Toward Clinical-Grade Evaluation of Large Language Models
Large language models (LLMs), exemplified by chatbots such as ChatGPT,1 have garnered significant attention in health care for their seemingly human-like abilities to process language and, in so doing, mimic intelligence. Despite being trained on vast amounts of general text curated from the internet, these LLMs appear to embed knowledge2-5 that could provide clinical decision support,6,7 answer patient questions,8,9 serve as a biomedical knowledge resource,10 and address burnout by improving efficiency and documentation burden. (Source: International Journal of Radiation Oncology * Biology * Physics)
Source: International Journal of Radiation Oncology * Biology * Physics - February 22, 2024 Category: Radiology Authors: Amy C. Moreno, Danielle S. Bitterman Tags: Editorial Source Type: research

Addressing hunger among households with children utilizing food assistance resources: an analysis of food pantry users
ConclusionPrograms and policies addressing food insecurity are critical for supporting households with children already accessing supports, so removal of benefits may impact food insecurity. A multi-pronged approach including government-funded benefits and food pantry services is most effective in alleviating food insecurity.SignificancePrevious studies show that food insecurity increases with more children in the household compared to households without children, but focus less on populations already utilizing food assistance programs such as food pantries. This study examines hunger in households with children who are al...
Source: Journal of Public Health - February 22, 2024 Category: Health Management Source Type: research

Anxiety and depression among cancer patients in Ethiopia: a systematic review and meta-analysis
ConclusionThis meta-analysis indicated that a substantial proportion of cancer patients suffer from anxiety and depression in Ethiopia. Educational status, occupational status, social support, cancer stage, comorbid illness and sleep quality were significantly associated with depression. Whereas, anxiety was predicted by cancer stage and sleep quality. Thus, the provision of comprehensive mental health support as a constituent of chronic cancer care is crucial to mitigate the impact and occurrence of anxiety and depression among cancer patients. Besides, families and the community should strengthen social support for cance...
Source: Frontiers in Psychiatry - February 22, 2024 Category: Psychiatry Source Type: research

Powerful new antivenom raises hopes for a universal solution to lethal snakebites
Researchers have discovered a potent antibody that can neutralize a key type of neurotoxin produced by four different deadly snake species from South Asia, Southeast Asia, and Africa—a step toward an antivenom that could be used on any of the 200 or so dangerous venomous snakes throughout the world. “We are wiping out a major subclass of neurotoxins here,” says Nicholas Casewell, a toxinologist at the Liverpool School of Tropical Medicine and co-author on a paper describing the antibody published today in Science Translational Medicine . “I think this is a really huge step in terms of what...
Source: Science of Aging Knowledge Environment - February 21, 2024 Category: Geriatrics Source Type: research

Abstract No. 352 Assessment of Routine and Emergent Percutaneous Nephrostomy (PCN) Exchange Intervals in Pediatric Populations Using a Large Commercial Health Care Claims Database: Variations in Clinical Practices
To investigate routine and emergent percutaneous nephrostomy (PCN) exchange intervals in pediatric populations given the lack of existing evidence-based guidelines. (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - February 21, 2024 Category: Radiology Authors: J. Ricci, J. Moon, J. Nguyen, H. Li, N. Sim, M. Horny, F. Bertino, J. Newsome, Z. Bercu Source Type: research

Approaching Digestive Health Care in Transgender and Gender-Diverse Communities
Transgender and gender-diverse (TGD) people are more likely than cisgender people to experience adverse health outcomes and health care discrimination. These disparities remain uninvestigated in gastroenterology (GI) and hepatology. Here, we describe what is known about digestive clinical care in TGD people. Practical considerations are offered to assist in the provision of culturally humble care to TGD people. (Source: Gastroenterology)
Source: Gastroenterology - February 21, 2024 Category: Gastroenterology Authors: Christopher V élez, Kira L. Newman, Sonali Paul, Jens U. Berli, Vin Tangpricha, Laura E. Targownik Tags: Diversity, Equity, and Inclusion in GI Source Type: research

Approaching Digestive Health Care in Transgender and Gender-Diverse Communities
Transgender and gender-diverse (TGD) people are more likely than cisgender people to experience adverse health outcomes and health care discrimination. These disparities remain uninvestigated in gastroenterology (GI) and hepatology. Here, we describe what is known about digestive clinical care in TGD people. Practical considerations are offered to assist in the provision of culturally humble care to TGD people. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - February 21, 2024 Category: Gastroenterology Authors: Christopher V élez, Kira L. Newman, Sonali Paul, Jens U. Berli, Vin Tangpricha, Laura E. Targownik Tags: Diversity, Equity, and Inclusion in GI Source Type: research

The relationship of mental health providers with health insurers; an  exploration
CONCLUSION: With the supported content of the vision document, there is to some extent shared governance. The change steps (shared innovation) considered desirable will be promoted by partly granting the intended benefits to each other (shared savings).PMID:38380484 (Source: Tijdschrift voor Psychiatrie)
Source: Tijdschrift voor Psychiatrie - February 21, 2024 Category: Psychiatry Authors: C de Koning T S van Dijk R Janssen Source Type: research

Value-based healthcare in mental health care: a practical example
CONCLUSION: The bottom-up approach of value-based healthcare is in line with day-to-day care practice and provides opportunities for effectively improving the quality of mental health care.PMID:38380486 (Source: Tijdschrift voor Psychiatrie)
Source: Tijdschrift voor Psychiatrie - February 21, 2024 Category: Psychiatry Authors: L Vegter N G Klaasen L Kreuger K S van den Berg P B van der Nat J M Hegeman Source Type: research

Using natural language processing to analyze unstructured patient-reported outcomes data derived from Electronic Health Records for cancer populations: a systematic review
This study aimed to systematically review the published studies that used NLP techniques to extract and analyze PROs in clinical narratives from EHRs for cancer populations. We examined the types of NLP (with and without ML) techniques and platforms for data processing, analysis, and clinical applications.EXPERT OPINION: Utilizing NLP methods offers a valuable approach for processing and analyzing unstructured PROs among cancer patients and survivors. These techniques encompass a broad range of applications, such as extracting or recognizing PROs, categorizing, characterizing, or grouping PROs, predicting or stratifying ri...
Source: Expert Review of Pharmacoeconomics and Outcomes Research - February 21, 2024 Category: Health Management Authors: Jin-Ah Sim Xiaolei Huang Madeline R Horan Justin N Baker I-Chan Huang Source Type: research

Best practice recommendations for the integration of trauma-informed approaches in maternal mental health care within the context of perinatal trauma and loss: A systematic review of current guidance
CONCLUSIONS: The findings of this review are highly relevant given the current development, delivery, and evaluation of specific maternal mental health services, particularly in the United Kingdom, but also with the increase in perinatal mental health provision more globally.PMID:38382415 | DOI:10.1016/j.midw.2024.103949 (Source: Midwifery)
Source: Midwifery - February 21, 2024 Category: Midwifery Authors: Madeleine Benton Anja Wittkowski Dawn Edge Holly E Reid Terri Quigley Zoyah Sheikh Debbie M Smith Source Type: research

Choice in the Context of Dementia: Emerging Issues for Health Care Practice in Aging Societies
Hastings Cent Rep. 2024 Jan;54 Suppl 1:S2-S10. doi: 10.1002/hast.1549.ABSTRACTThis introduction to the special report "Facing Dementia: Clarifying End-of-Life Choices, Supporting Better Lives" explains why focused attention to dementia is needed in bioethics and in health care practice in a range of settings. It explains how this strongly age-associated condition shapes individual lives over years, revealing inequities in how dementia care is financed. The introduction explains the structure of the report, which consists of five essays, a consolidated set of recommendations from these essays, bibliographies, and other reso...
Source: The Hastings Center Report - February 21, 2024 Category: Medical Ethics Authors: Nancy Berlinger Emily A Largent Mara Buchbinder Mildred Z Solomon Source Type: research

Opening the Door: Rethinking "Difficult Conversations" about Living and Dying with Dementia
Hastings Cent Rep. 2024 Jan;54 Suppl 1:S22-S28. doi: 10.1002/hast.1551.ABSTRACTThis essay looks closely at metaphors and other figures of speech that often feature in how Americans talk about dementia, becoming part of cultural narratives: shared stories that convey ideas and values, and also worries and fears. It uses approaches from literary studies to analyze how cultural narratives about dementia may surface in conversations with family members or health care professionals. This essay also draws on research on a notable social effect of legalizing medical aid in dying: patients may find it easier to bring up a range of...
Source: The Hastings Center Report - February 21, 2024 Category: Medical Ethics Authors: Mara Buchbinder Nancy Berlinger Source Type: research

The Lack of a Standardized Definition of Chronic Dialysis Treatment in German Statutory Health Insurance Claims Data-Effects on Estimated Incidence and Mortality
CONCLUSION: The lack of a standardized definition of CKF requiring dialysis in German SHI claims data leads to variability in the estimated case numbers, mortality, and health-care costs. These differences are most probably in part due to the variable inclusion of inpatients who received short-term dialysis after AKI.PMID:38381660 | DOI:10.3238/arztebl.m2024.0015 (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - February 21, 2024 Category: General Medicine Authors: Tim Bothe Anne-Katrin Fietz Nina Mielke Julia Freitag Natalie Ebert Elke Schaeffner Source Type: research

Enhancing healthcare access and malaria management via mobile clinics and phone call services in Nuh district of Haryana, India
CONCLUSION: The study shows that the community is open to using these healthcare interventions and these initiatives of mobile malaria clinics and toll-free telephone services can bridge healthcare gaps, especially in malaria-endemic regions, aligning with India's malaria elimination and equitable healthcare access goals.PMID:38381048 | DOI:10.4103/JVBD.JVBD_163_23 (Source: Journal of Vector Borne Diseases)
Source: Journal of Vector Borne Diseases - February 21, 2024 Category: Infectious Diseases Authors: Manju Rahi Aarifa Nazmeen Sanjeev Kumar Chander Prakash Yadav Gaurav Kumar Peeyush Mittal Sam Joy Sachin Sharma Rajendra Kumar Baharia Gaurav Bhati Pawan Goel Amit Sharma Source Type: research