Elizabeth S

Prince Andrew was dismissed from the royal family after a disastrous interview about his association with Jeffrey Epstein. Now it seems, he's welcomed back.

In study findings “discordant with medical clinician prescribing trends,” the dental antibiotic prescribing rate in the US was unchanged from 2012 through 2019. Learn more.

Co-creating patient-facing educational materials (PEMs) can enhance person-centered care by responding to patient priorities and unmet needs. Little data exist on ‘best practices’ for co-creation. We followed the Arksey and O’Malley framework to conduct a systematic literature search of nine databases (MEDLINE, PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, Cochrane Library, Joanna Briggs Institute, TRIP—April, 2022) to identify empirical studies published in English on PEM co-creation to distill ‘best practices’. Following an independent dual review of articles, data were collated into tables, and thematic analysis was employed to synthesize ‘best practices’ that were validated by a patient experienced in co-creating PEMs. Bias was not assessed, given the study heterogeneity. Of 6998 retrieved articles, 44 were included for data extraction/synthesis. Studies utilized heterogeneous methods spanning a range of health conditions/populations. Only 5/45 (11%) studies defined co-creation, 14 (32%) used a guiding framework, and 18 (41%) used validated evaluation tools. Six ‘best practices’ were identified: (1) begin with a review of the literature, (2) utilize a framework to inform the process, (3) involve clinical and patient experts from the beginning, (4) engage diverse perspectives, (5) ensure patients have the final decision, and (6) employ validated evaluation tools. This scoping review highlights the need for clear definitions and validated evaluation measures to guide and assess the co-creation process. Identified ‘best practices’ are relevant for use with diverse patient populations and health issues to enhance person-centered care.

All dental providers surveyed in a recent CareQuest study on electronic health records said they'd like access to their patients' medical records, and most of their medical peers...

Learn about why this dentist has made it her mission to talk about celebrities' dental work that influences the nonfamous to make unnecessary changes to their smiles; an at-home...

BackgroundVirtual reality (VR) simulation is a potential solution to the barriers surgical trainees are facing. There needs to be validation for its implementation within current training. We aimed to compare VR simulation to traditional methods in acquiring surgical skills for a TFN-ADVANCED™ Proximal Femoral Nailing System (TFNA; DePuy Synthes, Auckland, New Zealand) femoral nailing system.MethodsThirty-one surgical trainees were randomised to two groups: traditional-training group (control group) and a VR-training group (intervention group) for insertion of a short cephalomedullary TFNA nail. Both groups then inserted the same TFNA system into saw-bone femurs. Surveys evaluated validity of the relevant activities, perception of simulation, confidence, stress and anxiety. The primary outcomes were tip-apex distance (TAD) and user anxiety/confidence levels. Secondary outcomes included number of screw- and nail-guidewire insertion attempts, the time taken to complete and user validity of the VR system.ResultsThere was no statistical difference in TAD between the intervention and control groups (9mm vs 15mm, p=0.0734). The only TAD at risk of cut-out was in the control group (25mm). There was no statistical difference in time taken (2547.5ss vs 2395ss, p=0.668), nail guide-wire attempts (two for both groups, p=0.355) and screw guide-wire attempts (one for both groups, p=0.702).The control group versus intervention had higher anxiety levels (50% vs 33%) and had lower confidence (61% vs 84%).InterpretationThere was no objective difference in performance on a saw-bone model between groups. However, this VR simulator resulted in more confidence and lower anxiety levels whilst performing a simulated TFNA. Whilst further studies with larger sample sizes and exploration of transfer validity to the operating theatre are required, this study does indicate potential benefits of VR within surgical training.

Kate Middleton knows how to relax when she's not at ceremonial events. The royal has been known to play a mean game of beer pong, and she loves table tennis.

We hear a lot about the most prominent royal family members, but who's the most underrated member of the royal family? We asked and got answers.

Conservative U.S. Rep. Lauren Boebert has been known to court controversy throughout her life, whether it involves her family, what she says, or how she acts.

King Charles hasn't ever had an easy time sharing the spotlight, and his new agreement with William and Katherine, Prince and Princess of Wales, shows it.