Background Large language models such as GPT-4 (Generative Pre-trained Transformer 4) are being increasingly used in medicine and medical education. However, these prone to “hallucinations” (ie, outputs that seem convincing while factually incorrect). It is currently unknown how errors by large relate the different cognitive levels defined Bloom’s taxonomy. Objective This study aims explore performs terms of taxonomy using psychosomatic exam questions. Methods We a data set multiple-choice...

Communication is a core competency of medical professionals and utmost importance for patient safety. Although curricula emphasize communication training, traditional formats, such as real or simulated interactions, can present psychological stress are limited in repetition. The recent emergence large language models (LLMs), generative pretrained transformer (GPT), offers an opportunity to overcome these restrictions.

Sodium-glucose cotransporter 2 (SGLT2) inhibition has been shown to reduce cardiovascular mortality and preserve kidney function in patients with type diabetes. Kidney transplant recipients diabetes demonstrate increased risk accelerated progression of micro- macrovascular complications may specifically benefit from SGLT2 inhibition. However, potential concerns include volume depletion urinary tract infections.We report data on the use inhibitors a case series ten after transplantation order...

Virtual reality (VR)-based simulation is being increasingly used to train medical students in emergency medicine. However, because the usefulness of VR may depend on various factors, best practices for implementing this technology school curriculum are yet be determined.The overall objective our study was assess perceptions a large cohort toward VR-based training and identify associations between these attitudes individual such as gender age.The authors implemented voluntary, teaching...

Although history taking is fundamental for diagnosing medical conditions, teaching and providing feedback on the skill can be challenging due to resource constraints. Virtual simulated patients web-based chatbots have thus emerged as educational tools, with recent advancements in artificial intelligence (AI) such large language models (LLMs) enhancing their realism potential provide feedback.

<sec> <title>BACKGROUND</title> COVID-19 pandemic resulted in a rapid growth of telemedicine and e-health services, with an increasing number e-patients utilizing the internet for self-informed decision-making. </sec> <title>OBJECTIVE</title> Investigations on patient adoption preferences due to are still few. <title>METHODS</title> In cross-sectional study, 150 adult patients (&gt;18 years) psychosomatic outpatient department were invited complete ad hoc questionnaire identify e-patients'...

Abstract Background Resuscitation is a life-saving measure usually instructed in simulation sessions. Small-group teaching effective. However, feasible group sizes for resuscitation classes are unknown. We investigated the impact of different on outcome training. Methods Medical students (n = 74) were randomized to courses with three, five or eight participants per tutor. The course duration was adjusted according size, so that there time slot 6 minutes hands-on every student. All performed...

Hypoxia is essential for the development of autoimmune diseases such as rheumatoid arthritis (RA) and associated with expression reactive oxygen species (ROS), because enhanced infiltration immune cells. The aim this study was to demonstrate feasibility measuring hypoxia noninvasively in vivo arthritic ankles PET/MRI using tracers ¹⁸F-fluoromisonidazole (¹⁸F-FMISO) ¹⁸F-fluoroazomycinarabinoside (¹⁸F-FAZA). Additionally, we quantified temporal...

Chest compressions are a core element of cardio-pulmonary resuscitation. Despite periodic training, real-life chest have been reported to be overly shallow and/or fast, very likely affecting patient outcomes. We investigated the effect brief Crew Resource Management (CRM) training program on correction rate improperly executed in simulated cardiac arrest scenario.

Tumor hypoxia can be identified by [18F]FAZA positron emission tomography, or invasively using oxygen probes. The impact of anesthetics on tumor remains controversial. aim this comprehensive study was to investigate the isoflurane and ketamine/xylazine anesthesia uptake partial pressure (pO2) in carcinoma muscle tissue air- oxygen-breathing mice. Methods CT26 colon carcinoma-bearing mice were anesthetized with (IF) (KX) while breathing air (O2). We performed 10 min static PET scans 1 h, 2 h...

Abstract Introduction Large language models (LLMs) such as GPT-4 are increasingly used in medicine and medical education. However, these prone to “hallucinations” – outputs that sound convincing while being factually incorrect. It is currently unknown how errors by LLMs relate the different cognitive levels defined Bloom’s Taxonomy. Methods We a large dataset of psychosomatic multiple-choice questions (MCQ) (N = 307) with real-world results derived from school exams. answered MCQs using two...

Unplanned start of renal replacement therapy is common in patients with end-stage disease and often accomplished by hemodialysis (HD) using a central venous catheter (CVC). Urgent peritoneal dialysis (PD) could be an alternative for some the patients; however, this requires hospital-based PD center that offers structured urgent (usPD) program.In prospective study, we describe implementation usPD program at our university hospital structuring process from presentation to implantation within...

Abstract Introduction The global trend of legalizing medical cannabis (MC) is on the rise. In Germany, physicians have prescribed MC at expense health insurers since 2017. However, teaching has been scant in training. This study investigates students’ attitudes and perceived competence regarding evaluates how varying materials (videos/articles) impact their opinions. Methods Fourth-year students were invited to participate cross-sectional study. During an online session, viewed a video...

Introduction Early defibrillation is an important factor of survival in cardiac arrest. However, novice resuscitators often struggle with arrest patients. We investigated factors leading to delayed performed by final-year medical students within a simulated bystander situation. Methods Final-year received refresher lecture and basic life support training before being confronted situation simulation ambulance. The scenario was analyzed for defibrillation. compared the time intervals...

The aim of this study was to evaluate the impact different anesthetics on 3′-[ 18 F]fluoro-3′-deoxythymidine ([ F]FLT) uptake in carcinomas and arthritic ankles. To determine amount [ F]FLT subcutaneous CT26 colon or ankles, spontaneously room air/medical air–breathing mice were anesthetized with isoflurane, a combination medetomidine/midazolam, ketamine/xylazine. Mice kept conscious during before 10-minute static positron emission tomographic (PET) investigations. ankles calculated by...

Was ist neu? Zeitlich begrenzter Therapieversuch (Time-limited Trial, TLT) Kann die Entscheidung für oder gegen eine Intensivtherapie nicht unmittelbar getroffen werden, zeitlich begrenzte Behandlung auf einer Intensivstation gute Strategie, um im Verlauf erforderlichen prognostischen Informationen zu gewinnen. Prognosefaktoren Rahmen Intensivbehandlung Die Kenntnis von ein informiertes Patientengespräch relevant. Während das kurzfristige Überleben maßgeblich vom Schweregrad der akuten...

Abstract Recurrence of primary focal segmental glomerulosclerosis (FSGS) occurs in up to 50% patients after kidney transplantation and is associated with poor allograft outcome. Novel therapeutic concepts directly target podocyte function via B7-1 inconsistent response. We present the case a 19-year-old patient recurrent FSGS early living donor transplantation. Plasmapheresis rituximab did not induce remission. Repetitive abatacept administration was able achieve partial Maintenance...

Background Patient chart review is the gold standard for detection of potential patient hazards (i.e. medication errors or failure to follow up actionable results) in both routine clinical care and safety research. However, advanced medical students’ ability read charts identify rather poor. We therefore investigated whether it possible teach students how independent context cancer versus cardiac failure) charts. Methods All fifth-year one semester (n = 123) were randomized into two groups....

Abstract Background: Simulation training in medical education is a valuable tool for skill acquisition. Standard audio/video-feedback systems surveillance and subsequent video feedback are expensive often not available. Methods: We investigated solutions low-budget system based on consumer hardware open source software. Results: Our results indicate that inexpensive, movable network cameras suitable high-quality transmission including bidirectional audio an integrated streaming platform. In...

Post-transplantation diabetes mellitus (PTDM) is a relevant complication following liver transplantation with profound impact on morbidity and mortality. To date, little known about the evolution dynamics of glucose metabolism prediabetes in long-term follow-up. address this issue, all consecutive adult transplant recipients (n = 429) from European university hospital center between 2007 2017 were analyzed retrospectively. In patients without pre-existing 327), we conducted longitudinal...

<sec> <title>UNSTRUCTURED</title> </sec>

<sec> <title>BACKGROUND</title> Although history taking is fundamental for diagnosing medical conditions, teaching and providing feedback on the skill can be challenging due to resource constraints. Virtual simulated patients web-based chatbots have thus emerged as educational tools, with recent advancements in artificial intelligence (AI) such large language models (LLMs) enhancing their realism potential provide feedback. </sec> <title>OBJECTIVE</title> In our study, we aimed evaluate...