observational study was conducted including all clinical encounters for both ambulatory and inpatient care at UCLA Health between February 15, 2006 and January 31, 2023. …”
Get full text

Effect of feedback-integrated reflection, on deep learning of undergraduate medical students in a clinical setting by Zainab Maqsood, Madiha Sajjad, Raheela Yasmin

“…Feedback, in turn, provides external insights that complement reflection, helping learners recognize their strengths and weaknesses, adjust their learning strategies, and enhance clinical reasoning and decision-making skills. However, reflection alone may not produce the desirable effects unless coupled with feedback. …”
Get full text

Integrating social narratives of flood events into a text network analysis-based decision support framework to reduce vulnerability to climate change in Africa by Thomas E. O’Shea, Lena C. Grobusch, Mary Zhang, Jeff Neal, Joseph Daron, Richard G. Jones, Christopher Jack, Alice McClure, Gilbert Siame, Dorothy Ndhlovu, Sukaina Bharwani

“…Using a well-established network from the Future Resilience for African Cities And Lands (FRACTAL) group, a cross-disciplinary approach of natural and social sciences to support decision-making for flood resilience is presented as the Participatory Climate Information Distillation for Urban Flood Resilience in Lusaka (FRACTAL-PLUS) project. …”
Get full text

Knowledge, Attitudes, Motivations, Expectations, and Systemic Factors Regarding Antimicrobial Use Amongst Community Members Seeking Care at the Primary Healthcare Level: A Scoping... by Nishana Ramdas, Johanna C. Meyer, Natalie Schellack, Brian Godman, Eunice Turawa, Stephen M. Campbell

“…Four key themes were identified: (1) the ’patient’ theme, highlighting beliefs, knowledge, and expectations, which was the most prominent (40.5%); (2) the ’provider’ theme, emphasizing challenges related to clinical decision-making, knowledge gaps, and adherence to guidelines; (3) the ’healthcare systems’ theme, highlighting resource limitations, lack of infrastructure, and policy constraints; and (4) the ‘intervention/uptake’ theme, emphasizing strategies to improve future antibiotic use and enhance access to and quality of healthcare. …”
Get full text

Risk factors for pelvic lymph node metastasis in cervical cancer: a retrospective analysis of 186 patients by Xingyu Sun, Lijuan He, Shaohua Wang

“…These findings can help guide clinical decision-making and individualized treatment planning, improving outcomes for patients with cervical cancer. …”
Get full text

Regional differences in triage decisions affect hospital mortality among frail COVID-19 patients in the COvid MEdicaTion study by Julia Minnema, Roos Sablerolles, Janneke van Kempen, Hugo van der Kuy, Harmke Polinder-Bos, Bob van de Loo, Jorie Versmissen, Miriam L. Haaksma, Melvin Lafeber, Miriam C. Faes, on behalf of the COMET research team^

“…Regional variation in medical decision making might affect ICU triage decisions. We investigate whether regional differences in ICU admission, as surrogate for triage decisions, affect in-hospital mortality in COVID-19 patients. …”
Get full text

CT Texture Analysis in Breast Cancer Patients Undergoing CT-Guided Bone Biopsy: Correlations With Histopathology by Silvio Wermelskirchen, Jakob Leonhardi, Anne-Kathrin Höhn, Georg Osterhoff, Nikolas Schopow, Susanne Briest, Timm Denecke, Hans-Jonas Meyer

“…The identified parameters may prove useful in clinical decision-making and could help to identify patients at risk of a negative biopsy result.…”
Get full text

Post COVID glaucoma service redesign utilising electronic patient triage and community optometry clinics (Fife, Scotland 2020—2022) by Niharika Nalagatla, Shameela Parveen, Kelvin KW Cheng, Caroline Styles, Andrew Blaikie, Peter Wilson, Bhavani Karri, David J Chinn, Roshini Sanders, Glaucoma Team, Lisa Wong, Alan Ramsay, Steven Halstead, Michelle Boulton, David Cummins, Colin Ferrier, Gavin Galloway, Elizabeth Embrey, Duncan Preston

“…The glaucoma consultants would discuss the optometry decision making through screen share once a week. Level three patients (1080) were retained in hospital. …”
Get full text

Defining patient-reported outcomes in diabetes, obesity, cardiovascular disease, and chronic kidney disease for clinical practice guidelines - perspectives of the taskforce of the... by Katharine Barnard-Kelly, Tadej Battelino, Frank C. Brosius, Antonio Ceriello, Francesco Cosentino, James R. Gavin, Francesco Giorgino, Jennifer Green, Linong Ji, Monika Kellerer, Sue Koob, Mikhail Kosiborod, Nebojsa Lalic, Nikolaus Marx, Prashant Nedungadi, Christopher G. Parkin, Helena W. Rodbard, René D. Rötzer, Lars Rydén, Wayne Huey-Herng Sheu, Eberhard Standl, Britta Tendal Jeppesen, Pinar Topsever, Per Olav Vandvik, Christoph Wanner, Oliver Schnell

“…However, they do not include recommendations for the assessment of patient-reported outcomes (PROs), which would – dependent on the topic of guideline – be important for improving shared decision-making, patients’ concordance with guideline recommendations, clinical outcomes and health-related quality of life (HRQoL). …”
Get full text

Long-term trends in the incidence of male breast cancer and nomogram for predicting survival in male breast cancer patients: a population-based epidemiologic study by Aimin Huang, Daning Li, Zhe Fan, Jingfang Chen, Weidong Zhang, Wentao Wu

“…Additionally, we have developed a competing risk nomogram to assist in identifying high-risk individuals and guiding clinical decision-making.…”
Get full text

Oral Contraceptives and Thyroid Results: Navigating the Complex Interactions and Clinical Implications by Maria Morawska, Klaudia Kożuchowska, Dawid Pilarz, Marcelina Szewczyk, Anna Wolff, Julia Ufnal, Dominika Lewandowska, Dominika Rosińska-Lewandoska, Helena Udziela-Gil, Kinga Jarosz

“…This synthesis of evidence underscores the importance of informed clinical decision-making in managing thyroid health for individuals using oral contraceptives. …”
Get full text

Penerapan Metode Extreme Programming pada Rancang Bangun Sistem Analisis Sentimen Portal Berita by I Gede Bagus Premana Putra, Made Sudarma, Ida Bagus Gede Manuaba

“…The existence of a sentiment analysis system can be used as an alternative solution for individuals and organizations to carry out sentiment analysis, so that it can assist in the decision-making a process and performance evaluation. …”
Get full text

Barriers to nurse-led delirium management in intensive care units: an integrative systematic review using COM-B model by Mokhtar Abdu Almoliky, Sameer Alkubati, Khalil Saleh, Salman Alsaqri, Saddam A. Al-Ahdal, Galal Albani, Mujeeb A. Sultan

“…This study is promising in ease of application in clinical practice since delirium barriers in ICU settings were well-presented in a COM-B framework that may facilitate therapeutic strategies and related decision making.…”
Get full text

Longitudinal association of thyroid-stimulating immunoglobulin levels with clinical characteristics in thyroid eye disease by Kyung In Woo, Suk-Woo Yang, Jeong Kyu Lee, Sang In Khwarg, Jin Sook Yoon, Sehyun Baek, Jae Wook Yang, JaeSang Ko, Koung Hoon Kook, Sang Duck Kim, Jun Hyuk Son, Helen Lew, Sung Bok Lee, Jae Woo Jang, Hee Young Choi, Mi Jung Chi

“…Subgroup analysis of patients with a baseline CAS≥4 demonstrated that within-person changes in TSI levels affected the CAS and NOSPECS score.Conclusions Follow-up measurement of serum TSI and TBII levels may help evaluate TED prognosis and enable accurate clinical decision-making.…”
Get full text

Patterns of Comorbidity and Multimorbidity Among Patients With Multiple Sclerosis in a Large US Commercially Insured and Medicare Advantage Population by Dingwei Dai, Ajay Sharma, Amy L. Phillips, Carroline Lobo

“…Multimorbidity was highly prevalent among patients with MS and should be considered in the context of clinical decision making to ensure comprehensive MS management and improve outcomes.…”
Get full text

Community Caregivers’ Perspectives on Health IT Use for Children With Medical Complexity: Qualitative Interview Study by Farah Elkourdi, Onur Asan

“…These tools can improve the care of children with medical complexity by enhancing communication, information exchange, medical safety, care coordination, and shared decision-making. In this study, we identified children with medical complexity as children aged <21 years who have >3 chronic health conditions. …”
Get full text

Debriefing Methodologies in Nursing Simulation: An Exploratory Study of the Italian Settings by Sonia Lomuscio, Emanuele Capogna, Stefano Sironi, Marco Sguanci, Sara Morales Palomares, Giovanni Cangelosi, Gaetano Ferrara, Stefano Mancin, Antonio Amodeo, Anne Destrebecq, Mauro Parozzi, Susy Dal Bello

“…<b>Background:</b> As part of simulation-based learning, it is well known that debriefing plays a crucial role; ineffective debriefing can lead to a reiteration of errors in decision-making and a poor understanding of one’s limitations, compromising the learner’s psychological safety and making future simulated learning experiences less effective. …”
Get full text