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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 361–372 of 2,098 articles

PubMed

Pain Management in Orthopedic Surgery: A Procedure-Specific Orthopedic-Anesthesia Approach to Perioperative Analgesia.

Abstract Introduction: Post-operative pain in orthopedic surgery is clinically important because inadequate analgesia can impair mobilization, sleep, physiotherapy and discharge, while excessive analgesia can cause sedation, motor weakness, drug toxicity and unnecessary opioid exposure. This narrative review uses a structured literature search of PubMed/MEDLINE and targeted review of recent systematic reviews, randomized trials, consensus statements and procedure-specific recommendations, with...

Articles
Bhadani JS, Kumar I, Kumari P, Akhileshwar, Kashyap N, Kumar S•
PubMed

Difficult Clinical Encounters in Chronic Wound Care: An Interview Study of Nurses' Experiences and Approaches.

ABSTRACT Although difficult social interaction patterns are scientifically addressed in other medical fields, it is an under‐researched topic in wound care. A knowledge gap exists pertaining to what kind of interpersonal problems occur between patients with chronic wounds, their relatives and nurses. In an exploratory interview study, we analyzed 37 interviews with nurses from different settings to explore how they perceive and approach difficult encounters with patients with chronic wounds. A...

Articles
Hackert B, Weger U, Stürmer EK•
PubMed

Once again, the highlight of this edition (November-December 2026) of International Brazilian Journal of Urology is robotic surgery.

The November-December number of International Brazilian Journal of Urology presents original contributions with a lot of interesting papers in different fields: Prostate cancer, Robotic Surgery, Kidney cancer, UPJ obstruction, Infertility, Bladder Cancer, Cryptorchidism, Endourology and Reconstructive Urology. The papers came from many different countries such as Brazil, China, Israel, Indonesia, Turkey and Portugal, and as usual the editor ´s comment highlights some of them. The editor in chief...

Articles
Favorito LA•
PubMed

Precise anatomical delineation in ultrasound imaging using echo-spectral interactive networks.

Abstract Background Accurate ultrasound (US) segmentation is challenging because speckle noise, low contrast, and ambiguous tissue interfaces often obscure anatomical boundaries. Many conventional CNN‐ and Transformer‐based models operate primarily in the spatial domain and may not explicitly incorporate boundary‐related spectral cues. Purpose To develop a spatial–frequency interactive segmentation framework designed to support boundary delineation in US images. Methods We introduce the Ec...

Articles
Xin Y, Wei S, He Q, Ling Q, Zhu W, Jiao W, Ling D•
PubMed

Lack of Usefulness of Literature-Based Helicobacter pylori Resistance Data for Predicting First-Line Empirical Treatment Effectiveness in the European Registry on H. pylori Management (Hp-EuReg).

ABSTRACT Background Helicobacter pylori (H. pylori) infection causes gastritis, peptic ulcer disease, and gastric cancer. Without an effective vaccine, eradication therapy remains crucial. However, increasing antibiotic resistance compromises treatment effectiveness. Objective To evaluate whether literature‐based resistance data could predict first‐line empirical treatment effectiveness. Methods Resistance rates for clarithromycin, metronidazole, and levofloxacin were extracted from biblio...

Articles
Kirrout I, Nyssen OP, Pérez-Aísa Á, Tepes B, Voynovan IN, Martínez-Domínguez SJ, Lucendo AJ, Vologzanina LG, Pavoni M, Abdulkhakov SR, Denkovski M, Tejedor-Tejada J, Ilchishina T, Bujanda L, Sarsenbaeva AS, Huguet JM, Zaytsev O, Starostin BD, Perona M, Gravina AG, Pabón-Carrasco M, Alekseenko SA, Núñez Ó, Areia M, Barrio J, Loro AM, Andreev DN, Rodríguez BJG, Marcos MS, Ortiz-Polo I, Tarasova GN, Bakulin I, Alonso MS, Arteagoitia I, Flores V, Jiménez-Moreno M, Bordin DS, Gasbarrini A, Marcos-Pinto R, Marlicz W, Phull PS, Venerito M, Boltin D, Boyanova L, Parra P, Moreira L, Mégraud F, O'Morain C, Montes N, Gisbert JP, Hp‐EuReg investigators•
PubMed

Extended Wearable ECG Monitoring Detects Unrecognised Arrhythmias After COPD Exacerbation: The PRECURSOR Pilot Study.

ABSTRACT Background The period after hospitalisation for an acute exacerbation of chronic obstructive pulmonary disease (COPD) is associated with cardiovascular vulnerability. Clinically important rhythm disturbances may be intermittent or asymptomatic and escape routine postdischarge assessment; however, the diagnostic yield of prolonged monitoring is intrinsically influenced by monitoring duration. Methods In this prospective, single‐centre observational pilot, 18 adults recently hospitali...

Articles
Kotsiou OS, Gogou E, Siachpazidou D, Pinaka M, Bardaka F, Garyfallos A, Mantzaris D, Garyfallos A, Konstantinidis A, Gourgoulianis KI•
PubMed

Vertebral computed tomography attenuation to case-find low bone density in people undergoing lung cancer screening.

Abstract Objective Lung cancer screening (LCS) participants are “high-risk” for osteoporotic fracture. We compared lumbar vertebral Hounsfield unit CT-attenuation (VHU) from LCS images with standard dual-energy X-ray absorptiometry (DXA), quantitative CT (QCT) and clinical fracture risk tools to identify participants with low bone mineral density (BMD), prevalent vertebral fracture (VF) and incident osteoporotic fracture. Methods LCS participants were cross-sectionally analyzed at a 2-year f...

Articles
Patel N, Dahl K, O'Rourke R, Williamson A, Lee JC, Fong KM, Yang IA, Marshall HM•
PubMed

Effects of Multicomponent Training on Body Composition and Cardiorespiratory Fitness in Adults With Type 2 Diabetes: A Randomized Controlled Trial.

ABSTRACT We investigated whether 14 weeks of multicomponent training delivered as small‐sided soccer improves body composition, cardiorespiratory fitness, and metabolic outcomes in adults with type 2 diabetes. Adults aged 40–70 years (n = 111) were randomized to exercise (n = 66; three 60‐min sessions per week) or usual care (n = 45). Constrained linear mixed models estimated between‐group differences in change. No between‐group difference was detected in the primary outcome, lean body mass (0....

Articles
Skoradal MB, Kristiansen J, Póvoas S, Johannesen HL, Ellingsgaard H, Olsen HW, Mohr M, Sjúrðarson T•
PubMed

CT-Derived Body Composition Enhances Risk Prediction for Early Progression and Platinum Resistance in High-Grade Serous Ovarian Cancer.

ABSTRACT Background Patients with high‐grade serous ovarian cancer (HGSOC) who develop resistance to platinum‐based chemotherapy experience significantly poorer outcomes and shorter progression‐free survival (PFS). This study evaluates whether pretreatment CT‐based abdominal body composition is associated with platinum resistance and PFS, and whether its incorporation alongside clinical variables improves prognostic model performance. Methods This retrospective study included 321 patients wi...

Articles
Singh J, Meng X, Kokenberger G, Zhu J, Borho L, Elishaev E, Taylor S, Modugno F, Pu J•
PubMed

Blood Pressure Variability in Neurodegenerative Disease: Evidence From a Large-Scale Remote Patient Monitoring Program.

ABSTRACT Background Blood pressure variability (BPV) is an established predictor of cardiovascular risk, yet its physiologic determinants in specific populations remain incompletely defined. Neurodegenerative diseases are associated with autonomic dysfunction that may alter blood pressure regulation. Methods We compared day‐to‐day systolic blood pressure (SBP) variability between patients with neurodegenerative disease and matched controls in a retrospective analysis of de‐identified home bl...

Articles
Smith W, Signorile JF, Seixas AA, Chung DP, Larsen B, Flanagan C•
PubMed

Home Blood Pressure-Guided Lifestyle Intervention for Elevated Blood Pressure Detected at Workplace Health Checkups: A Randomized Pilot Trial.

ABSTRACT Background Workplace health checkups may identify elevated blood pressure (BP), but a single measurement may not reflect usual BP. We evaluated home BP‐guided lifestyle management after elevated BP was detected at a workplace health checkup. Methods Fifty‐eight municipal employees were randomized to home BP monitoring plus physician‐led lifestyle counseling (n = 31) or the same counseling without home BP feedback (n = 27). Both groups received two scheduled counseling sessions. The...

Articles
Omama S, Takahashi T, Yamada T, Maita S, Shimooki O•
PubMed

Early Acupuncture Following Thrombolysis in Acute Ischemic Stroke: A Meta-Analysis of Randomized Controlled Trials on Efficacy and Safety.

ABSTRACT Introduction Intravenous thrombolysis is standard for acute ischemic stroke (AIS), but many patients still have poor outcomes. Acupuncture may confer additional neuroprotection, yet its safety and efficacy when initiated early post‐thrombolysis remain unclear. Methods A systematic search of databases and registries was conducted from inception to March 31, 2026, for randomized controlled trials comparing thrombolysis plus acupuncture with thrombolysis plus conventional post‐thrombol...

Articles
Li G, Zhou Y, He Z, Li S, Bai Q, Fan S, Chen X, Yue M, Yang X, Shi J•