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Organizing and Improving Outcomes for Changing Teaching in Neurological Surgery Residency Using Innovation.

BACKGROUND: Neurosurgical training is uniquely constrained by prolonged duration, limited case volumes, and high-stakes decision-making that demands simultaneous mastery of technical skills, clinical judgment, professionalism, and communication. Traditional assessment systems often detect late deficits and provide insufficiently granular feedback for early, individualized remediation. METHODS: We implemented an integrated educational performance framework in an Accreditation Council for Graduate Medical Education (ACGME) osteopathic-recognized neurosurgery residency consisting of: (1) a point

Humanitarian initiative among members of the British Association of Oral and Maxillofacial Surgeons: A descriptive survey of experiences and perspectives.

INTRODUCTION: Humanitarian oral and maxillofacial surgery (OMFS) is essential in addressing unmet surgical needs in low-resource and underserved populations. Although UK OMFS surgeons contribute to various international initiatives, limited evidence exists regarding the experiences and perspectives of BAOMS members engaged in such humanitarian work. This exploratory study aimed to describe the nature of humanitarian involvement among BAOMS members, the challenges encountered, and perspectives regarding sustainable global surgical engagement within the specialty. METHODS: An exploratory cross-

Psychological, social, and behavioral barriers and facilitators to prehabilitation before cancer surgery: a qualitative systematic review.

BACKGROUND: Prehabilitation before cancer surgery improves postoperative outcomes, yet patient participation remains suboptimal. This qualitative systematic review aimed to synthesize psychological, social, and behavioral barriers and facilitators to preoperative prehabilitation among adult cancer patients. METHODS: A systematic search was conducted in CNKI, Wanfang Data, CBM, VIP, PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL from inception to January 13, 2025, with an updated search on May 31, 2025. A total of 1,184 articles were screened, and 20 qualitative studies were …

Assessment of multidimensional functional recovery post-stroke: a systematic review of outcome measures and their psychometric properties.

Stroke is a leading cause of adult disability worldwide and results in complex impairments affecting motor, cognitive, functional and psychosocial domains. Despite progress in acute management, inconsistent adoption of standardized approaches and incomplete psychometric evidence coverage across functional domains limit the comparability of studies and the optimization of rehabilitation outcomes. To address this issue, a systematic review was conducted following PRISMA guidelines using PubMed, Scopus, Web of Science and the Cochrane Library for studies published between January 1990 and July 20

Political and institutional determinants of the Colombian health system financing fragmentation: an exploratory qualitative study of stakeholders' and policymakers' perspectives.

BACKGROUND: Financing fragmentation in health systems refers to the coexistence of uncoordinated financing and payment control mechanisms that hinder the achievement of universal health coverage. This study aimed to identify the political and institutional determinants of the Colombian health system's financing fragmentation, based on the experiences and perceptions of health sector stakeholders and policymakers. METHODS: An exploratory qualitative study was conducted. A total of 28 stakeholders and policymakers, including government officials, elected politicians, healthcare insurance and pr

Bibliometric and Thematic Analysis of Global Neurocritical Care Research: Trends, Gaps and Collaboration.

BACKGROUND: Neurocritical care is a rapidly evolving, multidisciplinary speciality. Understanding the research landscape is essential for identifying thematic priorities, gaps and patterns of collaboration that may influence evidence-based practice. AIM: This bibliometric analysis aimed to examine the conceptual and collaborative structures within global neurocritical care research between 2014 and 2024. STUDY DESIGN: Data were collected from the Scopus database, covering publications from 2014 to 2024. The search terms included 'neurocritical care' or 'neurological intensive care' or 'neuro

The Relationship Between Social Media Use and Health-Seeking Behaviors and Perceptions of Health Among Surgical Patients: A Descriptive and Cross-Sectional Study.

Background/Objectives: The primary goal of this research was to investigate the relationship between the utilization of social media platforms, its influences on health status perceptions and health information-seeking tendencies of individuals who underwent surgical procedures. Methods: This study was designed and executed utilizing a descriptive and cross-sectional design. The research cohort comprised 376 surgical patients selected from operative clinics who satisfied the specified eligibility requirements for participation. Data collection was carried out through a structured Patient Demog

Enablers and challenges of family-centred care for preterm infants in a tertiary health facility in Northern Nigeria: perspective of parents and health workers - a qualitative study.

BACKGROUND: The family-centred care (FCC) is a model that emphasises the active participation of family members in patient care decisions, fostering collaboration and recognising families as vital partners in the healthcare journey, with evidence linking it to improved neonatal outcomes and parental satisfaction. In Nigeria, where neonatal mortality remains among the highest globally, evidence on FCC integration, particularly from the perspectives of both parents and health workers, is scarce. OBJECTIVE: To explore the enablers and challenges of FCC for preterm newborns in a tertiary neonatal

Intensive Short-Term Voice Therapy Through Resonance Tube Phonation in Water and Vocal Self-Assessment: A Controlled and Randomized Clinical Trial.

OBJECTIVE: To compare patient-reported outcome measures (PROMs) before and after intensive short-term voice therapy through resonance tube phonation in water (IVT with RTPW) in women with vocal complaints, with and without structural laryngeal disorders (SLD), to verify the possible therapeutic effect of RTPW. STUDY DESIGN: Controlled and randomized clinical trial. METHODS: In total, 46 women were alternately assigned to four groups based on diagnosis and videolaryngostroboscopy order: 15 women without SLD in study group 1 (SG1), 13 women without SLD in control group 1 (CG1), 9 women with SL

Summit program to taper long-term opioid therapy in Veterans: A mixed-methods feasibility study.

Due to the harms associated with long-term opioid therapy and, often, the lack of benefit, it is guideline concordant to offer patients the opportunity to engage in a supportive, patient-centered taper. However, tapering is challenging for both clinicians and patients, with barriers including lack of resources and tools to support tapering and fear of worsening pain. To address these barriers, we created Summit - a web-based app that uses principles of behavioral therapy to offer patients support during voluntary opioid tapers. The aim of this study was to conduct a nine-month randomized pilot

The Impact of Mindfulness Interventions on the Well-Being of Intensive Care, Emergency Department and Anaesthesia Staff: A Systematic Review.

BACKGROUND: Critical care staff face unique stressors, including high patient acuity and intense work environments, leading to high rates of burnout and emotional fatigue. While mindfulness-based interventions (MBIs) are increasingly recognised for reducing stress among healthcare workers, no prior review has specifically examined their impact within critical care settings. AIM: To evaluate the effectiveness of individual and workplace-delivered MBIs on improving well-being and reducing stress and burnout among critical care staff. STUDY DESIGN: This systematic review was conducted starting

Psychotherapy, Antidepressants, and Combined Treatment for Depression: A Network Meta-Analysis on Social Functioning Outcomes.

INTRODUCTION: Social functioning is a key component of recovery in depression, yet most research on first-line treatments focuses on symptom reduction, and comparative evidence on social functioning is limited. We aimed to evaluate the comparative effects of psychotherapy, antidepressant medication, and their combination on social functioning in adults with major depression. METHODS: We conducted a systematic review and network meta-analysis of randomized controlled trials up to May 1, 2025. Eligible trials compared psychotherapy, antidepressant medication, combined treatment, and control con

Learning to support client autonomy during clinical nursing training: an exploratory qualitative descriptive study.

BACKGROUND: Supporting clients' autonomy in daily living care is vital for dignity and quality of life. In practice, autonomy is often conflated with self-reliance; however, whereas self-reliance concerns performing activities independently, autonomy concerns making decisions according to one's own values and preferences. Little is known about how nursing students learn to support clients' autonomy during clinical training. AIM: We explored how nursing students learn to support clients' autonomy through interactions with clinical supervisors during clinical training. METHODS: In an explorato

Patient-Reported Quality of Life and Treatment Experiences Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Aflibercept in Colombia: A Qualitative Study.

PURPOSE: To explore the experiences and perceptions of patients with neovascular age-related macular degeneration (AMD) receiving anti-VEGF therapy and understand how treatment influences their quality of life. PATIENTS AND METHODS: A qualitative study informed by a phenomenological perspective and employing a hybrid deductive-inductive thematic analysis was conducted at an ophthalmologic center in Medellín, Colombia. Fourteen patients with confirmed AMD undergoing intravitreal aflibercept treatment participated in semi-structured telephone interviews. Participants were selected through purpo

Feasibility of patient-reported outcomes collection in clinical routine at a radiotherapy department.

Background and purposeRoutine collection of patient-reported outcome measures (PROMs) may provide valuable real-world data on quality of life (QoL) and treatment tolerability, complementing clinical outcomes. This study evaluated the feasibility of launching a semi-automated, department-wide PROM collection program at a large tertiary radiotherapy centre.Patients and methodsPatients ≥ 18 years referred for radiotherapy were invited to participate. Exclusion criteria were inability to provide informed consent, severe cognitive conditions, or language barriers. PROMs were collected using a web-b

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… The primary aim of this analysis was to assess the feasibility of department-wide PROM collection, measured by patient participation rates at baseline and follow-up and the practicality of integrating the process into routine care. …

A cross-sectional study on the quality of IgA nephropathy videos on short video platforms.

IgA nephropathy, as a common chronic kidney disease, relies on accurate health knowledge for long-term patient management. Short videos have become a significant channel for the public to access medical information, but their overall quality varies widely, and research in the field of IgA nephropathy remains largely unexplored. A cross-sectional study design was employed to systematically retrieve videos from both platforms using "IgA nephropathy" as the keyword. Based on the inclusion criteria, 186 short videos were obtained. Video characteristics, uploader categories, and interaction metrics

Feeling safe by means of remote cardiac rhythm surveillance after open cardiac surgery: a mixed method pilot feasibility study.

BACKGROUND: This is one of the few European studies of self-management and self-monitoring during the initial two weeks following discharge after open cardiac surgery. Typical outcomes are mortality, morbidity, surgical complications and additional medical treatment. Equally important for enabling person-centred care are the patients’ perspective and main concerns. The aim was to explore feasibility, self-management experiences and consequences in everyday life when self-monitoring with the Coala Heart Monitor® after cardiac surgery. METHODS: In this mixed method pilot feasibility study, we in

Mismatch Between Physical and Psychological Outcomes at Return to Sport After ACL Reconstruction and the Association With Second ACL Injury Risk: A Cohort Study.

BACKGROUND: The purpose of this study was to investigate whether a mismatch between physical function and psychological outcomes at return to preinjury level of sport (RTS) after anterior cruciate ligament (ACL) reconstruction is associated with the risk of a second ACL injury. HYPOTHESIS: A mismatch between physical function and psychological outcomes at RTS increases second ACL injury riskStudy Design:Prospective cohort (registry). LEVEL OF EVIDENCE: Level 3. METHODS: Patients registered in a local rehabilitation specific registry with ACL reconstruction, aged 15 to 40 years, who reported

Barriers and facilitators for high-risk pregnancy care: a qualitative study on the perspective of pregnant women of rural Rajasthan.

BACKGROUND: High-risk pregnancies, which pose serious risks to the mother and fetus, remain a major global challenge, and the burden is intensified in India due to socio-economic disparities and inadequate healthcare infrastructure. Despite multiple government programs and social support initiatives, substantial gaps persist in identifying and managing high-risk pregnancies. This qualitative study examines the identification and management of high-risk pregnancies in Rajasthan by exploring the key challenges and facilitators from the perspective of pregnant women. It provides one of the first

Physical morbidity after burns: A cross-sectional analysis of chronic sequelae and patient-reported outcomes from the Burn Model System National Database.

BACKGROUND: Burn injury is increasingly recognized as a chronic condition, yet healthcare systems and payors rarely allocate resources for long-term sequelae. While functional and psychosocial outcomes are well studied, persistent physical morbidities remain underappreciated. A clearer understanding of these complications and their impact on survivorship is critical for guiding follow-up care and resource allocation. Accordingly, this study aimed to characterize long-term morbidity among adult burn survivors and evaluate how chronic complications influence patient-reported outcomes. METHODS: