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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 97–108 of 1,994 articles

PubMed

Functional Mobility Outcomes Following End-Effector Robotic-Assisted Gait Training in Inpatient Stroke Rehabilitation: A Retrospective Single-Cohort Pilot Study.

Purpose Robotic-assisted gait training (RAGT) offers a technology-driven approach to support intensive rehabilitation and recovery following disabling stroke. This study evaluates clinical feasibility, safety surveillance, and descriptive within-stay functional changes in an inpatient cohort receiving the Rise&Walk® (end-effector RAGT [E-RAGT] device, donated by the manufacturer, Healing Innovations, Inc.) alongside standard physical therapy. Patients and Methods In this single-cohort, retros...

Stroke
Hartman J, Benda L, Costantine J, Fant S•
PubMed

Repetitive Transcranial Magnetic Stimulation in Pain Management: A Narrative Review of Randomized Controlled Trials.

Abstract Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive neuromodulation technique widely applied in clinical practice for various conditions, including pain management. Because a proportion of patients with pain remain refractory to conventional treatments and given the promising therapeutic potential and favorable safety profile of rTMS, its application in pain management warrants comprehensive evaluation. This narrative review aims to explore the application of rTMS in p...

Pain Management
Doan HN, Kwak S, Moon JS, Park WT, Baek J, Chang MC•
PubMed

Drinking Status and Mental Health Symptoms Among First-Year Medical Students: A Cross-Sectional Chain Mediation Analysis of Health-Promoting Lifestyle and Sleep Quality.

Purpose The high prevalence of mental health symptoms among college students is a global public concern. However, the research on potential risk factors such as drinking remains insufficient. This study aimed to explore the association between drinking and mental health among college students, and examine the mediating roles of health-promoting lifestyle (HPL) and sleep quality. Methods A single-center cross-sectional survey was conducted among 2272 first-year students from a medical universi...

Mental Health
Shi C, Wang Z, Luo J, Zhao M•
PubMed

RhinAsthma Patient Perspective: Cross-Cultural Adaptation and Validation of a Brief Rhinitis and Asthma Quality-of-Life Measure in Chinese Adults.

Background Combined allergic rhinitis and asthma syndrome (CARAS) impairs health-related quality of life (HRQoL). The 8-item RhinAsthma Patient Perspective (RAPP) measures their combined impact. We translated and culturally adapted the RAPP for China and evaluated its psychometric properties. Methods Following International Society for Pharmacoeconomics and Outcomes Research principles, the RAPP was translated from Italian into simplified Chinese and cognitively debriefed. Psychometric evalua...

Asthma
Zhang P, Zhang Y, Hu Y, Baiardini I, Braido F, Wang J, Chen T, Xie Y•
PubMed

Procalcitonin as a Stewardship Checkpoint, Not an Antibiotic Gatekeeper: From Antibiotic Initiation to Discontinuation in Resource-Limited Hospitals.

Abstract Procalcitonin has emerged as a promising biomarker for antimicrobial stewardship; however, its clinical value differs substantially across the antibiotic treatment pathways. Evidence supporting its use to determine whether antibiotics should be initiated remains limited, particularly in patients with suspected sepsis or physiological instability, in whom a low initial concentration cannot safely exclude serious bacterial infections. Its more consistent value appears after empirical tre...

Antibiotic
Abdi DA, Yusuf AA, Hirsi AM, Hassan AM, Mohamed AA, Ulusow KH, Abdulle AH, Ahmed MM•
PubMed

Measurement Properties of Spanish Versions of Two Exercise Self-Efficacy Scales in People with Multiple Sclerosis.

Background Regular physical activity (PA) is recommended for people with multiple sclerosis (PwMS), yet long-term exercise adherence remains suboptimal. Exercise self-efficacy is a key patient-reported determinant of exercise initiation and maintenance, making its assessment relevant for both clinical practice and research. Although the Exercise Self-Efficacy Scale (EXSE; McAuley et al 1993) and the Exercise Self-Efficacy (ESE; Neupert et al 2009) have been previously used, validated Spanish ve...

Scales
Santoyo-Medina C, Janer M, Lidón-Moyano C, Meza-Murillo ER, Galán I, Montalban X, Bagur-Calafat C, Sastre-Garriga J, Amor-Barbosa M•
PLOS

Deep learning optimisation for cardiology: Neural Architecture Search-driven arrhythmia classification with electrocardiograms

Cardiovascular disease is the leading cause of death worldwide. Sudden cardiac death (SCD) accounts for roughly 50% of all cardiac deaths. The electrocardiogram (ECG) is widely used for diagnosing cardiac disease. However, the complexity of interpretation limits the ECG’s efficacy. Modern deep learning methods can assist clinicians in diagnosis. We applied Neural Architecture Search (NAS) to identify optimal deep learning architectures for classifying cardiac arrhythmias with ECGs. We applied th...

Cardiology
Erik Vanegas Müller, Arese Joe-Oshodi, Abhirup Banerjee, Mauricio Villarroel•
PLOS

Fuzzy-clustering–based multi-scale intrusion detection for the industrial internet of things

The Industrial Internet of Things (IIoT) faces severe intrusion-detection challenges under multi-protocol, multi-device, and massive heterogeneous traffic, especially extreme class imbalance and poor minority-class detection. To address this, we propose a fuzzy-clustering-based multi-scale intrusion detection model (FPBW-IDS). At the data level, we introduce boundary-prioritized FCM-SMOTE: fuzzy memberships distinguish core vs. border samples, interpolation is prioritized in high-membership regi...

Scales
Yuhan Yang, Damin Zhang, Qing He, Mu Lin, Ji Zhao•
PLOS

Exploratory cluster analysis of noninvasive vascular measures reveals heterogeneous vascular profiles after stroke

Vascular dysfunction is prevalent after stroke and contributes to elevated cardiovascular risk; however, the extent to which vascular heterogeneity exists in this population remains unclear. This study examined whether distinct multi-domain cluster-derived vascular profiles are present in individuals with chronic stroke and whether these profiles are associated with functional performance. Vascular structure and function were assessed using flow-mediated dilation, carotid intima-media thickness,...

Stroke
Bria L. Bartsch, Amanda N. Engler, Sandra A. Billinger•
PLOS

Effectiveness of dose-matched immersive virtual reality-stationary cycling combined with neurological physiotherapy versus neurological physiotherapy alone in individuals with chronic stroke (CIVIS): A single-blind, randomized crossover trial protocol

Background: Stroke is a leading cause of long-term disability worldwide and frequently results in persistent motor and functional impairments, particularly affecting gait and balance. Given the high prevalence and impact of these limitations on independence and quality of life, innovative rehabilitation strategies are needed. Immersive virtual reality combined with stationary cycling (IVR-SC) has emerged as an innovative rehabilitation approach with the potential to improve mobility and function...

Stroke
Daniel Asensio-Perez, David Lucena-Anton, Jose A. Moral-Munoz•
PLOS

Stroke disability burden and rehabilitation service-capacity proxies in China, 1990–2023: A population-based analysis using GBD 2023 and national service statistics

China’s stroke burden is increasingly shaped by survival with disability, population ageing, and demand for rehabilitation and long-term support. Yet the extent to which stroke disability burden has shifted towards older-old and oldest-old adults, and how this burden relates to community and elder-care service capacity, remains insufficiently quantified. We conducted a population-based secondary analysis of Global Burden of Disease Study 2023 estimates for China from 1990 to 2023, focusing on is...

Stroke
Yumin Zhou, Wenke Fan, Dandan Lv, Qian Li, Yu Cao, Hao Tian, Weiwei Guo, Xia Bi•
PLOS

Association of unmet discharge needs on readmission or mortality among acute respiratory failure survivors during the COVID-19 pandemic: The Addressing Post-Intensive Care Syndrome (APICS-COVID) multicenter prospective cohort study

Background: Survivors of acute respiratory failure (ARF) often face long-term impairments known as Post-Intensive Care Syndrome. These impairments, coupled with fragmented healthcare, contribute to high rates of readmission and mortality. The COVID-19 pandemic challenged healthcare systems, providing an important opportunity to evaluate healthcare fragmentation before and during the pandemic. Methods: From December 2020 to July 2022, this prospective multicenter study (APICS-COVID) enrolled ARF...

Respiratory
Harris L. Carmichael, Danielle Groat, Victor D. Dinglas, Somnath Bose, Mustafa Mir Kasimov, James C. Jackson, Naga Preethi Kadiri, Maria Isabel Trejo-Zambrano, Carla M. Sevin, Tom Greene, Dale M. Needham, Samuel M. Brown, for the APICS-COVID Study Team•

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