As advancements in artificial intelligence (AI) continue, large language models (LLMs) have emerged as promising tools for generating medical information. Their rapid adaptation and potential benefits health care require rigorous assessment terms of the quality, accuracy, safety generated information across diverse specialties.This study aimed to evaluate performance 4 prominent LLMs, namely, Claude-instant-v1.0, GPT-3.5-Turbo, Command-xlarge-nightly, Bloomz, content spanning clinical...

Background Large language models (LLMs) have demonstrated significant potential in diverse domains, including medicine. Nonetheless, there is a scarcity of studies examining their performance medical examinations, especially those conducted languages other than English, and direct comparison with students. Analyzing the LLMs state examinations can provide insights into capabilities limitations evaluate role education examination preparation. Objective This study aimed to assess compare 3...

The integration of artificial intelligence (AI) in medicine, particularly through AI-based language models like ChatGPT, offers a promising avenue for enhancing patient education and healthcare delivery. This study aims to evaluate the quality medical information provided by Chat Generative Pre-trained Transformer (ChatGPT) regarding common orthopedic trauma surgical procedures, assess its limitations, explore potential as supplementary source education.

This study evaluates multimodal AI models' accuracy and responsiveness in answering NEJM Image Challenge questions, juxtaposed with human collective intelligence, underscoring AI's potential current limitations clinical diagnostics. Anthropic's Claude 3 family demonstrated the highest among evaluated models, surpassing average accuracy, while decision-making outperformed all models. GPT-4 Vision Preview exhibited selectivity, responding more to easier questions smaller images longer questions.

The treatment of acetabular defects in revision arthroplasty is an increasing challenge. Different classifications have been introduced for preoperative planning to achieve the best possible result. 3D printing a way better visualize and understand these defects. aim this study was facilitate classification, provide young doctors with understanding complex defects, ultimately improve patient safety.The conducted at 2022 BOUT congress, where health care professionals were provided X-rays,...

Abstract Purpose The full spectrum of diseases caused by S. infantarius remains poorly understood, particularly its role in musculoskeletal infections. Methods A retrospective study was conducted from January 2008 to May 2024. Patients with bacterial infections and detection at least one tissue sample, fluid or blood cultures were included. Follow-up controls patients infection performed. Results could be identified sample (blood cultures, wound fluid, swab, bile, urine sample) 72 patients....

Background/Objectives: Radiological imaging is crucial in intensive care settings, particularly for the differential diagnosis of fever and sepsis. Computed tomography (CT) preferred method detecting infectious foci critically ill ICU patients. Methods: This study prospectively analyzed non-ECG-gated chest abdominal CT scans from patients to assess CT's diagnostic utility. Data prior modalities (CT, radiography, MRI, ultrasound), microbiological assays (blood cultures, bronchoalveolar...

Background Patients following falls from great height with suicidal intent present unique challenges including delayed medical attention, different often masked injury patterns, severe hypothermia and difficulties obtaining informed consent due to the patient's mental state. Legal logistical hurdles, such as coordinating legal guardians or family members, can further delay treatment. These co-factors contribute reported overall high complication rates in these cases, reaching up...

Abstract Background The reform of emergency and acute care in Germany focuses on efficiently managing patient flows to reduce overcrowding departments, primarily caused by a rise patients with low urgency lack alternative options. aim this work was analyze the orthopedic trauma surgery Level I center order improve manage resources more effectively. Material methods In retrospective study, data orthopaedic from department university 2022 were analyzed. Data included demographics, triage...

Germany's high density of under-equipped hospitals and anticipated surge in orthopedic trauma surgery-related diseases by 2030, combined with personnel shortages, are expected to increase patient transfers between hospitals, an issue that urgently needs standardized protocols. Despite some existing cooperative agreements, such as joint-replacement centers or within the Trauma Network DGU

Background: Large language models (LLMs) like GPT-3.5-Turbo and GPT-4 show potential to transform medical diagnostics through their linguistic analytical capabilities. This study evaluates diagnostic proficiency using English German examination datasets. Methods: We analyzed 452 637 questions GPT models. Performance metrics included broad exact accuracy rates for primary three-model generated guesses, with an analysis of performance against varying question difficulties based on student...

The purpose of this study was to describe and analyse the most severe casualties from flash flood mudslides occurring on 14 July 2021 in Germany, focusing patients who were treated closest largest level I trauma centre region disaster occurred.A single-centre retrospective design employed, all because flooding needed inpatient treatment documented. Data each patient's demographic characteristics, type injury, number surgeries, duration hospitalisation, operation time, revision rate, injury...

Climate change and its consequences on our everyday life have also tremendous impacts public health the of each individual. The healthcare sector currently accounts for 4.4% global greenhouse gas emissions. share emissions in care system caused by transportation is 7%. study analyses effect video consultation CO2 during Covid-19 pandemic an outpatient clinic department orthopaedics traumatology surgery at a German university hospital.The participants were patients who obtained period from...

Injuries of the acetabulum are often challenging in treatment and aftercare. One reason is required surgical approach, which has high complication rates, including vascular lesion, hernias, wound infection. We present an alternative endoscopic-assisted approach for internal fixation acetabular fractures to avoid Pfannenstiel incision. An endoscopic similar that used hernia surgery was used. The ilioinguinal approach's lateral window achieve reduction insertion a reconstruction plate. purpose...

Percutaneous screw fixation for pelvic fractures has become a minimally invasive alternative to an open operation. The complex anatomy of the pelvis renders this procedure challenging. objective study was assess standardized angles and dimensions safety zones within 3 D computed tomography model optimal supra-acetabular placement.

Abstract Introduction We present a detailed procedure for the robotic-assisted plate osteosynthesis of an anterior acetabular fracture. The purpose this work was to describe minimally invasive technique as possible method reducing complications, pain, and hospitalization. Another goal technical recommendations assess potential pitfalls problems new surgical approach. Methods Surgery performed in interdisciplinary setting by experienced orthopedic surgeon urologist. DaVinci System with...

Every year, German-speaking experts in plastic, reconstructive, and aesthetic surgery gather to discuss the latest developments at Germany's largest conference for plastic surgery, joint annual meeting of German Society Plastic, Reconstructive Aesthetic Surgery (DGPRÄC) Association Plastic Surgeons (VDÄPC). Since topics have a lasting impact on practice research an examination presented content provides insight into driving Germany.

<title>Abstract</title> Purpose: The goal of this retrospective study was to perform a CT imaging assessment thoracic pedicles provide representative understanding pedicle morphology for pedicle-based fixation systems commonly used in orthopedics, trauma and neurosurgery. This aimed better understand the spine therefore reduce complication rate surgical techniques such as spinal fusion, which rely on placing screws pedicles. Methods: In study, we retrospectively measured total 16 males...

Zusammenfassung In dem seit über 14 Monaten andauernden Ukrainekrieg sind nach Angaben der Vereinten Nationen ca. 19337 Verletzte sowie 10242 Tote auf Seite Ukraine zu beklagen. Zur Unterstützung kam es umfangreichen humanitären Hilfsaktionen, sodass auch in Deutschland Kriegsverletzte aus versorgt werden. einer retrospektiven Kohortenstudie wurden 10 Patienten untersucht, die zwischen 24.02.2022 und 24.02.2023 mittels Kleeblattsystem Abteilung behandelt wurden.Die durchschnittliche...

The goal of this retrospective study was to perform a CT imaging assessment thoracic pedicles provide representative understanding pedicle morphology for pedicle-based fixation systems commonly used in orthopedics, trauma and neurosurgery. This aimed better understand the spine give surgeons anatomy.

Background As the digital health landscape continues to evolve, analyzing progress and direction of field can yield valuable insights. The Journal Medical Internet Research (JMIR) has been at forefront disseminating research since 1999. A comprehensive network analysis JMIR publications help illuminate evolution trends in medicine over past 25 years. Objective This study aims conduct a detailed JMIR’s uncover growth patterns, dominant themes, potential future trajectories research. Methods...

<sec> <title>BACKGROUND</title> As the digital health landscape continues to evolve, analyzing progress and direction of field can yield valuable insights. The &lt;i&gt;Journal Medical Internet Research&lt;/i&gt; (JMIR) has been at forefront disseminating research since 1999. A comprehensive network analysis JMIR publications help illuminate evolution trends in medicine over past 25 years. </sec> <title>OBJECTIVE</title> This study aims conduct a detailed JMIR’s uncover growth patterns,...

Background: Native knee joint infections, while uncommon, present a serious condition predominantly instigated by bacteria such as Staphylococcus aureus. Without timely intervention, they can result in destruction or sepsis, with risk factors encompassing preexisting medical conditions and iatrogenic procedures. The diagnostic process includes comprehensive patient history, clinical evaluation, laboratory testing, imaging studies, microbiological investigations. Treatment typically involves...