Ultrasound imaging as an initial diagnostic method for intramuscular hemangiomas: a narrative review
Postgrad Med. 2022 Jan 25. doi: 10.1080/00325481.2022.2033562. Online ahead of print.ABSTRACTIntramuscular hemangiomas are benign vascular lesions, often misdiagnosed due to unfamiliarity. They are rare (but not very rare) causes of musculoskeletal pain and diagnosing these tumors may be challenging because of their pertinent non-specific symptomatology. Herein, as a convenient imaging tool, ultrasound examination appears to an important initial method to scan for these lesions after the clinical examination. To date, there are no studies that examined the state-of-the-art as regards the use of ultrasound imaging in the di...
Source: Postgraduate Medicine - January 25, 2022 Category: Internal Medicine Authors: Carmelo Pirri Nina Pirri Raffaele De Caro Carla Stecco Levent Özçakar Source Type: research

A practical guide to recognize, assess, treat and evaluate (RATE) primary care patients with chronic pain
Postgrad Med. 2022 Jan 21:1-10. doi: 10.1080/00325481.2021.2017201. Online ahead of print.ABSTRACTThe management of patients with chronic pain is one of the most important issues In medicine and public health. Chronic pain conditions cause substantial suffering for patients, their significant others and society over years and even decades and increases healthcare utilization resources including the cost of medical care, loss of productivity and provision of disability services. Primary care providers are at the frontline in the identification and management of patients with chronic pain, as the majority of patients enter t...
Source: Postgraduate Medicine - January 21, 2022 Category: Internal Medicine Authors: Kevin B Gebke Bill McCarberg Erik Shaw Dennis C Turk Wendy L Wright David Semel Source Type: research

Characteristics of tuberculosis-related deaths and risk factors: a retrospective cohort study in Samsun province of Turkey
Postgrad Med. 2022 Jan 20. doi: 10.1080/00325481.2022.2029106. Online ahead of print.ABSTRACTOBJECTIVES: Tuberculosis (TB) remains one of the top ten leading causes of death worldwide despite effective therapy. The present study aims to examine the characteristics of TB-related deaths in Samsun Province and to determine the risk factors.METHODS: In this retrospective registry-based cohort study, the medical records of patients registered with Samsun Tuberculosis Control Dispensary between January 1, 2018, and December 31, 2019, were retrospectively reviewed. The Cox proportional-hazards model was used to determine the fact...
Source: Postgraduate Medicine - January 20, 2022 Category: Internal Medicine Authors: Muhammet Ali Oru ç Sule Ozdemir Derya Oztomurcuk Source Type: research

Treatment characteristics among patients with binge-eating disorder: an electronic health records analysis
CONCLUSION: This cohort of patients with BED was treated more frequently with pharmacotherapy than psychotherapy. These data may help inform strategies for reducing differences between real-world treatment patterns and evidence-based recommendations.PMID:35037815 | DOI:10.1080/00325481.2021.2018255 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - January 17, 2022 Category: Internal Medicine Authors: William M Spalding Monica L Bertoia Cynthia M Bulik John D Seeger Source Type: research

Predictive value of arterial blood lactic acid concentration on the risk of all-cause death within 28 days of admission in patients with severe acute pancreatitis
Postgrad Med. 2022 Jan 10. doi: 10.1080/00325481.2022.2027189. Online ahead of print.ABSTRACTObjectiveTo evaluate the ability of arterial blood lactic acid concentration to predict death within 28 days of admission of patients with severe acute pancreatitis (SAP) in the intensive care unit (ICU).MethodsClinical data of 523 SAP patients in the MIMIC-IV database were retrospectively analyzed. Patients were divided into those who survived (n=461) and those who died (n=62) within 28 days of admission. The association between lactic acid concentration and all-cause death in SAP patients was determined by Cox regression analysis...
Source: Postgraduate Medicine - January 10, 2022 Category: Internal Medicine Authors: Menghuan Wu Liang Shi Hao Zhang Hanqiong Liu Yanru Liu Wei Zhang Source Type: research

Patient preferences for mitral valve regurgitation treatment: a discrete choice experiment
CONCLUSION: This study of US adults with DMR provides quantitative measures of risk tolerance for tradeoffs related to repair by a beating heart approach relative to conventional open-heart surgery (standard of care). These results may inform DMR treatment choices from regulatory agencies, payers, clinicians, and patients considering a beating heart repair or treatments with similar attributes as potential new alternatives to conventional surgery.PMID:34981982 | DOI:10.1080/00325481.2021.2020571 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - January 4, 2022 Category: Internal Medicine Authors: Ellen Janssen Eric L Keuffel Barry Liden Alissa Hanna John A Rizzo Source Type: research

Patient preferences for mitral valve regurgitation treatment: a discrete choice experiment
CONCLUSION: This study of US adults with DMR provides quantitative measures of risk tolerance for tradeoffs related to repair by a beating heart approach relative to conventional open-heart surgery (standard of care). These results may inform DMR treatment choices from regulatory agencies, payers, clinicians, and patients considering a beating heart repair or treatments with similar attributes as potential new alternatives to conventional surgery.PMID:34981982 | DOI:10.1080/00325481.2021.2020571 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - January 4, 2022 Category: Internal Medicine Authors: Ellen Janssen Eric L Keuffel Barry Liden Alissa Hanna John A Rizzo Source Type: research

COVID-19 and seasonal influenza
Postgrad Med. 2021 Dec 30:1-4. doi: 10.1080/00325481.2021.2021016. Online ahead of print.NO ABSTRACTPMID:34937494 | DOI:10.1080/00325481.2021.2021016 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 23, 2021 Category: Internal Medicine Authors: Aaron Lawson Angel L ópez-Candales Source Type: research

COVID-19 and seasonal influenza
Postgrad Med. 2021 Dec 23. doi: 10.1080/00325481.2021.2021016. Online ahead of print.NO ABSTRACTPMID:34937494 | DOI:10.1080/00325481.2021.2021016 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 23, 2021 Category: Internal Medicine Authors: Aaron Lawson Angel L ópez-Candales Source Type: research

Undergraduate health sciences students' response regarding COVID-19 pandemic in Saudi Arabia: an observational study
CONCLUSION: Overall, participants show high knowledge level and positive attitude towards COVID-19 but fair learning satisfaction during the pandemic. Further studies are needed to improve the learning satisfaction and attitude of HSS in the future.PMID:34933641 | DOI:10.1080/00325481.2021.2017184 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 22, 2021 Category: Internal Medicine Authors: Ayman Geddawy Mansour Alajmi Abdulaziz M Alaskar Salman T Alwadani Abdulaziz F Alanezi Abdullah Abdurahman Alhomaidhi Sameer Al-Ghamdi Source Type: research

Ground-glass opacity on Emergency Department chest X-ray: a risk factor for in-hospital mortality and organ failure in elderly admitted for COVID-19
CONCLUSION: Based on these results, the variable "finding ground-glass opacity on chest X-rays carried out at the Emergency Department" should be assessed for inclusion in the different calculators that estimate the prognosis/mortality rate of patients admitted for COVID-19.PMID:34930067 | DOI:10.1080/00325481.2021.2021741 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 21, 2021 Category: Internal Medicine Authors: Noel Roig-Mar ín Pablo Roig-Rico Source Type: research

Association of number of primary care physicians with preventable hospitalizations and premature deaths
Postgrad Med. 2021 Dec 20. doi: 10.1080/00325481.2021.2021038. Online ahead of print.ABSTRACTBACKGROUND: Primary Care Physicians (PCPs) may be the first providers for the patients in a healthcare interaction, putting them in a unique position which may determine health trajectory of a patient. Assessing whether PCPs improve the overall health of a community through reducing preventable hospital stays and premature deaths may provide necessary information towards improving the health outcomes at grass roots.METHODS: County-level data on the number of primary care physicians, preventable hospital stays and 'years of potentia...
Source: Postgraduate Medicine - December 20, 2021 Category: Internal Medicine Authors: Satya Preetham Gunta Ain Ul-Ejaz Abigail May Murphy Kaylea May Gunn Ambika Bhatnagar Vanika Angraal Angel Lopez-Candales Suveen Angraal Source Type: research

Managing hospitalized patients with a COPD exacerbation: the role of hospitalists and the multidisciplinary team
Postgrad Med. 2021 Dec 16. doi: 10.1080/00325481.2021.2018257. Online ahead of print.ABSTRACTExacerbations of chronic obstructive pulmonary disease (COPD) are associated with high rates of hospitalizations, costs, and morbidity. Therefore, hospitalists and the multidisciplinary team (hospital team) need to take a proactive approach to ensure patients are effectively managed from hospital admission to postdischarge. Comprehensive screening and diagnostic testing of patients at admission will enable an accurate diagnosis of COPD exacerbations, and severity, as well as other factors that may impact the length of hospital stay...
Source: Postgraduate Medicine - December 16, 2021 Category: Internal Medicine Authors: Alpesh N Amin Sharon Cornelison J Andrew Woods Nicola A Hanania Source Type: research

The descending pain modulation system predicts short term efficacy of multimodal pain therapy - an observational prospective cohort study
CONCLUSION: : In conclusion this study shows, that while a heterogeneous group of patients with chronic pain disorders does sustainably benefit from MMPT in general, patients with a sufficient CPM effect do show a more pronounced decrease in pain ratings directly after therapy in comparison to those without.PMID:34895019 | DOI:10.1080/00325481.2021.2017646 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 13, 2021 Category: Internal Medicine Authors: M Sendel F Lienau D Fischer J Moll S Koch J Forstenpointner A Binder R Baron Source Type: research

Reliability of transcutaneous hemoglobin measurements in an outpatient pediatric clinic
CONCLUSIONS: The measurement of a transcutaneous Hgb is less invasive for pediatric patients but has significant limitations. Smaller children (probe specifications) and movement limited the ability to obtain a tcHgb measurement in ~75% of children tested. Falsely normal tcHgb values occurred due to overestimation of hemoglobin when compared to the traditional cHgb device. The suboptimal sensitivity of the tcHgb device may cause providers to miss a diagnosis of anemia. Future research should compare both methods of Hgb assessment to the gold standard laboratory-analyzed complete blood count and use a smaller probe for chil...
Source: Postgraduate Medicine - December 13, 2021 Category: Internal Medicine Authors: Shae Margulies Molly Posa Melissa Fitzgerald Stephanie Filipp Diane Howell Puneet Tung Maria Kelly Source Type: research

The descending pain modulation system predicts short term efficacy of multimodal pain therapy - an observational prospective cohort study
CONCLUSION: : In conclusion this study shows, that while a heterogeneous group of patients with chronic pain disorders does sustainably benefit from MMPT in general, patients with a sufficient CPM effect do show a more pronounced decrease in pain ratings directly after therapy in comparison to those without.PMID:34895019 | DOI:10.1080/00325481.2021.2017646 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 13, 2021 Category: Internal Medicine Authors: M Sendel F Lienau D Fischer J Moll S Koch J Forstenpointner A Binder R Baron Source Type: research

Reliability of transcutaneous hemoglobin measurements in an outpatient pediatric clinic
CONCLUSIONS: The measurement of a transcutaneous Hgb is less invasive for pediatric patients but has significant limitations. Smaller children (probe specifications) and movement limited the ability to obtain a tcHgb measurement in ~75% of children tested. Falsely normal tcHgb values occurred due to overestimation of hemoglobin when compared to the traditional cHgb device. The suboptimal sensitivity of the tcHgb device may cause providers to miss a diagnosis of anemia. Future research should compare both methods of Hgb assessment to the gold standard laboratory-analyzed complete blood count and use a smaller probe for chil...
Source: Postgraduate Medicine - December 13, 2021 Category: Internal Medicine Authors: Shae Margulies Molly Posa Melissa Fitzgerald Stephanie Filipp Diane Howell Puneet Tung Maria Kelly Source Type: research

The descending pain modulation system predicts short term efficacy of multimodal pain therapy - an observational prospective cohort study
CONCLUSION: : In conclusion this study shows, that while a heterogeneous group of patients with chronic pain disorders does sustainably benefit from MMPT in general, patients with a sufficient CPM effect do show a more pronounced decrease in pain ratings directly after therapy in comparison to those without.PMID:34895019 | DOI:10.1080/00325481.2021.2017646 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 13, 2021 Category: Internal Medicine Authors: M Sendel F Lienau D Fischer J Moll S Koch J Forstenpointner A Binder R Baron Source Type: research

Reliability of transcutaneous hemoglobin measurements in an outpatient pediatric clinic
CONCLUSIONS: The measurement of a transcutaneous Hgb is less invasive for pediatric patients but has significant limitations. Smaller children (probe specifications) and movement limited the ability to obtain a tcHgb measurement in ~75% of children tested. Falsely normal tcHgb values occurred due to overestimation of hemoglobin when compared to the traditional cHgb device. The suboptimal sensitivity of the tcHgb device may cause providers to miss a diagnosis of anemia. Future research should compare both methods of Hgb assessment to the gold standard laboratory-analyzed complete blood count and use a smaller probe for chil...
Source: Postgraduate Medicine - December 13, 2021 Category: Internal Medicine Authors: Shae Margulies Molly Posa Melissa Fitzgerald Stephanie Filipp Diane Howell Puneet Tung Maria Kelly Source Type: research

Vitamin D and COVID-19: where are we now?
The objective of this study was to carry out a review of the current data that associate vitamin D status with the acquisition, evolution, and/or severity of infection by the SARS-CoV-2 virus and to assess whether prevention through vitamin D supplementation can prevent infection and/or improve the evolution once acquired. Vitamin D system has an immunomodulatory function and plays a significant role in various bacterial and viral infections. The immune function of vitamin D is explained in part by the presence of its receptor (VDR) and its activating enzyme 25-hydroxyvitamin D-1alpha-hydroxylase (CYP27B1) in immune cells....
Source: Postgraduate Medicine - December 10, 2021 Category: Internal Medicine Authors: Victoria Contreras-Bol ívar Beatriz Garc ía-Fontana Cristina Garc ía-Fontana Manuel Mu ñoz-Torres Source Type: research

Analgesic efficacy of naproxen sodium versus hydrocodone/acetaminophen in acute postsurgical dental pain: a randomized, double-blind, placebo-controlled trial
Postgrad Med. 2021 Dec 8:1-8. doi: 10.1080/00325481.2021.2008180. Online ahead of print.ABSTRACTOBJECTIVES: Opioid/acetaminophen combinations may be overly prescribed in many post-surgical situations where a non-steroidal anti-inflammatory drug with equal or greater efficacy, fewer central nervous system side effects, and no risk for opioid abuse could be substituted. We compared a single, non-prescription dose of naproxen sodium 440 mg (NapS) against hydrocodone plus acetaminophen 10/650 mg (HYD+APAP) in post-impaction surgery pain.METHODS: Single-center, randomized, double-blind, placebo-controlled study in moderate-seve...
Source: Postgraduate Medicine - December 8, 2021 Category: Internal Medicine Authors: Stephen A Cooper Paul J Desjardins Todd Bertoch Alberto Paredes-Diaz Emanuel Troullos Azita Tajaddini Robert Centofanti Robert An Donna Morella Source Type: research

Association between ivy leaves dry extract EA 575 prescriptions and antibiotic use, sick leave duration and repeated infections in adult patients
CONCLUSION: Our study provides further evidence that the use of phytopharmaceuticals, in particular ivy leaves dry extract EA 575, could contribute to a reduction in the number of inappropriate antibiotic prescriptions for respiratory infection with cough symptoms.PMID:34872427 | DOI:10.1080/00325481.2022.2015220 (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 7, 2021 Category: Internal Medicine Authors: Karel Kostev Andreas V ölp Fanny Ludwig Christoph Strehl Georg Seifert Source Type: research

Multimodal analgesia in neurosurgery: a narrative review
Postgrad Med. 2021 Dec 7. doi: 10.1080/00325481.2021.2015221. Online ahead of print.ABSTRACTPain following brain surgery can compromise the result of surgery. Several pharmacological interventions have been used to prevent postoperative pain in adults undergoing brain surgery. Pain following craniotomy is considered to be moderate to severe during the first two post-operative days. Opioids have been historically the mainstay and are the current prominent strategy for pain treatment. They produce analgesia, but may alter respiratory, cardiovascular, gastrointestinal and neuroendocrine functions. All these side effects may a...
Source: Postgraduate Medicine - December 7, 2021 Category: Internal Medicine Authors: Caterina Aurilio Maria Caterina Pace Pasquale Sansone Luca Gregorio Giaccari Francesco Coppolino Vincenzo Pota Manlio Barbarisi Source Type: research