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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 85–96 of 2,098 articles

PubMed

Ultrasound-Guided Percutaneous Placement of Indocyanine Green-Dyed Coils for Intraoperative Localization of Subpleural Lung Tumors.

Accurate localization of peripheral pulmonary lesions is a prerequisite for lung-sparing minimally invasive resection. Indocyanine green (ICG)-dyed coils have emerged as an effective multimodal marker, detectable by near-infrared fluorescence, fluoroscopy, palpation, and ultrasound, but their placement currently relies on CT or cone-beam CT guidance, with the associated radiation exposure and logistical demands. For subpleural lesions, transthoracic ultrasound offers real-time, radiation-free gu...

Articles
Onyancha S, Bawaadam H, Hollaus P, Rohde G, Schreiner W•
PubMed

A Procedural Learning Framework for Co-creating Sponge Solutions across Scales: Supporting Integrated Management of Water-Resilient River Landscapes.

Under the pressures of climate change, floods and droughts are increasingly challenging global water systems, requiring transformative approaches for the integrated and adaptive management of water-resilient river landscapes. Enhancing landscape “sponge functioning”, the capacity to intercept, retain, store, and release water, is increasingly promoted, yet guidance remains fragmented between local measures and landscape-scale strategies, limiting the coordinated prioritization and implementation...

Articles
Gebker M, King P, Gottwald S, Vinke-de Kruijf J, Ruangpan L, Penning E, Wentling K, Albert C•
PubMed

Comparative validation of standard screening tools and an exploratory model for detecting obstructive sleep apnea in hypertrophic cardiomyopathy.

Study objectives Despite representing a highly prevalent comorbidity, standard screening tools for obstructive sleep apnea (OSA) lack validation in the hypertrophic cardiomyopathy (HCM) population. We sought to prospectively evaluate the diagnostic accuracy of three widely used screening tools against gold-standard polysomnography in an HCM cohort and to explore the potential for a tailored predictive model. Methods In this prospective cohort study, patients with HCM completed the Epworth Sle...

Articles
Karim S, Iyyappan BS, Tabraiz S, Rajendran A, Chahal A, Geske JB, Chamberlain AM, Somers VK•
PubMed

Asthma Exacerbations Following Wildfire Smoke PM(2.5) Exposure Among U.S. Adults.

Abstract Asthma exacerbation can be triggered by various forms of air pollution, including PM2.5 from wildfire smoke. This study aims to investigate the association between wildfire smoke PM2.5 exposure and asthma exacerbations in adults during the warm months (April–August) between 2006 and 2019. Using a case‐crossover design, we analyzed 18,935 asthma exacerbation events and four matched control periods per event from the National Institutes of Health (NIH) All of Us research program. We used...

Articles
Huang Y, Luo L, Leng S, Zhang S, Lavin RP, Buenemann M, Lin Y, Campen M, Gong X•
PubMed

Reduced attenuation of neural activation during fear extinction learning in patients with anxiety disorders: a delayed fear extinction fMRI study.

Clarifying the patterns of neural activation during fear extinction in anxiety disorders (ADs) is essential for advancing our understanding of inhibitory learning. However, the underlying mechanisms remain poorly characterized in large, heterogeneous cohorts of patients. Utilizing a delayed fear extinction fMRI paradigm, this study examined neural responses in 280 patients with ADs — comprising panic disorder, agoraphobia, panic disorder with agoraphobia, social anxiety disorder, and multiple sp...

Articles
Qian Z, Yang Y, Richter J, Domschke K, Koelkebeck K, Deckert J, Herrmann MJ, Plag J, Ströhle A, Wittchen HU, Pittig A, Hamm A, Arolt V, Dannlowski U, Schneider S, Margraf J, Rief W, Lueken U, Kircher T, Ridderbusch IC, Straube B•
PubMed

Longitudinal Associations Between ADHD Symptoms and Cannabis Use in Adolescence: Exploration of the Dynamic Cross-Lagged Effects.

Introduction Adolescence represents a period of heightened vulnerability for the initiation of psychoactive substance use, such as cannabis. A growing body of research suggests a marked co-occurrence between attention-deficit/hyperactivity disorder (ADHD) symptoms and early or problematic cannabis use. However, most of these studies are cross-sectional, raising questions about the nature and directionality of this association. Understanding the underlying dynamics of this relationship is of par...

Articles
Girard-Lapointe J, Castellanos-Ryan N, Lynch SJ, Watts JJ, Didaskalou M, Conrod PJ•
PubMed

Diagnostic Pitfall: Mixed Connective Tissue Disease-Associated Pulmonary Hypertension Presenting With Postpartum Right-Sided Heart Failure in a 21-Year-Old-Case Report.

ABSTRACT Mixed connective tissue disease is a multisystem autoimmune condition characterized by overlapping clinical and serological features related to anti‐U1‐RNP antibodies of at least two connective tissue diseases. It may present with myocarditis, pericarditis, pulmonary arterial hypertension, and, less commonly, heart failure. We present a 21‐year‐old female with bilateral foot swelling, cough, and shortness of breath 3 months after a vaginal delivery. On examination, she was hypotensive...

Articles
Alla SSM, Khetan MS, Alla D, Ganguru SL, Appala S, Sree K, Shah RJ, Seth A, Rawtani NA, Aamir MR, Emmanuel NW•
POR

Mental Health Screening: Opening the Door to Better Care

by Adam Irvine, Physicians Office Resource For many patients, the first opportunity to identify depression or anxiety arrives during a visit scheduled for something else. A patient seeking help for fatigue may also be losing interest in daily activities. Someone returning for hypertension management may describe persistent worry and poor sleep. The primary care physician has an opportunity to recognize these concerns within the larger picture of the patient’s health.

Point of Care Testing
Adam Irvine•
PubMed

Comparison of Pregnancy Outcomes from Fresh Transfer of High-Quality Single Blastocysts in Women of Different Ages: A Retrospective Study.

Objective To compare pregnancy and neonatal outcomes following fresh high-quality single blastocyst transfer (SBT) across different maternal age groups. Methods This retrospective cohort study included 4352 women who underwent fresh high-quality SBT and were divided into three age groups: <30 years (Group A, n = 1939), 30–34 years (Group B, n = 1801), and 35–37 years (Group C, n = 612). Baseline characteristics, pregnancy outcomes, and neonatal outcomes were compared across the groups. Non-li...

Articles
Wu Y, Wu S, Chen H, Su W, Fu Y, Zhao J, Ma L•
PubMed

Self-Confidence and Anxiety in Clinical Decision-Making Among Undergraduate Nursing Students During Case-Based Learning with Post-Clinical Debriefing and Reflection in Malawi: A Quasi-Experimental Study.

Background Self-confidence and anxiety are key emotional determinants of clinical decision-making (CDM) among nursing students, yet evidence on interventions that address both during actual clinical placements in resource-limited settings remains limited. Objective This study examined the changes in self-confidence and anxiety in CDM among undergraduate nursing students in Malawi during Case-Based Learning (CBL) with post-clinical debriefing and reflection, and whether patterns of change diff...

Articles
Chipeta MC, Cheng SF, Tung HH, Liang HY, Liu CY, Hwang HF•
PubMed

An Exploratory Three-Arm Randomized Controlled Trial: The Clinical Effects of Tai Chi, Baduanjin, and Health Education in the Management of Knee Osteoarthritis.

Objective This three-arm randomized controlled trial aimed to investigate the comparative clinical effects of Tai Chi (TC), Baduanjin(BDJ), and Health Education(HE) for controlling symptoms and restoring physical function in individuals diagnosed with knee osteoarthritis(KOA). Methods This randomized controlled trial was conducted on patients with KOA, who were randomly allocated 1:1:1 to three groups (40 participants per group, total randomized n=120): TC, BDJ, or HE. The study lasted 48 wee...

Articles
Zeng T, Chen ZL, Zhou YH, Liu WQ•
PubMed

Treatment Decision-Making Journey Map for Adults with Atopic Dermatitis: A Descriptive Qualitative Study.

Background Adults with atopic dermatitis frequently make treatment-related decisions about symptom management, treatment, self-care, and relapse prevention, but how these decisions unfold across the course of a chronic and relapsing disease remains insufficiently understood. Objective To map the treatment decision-making journey of adults with atopic dermatitis and identify stage-specific support needs from the patient perspective. Methods A descriptive qualitative study was carried out in...

Articles
Jin Y, Cui Z, Zheng M, Zhu F, Li N•