Journal of evaluation in clinical practice
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The article aims to describe the establishment and development of the Vascular Access Unit in a major hospital in Southern Europe during the SARS-COV2 pandemic and to evaluate the benefits brought by the Unit. ⋯ Establishing Vascular Access Teams should be a priority in large hospitals, as they can positively impact ward organization and significantly enhance patient satisfaction.
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Observational Study
Implementation of an Early Referral Programme for Patients With Hand Arthralgia.
Rheumatoid arthritis (RA) is a progressive autoimmune inflammatory disease. According to the European League Against Rheumatism (EULAR), the stages of RA progression include pre-RA, preclinical RA, inflammatory arthralgia, arthralgia with positive antibodies, arthralgia suspected of progressing to RA, undifferentiated arthritis and finally established RA. According to the Community Oriented Program for Control of Rheumatic Diseases (COPCORD), the prevalence of RA in Mexico is 1.6% [2], with approximately 10% of health problems addressed at the primary care level. ⋯ The implementation of this early referral programme significantly reduced the time in months for patients to access rheumatologic care.
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Professional knowledge and awareness of children begins to create at the age of 3-5, and the professional knowledge have acquired at this age was effective in their future career decision-making. This study aimed to develop the Children's Perceived Nursing Image Scale (CPNIS) and evaluate its psychometric properties. ⋯ Evaluation of the children's perceived nursing image can contribute to the identification of children with negative perceptions in clinics and the planning of interventions that will lead to positive perceptions.
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To examine the medical students' awareness of laparoscopic surgery as well as assess the perceived importance of laparoscopic simulation training, and its impact on students' confidence, career aspirations, proficiency, spatial skills, and physical tolerance. ⋯ Laparoscopic simulation training effectively improved the understanding, confidence, and surgical skills of medical students, with evident benefits in shaping their career aspirations. While both genders exhibited significant gains, female students faced challenges in terms of physical tolerance and initial spatial awareness. However, their post-training achievements mirrored those of their male peers, highlighting the effectiveness and importance of such simulation training programmes.
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3D Magnetic Resonance Imaging (3D-MRI) analysis of brain tumours is an important tool for gathering information needed for diagnosis and disease therapy planning. However, during the brain tumor segmentation process existing techniques have segmentation error while identifying tumor location and extended tumor regions due to improper extraction of initial contour points and overlapping tissue intensity distributions. ⋯ The results obtained for the BraTS2020 and Brain Tumor Detection 2020 data sets showed that the proposed model outperforms existing techniques with excellent precision of 97%, 97.5%, recall of 99%, 97.8%, and accuracy of 95.7%, 98.4%, respectively.