Background: Stagnating cardiovascular disease mortality and rising drug- and suicide-related deaths are key drivers of stalled US mortality improvements. However, prior research has largely overlooked disease histories preceding death, despite increasing multimorbidity. We examined changes in disease-history profiles in the US population and assessed how shifts in profile composition and within-profile mortality shaped mortality trends.Methods:… Continue reading Sicker at all ages? Two decades of changing disease histories and mortality in the United States
Category: practice
Evaluation of Nurses’ Intent to Leave: Italian Translation, Cultural Adaptation, and Initial Psychometric Assessment of the Anticipated Turnover Scale
Aim: The aim of this study was to translate, culturally adapt, and preliminarily validate the Italian version of the Anticipated Turnover Scale (ATS).Design: Cross-sectional validation study.Methods: The Italian version of the ATS instrument was evaluated in a non-probabilistic sample of 168 nurses working at a Northeastern Italian Public University Hospital. Content validity was assessed by… Continue reading Evaluation of Nurses’ Intent to Leave: Italian Translation, Cultural Adaptation, and Initial Psychometric Assessment of the Anticipated Turnover Scale
“Hospital-at-home and 30-day readmission among clinically eligible patients: a prospective cohort study with a capacity-constrained comparator group
Background and aims: To evaluate the association between hospital-at-home (HaH) care and unplanned 30-day hospital readmission using a capacity-based comparator group of clinically eligible patients admitted to conventional hospitalization (CH) because of lack of HaH capacity.Methods: This prospective observational study was conducted between 2023 and 2026 at a tertiary hospital in Spain. A total of… Continue reading “Hospital-at-home and 30-day readmission among clinically eligible patients: a prospective cohort study with a capacity-constrained comparator group
“Missing the forest for the trees” Is there any crisis of vocation for Emergency Medicine in Italy?
In recent years, several stakeholders in Italy have suggested a crisis of vocation for Emergency Medicine (EM). This study aimed to verify the accuracy of such claims. We conducted an observational cross-sectional study on data from the Italian national test for residency positions assignments from 2019 to 2025. We analyzed trends in the number of… Continue reading “Missing the forest for the trees” Is there any crisis of vocation for Emergency Medicine in Italy?
Bridging the Gap: Using an Asynchronous E-Learning Module to Improve Internal Medicine Residents’ Confidence and Preparedness in Ambulatory Blood Pressure Monitoring Interpretation
Background: Ambulatory blood #pressure monitoring (ABPM) is considered a reference standard for diagnosing #hypertension and is recommended for out-of-office blood pressure assessment, yet internal medicine residents receive limited training in its interpretation. We conducted a needs assessment to identify gaps in hypertension and ABPM education and developed an asynchronous e-learning module to address these deficiencies.… Continue reading Bridging the Gap: Using an Asynchronous E-Learning Module to Improve Internal Medicine Residents’ Confidence and Preparedness in Ambulatory Blood Pressure Monitoring Interpretation
Evaluation of albumin utilization, guideline compliance, and cost in intensive care units: a multicenter point prevalence study
Background: Intravenous (IV) #albumin is widely used in intensive care units (#ICUs ), yet its use often deviates from evidence-based recommendations, leading to unnecessary costs. This study evaluates the indications for the use of IV albumin in critically ill patients, compliance with the 2024 "Use of Intravenous Albumin" guidelines, and the associated cost burden.Methods: A… Continue reading Evaluation of albumin utilization, guideline compliance, and cost in intensive care units: a multicenter point prevalence study
Novelty to necessity: large language models in clinical practice-a call to action for physicians
Large language models (#LLMs ) represent a rapidly advancing subset of artificial intelligence with significant potential to augment clinical practice. These tools can assist in literature synthesis, documentation, clinical reasoning, and patient communication. Despite demonstrated capabilities, adoption in healthcare remains limited due to barriers such as limited AI literacy, trust concerns, integration challenges, and generational… Continue reading Novelty to necessity: large language models in clinical practice-a call to action for physicians
Prevalence and Treatment of Anxiety and Depression Among US Healthcare Workers, 2021-2024
Background: Healthcare workers (HCWs) face high levels of psychological distress due to workplace stressors, but there is a paucity of evidence on the prevalence and treatment of anxiety and depression among HCWs.Objective: To examine the prevalence and treatment of self-reported #anxiety and #depression among HCWs.Design: Retrospective cross-sectional study using nationally representative data from the 2021-2024… Continue reading Prevalence and Treatment of Anxiety and Depression Among US Healthcare Workers, 2021-2024
Physician Intent to Reduce Hours and Intent to Leave Organizations
Importance: The COVID-19 pandemic was associated with a substantial prevalence of physicians intending to reduce their clinical hours (ITR) or intending to leave their current organization (ITL). It is unclear how work intentions have changed since that time.Objective: To characterize how the prevalence of ITR and ITL changed among #physicians since the COVID-19 pandemic, factors… Continue reading Physician Intent to Reduce Hours and Intent to Leave Organizations
