Effect of a brief patient communication teaching on both attendee and non-attendee family medicine residents.

Physician-patient communication skills are important for physicians to acquire. Teaching skills is thought to require attendance by learners but this is difficult in graduate medical education settings. We asked if an educational intervention on physician-patient communication was associated with a spill-over effect to non-attendees in the same family medicine residency program. We surveyed residents regarding communicating instructions to patients before the intervention and one month later, regardless of their attendance. Residents’ assessment of their patients’ understanding increased significantly post-intervention only if non-attendees were included. This pilot study suggests a beneficial “spill-over” effect to non-attendee residents that warrants further study

Effect of a brief patient communication teaching on both attendee and non-attendee family medicine residents

Physician-patient communication skills are important for physicians to acquire. Teaching skills is thought to require attendance by learners but this is difficult in graduate medical education settings. We asked if an educational intervention on physician-patient communication was associated with a "spill-over" effect to non-attendees in the same family medicine residency program. We surveyed residents regarding communicating instructions to patients before the intervention and one month later, regardless of their attendance. Residents’ assessment of their patients’ understanding increased significantly post-intervention only if non-attendees were included. This pilot study suggests a beneficial “spill-over” effect to non-attendee residents that warrants further study

Promoting Reproductive Health Using Telemedicine: A Prospective Study Among Rural Appalachian High School Teens

Introduction: Telemedicine allows rural underserved populations access to medical resources that may not be available in their communities. Following promising results with a telemedicine project aimed at educating female students in McDowell County, West Virginia on reproductive health (RH) in 2015, we conducted a follow-up study including both male and female high school students during the 2016 school year. Materials and Methods: Telemedicine sessions on RH were incorporated into existing afterschool programs at two rural high schools. Students’ knowledge on RH was assessed via pre-test, immediate post-test, and 6-month post-test evaluations. RH was taught by medical students and faculty at a distal university. Results: 77 students participated and 37 students completed a 6-month follow-up survey. Statistically significant increases in knowledge scores regarding both birth control and sexually transmitted disease prevention were noted at 6-month follow-up. A larger proportion of students reported “always” utilizing birth control (35.3% vs. 64.7%) as well as condom usage (46.2% vs. 58.8%) at six months compared to before the intervention, but was not statistically significant. The intervention was rated as “effective” or “very effective” by 91.9% of participants, and 75.6% stated they were “very likely” to participate the future. Discussion: Telemedicine is a promising and sustainable tool in teaching RH to rural underserved areas

HO-1 Upregulation Attenuates Adipocyte Dysfunction, Obesity, and Isoprostane Levels in Mice Fed High Fructose Diets

Background. Fructose metabolism is an unregulated metabolic pathway and excessive fructose consumption is known to activate ROS.HO-1 is a potent antioxidant gene that plays a key role in decreasing ROS and isoprostanes.We examinedwhether the fructosemediated increase in adipocyte dysfunction involves an increase in isoprostanes and that pharmacological induction ofHO-1would decrease both isoprostane levels and adipogenesis. Methods and Results. We examined the effect of fructose, on adipogenesis in human MSCs in the presence and absence of CoPP, an inducer of HO-1. Fructose increased adipogenesis and the number of large lipid droplets while decreasing the number of small lipid droplets ( \u3c 0.05). Levels of heme and isoprostane in fructose treated MSC-derived adipocytes were increased. CoPP reversed these effects andmarkedly increasedHO-1 and theWnt signaling pathway. Thehigh fructose diet increased heme levels in adipose tissue and increased circulating isoprostane levels ( \u3c 0.05 versus control). Fructose diets decreasedHO-1 and adiponectin levels in adipose tissue. Induction ofHO-1 by CoPP decreased isoprostane synthesis ( \u3c 0.05 versus fructose). Conclusion. Fructose treatment resulted in increased isoprostane production and adipocyte dysfunction, which was reversed by the increased expression of HO-1

Promoting Reproductive Health Using Telemedicine: A Prospective Study Among Rural Appalachian High School Teens

Introduction: Telemedicine allows rural underserved populations access to medical resources that may not be available in their communities. Following promising results with a telemedicine project aimed at educating female students in McDowell County, West Virginia on reproductive health (RH) in 2015, we conducted a follow-up study including both male and female high school students during the 2016 school year. Materials and Methods: Telemedicine sessions on RH were incorporated into existing afterschool programs at two rural high schools. Students’ knowledge on RH was assessed via pre-test, immediate post-test, and 6-month post-test evaluations. RH was taught by medical students and faculty at a distal university. Results: 77 students participated and 37 students completed a 6-month follow-up survey. Statistically significant increases in knowledge scores regarding both birth control and sexually transmitted disease prevention were noted at 6-month follow-up. A larger proportion of students reported “always” utilizing birth control (35.3% vs. 64.7%) as well as condom usage (46.2% vs. 58.8%) at six months compared to before the intervention, but was not statistically significant. The intervention was rated as “effective” or “very effective” by 91.9% of participants, and 75.6% stated they were “very likely” to participate the future. Discussion: Telemedicine is a promising and sustainable tool in teaching RH to rural underserved areas

Eight pruning deep learning models for low storage and high-speed COVID-19 computed tomography lung segmentation and heatmap-based lesion localization: A multicenter study using COVLIAS 2.0.

COVLIAS 1.0: an automated lung segmentation was designed for COVID-19 diagnosis. It has issues related to storage space and speed. This study shows that COVLIAS 2.0 uses pruned AI (PAI) networks for improving both storage and speed, wiliest high performance on lung segmentation and lesion localization.ology: The proposed study uses multicenter ∼9,000 CT slices from two different nations, namely, CroMed from Croatia (80 patients, experimental data), and NovMed from Italy (72 patients, validation data). We hypothesize that by using pruning and evolutionary optimization algorithms, the size of the AI models can be reduced significantly, ensuring optimal performance. Eight different pruning techniques (i) differential evolution (DE), (ii) genetic algorithm (GA), (iii) particle swarm optimization algorithm (PSO), and (iv) whale optimization algorithm (WO) in two deep learning frameworks (i) Fully connected network (FCN) and (ii) SegNet were designed. COVLIAS 2.0 was validated using "Unseen NovMed" and benchmarked against MedSeg. Statistical tests for stability and reliability were also conducted.Pruning algorithms (i) FCN-DE, (ii) FCN-GA, (iii) FCN-PSO, and (iv) FCN-WO showed improvement in storage by 92.4%, 95.3%, 98.7%, and 99.8% respectively when compared against solo FCN, and (v) SegNet-DE, (vi) SegNet-GA, (vii) SegNet-PSO, and (viii) SegNet-WO showed improvement by 97.1%, 97.9%, 98.8%, and 99.2% respectively when compared against solo SegNet. AUC > 0.94 (p 0.86 (p < 0.0001) on NovMed data set for all eight EA model. PAI <0.25 s per image. DenseNet-121-based Grad-CAM heatmaps showed validation on glass ground opacity lesions.Eight PAI networks that were successfully validated are five times faster, storage efficient, and could be used in clinical settings

A review on nutritional and medicinal value of malus domestica with various activity

Apples (Malus Domestica) are among the oldest and most popular fruits in the world. China is currently the world's largest apple producer. While apples are mostly eaten fresh, they are processed into beverages, jams, jellies, and other foods. Polyphenols are the bioactive compounds and their stability, bioavailability, and antioxidant and anti-inflammatory effects are influenced by many factors. Eating apple and its processed products or extracts rich in polyphenols has been linked to a reduced risk of cancer, cardiovascular disease, diabetes and many other diseases, although some of these require further confirmation. They're loaded with powerful antioxidants, including quercetin, catechins, phloricin, and chlorogenic acids, which protect against the onset of breast and colon cancer and help prevent kidney stones and balance cholesterol levels. Studies have found that people who eat at least two apples a week can reduce the risk of developing asthma and type 2 diabetes and promote lung health