Radiology in Canada is advancing through innovations in clinical practices and research methodologies. Recent developments focus on refining evidence-based practice guidelines, exploring innovative imaging techniques and enhancing diagnostic processes through artificial intelligence. Within the global radiology community, Canadian institutions play an important role by engaging in international collaborations, such as with the American College of Radiology to refine implementation of the Ovarian-Adnexal Reporting and Data System for ultrasound and magnetic resonance imaging. Additionally, researchers have participated in multidisciplinary collaborations to evaluate the performance of artificial intelligence-driven diagnostic tools for chronic liver disease and pediatric brain tumors. Beyond clinical radiology, efforts extend to addressing gender disparities in the field, improving educational practices, and enhancing the environmental sustainability of radiology departments. These advancements highlight Canada\'s role in the global radiology community, showcasing a commitment to improving patient outcomes and advancing the field through research and innovation. This update underscores the importance of continued collaboration and innovation to address emerging challenges and further enhance the quality and efficacy of radiology practices worldwide.

BACKGROUND: Peer review represents a cornerstone of the scientific process, yet few studies have evaluated its association with scientific impact. The objective of this study is to assess the association of peer review scores with measures of impact for manuscripts submitted and ultimately published.
METHODS: 3173 manuscripts submitted to Regional Anesthesia & Pain Medicine (RAPM) between August 2018 and October 2021 were analyzed, with those containing an abstract included. Articles were categorized by topic, type, acceptance status, author demographics and open-access status. Articles were scored based on means for the initial peer review where each reviewer\'s recommendation was assigned a number: 5 for \'accept\', 3 for \'minor revision\', 2 for \'major revision\' and 0 for \'reject\'. Articles were further classified by whether any reviewers recommended \'reject\'. Rejected articles were analyzed to determine whether they were subsequently published in an indexed journal, and their citations were compared with those of accepted articles when the impact factor was <1.4 points lower than RAPM\'s 5.1 impact factor. The main outcome measure was the number of Clarivate citations within 2 years from publication. Secondary outcome measures were Google Scholar citations within 2 years and Altmetric score.
RESULTS: 422 articles met inclusion criteria for analysis. There was no significant correlation between the number of Clarivate 2-year review citations and reviewer rating score (r=0.038, p=0.47), Google Scholar citations (r=0.053, p=0.31) or Altmetric score (p=0.38). There was no significant difference in 2-year Clarivate citations between accepted (median (IQR) 5 (2-10)) and rejected manuscripts published in journals with impact factors >3.7 (median 5 (2-7); p=0.39). Altmetric score was significantly higher for RAPM-published papers compared with RAPM-rejected ones (median 10 (5-17) vs 1 (0-2); p<0.001).
CONCLUSIONS: Peer review rating scores were not associated with citations, though the impact of peer review on quality and association with other metrics remains unclear.

OBJECTIVE: Our objective is twofold: determining if simulation allows residents to reach proficient surgeons\' performance concerning Fundamental technical skills of EndoVascular Surgery (FEVS) and to while investigating the effects of the program on surgeon\'s stress.
METHODS: Using a FEVS training simulator, 8 endovascular FEVS were performed by vascular surgery residents (simulator-naive (SNR) or simulator-experienced (SER)) and seniors. Total time needed to complete the 8 tasks, called Total Completion Time (TCT), was the main evaluation criterion. Analgesia Nociception Index (ANI), was monitored during simulation. Likert scale questionnaire was filled after each simulation.
RESULTS: For each task, TCT was significantly lower for SER and seniors than SNR (p=0.0163). After only 5 simulations, SER were able to reach and even exceed the seniors\' level in terms of TCT, with a median time of 10.8 minutes for SER and 11.9 minutes for seniors, and wire\'s movements with a median distance during cannulation of 4.44 m for SER and 4.17m for seniors. Seniors remained better than SER in terms of precise wire manipulation (wire movement after cannulation), 4.17m against 4.44m (3.72-5.96) respectively. Based on the Likert scale, stress analysis, seniors felt less stressed than both residents\' groups (p=0.0618). Seniors\' initial ANI and mean ANI over the session was were significantly lower than those of the residents, p=0.0358 and p=0.0250 respectively.
CONCLUSIONS: We showed that 5 simulation sessions allowed residents to reach experienced surgeons\' capacities on FEVS concerning TCT. Subjectively, seniors felt less stressed than residents, contrary to the results of our objective measures of stress.

This article explores the application of actor-network theory (ANT) to the nursing profession, proposing a novel perspective in understanding nursing in the context of modern digital healthcare. Traditional grand nursing theories, while foundational, often fail to encapsulate the dynamic and complex nature of nursing, particularly in an era of rapid technological advancements and shifting societal dynamics. ANT, with its emphasis on the relationships between human and nonhuman actors, offers a framework to understand nursing beyond traditional paradigms. This article makes two key arguments: first, that nursing can be viewed as a highly organised social assemblage, where both human (nurses, patients and policymakers) and nonhuman actors (technologies, medical equipment, institutional policies) play a crucial role, and second, that ANT can be used to enhance existing nursing theory to better understand the role of technology in nursing practice. The article considers how ANT can provide a more holistic and adaptable model for describing the nursing profession, particularly in an era where technology plays an integral role in healthcare delivery. It discusses the implications of viewing nursing through ANT, highlighting the need for nursing education and practice to adapt to the interconnected and technologically advanced nature of modern healthcare. The article also acknowledges the limitations of ANT, particularly its potential oversimplification of the complex ethical dimensions inherent in nursing and its focus on observable phenomena.

OBJECTIVE: Hypertension is highly prevalent and is a major risk factor for cardiovascular disease. There is a higher burden of hypertension among individuals of lower socioeconomic status (SES), yet the role of sleep in understanding socioeconomic disparities in hypertension is unclear. We investigated whether sleep quality is a partial mediator of the association between SES and hypertension.
METHODS: We used data from the Midlife in the United States II Study, 2004-2009 (n=426). Analyses were conducted in 2023. Participants underwent 7-day actigraphy and clinical assessments. Sleep quality measures included actigraphy-defined wakefulness after sleep onset (WASO) and sleep efficiency. Hypertension was measured via three consecutive blood pressure readings, and SES was measured via educational attainment. Models were fit adjusting for age, gender, race, body mass index, and perceived stress.
RESULTS: Participants had a mean age of 53.5 years (SD=12.4) and 41.0% were African American. The prevalences of poor WASO (>30 minutes), low sleep efficiency (<85%), and hypertension were 77.7%, 67.1%, and 61.0%, respectively. Education was not associated with hypertension. However, individuals with low vs. high sleep efficiency had 24% higher prevalence of hypertension (aPR=1.24, 95% CI: 1.02-1.51), higher systolic blood pressure (aβ=4.61, 95% CI: 0.69-8.53), and higher diastolic blood pressure (aβ= 2.50, 95% CI: 0.10-4.89). Education was not significantly associated with sleep after adjustment. There was no evidence of sleep mediating the SES-hypertension relation.
CONCLUSIONS: Effective interventions to lower hypertension prevalence should consider targeting sleep quality. Future research should explore the intersectionality of SES and race on hypertension.

As the first Inupiaq person to earn a PhD in microbiology, I learned the hard way that groups of people have been excluded from science, technology, engineering and mathematics in the United States since the first University was built by Black and Indigenous slaves. Students from historically excluded and underrepresented (HEU) backgrounds typically do not see themselves in textbooks, conferences, or classrooms, especially in science, technology, engineering, mathematics and medicine (STEMM) fields. Similarly, students from these backgrounds and non-excluded backgrounds typically do not understand the history or consequences of exclusion. Here I describe the development and implementation of a class that teaches undergraduate students about the current state of diversity in STEMM jobs in the US, the history of exclusion that resulted in a deficit of people from various backgrounds, the consequences of excluding these people from research specifically, current leaders in research from HEU backgrounds, and how to implement changes. The students are taught how to communicate their findings in oral and written communication to various audiences. Based on decades of experiences, discussions, readings, and more, I teach students the reasons there are so few people from HEU backgrounds in academia and in STEMM specifically, and what can be done at the University level to ensure that people from all backgrounds are represented in STEMM. In this way, I teach students what I wish I had been taught decades ago.

暂无摘要。

The purpose of this project is to assess, for practicing pediatric nurses in the U.S., what is the impact of the Stewards of Children Child Sexual Abuse (CSA) program on their attitudes about reporting suspected CSA. A sample size of 32 nurses completed an online 2-hour continuing education course by Stewards of Children, with a pre/post-test survey. A modified 14-item version of the Teachers Reporting Attitudes Scale for Child Sexual Abuse (TRAS-CSA) was used to measure the nurses\' attitudes before and after educational training. The surveys were analyzed to assess changes in attitudes using two-tailed sign tests. Nurses\' commitment to reporting CSA is high, even before training. Nurses\' confidence in the system of reporting and in the response of authorities related to CSA increased after taking the Stewards of Children online course. While these results are limited in strength by low sample sizes and some null changes, they indicate that trainings like the Stewards of Children course can positively impact nurses\' attitudes towards reporting CSA, particularly with regards to confidence in reporting, and therefore warrant further investigation into CSA training for nurses and its effects.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s40653-023-00581-7.

The modern practice of cardiovascular medicine involves many ethical controversies in the care of our complex patients. Accordingly, we propose a framework for a practical, clinically based \"cardioethics\" curriculum that might be incorporated into fellowship training to prepare cardiologists to cope with increasingly complex ethical dilemmas. This work can also be adopted into continuing medical education for cardiologists and other cardiovascular practitioners given the critical importance of collaborative care in cardiology. We discuss heart transplant allocation, futility concerns, withdrawing care, advance care planning, conflicts of interests, and distributive justice. Sound ethical decision-making in cardiology requires a combination of extensive technical knowledge, nuanced appreciation of individual patient goals and values, and thoughtful application of ethical principles and reasoning. Cardiologists have an exceptionally broad toolkit of medications and interventions to address high-stakes disease states. We should maintain a similarly broad ethical toolkit to provide the best care for our patients.

暂无摘要。