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Opportunities to overcome underutilization of enhanced insulin delivery technologies in people with type 2 diabetes: a narrative review Postgrad. Med. (IF 4.2) Pub Date : 2024-03-18 Davida F. Kruger, Diana Isaacs, Lucille Hughes, Eden Miller, Timothy S. Bailey
Use of innovative technologies such as continuous glucose monitoring (CGM) and insulin delivery systems have been shown to be safe and effective in helping patients with diabetes achieve significan...
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You may delay, but time will not. Beta cells lost are never found again: a case for timely initiation of basal insulin in type 2 diabetes Postgrad. Med. (IF 4.2) Pub Date : 2024-03-11 Susan Renda, Jeffrey Freeman
Since its first use just over a century ago, insulin treatment has evolved dramatically, such that the molecules are physiologic in nature, and treatment can now closely resemble the natural hormon...
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Guideline-based management of metabolic dysfunction-associated steatotic liver disease in the primary care setting Postgrad. Med. (IF 4.2) Pub Date : 2024-03-11 Alina M. Allen, Michael Charlton, Kenneth Cusi, Stephen A. Harrison, Kris V. Kowdley, Mazen Noureddin, Jay H. Shubrook
The prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) is increasing worldwide. Primary care providers play a critical role in the screening, diagnosis, and management o...
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Prognostic significance of body mass index and serum albumin as the indicators of nutritional status in small cell lung cancer Postgrad. Med. (IF 4.2) Pub Date : 2024-03-08 Faruk Tas, Akın Ozturk, Kayhan Erturk
Body mass index (BMI) and serum albumin (ALB) level are long-established markers that reflect the nutritional status and eventually the prognosis of cancer patients. The objective of the study was ...
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Association between variants in TCF7L2, CTRB1/2, and GLP-1R genes and response to therapy with glucagon-like peptide-1 receptor agonists Postgrad. Med. (IF 4.2) Pub Date : 2024-03-07 Artemis Kyriakidou, Angeliki V. Kyriazou, Theocharis Koufakis, Yiannis Vasilopoulos, Iakovos Avramidis, Stefanos Baltagiannis, Dimitrios G. Goulis, Kalliopi Kotsa
The factors determining the response to treatment with glucagon-like peptide-1 receptor agonists (GLP-1- RAs) have not been clarified. The present study investigated the association between polymor...
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Understanding the role of the primary care physician in the management of patients with Crohn’s perianal fistulas Postgrad. Med. (IF 4.2) Pub Date : 2024-03-06 Gregory D Salinas, Emily Belcher, Sylvie Stacy, Pradeep P Nazarey, Susan E Cazzetta
To understand the role of primary care physicians (PCPs) in the recognition, diagnosis, and management of Crohn’s perianal fistulas (CPF) and their referral patterns and treatment expectations.This...
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Retrospective evaluation of 130 cases with Kawasaki disease follow-up in a tertiary care center in Turkey between 1999-2019: a 20-year experience Postgrad. Med. (IF 4.2) Pub Date : 2024-02-29 Uğur Topçu, Nihal Sahin, Özlem Kayabey, Kadir Babaoğlu
Kawasaki disease (KD), which is a medium vessel vasculitis, is common in Asian countries and is the most common cause of childhood-acquired heart diseases in developed countries. However, disease c...
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Vitamin D levels in idiopathic inflammatory myopathy patients: a meta-analysis Postgrad. Med. (IF 4.2) Pub Date : 2024-02-29 Anji Xiong, Shifeng Zhou, Can Liu, Ziyi Hu, Chuanmei Xie, Xiaoli Zheng, Xiongyan Luo
This meta-analysis aimed to explore correlations between vitamin D and idiopathic inflammatory myopathy (IIM).A comprehensive database search was conducted on 13 October 2020. Mean differences (MDs...
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Adverse events of biological agents in pediatric rheumatologic diseases Postgrad. Med. (IF 4.2) Pub Date : 2024-02-28 Merve Cansu Polat, Saniye Mertek, Zeynep Birsin Özçakar, Elif Çelikel, Fatma Aydın, Zahide Ekici Tekin, Atilla Halil Elhan, Banu Çelikel Acar, Nilgün Çakar
To evaluate adverse events (AEs) in pediatric patients with rheumatologic diseases being treated with approved or off-label biologic agents (BAs).This observational, retrospective, multicenter stud...
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Potassium-competitive acid blockers: rethinking acid suppression for gastroesophageal reflux disease and Helicobacter pylori Postgrad. Med. (IF 4.2) Pub Date : 2024-02-22 Carol M. Antequera, Kimberly Orleck, Rinu Jacob, Amy Kenneally, Wendy L. Wright
Gastroesophageal reflux disease (GERD) and Helicobacter pylori infection are different disease states that are united by the core role of acid suppression in their management. In GERD, proton pump ...
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Thrown in at the deep end: a qualitative study with physicians on the purpose and challenges of discharge interviews Postgrad. Med. (IF 4.2) Pub Date : 2024-02-15 Lorena Morschek, Jobst-Hendrik Schultz, Ricarda Wigbels, Nadja Gebhardt, Cassandra Derreza-Greeven, Hans-Christoph Friederich, Alexandra Noll, Inga Unger, Christoph Nikendei, Till Johannes Bugaj
Against the backdrop of poor discharge communication in hospitals, this study explores the purpose of discharge interviews from the physicians’ perspective and the challenges they are confronted wi...
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Plasma: indications, controversies, and opportunities Postgrad. Med. (IF 4.2) Pub Date : 2024-02-16 Michael A. Benson, Deborah Tolich, Jeannie L. Callum, Moises Auron
Plasma is overused as a blood product worldwide; however, data supporting appropriate use of plasma is scant. Its most common utilization is for treatment of coagulopathy in actively bleeding patie...
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The predictive value of the HALP score for no-reflow phenomenon and short-term mortality in patients with ST-elevation myocardial infarction Postgrad. Med. (IF 4.2) Pub Date : 2024-02-14 Kenan Toprak, İbrahim Halil Toprak, Osman Acar, Mehmet Fatih Ermiş
ST-elevation myocardial infarction (STEMI) is a medical emergency demanding immediate intervention, and primary percutaneous coronary intervention (pPCI) is the standard of care for this condition....
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Non-steroidal mineralocorticoid antagonists and hyperkalemia monitoring in chronic kidney disease patients associated with type II diabetes: a narrative review Postgrad. Med. (IF 4.2) Pub Date : 2024-02-12 Javier Morales, Biff F. Palmer
Chronic kidney disease (CKD) is a prevalent complication of Type II diabetes (T2D). The coexistence of CKD with T2D is comparable to cardiovascular disease (CVD) when the estimated glomerular filtr...
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Causes of liver test abnormalities in newly diagnosed cancer patients and the investigation of etiological factors Postgrad. Med. (IF 4.2) Pub Date : 2024-02-08 Zuhat Urakçı, Senar Ebinç, Zeynep Oruc, Ziya Kalkan, Muhammet Ali Kaplan, Mehmet Küçüköner, Abdurrahman Işıkdoğan
In this study, we aimed to investigate the causes of liver test abnormalities in newly diagnosed patients naive to anti-tumoral therapy.This study included a total of 490 patients with ALT levels >...
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EUS-guided tissue acquisition in patients with solid pseudopapillary neoplasms of the pancreas Postgrad. Med. (IF 4.2) Pub Date : 2024-02-06 José M. Jiménez-Gutiérrez, José G. de la Mora-Levy, Juan O. Alonso-Lárraga, Angélica I. Hernández-Guerrero, Betsabé A. Soriano-Herrera, Lidia F. Villegas-González, Luis F. Uscanga-Domínguez, Stephanie López-Romero, Félix I. Téllez-Ávila
Endoscopic ultrasound-guided tissue acquisition (EUS-TA) has been the most common method used for the preoperative cytopathological diagnosis of solid tumors of the pancreas. There are only a few r...
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Validation of the 35-mm rule in traumatic pneumothorax in an Asian population Postgrad. Med. (IF 4.2) Pub Date : 2024-02-06 Woo Young Nho
Thoracic injury crucially threatens human health. Recent studies have suggested using computed tomography (CT) to observe traumatic pneumothorax (PTX). However, cross-ethnic validation is required ...
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Machine learning-based risk prediction of hypoxemia for outpatients undergoing sedation colonoscopy: a practical clinical tool Postgrad. Med. (IF 4.2) Pub Date : 2024-02-05 Wei Lu, Yulan Tong, Xiuxiu Zhao, Yue Feng, Yi Zhong, Zhaojing Fang, Chen Chen, Kaizong Huang, Yanna Si, Jianjun Zou
Hypoxemia as a common complication in colonoscopy under sedation and may result in serious consequences. Unfortunately, a hypoxemia prediction model for outpatient colonoscopy has not been develope...
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Safety and efficacy results of percutaneous renal stent implantation in patients with acute coronary syndrome with ectatic and aneurysmatic coronary arteries Postgrad. Med. (IF 4.2) Pub Date : 2024-02-05 Sencer Çamci, Hasan Ari, Ayşe Sünbül, Selma Ari, Mehmet Melek, Tahsin Bozat
For the treatment of stenotic lesions developing in dilated coronary arteries, it is difficult to find an appropriately sized coronary stent given that the vessel diameter is too large. This poses ...
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Management of disease-related malnutrition: a real-world experience with a novel concentrated high-protein energy-dense oral nutritional supplement Postgrad. Med. (IF 4.2) Pub Date : 2024-01-25 Juan J. López-Gómez, Beatriz Ramos Bachiller, Daniel de Luis Roman
Despite the availability of a wide range of oral nutritional supplements (ONS) offerings, individuals with malnutrition are still struggling to meet their nutritional targets. A new concentrated an...
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Use of autologous iliac crest graft and free anterolateral femoral skin flap in diabetic foot ulcers: a case report Postgrad. Med. (IF 4.2) Pub Date : 2024-01-17 Xin-Juan Sun, Yue-Dong Chen, Jin-An Chen, Lei Wang, Gai Li, Meng Lu, Lei-Lei Dong, Tian-Yuan Wang, Ai-Ping Wang
Diabetic foot has a great impact on the life of patients. Its treatment involves a multi-disciplinary and multi-direction approach, which requires not only soft tissue repair, but also bone reconst...
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Levels and drivers of burnout during the COVID-19 pandemic among a diverse group of resident physicians Postgrad. Med. (IF 4.2) Pub Date : 2024-01-17 Brenna Briles, Alyssa Kahl, James Anaissie, Lindsay Brettmann, Ujval Pathak, Kristen A. Staggers, Shreeya Popat, Anoop Agrawal, Stacey Rose, Jennifer Taylor
Evidence has shown significant impacts of the COVID-19 pandemic on physicians. We hypothesized that these effects would impact surgical and non-surgical resident education differently, with non-sur...
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Correlation of morning dry mouth with clinical features of OSA in a community population: a cross-sectional study Postgrad. Med. (IF 4.2) Pub Date : 2024-01-14 Xiaoyu Ma, Cheng Zhang, Yunxia Wang, Kunyao Yu, Zhe Jin, Chunbo Zhang, Jing Ma, Jiping Liao, Guangfa Wang
Morning dry mouth, commonly seen in Obstructive Sleep Apnea (OSA) patients, is absent in current OSA screening tools. This study evaluated the link between morning dry mouth and OSA’s clinical symp...
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Evaluation of immature granulocyte percentage and count in pediatric nephrotic syndrome Postgrad. Med. (IF 4.2) Pub Date : 2024-01-11 Fatma Yazılıtaş, Evrim Kargın Çakıcı, Deniz Karakaya, Tülin Güngör, Evra Çelikkaya, Mehmet Bülbül
The importance of immature granulocytes (IGs) in most infectious and inflammatory diseases has been highlighted. This study aimed to determine the clinical usability and importance of changes in th...
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Correspondence on “Patients with ankylosing spondylitis have high risk of irritable bowel syndrome.” Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Mei-Chia Chou, I-Ming Jou, Hui-Tzu Chen, Renin Chang
Published in Postgraduate Medicine (Vol. 135, No. 8, 2023)
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Premarital hemoglobinopathy screening program results of a province in the Black Sea region of Turkey: three years’ experience Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Sule Ozdemır, Muhammet Ali Oruc, Bahadır Yazıcıoglu, Sibel Turkan
Hemoglobinopathies are a global public health problem with high mortality and morbidity and very expensive treatment. Disease can be reduced and prevented with hemoglobinopathy screening tests. It ...
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Predicting ventilator-associated pneumonia in elderly patients requiring mechanical ventilation through the detection in tracheal aspirates Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Dan Wang, Peng Zhao, Yan-Xin Liu, Peng Wang, Mei-Liang Gong, Ge-Ping Qu, Xiang-Qun Fang, Ya-Ping Qian
In this study, we evaluated the clinical utility of tracheal aspirates α-amylase (AM), pepsin, and lipid-laden macrophage index (LLMI) in the early diagnosis of ventilator-associated pneumonia (VAP...
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Generalized pustular psoriasis: practical recommendations for Spanish primary care and emergency physicians Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Raquel Rivera-Diaz, Francisco Epelde, Julio Antonio Heras-Hitos, Ana María Martínez Virto, Airam Jenny Dávalos Marin, María Rosa Senán Sanz, José Manuel Carrascosa
Generalized pustular psoriasis (GPP) is a rare chronic inflammatory skin disease that can lead to life-threatening complications and require emergency medical treatment. Recurrent GPP flares are ch...
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Vaccination coverage of children with rheumatic diseases compared with healthy controls: a retrospective case-control study Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Özlem Akgün, Fatma Gül Demirkan, Gülşah Kavrul Kayaalp, Merve Erdemir, Nergis Akay, Figen Çakmak, Mustafa Önel, Gonca Keskindemirci, Rukiye Eker Ömeroğlu, Emine Gülbin Gökçay, Nuray Aktay Ayaz
To reveal the vaccination status of patients with pediatric rheumatic disease (PedRD) and to compare this with healthy controls.The electronic health records of the Ministry of Health regarding the...
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Overuse of long-acting β2-agonist/inhaled corticosteroids in patients with chronic obstructive pulmonary disease: time to rethink prescribing patterns Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Stephen A. Brunton, D. Kyle Hogarth
Chronic obstructive pulmonary disease (COPD) is one of the leading causes of morbidity and mortality globally. In the major revision of the Global Initiative for Chronic Obstructive Lung Disease (G...
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Potential delayed and/or missed STI diagnoses among outpatients presenting with lower genitourinary tract symptoms: a real-world database study Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Louis Kuritzky, Zune Huynh, Rodney Arcenas, Avneet Hansra, Roma Shah, Baiyu Yang, Rebecca Lillis
Sexually transmitted infection (STI) diagnosis is complicated as these infections can present with lower genitourinary tract symptoms (LGUTS) that overlap with other disorders, i.e. urinary tract i...
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The effects of rate pressure product at admission on cardiopulmonary function during hospitalization in patients with acute myocardial infarction Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Chun-Mei Zeng, Yan-Mei Zhao, Yi-Yi Li, Rong-Rong Gan, Zheng Ling, Ping Li
This study aimed to analyze the correlation between the rate pressure product (RPP) and cardiopulmonary function during hospitalization in patients with acute myocardial infarction (AMI).A total of...
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Gastric duplication cysts: literature review and a case report of rare multiple gastric duplication cysts treated by endoscopic submucosal dissection Postgrad. Med. (IF 4.2) Pub Date : 2024-01-10 Ziying Yuan, Hongyun Wei, Yuejuan Zhang, Bin Cao, Baoguo He, Hao Yuan
Gastric duplication cysts (GDCs) are rare structural abnormalities, especially in adults. We first report a rare case of small multiple GDCs in a woman, which presents as a submucosal tumor (SMT) a...
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Obstructive sleep apnea increases the risk of herpes zoster and postherpetic neuralgia Postgrad. Med. (IF 4.2) Pub Date : 2023-12-01 Chih-An Wang, Wen-Che Hsieh, Tzu-Ju Hsu, Fuu-Jen Tsai, Chao-Yu Hsu
Diseases associated with chronic pain are typically a major source of stress for patients; and have been linked to herpes zoster (HZ) development. Here, we investigated whether obstructive sleep ap...
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Exploring factors related to clinically advanced fibrosis in patients with nonalcoholic fatty liver disease or nonalcoholic steatohepatitis Postgrad. Med. (IF 4.2) Pub Date : 2023-11-30 Anthony Yu, Alexandra Ritenour, Jennifer Vincent, Chanhyun Park, Karen Rascati, Paul Godley
To describe the clinical profile of nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH) patients in a Texas integrated delivery network (IDN) and elucidate the local rel...
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Differentiating between segmental arterial mediolysis and other arterial vasculopathies to establish an early diagnosis – a systematic literature review and proposal of new diagnostic criteria Postgrad. Med. (IF 4.2) Pub Date : 2023-11-28 Daan J.L. van Twist, Y. Appelboom, Cesar Magro-Checa, Mark Haagmans, Robert Riedl, Ozan Yazar, Lee H. Bouwman, Guy J.M. Mostard
Segmental arterial mediolysis (SAM) is a rare vascular disease, characterized by acute but transient vulnerability of the wall of medium-sized arteries. The most characteristic feature of SAM is it...
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Correction Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24
Published in Postgraduate Medicine (Vol. 135, No. 7, 2023)
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An analysis of cardiology consultation requests in infants presented to the pediatric emergency department of a tertiary children’s hospital Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Betül Öztürk, Mustafa Muhammed Güneylioğlu, Raziye Merve Yaradilmiş, Orkun Aydın, Deniz Yasar, Ali Güngör, İ̇lknur Bodur, Aytaç Göktuğ, İ̇lker Ufuk Sayici, Utku Arman Örün, Can Demir Karacan, Nilden Tuygun
Cardiological emergencies are reported to constitute almost 15% of all emergency department visits. This study aimed to characterize the main signs and symptoms of the infants that necessitated ped...
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Prevalence of hospitalized women at high-risk for developing lung cancer Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Jerome Gnanaraj, Sardar H Ijaz, Waseem Khaliq
Lung cancer screening with low-dose computer tomography (CT) has been shown to reduce the lung cancer mortality in high-risk individuals by 20%. Despite the proven mortality benefit, the utilizatio...
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Moral injury and associated context, contributors and consequences within mental healthcare professionals: a scoping review Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Qian Hui Chew, Tih-Shih Lee, Kang Sim
We sought to examine the contributory factors as well as consequences of moral injury amongst healthcare workers within mental healthcare settings.Several databases were searched for relevant studi...
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Flexible ureteroscopy under local anesthesia for stone management: initial exploration and two-year experience Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Yueqiang Peng, Linfeng Wang, Jiajia Jin, Yu Jiang, Qiao Xu, Lei Yang, Jiayu Liu
Flexible ureteroscopy (f-URS) is a minimally invasive surgical technique used for treating urinary tract stones. While general anesthesia (GA) is the standard method used, it comes with risks. Loca...
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Predictors of stroke-associated pneumonia and the predictive value of neutrophil percentage-to-albumin ratio Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Mohammed Zawiah, Amer Hayat Khan, Rana Abu Farha, Abubakar Usman, Khawla AbuHammour, Marwa Abdeen, Rawand Albooz
Early recognition of stroke-associated pneumonia (SAP) is critical to reducing morbidity and mortality associated with SAP. This study investigated the predictors of SAP, and the predictive value o...
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Serum uric acid to high-density lipoprotein cholesterol ratio is a promising marker for identifying metabolic syndrome in nondiabetic Chinese men Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Xinwen Yu, Fei Sun, Jie Ming, Shengru Liang, Wencheng Zhang, Li Wang, Qiaoyue Li, Qian Xu, Li Wang, Lei Shi, Bin Gao, Qiuhe Ji
To explore the relationship between serum uric acid (UA) and high-density lipoprotein cholesterol (HDL-C) ratio (UHR) and metabolic syndrome (MetS) in nondiabetic individuals.A total of 15,760 nond...
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Early diagnosis of chronic kidney disease in patients with diabetes in France: multidisciplinary expert opinion, prevention value and practical recommendations Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Thierry Hannedouche, Patrick Rossignol, Patrice Darmon, Jean-Michel Halimi, Patrick Vuattoux, Albert Hagege, Ludivine Videloup, Francis Guinard
Diabetes is the leading cause of end-stage kidney disease (ESKD), accounting for approximately 50% of patients starting dialysis. However, the management of these patients at the stage of chronic k...
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Risk factors that are associated with adrenal insufficiency among patients with fever of unknown origin Postgrad. Med. (IF 4.2) Pub Date : 2023-10-24 Ji Won Ko, Seung Eun Lee, Jung Hwan Park, Bongyoung Kim
Adrenal insufficiency is one of the causes of fever of unknown origin (FUO). The purpose of this study is to find out risk factors that are associated with adrenal insufficiency in FUO patients.Thi...
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Poor sleep quality is an overlooked risk for geriatric syndromes in older adults with type 2 diabetes mellitus Postgrad. Med. (IF 4.2) Pub Date : 2023-09-12 Sencer Ganidagli, Zeynel Abidin Ozturk
Aging and type 2 diabetes mellitus (DM) are two different conditions that impair sleep quality. The primary objective of this study was to investigate the impact of sleep quality on geriatric syndr...
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Cardiorenal care coordination: holistic patient care opportunities in the primary care setting for patients with chronic kidney disease and atherosclerotic cardiovascular disease Postgrad. Med. (IF 4.2) Pub Date : 2023-09-11 Eden Miller, Dominic Raj, Matthew A. Cavender, Sherif Mehanna, Tarlan Namvar, Reese Ochsner
Chronic kidney disease (CKD) and atherosclerotic cardiovascular disease (ASCVD) are closely linked conditions, and the presence of each condition promotes incidence and progression of the other. In...
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Association between serum vitamin C and chronic kidney disease among adults in NHANES, 2017-2018 Postgrad. Med. (IF 4.2) Pub Date : 2023-09-07 Minhua Li
The current study evaluated the relationship between serum vitamin C and chronic kidney disease.The database from the National Health and Nutrition Examination Survey (NHANES, 2017–2018) was used t...
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The effects of inspiratory muscle training on balance and functional mobility: a systematic review Postgrad. Med. (IF 4.2) Pub Date : 2023-09-06 Suman Sheraz, Francesco Vincenzo Ferraro, Furqan Ahmed Siddiqui, Hina Tariq, Mark Anthony Faghy, Arshad Nawaz Malik
Inspiratory muscle training (IMT) has been widely used in both healthy and diseased populations especially in older adults, and its effects have been proven not only on inspiratory muscle strength ...
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Acute COVID-19 in unvaccinated children without a history of previous infection during the delta and omicron periods Postgrad. Med. (IF 4.2) Pub Date : 2023-08-21 Jee Min Kim, Ji Yoon Han, Seung Beom Han
The Omicron variant has been the predominant severe acute respiratory syndrome coronavirus 2 variant circulating in Korea since January 2022. This study evaluated and compared the clinical characte...
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Endoscopic measurement of hiatal hernias: is it reliable and does it have a clinical impact? Results from a large prospective database Postgrad. Med. (IF 4.2) Pub Date : 2023-08-12 Charles Christian Adarkwah, Oliver Hirsch, Merlissa Menzel, Joachim Labenz
ABSTRACT Objectives The aim of our study was to compare the results of endoscopy and manometry with regard to the presence and longitudinal size of hiatal hernias using a cohort of patients with PPI-refractory reflux symptoms. In addition, we aimed to investigate the clinical relevance of hiatal hernias and their size in relation to the occurrence of GERD. Methods Five hundred patients with suspected
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TyG index as a predictor of spontaneous coronary artery dissection in young women Postgrad. Med. (IF 4.2) Pub Date : 2023-08-01 Uğur Özkan, Muhammet Gürdoğan
Spontaneous coronary artery dissection (SCAD) is a rare but potentially life-threatening pathology and cases are especially seen in women under 50 years of age and with relatively fewer cardiovascu...
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Central sensitization syndrome in patients with rotator cuff tear: prevalence and associated factors Postgrad. Med. (IF 4.2) Pub Date : 2023-07-28 Run Peng, Rong Yang, Ning Ning
ABSTRACT Introduction A significant number of rotator cuff tear (RCT) patients developed chronic shoulder pain that did not correspond to physiological changes. Central sensitization syndrome (CSS) is a neurophysiological adaptation process that can result in hypersensitivity to peripheral stimuli. Although there is evidence of an association between CSS and musculoskeletal problems, no studies have
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Efficacy and effectiveness of the herbal medicinal product BNO 1016 in the management of acute rhinosinusitis in the context of antibiotic stewardship Postgrad. Med. (IF 4.2) Pub Date : 2023-07-25 Claudia B. Bittner, Hubert Steindl, Dimitri Abramov-Sommariva, Michael Plach, Christoph Abels, Claus Bachert
ABSTRACT Objectives To substantiate the clinical efficacy and investigate the real-world effectiveness of the herbal medicinal product BNO 1016 in acute rhinosinusitis (ARS) in the context of antibiotic stewardship. Methods We performed a meta-analysis of the clinical trials ARhiSi-1 (EudraCT No. 2008-002794-13) and ARhiSi-2 (EudraCT No. 2009-016682-28) comprising 676 patients, analyzing the reduction
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New innovations and educational process in undergraduate neurology education in blended learning Postgrad. Med. (IF 4.2) Pub Date : 2023-07-12 Siyu Mu, Jingman Hu, Fangxi Liu, Chuansheng Zhao, Yefei Sun
ABSTRACT Many undergraduate students suffer from ‘neurophobia,’ which refers to a lack of knowledge or confidence in neurology, and this can influence their career choices. Various measures have been taken to address this issue, including the implementation of new technologies and methodologies. Significant advancements have been made in the development of blended learning, and the integration of student-centered
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Novel therapeutic approaches in the management of chronic kidney disease: a narrative review Postgrad. Med. (IF 4.2) Pub Date : 2023-07-06 Panagiotis Theofilis, Aikaterini Vordoni, Rigas G. Kalaitzidis
ABSTRACT Chronic kidney disease (CKD) remains a pathologic entity with constantly rising incidence and high rates of morbidity and mortality, which are associated with serious cardiovascular complications. Moreover, the incidence of end-stage renal disease tends to increase. The epidemiological trends of CKD warrant the development of novel therapeutic approaches aiming to prevent its development or
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Exertional leg pain represents a severe disease phenotype in childhood familial Mediterranean fever Postgrad. Med. (IF 4.2) Pub Date : 2023-06-20 Fatma Aydın, Zeynep Birsin Özçakar, Pınar Özge Avar Aydın, Ece Mekik Akar, Nilgün Çakar
ABSTRACT Objectives Familial Mediterranean fever (FMF) is the most common monogenic autoinflammatory disease. Recurrent fever, serositis, and arthritis are common findings of the disease. In addition, musculoskeletal complaints such as exertional leg pain can be overlooked, although they are common and affect patients’ quality of life. The aim of this study was to evaluate the frequency of exertional
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A retrospective study to describe the clinical pattern of dermatologic lesions from the pediatric emergency department: our experience from a tertiary care hospital in Turkey Postgrad. Med. (IF 4.2) Pub Date : 2023-06-19 Özlem Çolak, Okşan Derinöz Güleryüz, Yasemin Men Atmaca, Burcu Şenkalfa, Ayla Akca Caglar, Songül Tomar Güneysu
ABSTRACT Background and objectives Dermatologic lesions that occur primarily or are secondary to disease are among the most common reasons for referral to the Pediatric Emergency Department (PED). This study aims to reveal the clinical features, diagnostic distribution, and management of patients who presented to the PED with dermatologic lesions Methods The study was a retrospective cross-sectional
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Exploring a case for education about sexual and gender minorities in postgraduate emergency medicine training: forming recommendations for change Postgrad. Med. (IF 4.2) Pub Date : 2023-06-15 Adam Burcheri, Alexandre Coutin, Blair L. Bigham, Michael I. Kruse, Kelly Lien, Rodrick Lim, Hilary MacCormick, Judy Morris, Victor Ng, Nadia Primiani, Scott Odorizzi, Vincent Poirier, Suneel Upadhye, Robert Primavesi
ABSTRACT Social medicine and health advocacy curricula are known to be uncommon in postgraduate medical education. As justice movements work to unveil the systemic barriers experienced by sexual and gender minority (SGM) populations, it is imperative that the emergency medicine (EM) community progress in its efforts to provide equitable, accessible, and competent care for these vulnerable groups. Given
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Time to revisit the true role of metformin in type 2 diabetes mellitus Postgrad. Med. (IF 4.2) Pub Date : 2023-06-14 Angel Lopez-Candales, Scott Monte, Khalid Sawalha, Nicholas B Norgard
Published in Postgraduate Medicine (Vol. 135, No. 6, 2023)