A 71-year-old woman with no significant past medical history presented with progressive cognitive decline, fatigue, and weight loss over two years. Her symptoms included bradycardia, anxiety, depression, and mild dyspnea on exertion. The patient followed a strict diet fortified with smoothies and an extensive regimen of 26 dietary #supplements , consumed regularly over five years.… Continue reading Over-the-Counter #Supplement Overuse: A Rare Potential Cause of #Arsenic Poisoning and #Bradycardia
Understanding #Migration Intentions of Albanian #Physicians and Nurses
Introduction: Migration from Albanian healthcare professionals to Western countries has been widespread since Albania emerged from communism in 1991. The migration of Albanian physicians and nurses has significant impacts on the country's healthcare system.Objective: The manuscript addresses the migration intentions of Albanian healthcare professionals, including #physicians and nurses focusing on their inclination to emigrate to… Continue reading Understanding #Migration Intentions of Albanian #Physicians and Nurses
Liberal versus restrictive #transfusion strategies in patients with acute #brain injury: a systematic review and meta-analysis of randomized controlled trials
Anemia has been observed in up to 46% of individuals with acute brain injury. Blood transfusions are commonly performed to raise hemoglobin levels, so we aimed to compare the restrictive and liberal blood transfusion strategies in acute brain injury patients.MethodsA systematic search was conducted on Web of Science, Embase, Scopus, Cochrane, and Medline/PubMed up to… Continue reading Liberal versus restrictive #transfusion strategies in patients with acute #brain injury: a systematic review and meta-analysis of randomized controlled trials
The impact of #moxibustion on brain function in #vascular dementia: a neuroimaging study involving amplitude of low-frequency fluctuations and functional connectivity
Object: On the basis of determining the clinical effect of moxibustion on vascular #dementia (VD), this study explored the central mechanism of moxibustion on VD through fMRI.Method: Fifty-five VD patients formed the observation group (treated with moxibustion at GV20, GV14, and GV24; 20 min/acupoint, once every other day, three times a week) and 50 healthy… Continue reading The impact of #moxibustion on brain function in #vascular dementia: a neuroimaging study involving amplitude of low-frequency fluctuations and functional connectivity
The health effects of #diaphragmatic #breathing: A systematic review
Highlights•Diaphragmatic #breathing benefits #GERD , anxiety, and post-COVID-19 syndrome.•Efficacy varies; evidence for COPD is inconsistent, poor for post-cardiac surgery.•The evidence base is constrained by methodologically weak and heterogeneous studies.•Diaphragmatic breathing is a promising, low-cost, and safe adjunctive therapy. BackgroundDiaphragmatic breathing (DB) is widely used clinically, but a comprehensive synthesis of randomized controlled trial (RCT) evidence… Continue reading The health effects of #diaphragmatic #breathing: A systematic review
#Knee flexion during skin preparation improves anterior #antiseptic coverage: A controlled fluorescent dye study
AbstractBackground: Periprosthetic joint infection ( #PJI ) is a rare but devastating complication of total knee arthroplasty (TKA) and a leading cause of TKA failure. Thorough skin preparation is a key preventative measure; however, the influence of limb position on antiseptic coverage has not been evaluated. This study compared the effectiveness of anterior knee antiseptic… Continue reading #Knee flexion during skin preparation improves anterior #antiseptic coverage: A controlled fluorescent dye study
Cost-Effectiveness of #Acupuncture Needling for Older Adults With Chronic Low #Back Pain
Preplanned economic evaluation alongside a clinical trial.Objective. Determine the 1-year cost-effectiveness from health care sector and Medicare perspectives of adding either standard #acupuncture (SA; ≤15 treatment sessions over 12 wk) or enhanced acupuncture (EA; SA plus ≤ 6 additional sessions) to usual medical care (UMC) versus UMC alone.Summary of Background Data. Chronic low back #pain… Continue reading Cost-Effectiveness of #Acupuncture Needling for Older Adults With Chronic Low #Back Pain
Comparison of verbal autopsy using a large #language model to biologically confirmed causes of death for #malaria and other communicable diseases among children in six sub-Saharan African countries
Malaria, a preventable parasitic disease, causes most child deaths in sub-Saharan Africa (SSA). Reliable cause-of-death data are essential to evaluate progress toward the national and global malaria control goals. However, civil registration and vital statistics are often weak and incomplete in many low- and middle-income countries. In such circumstances, verbal autopsy (VA) provides an alternative… Continue reading Comparison of verbal autopsy using a large #language model to biologically confirmed causes of death for #malaria and other communicable diseases among children in six sub-Saharan African countries
Multimodality imaging in #hypertrophic #cardiomyopathy
Hypertrophic cardiomyopathy (HCM) is a myocardial disorder characterized by unexplained myocardial hypertrophy. Although the diagnosis of HCM is traditionally based on increased left ventricular (LV) wall thickness, contemporary management requires a comprehensive multimodality imaging approach to accurately define disease phenotype, assess functional consequences, and guide risk stratification. Transthoracic echocardiography remains the first-line imaging modality, providing… Continue reading Multimodality imaging in #hypertrophic #cardiomyopathy
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