Georgian Medical Journal (GMJ)
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Launch of the 2017 Progress Report on the EWEC Global Strategy โ UN High-Level Political Forum, New York, USA (18 July 2017, EWEC): Reference Summary (Video)
No full textThis reference summary presents key information from the following presentation: https://youtu.be/ftWq4NbCZwY. The source is a United Nations Web TV webcast titled โLaunch of the 2017 Progress Report on the Every Woman Every Child Global Strategyโ, produced by Every Woman Every Child (EWEC) and published on 19 July 2017. The high-level event took place on 18 July 2017 in New York, USA, during the United Nations High-Level Political Forum on Sustainable Development. The session presents a snapshot of progress in implementing the EWEC Global Strategy for Womenโs, Childrenโs and Adolescentsโ Health, highlighting the importance of partnerships and country leadership in advancing an integrated and sustainable development agenda. The discussion emphasizes accountability, coordination, and collective action as key drivers for achieving measurable progress toward the Sustainable Development Goals (SDGs)
Health Coverage Provisions for Women, Children and Adolescents (WHO Bulletin, 2020): Reference Summary (Article)
No full textThis reference summary presents key information from the following article: https://doi.org/10.2471/BLT.19.249474. The source is a commentary titled โHealth coverage provisions for women, children and adolescentsโ, authored by Mason E, Sen G, Yamin AE, on behalf of the United Nations Secretary-Generalโs Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP: Nicholas Kojo Alipui, Dame Carol Kidu, Brenda Killen, Elizabeth Mason, Giorgi Pkhakadze, Jovana Rรญos Cisnero, Gita Sen, Alicia Ely Yamin, Kul Chandra Gautam, and Joy Phumaphi), and published in the Bulletin of the World Health Organization in 2020. The article examines gaps in health coverage for women, children, and adolescents, emphasizing the need for inclusive and equitable policies within the framework of universal health coverage (UHC). It highlights persistent inequalities in access to essential health services and underscores the importance of accountability in ensuring that health systems respond effectively to the needs of vulnerable populations. The discussion reinforces the role of rights-based approaches, strengthened governance, and improved monitoring systems to advance progress toward the Sustainable Development Goals (SDGs) and ensure that no one is left behind.Development Goals (SDGs) and ensure that no one is left behind
Accountability for Womenโs, Childrenโs and Adolescentsโ Health in the Sustainable Development Goal Era (BMC Public Health, 2016): Reference Summary (Article)
No full textThis reference summary presents key information from the following article: https://doi.org/10.1186/s12889-016-3399-9. The source is a publication titled โAccountability for womenโs, childrenโs and adolescentsโ health in the Sustainable Development Goal eraโ, authored by Barroso C, Lichuma W, Mason E, Lehohla P, Paul VK, Pkhakadze G, Wickremarathne D, Yamin AE, on behalf of the United Nations Secretary-Generalโs Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP: Nicholas Kojo Alipui, Dame Carol Kidu, Brenda Killen, Elizabeth Mason, Giorgi Pkhakadze, Jovana Rรญos Cisnero, Gita Sen, Alicia Ely Yamin, Kul Chandra Gautam, and Joy Phumaphi), and published in BMC Public Health in 2016. The article explores the evolving role of accountability in the transition from the Millennium Development Goals to the Sustainable Development Goals (SDGs), emphasizing the need for integrated, transparent, and inclusive accountability frameworks. It highlights the importance of linking commitments to measurable outcomes through strengthened monitoring systems, independent review processes, and responsive policy action. The discussion underscores accountability as a central mechanism for improving health outcomes and advancing equity for women, children, and adolescents in the SDG era
Artificial IntelligenceโInformed Patients and the Transformation of DoctorโPatient Communication: Evidence from a Mixed-Methods Study in Georgian Outpatient Clinics
No full textBackground:The rapid expansion of artificial intelligence (AI)โdriven digital tools capable of generating health-related explanations is transforming how individuals seek and interpret medical information. Increasingly, patients arrive at clinical consultations after interacting with conversational AI systems, symptom checkers, and other algorithm-based health platforms. While internet-based health information has influenced doctorโpatient communication for more than two decades, generative AI technologies represent a qualitatively different development because they synthesize complex medical knowledge and provide interactive responses that resemble clinical dialogue. Despite growing public use of AI health tools, empirical evidence examining how AI-generated health information affects real doctorโpatient interactions remain limited.
Objective:This study aimed to investigate how AI-generated health information influences patient behaviour, physician perceptions, and communication dynamics during outpatient clinical consultations.
Methods:An exploratory convergent mixed-methods study was conducted between November 2024 and January 2025 in two outpatient clinics in Kutaisi, Georgia. Quantitative data were collected through structured questionnaires completed by 127 adult patients, examining patterns of digital and AI-based health information use prior to consultations. In parallel, 45 physicians completed structured questionnaires and participated in semi-structured interviews exploring their experiences with AI-informed patients. Quantitative data were analysed using descriptive statistics. Qualitative interview data were analysed using thematic analysis to identify recurring communication patterns and physician experiences.
Results:Among 127 surveyed patients, 68% reported using AI-based health tools prior to consultation, while 76% reported searching for health information online more generally. Among 45 participating physicians, 87% reported encountering AI-informed patients at least monthly and 53% reported such encounters weekly. Physicians evaluated AI-generated patient information as partially accurate in 62% of cases, completely accurate in 18%, and misleading in 20%. Approximately 60% of physicians reported that consultations involving AI-informed patients required additional time to interpret or contextualize algorithm-generated information. Only 42% of patients disclosed their use of AI tools during consultations, indicating a substantial communication gap between patient behaviour and physician awareness.
Conclusions:AI-generated health information is reshaping the informational environment of clinical encounters. Rather than replacing physicians as sources of medical knowledge, AI technologies appear to redefine the physicianโs role toward interpreting and contextualizing externally generated health information. These findings highlight the importance of integrating digital health literacy and AI communication competencies into medical education and healthcare practice to support effective physicianโpatient communication in the era of AI-informed patients.
Keywords: Artificial intelligence in healthcare; doctorโpatient communication; AI-informed patients; digital health literacy; health information seeking; mixed-methods research.แฎแแแแแแฃแ แ แแแขแแแแฅแขแแก (AI) แแแกแขแ แฃแแแแขแแแแก แฏแแแแแชแแแก แกแคแแ แแจแ แแแขแแแ แแชแแแ แคแฃแแแแแแแขแฃแ แแ แจแแชแแแแ แกแแแแแแชแแแ แแแแกแฃแแขแแชแแแแแก แขแ แแแแชแแฃแแ แแแแแแแแ. แแแแกแฃแแขแแชแแแแแ แแฅแแแแแก แฎแจแแ แแ AI-แก แแแแ แแแแแ แแ แแแฃแแ แแแคแแ แแแชแแแแฃแ แ แแแแแแแแแแแ, แแแฃแ แแแแแแแก แ แแแแแแแแแชแแแแแ แแ แกแแแแขแแแแแแก แแแขแแ แแ แแขแแชแแแ แแฆแญแฃแ แแแแ แแแชแแแแขแแแ แฎแแแแแแแ. แฌแแแแแแแแแ แ แแแแแแ แแแแแฎแแแแแก แแฅแแ-แแแชแแแแขแแก แฃแ แแแแ แแแแแก แขแ แแแกแคแแ แแแชแแแก แแ แแฎแแ แแแ แแแแแแแจแ, แแงแ แแแแแ แกแแแ แแแจแแ แแกแ แแขแแแชแแแฃแแแแแแก แแ แแแแแแแก แกแแฅแแ แแแแแแกแ แแ แแกแแแแกแ แฏแแแแแชแแแก แกแแกแขแแแแก แแแแขแแฅแกแขแแแแก แจแแแแแแแก. แแแฃแฎแแแแแแ แแแแกแ, แ แแ AI-แ แแแซแแแแ แแแฃแแ แแแชแแแแขแแแ แแ แแแก แแฎแ แแ แแแแ แแแฆแฌแแแแ แแแแแแแแ แแแ แกแแแแแแชแแแ แกแแ แแแกแแแแก แแแแฎแแ แชแแแแแแแจแ แแแแแแ แแแฃแแ แแแแแฌแงแแแขแแแแแแก แแแฆแแแแกแ แแ แแแชแแแแขแแก แฉแแ แแฃแแแแแก แแฃแแฎแแ, แแแแ แแก แแฎแ แแ แแกแแแ แแแแฅแแก แแ แแแแแแแก แฃแฅแแแแแ แกแแแแแแชแแแ แแแขแแ แแขแแขแแกแ แแ แแฅแกแแแ แขแแแแก แขแ แแแแชแแฃแ แแแแแแแแก. แแแแแแ แแแขแแแชแแแก, แ แแ แแฅแแแแแ แฃแแแ แแแแแแแแ แแแแ แขแ แแแแชแแฃแแ แชแแแแแก ,,แแชแแแแแแแแแ\u27\u27 แแแคแแ แแแชแแแก แแแแแชแแแ แแแแแแแขแแ แแแแ แแ แแแขแแ แแ แแขแแขแแ แแแแ, แแแแ แแแฆแแแฌแแแแแ แฎแแแก แฃแกแแแแแแแ แแแแแแแฃแ แ แแแแแแก แจแแฃแชแแแแ แแแแแแแแฃแ แแแแแแแแแแแแแกโแแแแแแแแก, แแแแขแแฅแกแขแฃแ แแแแกแฏแแก แแ แแแ แแแแฃแแ แฃแ แแแแ แแแแแแแก แฉแแแแงแแแแแแแแก. แฅแแ แแฃแแ แกแแแแแแชแแแ แแแแแแแแแแกแแแแก แแก แชแแแแแแแ แแแแแฎแแแก แกแแกแฌแแแแ แแแแแแก แ แแคแแ แแแแก, แ แแแแแแแช แแ แแแ แแขแแขแก แแแแญแแแก แชแแคแ แฃแ แฏแแแแ แแแแแแแก แฌแแแแแแ แแแแก, AI-แ แแแคแแ แแแ แแแฃแแ แแแแกแฃแแขแแชแแแแแก แแแแฃแแแแแชแแแก แฃแแแ แแแก แแ AI-แก แแแแ แแแแแ แแ แแแฃแแ แจแแแแแ แกแแก แแ แแขแแแฃแ แจแแคแแกแแแแก แขแ แแแแชแแฃแ แแแแแแแฃแ แแแแแแขแแแชแแแแแแ แแ แแแ. แกแขแแขแแ แแแกแแแแแก แกแแฎแแ แแชแฎแแแแแก, แ แแ AI-แ แแแซแแแแ แแแฃแ แแแชแแแแขแแแแแ แฌแแ แแแขแแแฃแแ แแแแแขแแชแแ แแแแแฎแแแก แกแแกแขแแแฃแ แชแแแแแแแแแก แกแแแแแแชแแแ แกแคแแ แแจแ, แแ แแคแแกแแฃแ แแแแแแแแ แแแแจแ แแ แฏแแแแแชแแแก แกแแกแขแแแแก แแแแแแแจแ, แแฆแแฅแแแก แแก แขแ แแแกแคแแ แแแชแแ แแ แ แ แแแแ แช แกแแคแ แแฎแ แกแแแแแแชแแแ แแ แแคแแกแแแแแแแแแแกแแแแก, แแ แแแแ แ แแแแ แช แแแแแฃแชแแ แแแขแแ แแแแแแจแ แแแแแแแแ, แแแแญแแแ แแแแ แแ แแแชแแแแขแแ แแ แแแแขแแ แแแฃแแ แแแแแแกแแแ
Metabolic and Cardiometabolic Changes After Sleeve Gastrectomy in a Patient With Type 1 Diabetes and Morbid Obesity: A CARE-Compliant Case Report
No full textBackground:The prevalence of overweight and obesity in individuals with type 1 diabetes mellitus (T1DM) is increasing, contributing to insulin resistance, higher insulin requirements, and elevated cardiovascular risk. While bariatric surgery is an established treatment for severe obesity and type 2 diabetes, its role in T1DM remains less clearly defined, with limited and heterogeneous evidence from small studies and case series.
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Case Presentation:
We report the case of a 33-year-old woman with a 19-year history of T1DM and morbid obesity (body mass index [BMI] 40.8 kg/mยฒ) who underwent laparoscopic sleeve gastrectomy following multidisciplinary evaluation. Preoperatively, glycemic control was suboptimal (HbA1c 7.4%) and insulin requirements were high, particularly for prandial dosing. The patient also had hypertension, dyslipidemia, and active smoking history.
ย
Results:At 6 months postoperatively, the patient experienced substantial weight loss (BMI reduced to 27.2 kg/mยฒ) and improved glycemic control (HbA1c 5.8%). Total daily insulin requirements decreased markedly, driven predominantly by a reduction in prandial insulin, while basal insulin requirements remained relatively stable. Improvements were also observed in blood pressure and lipid profile. In parallel, the patient discontinued smoking and increased physical activity. No episodes of diabetic ketoacidosis or severe hypoglycemia were reported during follow-up.
ย
Conclusion:In this single CARE-compliant case, sleeve gastrectomy was associated with significant short-term improvements in weight, glycemic control, insulin requirements, and cardiometabolic risk markers in a patient with T1DM and severe obesity. However, causal interpretation is limited by the single-patient design, short follow-up duration, and concurrent lifestyle modifications. Larger prospective studies are needed to clarify the role of metabolic surgery in carefully selected patients with T1DM.
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Keywords: Type 1 diabetes mellitus; bariatric surgery; sleeve gastrectomy; obesity; insulin resistance; cardiometabolic risk; glycemic control; insulin requirements; metabolic surgery; case report; double diabetes; weight los
Launching the Georgian Medical Journal: Transparency, Editorial Standards, and the Foundations of a New Open-Access Platform
No full textABSTRACT
This editorial documents the development and launch of the Georgian Medical Journal (GMJ), a new open-access, peer-reviewed medical journal established in 2025. It reports the journalโs initial performance across Volume 1, Issue 1, including submission volume, acceptance and rejection rates, authorship diversity, and content scope. The editorial describes the implementation of international editorial standards, including adherence to CONSORT, STROBE, PRISMA, CARE, and SQUIRE guidelines, in alignment with COPE and ICMJE recommendations. It further describes GMJโs integrated knowledge translation strategy, including 100% podcast coverage of all published articles across seven global platforms. Current limitationsโincluding the absence of indexing in major databases and the use of interim DOI assignment via Zenodoโare explicitly acknowledged, alongside a defined roadmap for indexing and editorial expansion. GMJ is established as a transparent, regionally anchored, and internationally oriented platform, complementary to existing Georgian medical publications, and committed to contributing to equitable global scientific publishing.
Keywords: medical publishing; open access; peer review; editorial transparency; scholarly communication; indexing strategy; knowledge translation; Georgia; scientific publishing; DOAJ; Crossref; scholarly journal developmen
Partnersโ Forum 2018 โ Global Conference on Accountability for Womenโs, Childrenโs and Adolescentsโ Health (New Delhi, India): Reference Summary (Video)
No full textThis reference summary presents key information from the following videos: https://youtu.be/TinN0hADpM4 and https://youtu.be/wtGz9D2DWU0. The sources document key sessions from the Partnersโ Forum 2018, a global high-level conference focused on advancing accountability for womenโs, childrenโs and adolescentsโ health within the framework of the Sustainable Development Goals. Held in New Delhi, India, the event brought together heads of state, ministers, international organizations, civil society leaders and global health experts to review progress and accelerate action on the Global Strategy for Womenโs, Childrenโs and Adolescentsโ Health (2016โ2030). The discussions highlight the importance of accountability systems, data-driven decision-making, and political leadership in reducing preventable mortality and improving health outcomes. The sessions emphasize country-level implementation, equity, human rights, and multi-sectoral collaboration as essential components of effective health governance, reinforcing the need to translate global commitments into measurable results and ensure that no population is left behind
What the Numbers Say โ Understanding Data on Adolescent Health and Wellbeing, PMNCH Webinar (22 August 2019): Reference Summary (Video) 43-45 min
No full textThis reference summary presents key information from the following presentation: https://youtu.be/uzN0o4XGC4A. The source is a webinar titled โWhat the Numbers Say โ Understanding Data on Adolescent Health and Wellbeingโ, produced by the Partnership for Maternal, Newborn & Child Health (PMNCH) and published on 22 August 2019. The session focuses on the role of data in understanding and improving adolescent health and wellbeing, emphasizing the importance of evidence-informed approaches to guide policy and action. Contributions from representatives of the World Health Organization, the UN Major Group for Children and Youth, the Childrenโs Investment Fund Foundation, and the Independent Accountability Panel highlight challenges in data availability, quality, and use. The discussion underscores the need for stronger data systems, disaggregated indicators, and coordinated efforts to ensure that adolescents are effectively represented in global health monitoring and accountability processes
The Health of Women, Children and Adolescents Is at the Heart of Transforming Our World: Empowering Accountability (IAP Final Reflections Report, 2021): IAP Reference Summary No. 13 | Archival Document
No full textThis reference summary presents key information from the Independent Accountability Panel (IAP) Final Reflections Report (2021), titled โThe Health of Women, Children and Adolescents is at the Heart of Transforming our World: Empowering Accountabilityโ. The report synthesizes lessons from five years of IAP work and a decade of Every Woman Every Child (EWEC) accountability, emphasizing that accountability is fundamentally people-centered and essential for achieving the Sustainable Development Goals (SDGs). It introduces a comprehensive accountability framework based on four pillarsโCommit, Justify, Implement, and Progressโsupported by a continuous cycle of monitoring, review, remedy, and action, and highlights enabling conditions including democratization, institutionalization, and strong data systems. The report proposes the establishment of an Independent Review Mechanism (IRM) to strengthen global and country-level accountability and accelerate SDG progress. The analysis reflects the work of the United Nations Secretary-Generalโs Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP: Nicholas Kojo Alipui, Dame Carol Kidu, Brenda Killen, Elizabeth Mason, Giorgi Pkhakadze, Jovana Rรญos Cisnero, Gita Sen, Alicia Ely Yamin, Kul Chandra Gautam, and Joy Phumaphi), reinforcing that inclusive, evidence-based, and independent accountability is critical to ensure that no woman, child, or adolescent is left behind
Offline: Itโs Time to Hold the Private Sector Accountable (The Lancet, 2018): Reference Summary (Article)
No full textThis reference summary presents key information from the following article: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32392-4/fulltext. The source is a Lancet commentary titled โOffline: Itโs time to hold the private sector accountableโ, authored by Richard Horton and published in 2018. The article critically examines the persistent inequities in womenโs, childrenโs, and adolescentsโ health despite overall global progress, highlighting that improvements have been uneven and have masked deep disparities. It underscores alarming statistics, including preventable mortality among children, adolescents, and women, and the widespread lack of access to essential sexual and reproductive health services. The commentary focuses on the growing role of the private sector in global health and identifies a fundamental tension between profit-driven models and the realization of health as a human right. Drawing on findings from the Independent Accountability Panel (IAP), the article calls for stronger regulation, transparency, and independent oversight of private sector engagement, emphasizing that accountability must ensure alignment with the primary goal of improving population health. The analysis reinforces the broader accountability principles advanced by the United Nations Secretary-Generalโs Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP: Nicholas Kojo Alipui, Dame Carol Kidu, Brenda Killen, Elizabeth Mason, Giorgi Pkhakadze, Jovana Rรญos Cisnero, Gita Sen, Alicia Ely Yamin, Kul Chandra Gautam, and Joy Phumaphi), highlighting the need for rigorous, independent, and sometimes uncomfortable scrutiny of both private sector actors and governments to accelerate equitable health progress