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Physicians Office Resource's authored articles and clinical reviews, alongside curated literature and news for practical point-of-care guidance and insight.

Showing 433–444 of 2,098 articles

PubMed

Dosage and safety of non-invasive brain stimulation for chronic musculoskeletal pain management: a scoping review.

Abstract Objectives To map stimulation targets and dosage parameters used in non-invasive brain stimulation (NIBS), including repetitive transcranial magnetic stimulation (rTMS), theta-burst stimulation (TBS) and transcranial direct current stimulation (tDCS) for chronic musculoskeletal pain (CMP), and to synthesise rationale for dosage selection, safety monitoring and adverse event reporting. Design The scoping review was conducted according to the Preferred Reporting Items for Systematic r...

Articles
Wang S, Su J, Ding B, Shen Z, Mani R, Yang K, Zi T, Qian S, Adhia DB, Mathew J, Jiang L•
PubMed

Association of Cardiovascular Disease with Exacerbations, Longitudinal Lung Function Changes, and Spirometric Transitions in Preserved Ratio Impaired Spirometry.

Background Preserved ratio impaired spirometry (PRISm), defined as a post-bronchodilator forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio ≥0.70 with a post-bronchodilator FEV1 <80% predicted, is a heterogeneous spirometric pattern associated with adverse clinical outcomes and progression to chronic obstructive pulmonary disease (COPD). Cardiovascular disease (CVD) is a common comorbidity in PRISm, but its prognostic relevance for subsequent respiratory outcomes re...

Articles
Zhao R, Lin Y•
PubMed

Masked Generative Distillation for Robust Multi-Lead-to-Single-Lead ECG Classification on IoMT Devices.

ABSTRACT Wearable Internet of Medical Things (IoMT) devices typically rely on single‐lead electrocardiogram (ECG) acquisition, which supports ambulatory monitoring but provides less spatial information than 12‐lead clinical ECG and is more susceptible to signal corruption. Deploying accurate deep learning models on wearable hardware is also constrained by limited memory, computation and energy. This study investigates whether diagnostic knowledge from a multi‐lead ECG model can be transferred t...

Articles
Shivakumar A, Al-Khatib O, Nassreddine G, ElKhouly A•
PubMed

Heterogeneity in Relation of Body Composition from BIA and DXA to handgrip strength and isokinetic knee strength.

Objective This study aimed to simultaneously evaluate the relationship between body composition assessed by dual-energy X-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA) with muscle strength in the same cohort of community-dwelling adults, and to compare the associations of these two modalities for handgrip and lower limb muscle strength. Methods A total of 94 community-dwelling adults (59 women, 35 men) aged ≥40 years underwent body composition assessment using DXA and BI...

Articles
Geng J, Liu F, Wang K, Liu C, Cheng Z, Yuan Y, Hu B, Zheng J, Zhang Q, Mo J, Cheng X, Wang L•
PubMed

Viral replacement or proportional change? Respiratory surveillance as RSV prevention expands in Latin America.

Maternal immunisation with RSVpreF and infant immunisation with the long-acting monoclonal antibodies nirsevimab and clesrovimab are reshaping prevention of respiratory syncytial virus (RSV) disease. Trials showed that RSVpreF reduced severe RSV-associated lower respiratory tract illness and that both antibodies reduced RSV-associated hospitalisations in infants.1, 2, 3 As RSV disease declines, however, a larger share of remaining respiratory admissions may test positive for other viruses. Disti...

Articles
Avila-Aguero ML, Falleiros-Arlant LH, Brea J, Saez-Llorens X, Gentile A•
PubMed

Integrated Pathways for Tailored Interventions: Closing the Gaps in Community-Based Pediatric Obesity Care.

Pediatric obesity is a chronic disease shaped by biological, behavioral, familial, social, and environmental factors, and its prevention and management extend beyond clinical settings. Schools, families, public health services, community organizations, primary care providers, and specialists each have a role. Yet the involvement of many sectors does not, by itself, create an integrated system. When responsibilities are poorly defined and the connections between sectors are weak, children and the...

Articles
Kim YH, Kim HJ•
PubMed

Sedentary behaviour in rheumatoid arthritis-barriers and facilitators, a qualitative analysis.

Abstract Objectives Sedentary behaviour (SB) is a modifiable risk factor in the management of rheumatoid arthritis (RA). SB interventions may be more acceptable where pain, fatigue and fluctuating disease activity limit physical activity (PA). To inform the development of effective/scalable interventions, this study aimed to: (1) determine how people with RA conceptualize SB and (2) explore lived experiences of SB to identify barriers and facilitators. Methods Semi-structured interviews were...

Articles
Kitas F, Greig C, Willett M, Veldhuijzen van Zanten J, Fenton SAM•
PubMed

Diagnostic evaluation of suspected local anesthetic allergy in adults: a 6-year retrospective study.

Although the use of local anesthetics is considered safe for minor surgical procedures, the reported frequency of adverse reactions associated with these agents remains a significant concern. Considering the administered dose of local anesthetics, it is important to recognize toxic and allergic reactions and the factors influencing them. This study aimed to evaluate the reactions in adult patients referred with suspected drug allergy, determine the frequency of true local anesthetic allergy, and...

Articles
Akçam NY, Çevirme L, Yurtsever AS•
PubMed

Collagenous Gastritis Presenting as Chronic Nausea and Vomiting.

ABSTRACT Collagenous gastritis (CoG) is a rare disorder characterized by subepithelial collagen band deposition in the gastric mucosa. In this report, we describe a case of a 33-year-old woman presenting with chronic, episodic, postprandial nausea and vomiting later found to have biopsy proven CoG. She symptomatically improved following proton pump inhibitor and budesonide initiation and cessation of nonsteroidal anti-inflammatory drugs. This case underscores the insidious nature of CoG; it sho...

Articles
Shahrvini B, Greb AC, Wang HL, Tripathi PV, Weiss GA, Myint A•
PubMed

Efficacy of ginger on chemotherapy-induced nausea and vomiting in breast cancer: A meta-analysis.

Background: It is unclear that the efficacy of ginger in breast cancer (BC) patients with chemotherapy-induced nausea and vomiting (CINV). Methods: An extensive search of 4 databases Web of Science, Embase, PubMed, and Cochrane Library was conducted for clinical trials evaluating ginger in the treatment of CINV in BC patients, covering literature up to July 24, 2024. Outcome measures included the effect on scores, or the number of events related to nausea and vomiting, as well as scores of ac...

Articles
Tian Y, Ma M, Wang Z•
PubMed

Early Postoperative Nausea and Vomiting in Routine Clinical Practice: A Retrospective Observational Study of Associated Perioperative Factors and Prophylactic Practices.

Objective Postoperative nausea and vomiting (PONV) remains a common complication in the post-anaesthesia care unit (PACU) and negatively affects patient comfort and satisfaction. In routine clinical practice, identifying perioperative factors associated with early PONV may help optimize preventive strategies and guide anesthetic management. This study primarily aimed to evaluate PONV during the first postoperative hour and associated perioperative factors, and secondarily to describe PONV at la...

Articles
Balık O, Alkaya Solmaz F, Özcan MS, İşcan G, Kırdemir P•
PubMed

Comparative effectiveness of IL-12/23 and IL-23 inhibitors versus JAK inhibitors in patients with inflammatory bowel disease and hidradenitis suppurativa: a real-world propensity-matched analysis.

Abstract Background Inflammatory bowel disease (IBD) and hidradenitis suppurativa (HS) frequently coexist and share overlapping immune pathways, yet comparative real-world outcomes between IL-12/23 or IL-23 inhibitors and Janus kinase (JAK) inhibitors in this population remain poorly defined. Methods We conducted a retrospective cohort study using a large, multicenter, real-world dataset. Adults (≥16 years) with IBD and HS who initiated an IL-12/23 or IL-23 inhibitor after anti-TNF therapy o...

Articles
Hafez Y, Osman A, Syn WK, Shmais M•