keyword
https://read.qxmd.com/read/38371155/the-diagnostic-value-of-brain-ct-scans-in-evaluating-dizziness-in-the-emergency-department-a-retrospective-study
#21
JOURNAL ARTICLE
Abdulrahman Masood, Omar Alkhaja, Ali Alsetrawi, Fuad Alshaibani, Ahmed Awad, Zainab Habbash, Zahra Y Alyusuf, Naeema Ali, Sarah Al Mail, Tareq Al Taei
BACKGROUND: Dizziness is a common presenting complaint to emergency departments (ED) worldwide, with causes ranging from benign to life-threatening incidents. Computerized tomography (CT) of the brain remains a common diagnostic tool used by emergency physicians; however, it appears to be of low diagnostic value, especially in patients with normal neurological assessment while carrying multiple negative implications on both the patients and the healthcare systems. Our study aims to evaluate the diagnostic value of brain CT scans in assessing patients presenting to the ED with acute dizziness...
January 2024: Curēus
https://read.qxmd.com/read/38350062/investigating-the-prevalence-of-comorbidity-in-multiple-sclerosis-clinical-trial-populations
#22
JOURNAL ARTICLE
Amber Salter, Samantha Lancia, Kaarina Kowalec, Kathryn C Fitzgerald, Ruth Ann Marrie
BACKGROUND AND OBJECTIVES: Comorbidity is common in multiple sclerosis (MS) with the most prevalent conditions being depression, anxiety, hypertension, and hyperlipidemia. Limited information regarding the representation of comorbidity status is available from phase III clinical trials in MS leading to concern about the potential underrepresentation of individuals with comorbidity in clinical trials. The objective was to estimate the prevalence of comorbidities in MS clinical trial populations...
March 12, 2024: Neurology
https://read.qxmd.com/read/38349654/prepandemic-physical-activity-and-risk-of-covid-19-diagnosis-and-hospitalization-in-older-adults
#23
JOURNAL ARTICLE
Dennis Muñoz-Vergara, Peter M Wayne, Eunjung Kim, I-Min Lee, Julie E Buring, JoAnn E Manson, Howard D Sesso
IMPORTANCE: Higher prepandemic physical activity (PA) levels have been associated with lower risk and severity of COVID-19. OBJECTIVE: To investigate the association between self-reported prepandemic PA levels and the risk and severity of COVID-19 in older US adults. DESIGN, SETTING, AND PARTICIPANTS: This cohort study combined cohorts from 3 ongoing prospective randomized clinical trials of US adults aged 45 years or older who provided prepandemic self-reports of baseline leisure-time PA and risk factors for COVID-19 outcomes using the most recent questionnaire completed as of December 31, 2019, as the baseline PA assessment...
February 5, 2024: JAMA Network Open
https://read.qxmd.com/read/38343626/experiences-of-an-inpatient-penicillin-allergy-de-labelling-pathway-capturing-the-patient-voice
#24
JOURNAL ARTICLE
Neil Powell, Mathew Upton, Bridie Kent, Jonathan Sandoe, Sarah Tonkin-Crine
BACKGROUND: Non-allergist-delivered penicillin allergy de-labelling (PADL) is supported by UK and other national guidelines but is not yet routine practice in UK hospitals. Those who have undergone PADL report high rates of acceptance, but it is unknown why some continue to avoid penicillin, and why some decline testing. OBJECTIVES: To explore the experiences of patients recently approached for penicillin allergy (penA) assessment and de-label by non-allergists in a UK hospital to determine the barriers and enablers to patient acceptance of PADL...
February 2024: JAC-antimicrobial resistance
https://read.qxmd.com/read/38342658/quality-of-decision-making-in-radiation-oncology
#25
JOURNAL ARTICLE
S K Vinod, R Merie, S Harden
High-quality decision making in radiation oncology requires the careful consideration of multiple factors. In addition to the evidence-based indications for curative or palliative radiotherapy, this article explores how, in routine clinical practice, we also need to account for many other factors when making high-quality decisions. Foremost are patient-related factors, including preference, and the complex interplay between age, frailty and comorbidities, especially with an ageing cancer population. Whilst clinical practice guidelines inform our decisions, we need to account for their applicability in different patient groups and different resource settings...
February 6, 2024: Clinical Oncology: a Journal of the Royal College of Radiologists
https://read.qxmd.com/read/38325516/international-renal-interest-society-best-practice-consensus-guidelines-for-the-diagnosis-and-management-of-acute-kidney-injury-in-cats-and-dogs
#26
REVIEW
Gilad Segev, Stefano Cortellini, Jonathan D Foster, Thierry Francey, Catherine Langston, Leonel Londoño, Ariane Schweighauser, Rosanne E Jepson
Acute kidney injury (AKI) is defined as an injury to the renal parenchyma, with or without a decrease in kidney function, as reflected by accumulation of uremic toxins or altered urine production (i.e., increased or decreased). AKI might result from any of several factors, including ischemia, inflammation, nephrotoxins, and infectious diseases. AKI can be community- or hospital-acquired. The latter was not previously considered a common cause for AKI in animals; however, recent evidence suggests that the prevalence of hospital-acquired AKI is increasing in veterinary medicine...
February 5, 2024: Veterinary Journal
https://read.qxmd.com/read/38304715/national-survey-on-management-of-spontaneous-pneumothorax-from-emergency-department-to-specialised-treatment-room-for-improvement
#27
JOURNAL ARTICLE
Søren Helbo Skaarup, Christian B Laursen, Rob J Hallifax, Beenish Iqbal, Uffe Bødtger
INTRODUCTION: Spontaneous pneumothorax (SP) affects both young, otherwise healthy individuals and older persons with known underlying pulmonary disease. Initial management possibilities are evolving and range from observation to chest tube insertion. SP guidelines suggest an individualized approach based on multiple factors such as symptoms, size of pneumothorax, comorbidity and patient preference. AIM: With this Danish national survey we aimed to map organization of care including involved specialties, treatment choice, training, and follow-up plans to identify aspects, and optimization of spontaneous pneumothorax management...
2024: European Clinical Respiratory Journal
https://read.qxmd.com/read/38298309/underprescription-of-fibrate-among-patients-with-diabetic-retinopathy-in-perak-malaysia
#28
JOURNAL ARTICLE
Jazlan Jamaluddin, Mohd Azzahi Mohamed Kamel
Objectives Diabetic retinopathy (DR) is a major cause of blindness and its prevalence is increasing. Fibrate, specifically fenofibrate, has been shown to be efficacious in reducing the progression of DR. This study aims to determine the five-year trend of and factors associated with the prescription of fibrate among patients with DR in Perak. Methods Data on all patients with DR in 76 government health clinics in Perak who were audited between 2018 and 2022 were extracted from the National Diabetes Registry (NDR), excluding those who were lost to follow-up...
January 2024: Curēus
https://read.qxmd.com/read/38278596/what-s-new-in-preoperative-cardiac-testing
#29
REVIEW
Murad Elias, Vahé S Tateosian, Deborah C Richman
More than 300 million surgeries are performed annually worldwide. Patients are progressively aging and often have multiple comorbidities that put them at increased cardiovascular risk in the perioperative period. The United States published latest guidelines regarding preoperative cardiac evaluation and risk stratification for patients undergoing non-cardiac surgery in 2014. There are multiple risk stratification tools available that can help guide management. Furthermore, newer laboratory tests, such as preoperative NT-proBNP and high-sensitivity troponin assays, may aid in preventing and diagnosing perioperative myocardial injury...
March 2024: Anesthesiology Clinics
https://read.qxmd.com/read/38277850/hypertension-and-other-vascular-risk-factors-in-patients-with-functional-seizures
#30
JOURNAL ARTICLE
Jonah Fox, Murli Mishra
OBJECTIVE: Recent literature has suggested that functional seizures are associated with an elevated risk for vascular disease and mortality. We investigated the prevalence of risk factors for vascular disease in patients who were admitted to the epilepsy monitoring unit. METHODS: Patients who were admitted to the epilepsy monitoring unit and received a definitive diagnosis of either functional seizures or epilepsy were identified. Data collected included demographic, clinical characteristics, medication list, comorbidities, and scheduled blood pressure measurements that occurred every 12 h during the admission...
January 25, 2024: Epilepsy & Behavior: E&B
https://read.qxmd.com/read/38266762/effectiveness-of-behavioral-and-pharmacological-interventions-for-depressive-symptoms-following-spinal-cord-injury-findings-from-a-systematic-review
#31
REVIEW
Robert Cotter, Jennifer Burns, Katherine Kaufman, Angelika Kudla, Linda Ehrlich-Jones, Q Eileen Wafford, Allen W Heinemann
OBJECTIVE: To summarize and evaluate evidence regarding the efficacy of interventions for depressive symptoms in adults living with spinal cord injury (SCI) and comorbid major depressive disorder or significant depressive symptoms to inform the development of clinical practice guidelines. DATA SOURCES: Articles published since 2013 and available in Medline, The Cochrane Library, Embase, Scopus, CINAHL, or PsycINFO. Databases were searched in June 2022 and updated November 2023...
January 22, 2024: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/38263904/healthcare-professionals-understanding-and-perception-of-drug-related-issues-linked-to-off-label-pharmacological-medications-used-for-covid-19
#32
JOURNAL ARTICLE
Muhammad Zeeshan Munir, Amer Hayat Khan, Tahir Mehmood Khan
BACKGROUND: To evaluate the opinions of healthcare workers regarding drug therapy problems linked to anti-infective medicines used for the treatment of COVID-19 infection in Pakistan. RESEARCH METHODOLOGY: This cross-sectional study was conducted from January to October 2022 using a self-administered questionnaire developed by the authors, having three sections: demographics, knowledge, and perception. The study was validated by research experts and pilot-tested on 30 subjects...
January 24, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38227804/current-management-of-atrial-fibrillation-in-routine-practice-according-to-last-esc-guidelines-an-ehra-physician-survey-how-are-we-dealing-with-controversial-approaches
#33
JOURNAL ARTICLE
Jose M Guerra, Zoraida Moreno Weidmann, Laura Perrotta, Arian Sultan, Ante Anic, Andreas Metzner, Rui Providencia, Julian Chun
BACKGROUND AND AIMS: Although guidelines for the management of atrial fibrillation (AF) are regularly published, many controversial issues remain, limiting their implementation. We aim to describe current clinical practice among European Heart Rhythm (EHRA) community according to last guidelines. METHODS: A 30 multiple-choice questionnaire covering the most controversial topics related to AF management was distributed through the EHRA Research Network, National Societies and social media between January and February 2023...
January 16, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38220116/associations-of-diet-quality-and-daily-free-sugar-intake-with-depressive-and-anxiety-symptoms-among-chinese-adolescents
#34
JOURNAL ARTICLE
Xinyi Xie, Yanqi Li, Yi Zhang, Xiaoyi Lin, Mengxin Huang, Huihang Fu, Ying Ma, Runsen Chen, Xiaoyan Wang, Jie Tang
BACKGROUND: Assessing diet quality has been challenging, and the associations of diet quality and daily free sugar intake with depressive and/or anxiety symptoms have shown inconsistency. METHODS: A total of 1749 students aged 12-16 years were recruited using stratified random cluster sampling across three cities in China. The overall Global Dietary Recommendations (GDR) score, a novel indicator of diet quality, was constructed using the low-burden Diet Quality Questionnaire...
January 12, 2024: Journal of Affective Disorders
https://read.qxmd.com/read/38198710/neuropsychiatric-manifestations-of-tuberous-sclerosis-and-management-options-a-narrative-review
#35
REVIEW
Parul Gupta, Mamidipalli Sai Spoorthy, Pooja R Raikar
Importance: Tuberous sclerosis is an autosomal dominant genetic disorder that affects multiple organ systems and causes a wide range of physical manifestations. It commonly involves the brain, skin, heart, eyes, kidneys, and lungs. Individuals mostly present with neuropsychiatric symptoms, comprising a noteworthy source of morbidity and mortality. Observation : Ninety percent of individuals with tuberous sclerosis have associated neuropsychiatric manifestations including attention-deficit/hyperactivity disorder, autism spectrum disorder, and intellectual disability, which are typically underidentified and undertreated...
January 4, 2024: Primary Care Companion to CNS Disorders
https://read.qxmd.com/read/38178802/multi-failure-psoriasis-patients-characterization-of-the-patients-and-response-to-biological-therapy-in-a-multicenter-italian-cohort
#36
JOURNAL ARTICLE
Riccardo Viola, Luca Mastorino, Matteo Megna, Giovanni Damiani, Paolo Gisondi, Giuseppe Argenziano, Ketty Peris, Francesca Prignano, Martina Burlando, Andrea Conti, Francesco Loconsole, Piergiorgio Malagoli, Iris Zalaudek, Sara Cacciapuoti, Francesco Bellinato, Anna Balato, Clara De Simone, Karin Chersi, Michela Ortoncelli, Pietro Quaglino, Paolo Dapavo, Simone Ribero
INTRODUCTION: Patients with psoriasis who have failed multiple biologic drugs have been defined as "multi-failure," although there are no clear data on the characteristics, comorbidities, and best treatment strategies for this population. Nowadays, given the next generation and the number of biologics available, patients are considered multi-failure when ≥4 biologics fail to achieve a good response. METHODS: Demographic characteristics and efficacy of anti-interleukin drugs in multi-failure patients were compared to a cohort of general psoriatic patients treated with IL-23 or IL-17 inhibitors...
January 5, 2024: International Journal of Dermatology
https://read.qxmd.com/read/38176004/reducing-risk-in-the-treatment-of-attention-deficit-hyperactivity-disorder-among-adults-with-comorbidities
#37
JOURNAL ARTICLE
Karan Kverno, Fatima Ramos-Marcuse
Recent widely publicized shortages in the U.S. supply of first-line medications for treatment of attention-deficit/hyperactivity disorder (ADHD) are thought to reflect increases in public awareness, help seeking, and treatment. ADHD is one of the most common neurodevelopmental disorders and is typically identified in childhood. In adulthood, ADHD symptoms are less likely to include hyperactivity, but inattention, impulsivity, and emotional dysregulation are common. Clinical evaluation of symptomatic adults who were not diagnosed as children requires corroboration of ADHD diagnostic symptoms in childhood and careful differentiation of ADHD from frequently co-occurring psychiatric and substance use disorders...
January 2024: Journal of Psychosocial Nursing and Mental Health Services
https://read.qxmd.com/read/38173904/quo-vadis-cardiac-rehabilitation-the-role-of-comprehensive-cardiac-rehabilitation-in-modern-cardiology
#38
EDITORIAL
Nenad Lakušić, Ivana Sopek Merkaš
In accordance with the guidelines established by prominent European and global cardiology associations, comprehensive cardiac rehabilitation (CR) stands as an officially endorsed and highly recommended therapeutic approach (class I recommendations; level of evidence A) for a diverse spectrum of cardiac patients. Nevertheless, it is a cause for concern to observe that fewer than 50% of eligible patients are being effectively referred for CR, whether in an outpatient or inpatient setting. Concurrently, studies reveal that a substantial proportion of individuals with atherosclerotic cardiovascular disease maintain unhealthy lifestyles and exhibit suboptimal management of modifiable cardiovascular risk factors, including hypertension, lipid levels, and diabetes...
December 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38164869/expanding-self-consciousness-of-health-status-for-diabetes-chronic-complications-among-adults-a-systematic-review
#39
JOURNAL ARTICLE
D A Kurnia, P Soewondo, D Irawaty, J Umar, D Dahlia, A Schmitt
OBJECTIVE: Self-consciousness is defined as a subject (I) then becomes the object (Me) associated with a present moment of self-experience in which one is aware of their experience without any reflexive judgment attached, a state commonly investigated in mindfulness studies. On the other hand, self-consciousness is viewed as a reflexive experience and, thus, as a synonym for self-reflection. Self-consciousness is an important determinant of behaviors. Expanding self-consciousness is important among adults with diabetes to optimize health prevention and compliance with diabetes self-management in the long term...
December 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38160924/infective-endocarditis-complicated-with-a-large-left-coronary-cusp-aneurysm-a-condition-with-undefined-natural-history-and-treatment
#40
Carlos A Roldan, Kathleen Allen, Michelle Ratliff, Jerrold Grodin, Amer Alaiti, Subhash Banerjee
The natural history and treatment of an aortic cusp aneurysm with or without rupture due to native aortic valve infective endocarditis (NAV-IE) have not been well defined. This may explain why current guidelines for the management of valvular heart disease do not include this complication as an indication for surgical aortic valve replacement (SAVR) or repair or transcatheter aortic valve replacement (TAVR). We describe herein the first case of a 76-year-old man with multiple comorbidities with a NAV-IE associated large left coronary cusp aneurysm with subsequent rupture and consequent severe aortic regurgitation (AR) and heart failure for which he underwent an off label successful TAVR...
December 30, 2023: American Journal of Cardiology
keyword
keyword
120859
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.