4,998,788 papers found

INTRODUCTION: Female genital fistula is a debilitating traumatic injury, largely birth-associated, globally affecting up to 2 million women, mostly in sub-Saharan Africa. Fistula has significant physical, psychological and economic consequences. Women often face challenges in reintegrating and resuming prior rol…

BACKGROUND: Achilles tendon ruptures are a common injury and are increasing in incidence. Several management strategies exist for both non-operative and operative care, with each strategy offering unique risks and benefits. Traditional pairwise meta-analyses have been performed to compare management strategies; however…

BACKGROUND: Each year, infection with Plasmodium causes millions of clinical cases of malaria and hundreds of thousands of deaths. Resistance to different antimalarial medications continues to develop and spread, threatening effective prophylaxis and treatment. Surveillance of resistance is required to inform health po…

BACKGROUND: Generative artificial intelligence (GenAI) leverages large language models (LLMs) that are transforming health care. Specialized ambient GenAI tools, like Nuance Dax, Speke, and Tandem Health, "listen" to consultations and generate clinical notes. Medical-focused models, like Med-PaLM, provide tailored heal…

BACKGROUND: Diabetic retinopathy (DR) is one of the most common complications of diabetes mellitus. The global burden is immense with a worldwide prevalence of 8.5%. Recent advancements in artificial intelligence (AI) have demonstrated the potential to transform the landscape of ophthalmology with earlier detection and…

Introduction . The flipped classroom (FC) integrates online content delivery with in-class activities focused on knowledge application, such as discussions and problem-solving. While increasingly prevalent in medical education field, the efficacy of FC remains a subject of debate. Objective . This protocol outlines a s…

BACKGROUND: Geographic maldistribution of the health workforce remains a major challenge in Australia, with rural and remote communities experiencing persistent shortages that undermine access to and quality of care. Engagement in research is recognised as a potential mechanism for professional growth, continued learni…

INTRODUCTION: Tuberculosis (TB) is a notable public health issue in sub-Saharan Africa (SSA), disproportionately affecting vulnerable populations such as nomads. Their migratory lifestyles limit consistent access to TB diagnostic and treatment services, leading to delays in diagnosis and challenges in completing the fu…

OBJECTIVE: This project aims to gain a thoroughly understanding of the characteristics and experiences of psychological mistreatment among older adults, acknowledging the diversity within this population. It also seeks to identify clinical tools and practices for its detection and intervention. While there is extensive…

This systematic review protocol introduces the rationale to investigate how well the Vojta approach works to improve respiratory function and lessen neuromuscular deficits in premature newborns. Innovative approaches like the Vojta technique may offer a possible therapeutic path for preterm newborns, who frequently suf…

OBJECTIVE: The objective of this review will be to identify and map key components of transitional care programs for adult patients with stroke transitioning from the hospital (ie, acute care hospitals, acute rehabilitation facilities, skilled nursing facilities) to the community (ie, home environments, senior living,…

OBJECTIVE: This review aims to map existing evidence on the applications of large language models (LLMs) in perioperative care, including the types of technologies employed, the clinical tasks they support, and the evidence gaps that may influence their future adoption. INTRODUCTION: The perioperative period-encompass…

OBJECTIVE: The objective of this review is to identify and map the available evidence on interventions for heart failure dyads through telemedicine. INTRODUCTION: Heart failure is a chronic and progressive condition that requires significant lifestyle changes and daily support from informal caregivers. Due to the shar…

PURPOSE: To determine the pooled prevalence and associated contributing factors of microbial water quality, especially the most recent fecal contamination indicator, fecal coliforms, from drinking water in Ethiopia. METHOD: The review will be conducted per the Preferred Reporting Items for Systematic Reviews and Meta-…

OBJECTIVE: The objective of this systematic review is to synthesize and compare policies and implementation strategies on long-term care insurance for older people in China. INTRODUCTION: Current information about China's long-term care insurance from a textual perspective is limited. Due to late inception and fragmen…

INTRODUCTION: The intrauterine device (IUD) inserted immediately after delivery is a safe and effective measure for preventing unplanned pregnancies. Despite exhibiting a higher expulsion rate compared with later insertions, it proves cost-effective due to the high rate of continuity of the method. There is still a gap…

The purpose of this paper is to describe a protocol for a systematic review (SR) and meta-analysis examining the associations between an episode of COVID-19 and trajectory as well as the risk of frailty. The protocol for this SR has been registered in the PROSPERO database (CRD42023468297) and conforms to the guideline…

OBJECTIVE: This proposed scoping review aims to examine studies assessing the impact of drug shortages on population-level drug utilization trends. The objectives of this review are to a) assess which drugs have been studied and describe associated drug characteristics, b) determine jurisdictions and healthcare setting…

INTRODUCTION: Racism in healthcare leads to significant harm to healthcare professionals and the clients, families and communities they serve. Increasingly, health practitioner regulators-responsible for protecting the public and ensuring practitioner competence-are recognising the importance of reforming policies and…