Publications by authors named "Barzkar Farzaneh"

Article Synopsis
  • Clinical reasoning is a key competency in medicine that involves using knowledge and skills to diagnose problems, implement interventions, and enhance patient care, making it crucial for medical students to develop this skill.
  • The scoping review aimed to summarize existing literature on teaching methods to improve clinical reasoning in undergraduate medical education by analyzing articles published from 2010 to 2024.
  • The review included 54 studies that explored various educational strategies for enhancing clinical reasoning, highlighting the need for more precise and larger-scale research to obtain definitive conclusions.
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Article Synopsis
  • The study aimed to evaluate the effectiveness of various basal insulins, revealing that existing treatment guidelines do not clearly distinguish the best options for patients starting insulin therapy.
  • A comprehensive analysis included 44 randomized controlled trials involving nearly 24,000 participants to assess outcomes like HbA1c levels, weight changes, and hypoglycemia.
  • Results indicated no significant difference in HbA1c reduction among the insulins, but insulin glargine (300 U/mL) led to less weight gain compared to others, while IDeg insulins showed fewer hypoglycemic events than NPH and lispro, although with low certainty in the findings.
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Background: Effective communication is the key to a successful relationship between doctors and their patients. Empathy facilitates effective communication, but physicians vary in their ability to empathize with patients. Listening styles are a potential source of this difference.

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Key Clinical Message: Although intravascular lymphoma rarely presents with peripheral neuropathy, learning about this presentation can lead to timely diagnosis and improved prognosis in patients with intravascular lymphoma.

Abstract: A 64-year-old man presented with asymmetric paresthesia and subsequent weakness of his feet and a 10 kg weight loss over 40 days. Electrodiagnostic studies revealed distal axonal sensory-motor polyneuropathy with ongoing axonal loss.

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Key Clinical Message: The immune activation in COVID-19 may trigger narcolepsy in vulnerable patients. We suggest clinicians carefully evaluate patients with post-COVID fatigue and hypersomnia for primary sleep disorders, specifically narcolepsy.

Abstract: The patient is a 33-year-old Iranian woman without a significant past medical history with the full range of narcolepsy symptoms that started within 2 weeks after her recovery from COVID-19.

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Empathetic communication improves the physician-patient relationship and enhances patient and physician satisfaction. This study aims to evaluate the impact of empathic communication skills training on physicians' self-perceived performance and patient satisfaction regarding the empathetic quality of their relationship with their physicians. In this single-group before-after experimental study, we recruited 50 internal medicine residents at a large teaching hospital.

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Article Synopsis
  • The study investigated the relationship between orthostatic blood pressure responses and the rates of stroke, transient ischemic attack (TIA), and cerebrovascular disease in patients at a TIA clinic.
  • Data from 3,201 patients were analyzed, categorizing them into four groups based on their blood pressure responses, with diagnoses made independently by stroke physicians.
  • Results indicated that patients with combined orthostatic hypertension had significantly lower rates of cerebrovascular disease and TIA, particularly among younger patients and those without obesity, smoking, or hypertension.
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In this systematic review, we aimed to assess the efficacy and safety of nonsteroidal anti-inflammatory drugs (NSAIDs) in treating respiratory tract infections in adults and children. PubMed, Scopus, Web of Science, Cochrane, and Embase databases were searched. A total of 34 randomized clinical trials were included in this systematic review.

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The world is facing a pandemic of COVID-19, a respiratory disease caused by a novel coronavirus which is now called SARS-CoV-2. Current treatment recommendations for the infection are mainly repurposed drugs based on experience with other clinically similar conditions and are not backed by direct evidence. Chloroquine (CQ) and its derivative Hydroxychloroquine (HCQ) are among the candidates.

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Propose: This study aims to systematically review the randomized controlled trials that address the effectiveness and safety of herbal medicine in patients with type 1 diabetes.

Methods: The Cochrane Library (latest issue); MEDLINE (until recent); EMBASE (until recent); AMED (Allied and Complementary Medicine Database) (until recent); and CINHAL (until recent) were searched electronically for the identification of trials until October 2019. Articles were initially screened based on title and abstract and then by full text by two independent authors.

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Article Synopsis
  • The study aimed to evaluate graduate physicians' knowledge, attitudes, and practices regarding evidence-based medicine (EBM) and identify barriers to its implementation globally.
  • A systematic review of 57 articles showed that while physicians generally have a positive attitude about EBM improving patient care, their actual knowledge and self-awareness of EBM concepts are lacking.
  • Key barriers to EBM practice included patient overload and insufficient personal time, knowledge, and skills; the study suggests reducing workloads and providing preappraised evidence to address these challenges.
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The management of prolonged fever in low-socioeconomic-status areas by primary care providers such as general practitioners is challenging. Given the endemic nature of many infectious diseases, physicians typically start empirical antibiotic therapy following a limited diagnostic workup including serologic examinations. Herein, we report the case of a young male patient with prolonged fever and arthralgia initially diagnosed with and treated for brucellosis but with a confirmed diagnosis of systemic lupus erythematosus on follow-up.

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Introduction: Kleine-Levin syndrome is an extremely rare neurological entity characterized by recurrent episodes of hypersomnia which are sometimes associated with compulsive hyperphagia and behavioral changes. Autoimmunity has recently been proposed as a factor contributing to its pathogenesis. Immune thrombocytopenic purpura is a relatively common autoimmune disease showing a lot of complexity and uncertainty regarding its treatment regimens and its refractory nature in some cases.

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